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Anti-inflammatory potency of cellulose acetate beads by removing activated granulo/monocytes in ulcerative colitis

Research Project

Project/Area Number 08557039
Research Category

Grant-in-Aid for Scientific Research (A)

Allocation TypeSingle-year Grants
Section展開研究
Research Field Gastroenterology
Research InstitutionNiigata University

Principal Investigator

ASAKURA Hitoshi  Niigata University, School of medicine, Professor, 医学部, 教授 (20051451)

Co-Investigator(Kenkyū-buntansha) HONMA Terasu  Niigata University, Medical Hospital, Assistant, 医学部・附属病院, 助手 (90272814)
SUGIMURA Kazuhito  Niigata University, Medical Hospital, Assistant, 医学部・附属病院, 助手 (80270940)
柏木 伸仁  日本抗体研究所, 研究部長
佐藤 貞之  新潟大学, 医学部附属病院, 医員
松澤 純  新潟大学, 医学部附属病院, 医員
Project Period (FY) 1996 – 1997
Project Status Completed (Fiscal Year 1997)
Budget Amount *help
¥9,600,000 (Direct Cost: ¥9,600,000)
Fiscal Year 1997: ¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 1996: ¥6,200,000 (Direct Cost: ¥6,200,000)
KeywordsUlcerative colitis / Therapy / Granulo / monocyte apheresis / Leucocytapheresis / Activated platelets / DSS colits / 漬瘍性大腸炎 / 酢酸セルローズビーズ / 顆粒球・単球除去療法 / サイトカイン / 内皮細胞 / 酢酸セルロースビーズ
Research Abstract

Extracorporeal immunomodulation is thought to be secure therapy and we attempted to investigate the mechanisms that how granulo/monocyte apheresis (GOAP) using cellulose acetate beads (G-1) column can modulate the local inflammation in the treatment of ulcerative colitis (UC).
At first, we investigated the feature of granulo/monocyte reactivity to the human umbilical vein endothelial cells and G-l beads. The circulating granulo/monocytes in patients with UC were generally activated and produce proinflammatory cytokines in response to the activated vascular endothelial cells. This could be responsible for the development and prolongation of the inflammation of ulcerative colitis. And we concluded that G-1 beads remove those activated cells and may improve the UC.However, complete depletion of neutrophils in rats improved the dextran sulphate sodium-induced colitis only in part. And inhibition of MOP-1 chemokine in rats did not improved the DSS induced colitis. These results implied that … More only the depression of neutrophils and monocytes did not improve the local inflammation of ulcerative colitis.
At the time, the effects of leucocytapheresis (LCAP), another extracorporeal immuno-modulation system which removes all white blood cells (WBC), were compared with GCAIP on the induction therapy of UC.LOAP was more effective in the treatment of UC than GOAP.And LOAP was effective even on steroid-resistant ulcerative colitis. This clinical observation suggested that removing factor (s) other than granulocytes and monocytes improve the inflammation of UC.Hence changes of lymphocyte subsets and the influence of humorl factors on the adhesion of WBC to activated HUVEC were examined in LCAP therapy. But no signficant results were observed. Then we suspected platelets of the development of inflammation. Activated platelets were significantly increased in UC.Platelets from UC showed higher increasing effect on ROM production by indicator granulocytes than platelets from controls. Now we consider that removing activated platelets plays the fundamental role in the LCAP therapy. Less

Report

(3 results)
  • 1997 Annual Research Report   Final Research Report Summary
  • 1996 Annual Research Report

Research Products

(18 results)

All Other

All Publications (18 results)

  • [Publications] 朝倉 均,鈴木 東,杉村一仁: "炎症性腸疾患発症におけるリンパ系の関与" 綜合臨床. 45. 1494-1499 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 朝倉 均,本間 照: "炎症性腸疾患の概念・成因と自然経過" 消化器外科. 20. 25-32 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 朝倉 均: "潰瘍性大腸炎とCrohn病" 日本内科学会雑誌. 85. 92-95 (1996)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 朝倉 均,杉村一仁,古川浩一: "慢性炎症性腸疾患IBDとステロイド療法" 臨床と研究. 74. 39-44 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 朝倉 均,鈴木恒治 本間 照: "潰瘍性大腸炎の内科的治療" 日本外科学会雑誌. 98. 431-437 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 船越和博,朝倉 均 他5名: "クローン病と潰瘍性大腸炎の腸粘膜病変におけるサイトカイン遺伝子発現のスペクトラム" Digestion. 59. 73-78 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 朝倉 均: "小林絢三編 消化器病 up to date" 永井書店(大阪), 396 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 杉村一仁,朝倉均,他7名: "小林絢三編 消化器病 up to date" 永井書店(大阪), 396 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura, Azuma Suzuki, Kazuhito Sugimura: "Involvemnt of lymphatic system in the pathogenesis of inflammatory bowel disease." Sogo Rinsho. 45. 1494-1499 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura, Terasu Honma: "Concept and pathogenesis of inflammatory." Shokakigeka. 20. 25-32 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura: "Ulcerative colitis and Crohn's disease." Nihonnaikagakkai Zasshi. 85. 92-95 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura, Kazuhito Sugimura, Kouichi Furukawa: "Chronic inflammatory bowel disease and steroid therapy." Rinshou to Kenkyu. 74. 39-44 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura, Koji Suzuki, Terasu Honma: "Medical treatment for ulcerative colitis." Nihon Gekagakkai Zasshi. 98. 431-437 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kazuhiro Funakoshi, Hitoshi Asakura, et al.: "Spectrum of Cytokine Gene Expression in Intestinal Mucosal Lisions of Crohn's Disease and Ulcerative Colitis." Digestion. 59. 73-78 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Hitoshi Asakura: K.Kobayashi edited : Gastroenterology up to date.Nagai Pub.Co. , Osaka, 396 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] Kazuhito Sugimura, Hitoshi Asakura, et al.: K.Kobayashi edited : Gastroenterology up to date.Nagai Pub.Co. , Osaka, 396 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1997 Final Research Report Summary
  • [Publications] 杉村 一仁, 朝倉 均: "消化器病up to date, consensus & cuntroversies, 1996" 永井書店, 127-130 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 杉村一仁,柏木伸二,他: "消化器病up to date,consensus & controversies,1996" 永井書店, 127-130 (1997)

    • Related Report
      1996 Annual Research Report

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Published: 1996-03-31   Modified: 2016-04-21  

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