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最終講義 : 我が学問 : 透析アミロイドーシスの研究と共に
http://hdl.handle.net/10191/28571
http://hdl.handle.net/10191/285719e3d440a-d5aa-4e00-a4dd-89c729748c02
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2014-07-22 | |||||
タイトル | ||||||
タイトル | 最終講義 : 我が学問 : 透析アミロイドーシスの研究と共に | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 最終講義 : 我が学問 : 透析アミロイドーシスの研究と共に | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 長期血液透析 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 透析アミロイドーシス | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | β_2-ミクログロブリン | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 吸着カラム | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | My Academic Research on Dialysis-related Amyloidosis | |||||
著者 |
下条, 文武
× 下条, 文武 |
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著者別名 | ||||||
識別子 | 72017 | |||||
識別子Scheme | WEKO | |||||
姓名 | Gejyo, Fumitake | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | My academic and research career on dialysis-related amyloidosis was described in the final lecture as my professor retirement from the Department of Internal Medicine II. Dialysis-related amyloidosis has been becoming a frequent and serious complication in patients on long-term hemodialysis around 1980~1985. We have identified β_2-microglobulin (β_2-m) biochemically as the major protein constituent of the amyloid fibrils in 1985. Since β_2-m is a major structural component of this type of amyloidosis, serum β_2-m is thought to be a precursor protein. A negative correlation has been demonstrated between serum β_2-m concentration and glomerular filtration rate in chronic renal failure peatients. After the start of hemodialysis, serum β_2-m concentrations show a rapid increase and become markedly elevated, exceeding the upper limit of normal by 40 times or more. This indicates that removal of β_2-m from the blood is an important therapeutic approach to this form of amyloidosis. Clinical therapeutic strategies for dialysis-related amyloidosis have attempted to remove β_2-m from the serum by using high-flux membrane dialyzers. We have investigated the clinical efficacy of direct hemoperfusion with a β_2-m adsorption column in the patients with dialysis-related amyloidosis. Finally, we have demonstrated the column is useful for preventing progression of dialysis-related amyloidosis and in ameliorating or arresting symptoms of this disorder. It will be helpful to establish more effective prevention and therapy in the future. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 123, 号 12, p. 599-604, 発行日 2009-12 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |