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Relationship between perioperative neutrophil extracellular trap formation and organ dysfunction

Research Project

Project/Area Number 15H05004
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionTokyo Medical and Dental University

Principal Investigator

UCHIDA Tokujiro  東京医科歯科大学, 大学院医歯学総合研究科, 教授 (40262183)

Co-Investigator(Kenkyū-buntansha) 槇田 浩史  東京医科歯科大学, 大学院医歯学総合研究科, 教授 (20199657)
三高 千恵子  東京医科歯科大学, 医歯(薬)学総合研究科, 非常勤講師 (20126254)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥16,770,000 (Direct Cost: ¥12,900,000、Indirect Cost: ¥3,870,000)
Fiscal Year 2017: ¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2016: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2015: ¥7,540,000 (Direct Cost: ¥5,800,000、Indirect Cost: ¥1,740,000)
Keywords細胞外トラップ / 周術期腎障害 / 臓器障害 / 急性腎障害 / 血液凝固 / 好中球 / cell free DNA
Outline of Final Research Achievements

Perioperative change in serum double-strand DNA (dsDNA) as a marker reflecting neutrophil extracellular trap concentration was studied. Serum samples were collected at baseline, immediately after surgery, and the day after surgery (POD-1). In patients undergoing elective cardiac surgery, serum dsDNA concentration was significantly increased from baseline to immediately after surgery, and they were reduced by POD-1. The difference in serum creatinine concentration between baseline and POD-1 was correlated with dsDNA concentration on POD-1. We also investigated the relationship between serum dsDNA levels and renal function in patients undergoing lung surgery. Although serum dsDNA levels are significantly elevated on POD-1 in these patients, there were no patients diagnosed as acute kidney injury in this cohort. Further studies are needed to determine the relationship between serum dsDNA levels and renal dysfunction.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • 2015 Annual Research Report
  • Research Products

    (10 results)

All 2017 2016 2015

All Journal Article (3 results) (of which Peer Reviewed: 3 results,  Open Access: 3 results,  Acknowledgement Compliant: 1 results) Presentation (6 results) (of which Int'l Joint Research: 3 results) Book (1 results)

  • [Journal Article] Perioperative Elevation in Cell-Free DNA Levels in Patients Undergoing Cardiac Surgery: Possible Contribution of Neutrophil Extracellular Traps to Perioperative Renal Dysfunction.2016

    • Author(s)
      Qi Y, Uchida T, Yamamoto M, Yamamoto Y, Kido K, Ito H, Ohno N, Asahara M, Yamada Y, Yamaguchi O, Mitaka C, Tomita M, Makita K.
    • Journal Title

      Anesthesiol Res Pract

      Volume: 2016 Pages: 2794364-2794364

    • DOI

      10.1155/2016/2794364

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Interactions between rat alveolar epithelial cells and bone marrow-derived mesenchymal stem cells: an in vitro co-culture model.2015

    • Author(s)
      Ito H, Uchida T, Makita K.
    • Journal Title

      Intensive Care Med Exp.

      Volume: 3 Issue: 1 Pages: 53-53

    • DOI

      10.1186/s40635-015-0053-2

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Ketamine causes mitochondrial dysfunction in human induced pluripotent stem cell-derived neurons.2015

    • Author(s)
      Ito H, Uchida T, Makita K
    • Journal Title

      PLoS One

      Volume: 10 Issue: 5 Pages: e0128445-e0128445

    • DOI

      10.1371/journal.pone.0128445

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] シンポジウム AKIの治療法: 心房性Na利尿ペプチド2017

    • Author(s)
      内田篤治郎、三高千恵子
    • Organizer
      日本麻酔科学会第64回学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] シンポジウム 外科医の求める麻酔管理と答える麻酔科医 腹腔鏡下肝臓外科手術の麻酔管理2017

    • Author(s)
      内田篤治郎
    • Organizer
      日本臨床麻酔学会 第37回大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] Perioperative Elevation in Cell Free DNA Levels in Patients Undergoing Cardiac Surgery: Possible Contribution of Neutrophil Extracellular Traps to Perioperative Renal Dysfunction: A Multicenter Observational Study.2015

    • Author(s)
      5.Yamamoto Y, Uchida T, Ito H, Kido K, Yamamoto Y, Yamada Y, Ohno N, Asahara M, Yamaguchi O, Makita K.
    • Organizer
      Anesthesiology 2015
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Ketamine Causes Mitochondrial Dysfunction in Human Induced Pluripotent Stem Cell-derived Neurons2015

    • Author(s)
      Ito H, Uchida T, Makita K
    • Organizer
      Anesthesiology 2015
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Retrospective Analysis for Intra-Operative Ventilatory Management During General Anesthesia: Is Lung Protective Ventilation Accepted as a Common Practice in the Operating Room?2015

    • Author(s)
      Itoh Y, Kasuga T, Toyama S, Uchida T, Makita K
    • Organizer
      Anesthesiology 2015
    • Place of Presentation
      San Diego, USA
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] シンポジウム 全身麻酔中の換気設定を見直す:手術室における人工呼吸器の設定について(分離肺換気症例を除く):術後急性肺合併症の予防と肺保護的換気法.2015

    • Author(s)
      内田篤治郎
    • Organizer
      日本麻酔科学会第62回学術集会
    • Place of Presentation
      神戸ポートピアホテル、神戸国際展示場 (兵庫県・神戸市)
    • Year and Date
      2015-05-26
    • Related Report
      2015 Annual Research Report
  • [Book] 呼吸療法UpToDate 14. ARDSの病態と治療:最新知見2015

    • Author(s)
      内田篤治郎
    • Total Pages
      14
    • Publisher
      真興交易
    • Related Report
      2015 Annual Research Report

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Published: 2015-04-16   Modified: 2019-03-29  

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