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心筋生検におけるマクロファージ関連マーカーの上昇と難治性心疾患の関連
http://hdl.handle.net/10191/0002000289
http://hdl.handle.net/10191/000200028919379b97-e147-409d-baa8-dd0c3e8d7b67
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本文 (844KB)
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要旨 (543KB)
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Item type | 学位論文 / Thesis or Dissertation(1) | |||||||||
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公開日 | 2022-04-04 | |||||||||
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タイトル | Elevated Endomyocardial Biopsy Macrophage-Related Markers in Intractable Myocardial Diseases | |||||||||
言語 | en | |||||||||
タイトル | ||||||||||
タイトル | 心筋生検におけるマクロファージ関連マーカーの上昇と難治性心疾患の関連 | |||||||||
言語 | ja | |||||||||
言語 | ||||||||||
言語 | eng | |||||||||
キーワード | ||||||||||
言語 | en | |||||||||
主題Scheme | Other | |||||||||
主題 | cardiomyopathy | |||||||||
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言語 | en | |||||||||
主題Scheme | Other | |||||||||
主題 | endomyocardial biopsy | |||||||||
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言語 | en | |||||||||
主題Scheme | Other | |||||||||
主題 | gene expression | |||||||||
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言語 | en | |||||||||
主題Scheme | Other | |||||||||
主題 | inflammation | |||||||||
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言語 | en | |||||||||
主題Scheme | Other | |||||||||
主題 | pathology | |||||||||
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資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||
資源タイプ | doctoral thesis | |||||||||
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アクセス権 | open access | |||||||||
アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
著者 |
林, 由香
× 林, 由香
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内容記述タイプ | Abstract | |||||||||
内容記述 | Tissue macrophages can be activated by endogenous danger signals released from cells that are stressed or injured, leading to infiltration of inflammatory macrophages and neutrophils. We postulated that macrophage-related markers might be closely associated with the existence of endogenous danger signals, reflecting ongoing tissue injury in the absence of foreign substances. This study was designed to assess the ability of macrophage-related markers in endomyocardial biopsies to predict ongoing cardiac injury in non-inflammatory myocardial diseases. We examined levels of macrophage-related markers (CD68, CD163, CD45) in endomyocardial biopsies from patients (n=86) with various myocardial diseases by quantitative reverse transcription-polymerase chain reaction (n=78) and immunohistochemistry (n=56). Thirty-three patients without inflammatory cardiac disease such as myocarditis and sarcoidosis were classified as "improved" or "non-improved" defined as a 10% increase in left ventricular ejection fraction by echocardiograph and a value greater than 30% at the time of follow-up. All macrophage-related (MacR) markers levels were not higher in non-improved dilated cardiomyopathy (DCM) patients than improved patients. However, patients with cardiac amyloidosis, cardiac Fabry disease, mitochondrial cardiomyopathy, and biventricular arrhythmogenic right ventricular cardiomyopathy (ARVC), which were categorized as "non-improvement diseases", had elevated macrophage-related markers compared to improved patients. Macrophage-related markers levels were increased in endomyocardial biopsy samples of patients with intractable myocardial diseases such as amyloidosis, mitochondrial disease, Fabry disease, and biventricular ARVC. | |||||||||
言語 | en | |||||||||
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内容記述タイプ | Other | |||||||||
内容記述 | Inflammation. 2015, 38(6), 2288–2299. | |||||||||
言語 | en | |||||||||
DOI | ||||||||||
識別子タイプ | DOI | |||||||||
関連識別子 | https://doi.org/10.1007/s10753-015-0214-1 | |||||||||
権利 | ||||||||||
言語 | en | |||||||||
権利情報 | 【○!C】 2015 Springer Science+Business Media New York | |||||||||
権利 | ||||||||||
言語 | en | |||||||||
権利情報Resource | https://creativecommons.org/licenses/by/4.0/ | |||||||||
権利情報 | Creative Commons Attribution 4.0 International | |||||||||
学位名 | ||||||||||
言語 | ja | |||||||||
学位名 | 博士(医学) | |||||||||
学位授与機関 | ||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||
学位授与機関識別子 | 13101 | |||||||||
言語 | ja | |||||||||
学位授与機関名 | 新潟大学 | |||||||||
言語 | en | |||||||||
学位授与機関名 | Niigata University | |||||||||
学位授与年月日 | ||||||||||
学位授与年月日 | 2021-03-23 | |||||||||
学位授与番号 | ||||||||||
学位授与番号 | 甲第4830号 | |||||||||
学位記番号 | ||||||||||
内容記述タイプ | Other | |||||||||
内容記述 | 新大院博(医)第984号 | |||||||||
言語 | ja |