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Multi-center prospective study for elucidation of gene-environment interaction of hypertenxsion in pregnmancy

Research Project

Project/Area Number 17K11249
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionDokkyo Medical University

Principal Investigator

Kobashi Gen  獨協医科大学, 医学部, 教授 (60270782)

Co-Investigator(Kenkyū-buntansha) 梅澤 光政  獨協医科大学, 医学部, 准教授 (00567498)
宮下 進  獨協医科大学, 医学部, 教授 (20743165)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords妊娠高血圧症候群 / 弛緩出血 / 危険要因 / 分子疫学 / 遺伝環境交互作用 / 酸化ストレス / 血中ビタミンD
Outline of Final Research Achievements

The present study revealed that genetic polymorphisms of oxtosin receptor gene and prostaglandin endoperoxide synthase-2 gene were associated with postpartum hemorrhage.Analyses clarifying assosiations between hypertension in pregnancy and sleeping habit, job stress, social-economic status, etc. were carried out, as well as drinking and smoking habit, physical activities, and urinary 8-hydroxy-2’-deoxyguanosine 1 levels as a stress marker. Furter, it was shown that gestational hypertension was a risk factor of hypertension in middle-aged and older women.

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は、妊娠高血圧症候群、弛緩出血といった主要な周産期合併症の新しい予防対策、すなわち、妊婦の健康意識が高く生活習慣の把握が容易な妊婦検診の場で、妊娠初期の遺伝子タイピングによる①ハイリスク群の抽出、②個別の生活習慣指導、③酸化ストレスマーカー測定等による発症予知・早期治療、④治療法の選択、長期予後の推定といった、「エビデンスに基づいたテーラーメイド周産期医療」実現に向けた基礎資料となる。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (8 results)

All 2020 2018 2017

All Journal Article (4 results) (of which Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (4 results) (of which Int'l Joint Research: 1 results,  Invited: 3 results)

  • [Journal Article] Urinary 8-Hydroxy-2'-Deoxyguanosine Levels and Cardiovascular Disease Incidence in Japan2020

    • Author(s)
      Nagao Masanori、Kobashi Gen、Umesawa Mitsumasa、Cui Renzhe、Yamagishi Kazumasa、Imano Hironori、Okada Takeo、Kiyama Masahiko、Kitamura Akihiko、Sairenchi Toshimi、Haruyama Yasuo、Ohira Tetsuya、Iso Hiroyasu、for the CIRCS Investigators
    • Journal Title

      Journal of Atherosclerosis and Thrombosis

      Volume: 27 Issue: 10 Pages: 1086-1096

    • DOI

      10.5551/jat.51664

    • NAID

      130007920612

    • ISSN
      1340-3478, 1880-3873
    • Year and Date
      2020-10-01
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Gestational hypertension as a risk factor of hypertension in middle-aged and older women.2020

    • Author(s)
      Watanabe M, Sairenchi T, Nishida K, Uchiyama K, Haruyama Y, Satonaka H, Ishimitsu T, Yasu T, Fukasawa I, Kobashi G.
    • Journal Title

      IJERP

      Volume: -

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 妊産婦の睡眠2018

    • Author(s)
      小橋 元、内山浩志、西田恵子、梅澤光政
    • Journal Title

      公衆衛生

      Volume: 82 Pages: 945-948

    • Related Report
      2018 Research-status Report
  • [Journal Article] Epidemiology of hypertensive disorders in pregnancy: Prevalence, risk factors, predictors and prognosis.2017

    • Author(s)
      Umesawa M, Kobashi G
    • Journal Title

      Hypertens Res

      Volume: 40 Issue: 3 Pages: 213-220

    • DOI

      10.1038/hr.2016.126

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 労働と関係して母性に配慮を要する諸疾病の予防と対策2018

    • Author(s)
      小橋 元
    • Organizer
      第91回日本産業衛生学会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 前を向く社会医学 ~ 次代への胎動 ~(心と1次予防の視点から)2018

    • Author(s)
      小橋 元
    • Organizer
      第59回日本社会医学会総会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 予防段階、遺伝と環境、世代を切れ目なく繋ぐ循環器疫学研究~総合的成育予防医学 の視点から2017

    • Author(s)
      小橋 元
    • Organizer
      第54回日本臨床生理学会 シンポジウム
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] Epidemiology of Hypertensive Disorders in Pregnancy.2017

    • Author(s)
      Kobashi G
    • Organizer
      The 9th Annual International Congress of Cardiology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research

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Published: 2017-04-28   Modified: 2021-02-19  

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