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  1. Article ; Online: The impact of mouse strain-specific spatial and temporal immune responses on the progression of neuropathic pain.

    Isami, Koichi / Imai, Satoshi / Sukeishi, Asami / Nagayasu, Kazuki / Shirakawa, Hisashi / Nakagawa, Takayuki / Kaneko, Shuji

    Brain, behavior, and immunity

    2018  Volume 74, Page(s) 121–132

    Abstract: The present study was designed to investigate the correlation between the spatial and temporal aspects of immune responses and genetic heterogeneity in the progression of peripheral neuropathic pain. To address this issue, we first screened four inbred ... ...

    Abstract The present study was designed to investigate the correlation between the spatial and temporal aspects of immune responses and genetic heterogeneity in the progression of peripheral neuropathic pain. To address this issue, we first screened four inbred mouse strains (C57BL/6J, C3H/He, DBA/2, and A/J mice) to identify high- and low-responder strains to mechanical hypersensitivity induced by partial sciatic nerve ligation (pSNL). Among these strains, the C57BL/6J strain showed the highest vulnerability to pSNL-induced mechanical hypersensitivity, whereas the C3H/HeSlc strain was most resistant. C3H/HeSlc mice exhibited a significant increase in CD206-immunoreactivity (anti-inflammatory macrophages) in the dorsal root ganglia (DRG) at 3 and 7 days, and lower Iba1-immunoreactivity (microglia) in the spinal cord from 3 to 14 days after pSNL than C57BL/6J mice. These phenomena might be associated with a decrease in the production of inflammatory factors (interleukin-1β, interleukin-6, and CX3CL1) in the DRG and the poor responsiveness of spinal microglia (i.e. microglial production of IL1β, CCL2, and TNFα) against CX3CL1 in C3H/HeSlc mice. Behavioral experiments using bone marrow (BM) chimeric mice derived by crossing C3H/HeSlc and C57BL/6J strains showed that the strength of mechanical hypersensitivity 3 days following pSNL was inversely correlated with the increase in the ratio of anti-inflammatory/pro-inflammatory DRG macrophages, which was based on the BM-derived hematopoietic cells from donor mice. By contrast, the intensity of Iba1-immunoreactivity (microglia) in the spinal cord was dependent on the phenotypes of recipient mice, but not affected by the phenotypes of BM-derived donor hematopoietic cells. These findings suggest that the strain-specific aspects of DRG macrophages and spinal microglia might be related to the early and late phases of pSNL-induced mechanical hypersensitivity, respectively. This study presents a greater understanding of the differences in neuropathic pain among genetically heterogeneous inbred mouse strains, and provides further insights into the spatial and temporal roles of the immune system in the pathogenesis of neuropathic pain.
    MeSH term(s) Animals ; Disease Models, Animal ; Female ; Ganglia, Spinal/pathology ; Hyperalgesia/etiology ; Immunity, Active/physiology ; Macrophages/pathology ; Male ; Mice ; Mice, Inbred C3H ; Mice, Inbred C57BL ; Mice, Inbred DBA ; Mice, Inbred Strains/immunology ; Mice, Transgenic ; Microglia/pathology ; Neuralgia/etiology ; Neuralgia/immunology ; Neuralgia/metabolism ; Peripheral Nerve Injuries/complications ; Sciatic Nerve/pathology ; Spinal Cord/pathology
    Language English
    Publishing date 2018-08-29
    Publishing country Netherlands
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639219-2
    ISSN 1090-2139 ; 0889-1591
    ISSN (online) 1090-2139
    ISSN 0889-1591
    DOI 10.1016/j.bbi.2018.08.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Population pharmacokinetic modeling of GS-441524, the active metabolite of remdesivir, in Japanese COVID-19 patients with renal dysfunction.

    Sukeishi, Asami / Itohara, Kotaro / Yonezawa, Atsushi / Sato, Yuki / Matsumura, Katsuyuki / Katada, Yoshiki / Nakagawa, Takayuki / Hamada, Satoshi / Tanabe, Naoya / Imoto, Eishi / Kai, Shinichi / Hirai, Toyohiro / Yanagita, Motoko / Ohtsuru, Shigeru / Terada, Tomohiro / Ito, Isao

    CPT: pharmacometrics & systems pharmacology

    2021  Volume 11, Issue 1, Page(s) 94–103

    Abstract: Remdesivir, a prodrug of the nucleoside analog GS-441524, plays a key role in the treatment of coronavirus disease 2019 (COVID-19). However, owing to limited information on clinical trials and inexperienced clinical use, there is a lack of ... ...

    Abstract Remdesivir, a prodrug of the nucleoside analog GS-441524, plays a key role in the treatment of coronavirus disease 2019 (COVID-19). However, owing to limited information on clinical trials and inexperienced clinical use, there is a lack of pharmacokinetic (PK) data in patients with COVID-19 with special characteristics. In this study, we aimed to measure serum GS-441524 concentrations and develop a population PK (PopPK) model. Remdesivir was administered at a 200 mg loading dose on the first day followed by 100 mg from day 2, based on the package insert, in patients with an estimated glomerular filtration rate (eGFR) greater than or equal to 30 ml/min. In total, 190 concentrations from 37 Japanese patients were used in the analysis. The GS-441524 trough concentrations were significantly higher in the eGFR less than 60 ml/min group than in the eGFR greater than or equal to 60 ml/min group. Extracorporeal membrane oxygenation in four patients hardly affected the total body clearance (CL) and volume of distribution (V
    MeSH term(s) Adenosine/analogs & derivatives ; Adenosine/blood ; Adenosine Monophosphate/administration & dosage ; Adenosine Monophosphate/analogs & derivatives ; Adenosine Monophosphate/pharmacokinetics ; Aged ; Aged, 80 and over ; Alanine/administration & dosage ; Alanine/analogs & derivatives ; Alanine/pharmacokinetics ; Body Surface Area ; COVID-19/blood ; COVID-19/drug therapy ; Drug Administration Schedule ; Extracorporeal Membrane Oxygenation ; Female ; Glomerular Filtration Rate ; Humans ; Japan ; Kidney Diseases/blood ; Male ; Middle Aged ; Monte Carlo Method ; Precision Medicine ; Retrospective Studies
    Chemical Substances GS-441524 (1BQK176DT6) ; remdesivir (3QKI37EEHE) ; Adenosine Monophosphate (415SHH325A) ; Adenosine (K72T3FS567) ; Alanine (OF5P57N2ZX)
    Language English
    Publishing date 2021-11-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2697010-7
    ISSN 2163-8306 ; 2163-8306
    ISSN (online) 2163-8306
    ISSN 2163-8306
    DOI 10.1002/psp4.12736
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Pharmacist-physician collaborative care for outpatients with left ventricular assist devices using a cloud-based home medical management information-sharing system: a case report.

    Katada, Yoshiki / Yonezawa, Atsushi / Utsumi, Momoe / Kitada, Noriaki / Sato, Yu-Ki / Matsumura, Katsuyuki / Sukeishi, Asami / Nakagawa, Shunsaku / Imai, Satoshi / Nakagawa, Takayuki / Minakata, Kenji / Kanemitsu, Hideo / Minatoya, Kenji / Nomoto, Shinichi / Matsubara, Kazuo

    Journal of pharmaceutical health care and sciences

    2021  Volume 7, Issue 1, Page(s) 5

    Abstract: Background: The standard anticoagulation therapy for patients implanted with left ventricular assist devices (LVADs) includes warfarin therapy. We developed a cloud-based home medical management information-sharing system named as LVAD@home. The LVAD@ ... ...

    Abstract Background: The standard anticoagulation therapy for patients implanted with left ventricular assist devices (LVADs) includes warfarin therapy. We developed a cloud-based home medical management information-sharing system named as LVAD@home. The LVAD@home system is an application designed to be used on iPad tablet computers. This system enables the sharing of daily information between a patient and care providers in real time. In this study, we reported cases of outpatients with LVADs using this system to manage anticoagulation therapy.
    Case presentation: The patient, a man in his 40s with end-stage heart failure owing to non-ischemic dilated cardiomyopathy, underwent LVAD implantation and warfarin was started on postoperative day 1. He started to use LVAD@home to manage warfarin therapy after discharge (postoperative day 47). He sent his data to care providers daily. By using this system, the pharmacist observed his signs of reduced dietary intake 179 days after discharge, and after consulting the physician, told the patient to change the timing of the next measurement earlier than usual. On the next day, the prothrombin time-international normalized ratio increased from 2.0 to 3.0, and thus the dose was decreased by 0.5 mg. Four patients used this system to monitor warfarin therapy from October 2015 to March 2018. In these patients, the time in therapeutic range was 90.1 ± 1.3, which was higher than that observed in previous studies. Additionally, there were no thromboembolic events or bleeding events.
    Conclusions: The cloud-based home management system can be applied to share real-time patient information of factors, including dietary intake that interact with warfarin. It can help to improve long-term anticoagulation outcomes in patients implanted with LVAD.
    Language English
    Publishing date 2021-02-01
    Publishing country England
    Document type Journal Article
    ZDB-ID 2809913-8
    ISSN 2055-0294
    ISSN 2055-0294
    DOI 10.1186/s40780-020-00188-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Colchicine alleviates acute postoperative pain but delays wound repair in mice: roles of neutrophils and macrophages.

    Sukeishi, Asami / Isami, Koichi / Hiyama, Haruka / Imai, Satoshi / Nagayasu, Kazuki / Shirakawa, Hisashi / Nakagawa, Takayuki / Kaneko, Shuji

    Molecular pain

    2017  Volume 13, Page(s) 1744806917743680

    Abstract: Background: Acute postoperative pain is induced by most incisional surgeries and usually resolves with wound repair. However, many patients experience moderate to severe pain despite receiving currently available postoperative pain relief. Accumulating ... ...

    Abstract Background: Acute postoperative pain is induced by most incisional surgeries and usually resolves with wound repair. However, many patients experience moderate to severe pain despite receiving currently available postoperative pain relief. Accumulating evidence suggests that inflammatory cells, neutrophils, and macrophages infiltrating the wound site contribute to the acute inflammation, pain, and subsequent wound repair. Colchicine is commonly used to relieve pain in gout by inhibiting the infiltration of granulocytes and other motile cells. In this study, we examined the effects of colchicine on acute postoperative pain and wound repair by correlating the infiltration of neutrophils and macrophages in a mouse model of postoperative pain induced by plantar incision. Furthermore, these effects of colchicine were compared with clodronate liposomes, which selectively deplete circulating macrophages.
    Results: Plantar incision induced mechanical hypersensitivity in the ipsilateral hind paw that peaked one day and lasted for three days after the surgery. Treatment with colchicine significantly attenuated the early infiltration of Gr1-positive cells (neutrophils) around the incision site and mechanical hypersensitivity, which was accompanied with inhibition of the subsequent infiltration of Iba1-positive cells (macrophages) and macrophage polarization toward the proinflammatory M1 phenotype. By contrast, an intravenous injection of clodronate liposomes significantly inhibited the infiltration of macrophages around the incision site but had little effect on the infiltration of neutrophils or mechanical hypersensitivity. Importantly, colchicine treatment significantly delayed wound closure after the incisional surgery, whereas clodronate liposome administration had no effect on wound closure.
    Conclusion: These results suggest that colchicine can alleviate acute postoperative pain and also enhance the risk of delayed wound repair, which are associated with the suppression of neutrophil and subsequent proinflammatory M1 macrophage infiltration around the incision site, while the involvement of macrophages may be limited.
    MeSH term(s) Acute Pain/drug therapy ; Animals ; Colchicine/pharmacology ; Disease Models, Animal ; Hyperalgesia/drug therapy ; Inflammation/drug therapy ; Macrophages/drug effects ; Male ; Mice, Inbred C57BL ; Neutrophils/drug effects ; Pain, Postoperative/drug therapy ; Wound Healing
    Chemical Substances Colchicine (SML2Y3J35T)
    Language English
    Publishing date 2017-11-04
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2174252-2
    ISSN 1744-8069 ; 1744-8069
    ISSN (online) 1744-8069
    ISSN 1744-8069
    DOI 10.1177/1744806917743680
    Database MEDical Literature Analysis and Retrieval System OnLINE

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