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Effects of Transplanted Human Cord Blood-Mononuclear Cells on Pulmonary Remodeling in Small Pulmonary Vascular Bed

Research Project

Project/Area Number 18H02888
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Review Section Basic Section 55030:Cardiovascular surgery-related
Research InstitutionShikoku Central Hospital of the Mutual Aid Association of Public School Teachers (2019-2020)
The University of Tokushima (2018)

Principal Investigator

Kitagawa Tetsuya  公立学校共済組合四国中央病院(臨床研究センター), 臨床研究センター, 研究員 (80240886)

Co-Investigator(Kenkyū-buntansha) 中川 竜二  徳島大学, 病院, 講師 (10403685)
北市 隆  徳島大学, 大学院医歯薬学研究部(医学域), 准教授 (20335813)
加地 剛  徳島大学, 病院, 准教授 (20467822)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥17,550,000 (Direct Cost: ¥13,500,000、Indirect Cost: ¥4,050,000)
Fiscal Year 2020: ¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2019: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2018: ¥8,190,000 (Direct Cost: ¥6,300,000、Indirect Cost: ¥1,890,000)
Keywords臍帯血 / 細胞移植 / 未熟肺血管床 / ヒト臍帯血細胞移植 / モノクロタリン誘発肺血管傷害モデルマウス / 肺血管リモデリング / 低容量肺血管床 / 肺血管床
Outline of Final Research Achievements

Pulmonary hypertension due to congenital heart disease is often a clinical problem. We have found that in monocrotaline (MCT)-induced pulmonary hypertension model mice, transvenous myeloid cell transplants improve pulmonary hypertension. Therefore, in terms of transplant cell collection, we examined whether a more minimally invasive human umbilical cord blood-derived mononuclear cell (hUCB-MNC) transplantation would improve pulmonary hypertension to the same extent as bone marrow stem cell transplant.
Research results show that 1) transplanting hUCB-MNCs into an MCT-induced pulmonary hypertension model in immunocompromised mice improves pulmonary hypertension; 2) its effect expression requires cord blood cells themselves rather than serum components; and 3) indicates that the transplant cells staying in lung tissue for a period of time may contribute to the improved effect of the pulmonary vascular bed.

Academic Significance and Societal Importance of the Research Achievements

本研究成果は、これらの基礎動物研究の成果を足がかりとして、独創的な臨床研究「分娩時に採取した患児の自己臍帯血を、分娩後の低肺血流性心臓病の診断確定後に、自発呼吸が開始され肺血流量が増加しはじめた可及的24時間以内に臍帯血細胞移植を行うことで、低容量肺血管床をより発育させる」に進むことを目的としている。我々のこれまでのマウス傷害肺血管床に対する同種骨髄単核球細胞及びヒト臍帯血細胞異種移植による良好な肺血管床再生実績を基盤として、本研究で更に実用的な基礎研究を培い、やがて新しい安価な治療法を開発しようとする点で、独自性と創造性を有するもので、学術的かつ社会的な意義がある。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Annual Research Report
  • 2018 Annual Research Report
  • Research Products

    (20 results)

All 2021 2020 2019 2018

All Journal Article (10 results) (of which Peer Reviewed: 6 results,  Open Access: 3 results) Presentation (10 results) (of which Int'l Joint Research: 1 results,  Invited: 1 results)

  • [Journal Article] The clinical usefulness of a new hand-held device for fractional exhaled nitric oxide measurement, NIOX VERO®, for diagnosing the etiology of cough2020

    • Author(s)
      Hanibuchi, Atsuo Saijo, Atsushi Mitsuhashi, Takashi Takeji, and Tetsuya Kitagawa.
    • Journal Title

      The Journal of Medical Investigation

      Volume: 67 Issue: 3.4 Pages: 265-270

    • DOI

      10.2152/jmi.67.265

    • NAID

      130007936860

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pathophysiology and Complications during Extracorporeal Circulation2020

    • Author(s)
      Kawahito Shinji、Soga Tomohiro、Yagi Shusuke、Mita Naoji、Takaishi Kazumi、Kinoshita Hiroyuki、Kitagawa Tetsuya、Kitahata Hiroshi
    • Journal Title

      The Journal of Medical Investigation

      Volume: 67 Issue: 3.4 Pages: 229-235

    • DOI

      10.2152/jmi.67.229

    • NAID

      130007936865

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Correction to: Novel quantitative and objective structured assessment of technical skill for slip knotting.2020

    • Author(s)
      Watanabe S, Kitagawa T, Tachibana K, Kurosawa H, Chiba K, Ito J, Hibino M, Taira M, Taguchi T, Nishimura M
    • Journal Title

      Gen Thorac Cardiovasc Surg

      Volume: 68(3) Issue: 3 Pages: 310-317

    • DOI

      10.1007/s11748-019-01246-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Appropriate Surgical Treatment of Symptomatic Primary Varicose Veins Decreases Systemic Inflammatory Biomarkers2019

    • Author(s)
      Hiroki Arase, MD, Noriko Sugasawa, PhD, Youhei Kawatani, MD, PhD, Mikio Sugano, MD, Hirotsugu Kurobe, MD, PhD, Eiki Fujimoto, MD, Takashi Kitaichi, MD, PhD, and Tetsuya Kitagawa, MD, PhD
    • Journal Title

      Annals of Vascular Diseases

      Volume: 12 Issue: 3 Pages: 367-371

    • DOI

      10.3400/avd.oa.19-00011

    • NAID

      130007719092

    • ISSN
      1881-641X, 1881-6428
    • Year and Date
      2019-09-25
    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Accuracy and reliability of continuous blood glucose monitoring during pediatric cardiopulmonary bypass.2019

    • Author(s)
      Kawahito S, Mita N, Soga T, Yagi S, Kakuta N, Satomi S, Kinoshita H, Takaishi K, Kitagawa T, Kitahata H
    • Journal Title

      Journal of Artificial Organs

      Volume: 22 Issue: 4 Pages: 353-356

    • DOI

      10.1007/s10047-019-01111-9

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The ratio of contrast medium volume to estimated glomerular filtration rate as a predictor of contrast‐induced nephropathy after endovascular aortic repair2018

    • Author(s)
      Kawatani Y, Kurobe H, Nakamura Y, Hori T, Kitagawa T
    • Journal Title

      The Journal of Medical Investigation

      Volume: 65 Issue: 1.2 Pages: 116-121

    • DOI

      10.2152/jmi.65.116

    • NAID

      130006575578

    • ISSN
      1343-1420, 1349-6867
    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differentiation of Primary Cardiac Tumors from Metastatic Tumors by Non-invasive Cardiac Imaging. Annals of Nuclear Cardiology.2018

    • Author(s)
      Yoichi Otomi, Hideki Otsuka, Maki Arase, Hiroki Arase, Hirotsugu Kurobe, Tetsuya Kitagawa and Masafumi Harada.
    • Journal Title

      J-STAGE Advance published

      Volume: 17 Pages: 23-33

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Inhibition of Atherosclerotic Plaque Development by Oral Administration of α-Glucosyl Hesperidin and Water-Dispersible Hesperetin in Apolipoprotein E Knockout Mice.2018

    • Author(s)
      Noriko Sugasawa, Ayako Katagi, Hirotsugu Kurobe, Taisuke Nakayama, Chika Nishio, Hiroko Takumi, Fumiharu Higashiguchi, Ken-ichi Aihara, Michio Shimabukuro, Masataka Sata & Tetsuya Kitagawa
    • Journal Title

      Journal of the American College of Nutrition.

      Volume: 15 Pages: 1-8

    • Related Report
      2018 Annual Research Report
  • [Journal Article] Training and Independence of the Modern Young Pediatric Cardiac Surgeons2018

    • Author(s)
      Tetsuya Kitagawa
    • Journal Title

      Pediatric Cardiology and Cardiac Surgery

      Volume: 34(2) Pages: 22-23

    • NAID

      130007384663

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 膀胱全摘術後の腸骨動脈尿管瘻の1例2018

    • Author(s)
      吉田 誉, 菅野 幹雄, 黒部 裕嗣, 藤本 鋭貴, 北市 隆, 北川 哲也
    • Journal Title

      外科

      Volume: 80 Pages: 196-198

    • Related Report
      2018 Annual Research Report
  • [Presentation] NCDを用いた成人期肺動脈弁置換術の度数と要因に関する研究 Clinical Research of Adult Pulmonary Valve Replacement using National Clinical Database -Its Etiology and Implant Prosthesis-2021

    • Author(s)
      北川哲也、市川 肇、河田政明、丹羽公一郎、平田康隆、松尾浩三、村上 新、山岸正明、宮田裕章、平原憲道、本村 昇
    • Organizer
      第51回日本心臓血管外科学会学術総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] NCDを用いた成人先天性心疾患の外科治療に関する研究 -肺動脈弁置換術と要因- Clinical Research for Surgery of Adult Congenital Heart Disease using National Clinical Database -Pulmonary Valve Replacement and Its Etiology-2020

    • Author(s)
      北川哲也,福田幾夫,市川 肇,河田政明,丹羽公一郎,平田康隆,松尾浩三,村上 新,山岸正明,宮田裕章,平原 憲道、本村 昇
    • Organizer
      第50回日本心臓血管外科学会学術総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 50周年企画心臓血管外科の過去・現在・未来-先天性- Past, Current and Future of Cardiovascular Surgery -Congenital Heart Disease-2020

    • Author(s)
      北川哲也、坂本喜三郎、鈴木孝明
    • Organizer
      第50回日本心臓血管外科学会学術総会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] ASD closure device with biodegradable materials2018

    • Author(s)
      Hirotsugu Kurobe, Tadahisa Sugiura, Hideki Miyachi, Tetsuya Kitagawa, Tohsiharu Shinoka
    • Organizer
      AATS 2018 98th Annual Meeting of the American Association for Thoracic Surgery
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 小児心臓血管外科手術後のSSI防止対策の取組み2018

    • Author(s)
      北市 隆, 荒瀬裕己, 川谷洋平, 菅野幹雄,黒部裕嗣,藤本鋭貴, 北川哲也
    • Organizer
      第48回日本心臓血管外科学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 肺静脈閉塞後に発達した肺静脈間の側副血管によりフォンタン循環が成立した無脾症,総肺静脈還流異常の一例2018

    • Author(s)
      菅野幹雄,黒部裕嗣,藤本鋭貴,北市 隆,北川哲也
    • Organizer
      第112回日本循環器学会中国・四国合同地方会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 胸痛肺動脈と左房の解剖学的位置が非常に離れた総肺静脈異常症に対する primary sutureless repair を用いた二手術例2018

    • Author(s)
      菅野 幹雄, 黒部 裕嗣, 藤本 鋭貴, 北市 隆, 北川 哲也
    • Organizer
      第61回関西胸部外科学会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 地方病院の現状から見た小児心臓血管外科診療の将来的展望2018

    • Author(s)
      北川哲也
    • Organizer
      第54回日本小児循環器学会総会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] NCCPによるmoderate ARを伴うVSD閉鎖の術中に緊急大動脈弁形成を要した一例2018

    • Author(s)
      菅野 幹雄, 荒瀬 裕己, 川谷 洋平, 小野 朱美, 黒部 裕嗣, 藤本 鋭貴, 北市 隆, 早渕 康信, 北川 哲也
    • Organizer
      第54回日本小児循環器学会総会・学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 肺静脈塞栓後に発達した肺静脈間の側副血管によりフォンタン循環が成立した無脾症、総肺静脈還流異常の一例2018

    • Author(s)
      菅野 幹雄, 黒部 裕嗣, 藤本 鋭貴, 北市 隆, 北川 哲也
    • Organizer
      第14回四国小児循環器病研究会
    • Related Report
      2018 Annual Research Report

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Published: 2018-04-23   Modified: 2022-01-27  

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