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RESTORATION OF SPINAL CORD FUNCTION BY REMYELINERIZATION USING CELL TRANSPLANTATION

Research Project

Project/Area Number 14571382
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Orthopaedic surgery
Research InstitutionTHE UNIVERSITY OF TOKUSHIMA

Principal Investigator

KATOH Shinsuke  THE UNIVERSITY OF TOKUSHIMA, SCHOOL OF MEDICINE, ASSOCIATE PROFESSOR, 医学部, 助教授 (30243687)

Co-Investigator(Kenkyū-buntansha) NAKAJO Shunji  THE UNIVERSITY OF TOKUSHIMA, UNIVERSITY HOSPITAL, LECTURER, 医学部・歯学部附属病院, 助手 (60294683)
SAIRYO Koichi  THE UNIVERSITY OF TOKUSHIMA, SCHOOL OF MEDICINE, LECTURER, 医学部, 講師 (10304528)
YASUI Natsuo  THE UNIVERSITY OF TOKUSHIMA, SCHOOL OF MEDICINE, PROFESSOR, 医学部, 教授 (00157984)
田岡 祐二  徳島大学, 医学部附属病院, 講師 (10325277)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 2003: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2002: ¥2,000,000 (Direct Cost: ¥2,000,000)
Keywordsspinal cord injury / spinal injury / secondary injury / oxidative stress / growth plate
Research Abstract

Current trend on the strategy to restore spinal cord function after mechanical trauma is cell transplantation, which aims to fill the cavity with neuronal cells. However, mail lost function is the. long-tract function, and transplantation of the neuronal cells alone cannot rebuild the conductivity. In this project, we focused on the restoration of the conductivity by cell transplantation.
To restore the long-tract function, the condition around the mechanical trauma should be improved. We focused on the endothelial injury at the site of the mechanical trauma. We showed that the inhibition of the cycleoxygenase-2 or administration of prostaglandin-E2 improved the hindlimb function of the rat spinal cord injury model. We postulated that the reduction of the oxidative stress is a part of the effect of those drugs.
We also investigated the mechanism of the cervical spinal injuries in children. Children below the age of 8 have a characteristics of lack of apparent fractures in the cervical spine. We showed that the growth plate of the vertebral body is the weakest link against the antero-posterior shear force. The growth plate was demonstrated to be disrupted by the low-energy force if it applied for several days. The strength of the growth plate depended on the skeletal maturity.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (28 results)

All Other

All Publications (28 results)

  • [Publications] Fujii K, Katoh S, Sairyo K, Ikata I, Yasui N: "Union of defects in the pars interarticularis of the lumbar spine in children and adolescents. The radiological outcome after conservative treatment"J Bone Joint Surg Br. 86. 225-231 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakamaki T, Inoue M, Komatsubara S, Ogawa T, Sano T: "Vertebral forward slippage in immature lumbar spine occurs following epiphyseal separation and its occurence is unrelated to disc degeneration. Is the pediatric"Spine. (印刷中). (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakamaki T, Komatsubara S, Endo K, Yasui N: "Three successive stress fractures at the same vertebral level in an adolescent baseball player"Am J Sports Med. 32. 606-610 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sakamaki T, Sairyo K, Katoh S, Endo H, Komatsubara S, Sano T, Yasui N: "The pathogenesis of slippage and deformity in pediatric lumbar spine. A radiographic and histological study using a new rat in vivo model."Spine. 28. 645-651 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakamaki T, Komatsubara S, Yasui N: "A new endoscopic technique to decompress lumbar nerve roots affected by spondylolysis"J Neurosurg. 93(3 Suppl). 290-293 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Henmi T, Sairyo K, Nakano S, Kanematsu Y, Kajikawa T, Katoh S.: "Natural history of extruded lumbar intervertebral disc herniation"J Med Invest. 49. 40-43 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 加藤真介: "米国の急性期頚髄損傷管理ガイドライン"臨床リハビリテーション. 13. 238-243 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 加藤真介: "脊髄損傷の保存療法"脊椎脊髄ジャーナル. 16. 354-359 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 加藤真介: "外傷性脊髄損傷に対する薬物療法の現状"脊椎脊髄ジャーナル. 16. 559-563 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 飯塚秀明, 加藤真介: "頚髄損傷の急性期管理のガイドライン -Neurosurgery 50 (Supple) : Guidelines for the management of acute cervical spine and spinal cord injuriesより-"脊椎脊髄ジャーナル. 16. 417-423 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 田岡祐二: "二次障害の発生機序と治療 -薬物療法を中心に-"脊椎脊髄ジャーナル. 16. 348-353 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 加藤真介: "脊髄損傷の保存療法"脊椎脊髄ジャーナル. 16. 354-359 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Fujii K, Katoh S, Sairyo K, Ikata T, Yasui N: "Union of defects in the pars interarticularis of the lumbar spine in children and adolescents. Radiological outcome after conservative treatment."J Bone Joint Surg Br.. Mar,86(2). 225-231 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakamald T, Inoue M, Komatsubara S, Ogawa T, Sano T, Yasui N.: "Vertebral forward slippage in immature lumbar spine occurs following epiphyseal separation and its occurence is unrelated to disc degeneration. Is the pediatric spondylolisthesis a physis stress fracture of vertebral body?"Spine. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakamaki T, Komatsubara S, Endo K, Yasui N.: "Three successive stress fractures at the same vertebral level in an adolescent baseball player."Am J Sports Med. 32. 606-610 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sakamaki T, Sairyo K, Katoh S, Endo H, Komatsubara S, Sano T, Yasui N.: "The pathogenesis of slippage and deformity in pediatric lumbar spine. A radiographic and histological study using a new rat in vivo model."Spine. 28. 645-651 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sairyo K, Katoh S, Sakainaki T, Komatsubara S, Yasui N.: "A new endoscopic technique to decompress lumbar nerve roots affected by spondylolysis. Technical note."J Neurosurg.. 98(3 Suppl). 290-293 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sakamaki, Sairyo K, Katoh S.: "Comparison of spine movements between normal and spondylolytic pediatric spine with special reference to instantaneous axis of rotation."Spine. 27. 141-145 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 加藤真介: "米国の急性期頚髄損傷管理ガイドライン"臨床リハビリテーション. 13. 238-243 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤真介: "上位頚椎・頚髄損傷"今日の整形外科治療指針第5版. 16. 348-353 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤真介: "脊髄損傷の保存療法"脊椎脊髄ジャーナル. 16. 354-359 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤真介: "外傷性脊髄損傷に対する薬物療法の現状"脊椎脊髄ジャーナル. 16. 559-563 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 飯塚秀明, 加藤真介: "頚髄損傷の急性期管理のガイドライン-Neurosurgery 50(Supple) : Guidelines for the management of acute cervical spine and spinal cord injuriesより-"脊椎脊髄ジャーナル. 16. 417-423 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤真介: "今日の整形外科治療指針第5版"上位頚椎・頚髄損傷. 2 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤真介: "今日の整形外科治療指針第5版"中下位頚椎・頚髄損傷. 2 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 加藤 真介: "外傷性脊髄損傷に対する薬物療法の現状"脊椎脊髄ジャーナル. 16(印刷中). (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 田岡 祐二: "二次障害の発生機序と治療-薬物療法を中心に-"脊椎脊髄ジャーナル. 16. 348-353 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] 加藤 真介: "脊髄損傷の保存療法"脊椎脊髄ジャーナル. 16. 354-359 (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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