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JaLCDOI 10.18926/14909
タイトル(別表記) 脂肪の変化と関連した気管支喘息に対するn-3系脂肪酸食の効果 ― n-6系脂肪酸との比較
フルテキストURL 071_050_058.pdf
著者 岡本 誠| 光延 文裕| 芦田 耕三| 御舩 尚志| 保﨑 泰弘| 柘野 浩史| 高田 真吾| 谷崎 勝朗| 原田 実根|
抄録 N-3 fatty acids have been reported to be effective for asthma. In the present study, the effects of perilla seed oil (n-3 fatty acids) on asthma were compared with the effects of corn oil (n-6 fatty acids) in terms of pulmonary function, lipometabolism and the generation of leukotriene C4 (LTC4) by leucocytes. A total of 28 asthmatic patients were randomly divided into two groups : Group A patients (15 subjects) consumed perilla seed oil-rich supplementation, while Group B patients (13 subjects) consumed corn oil-rich supplementation for 4 weeks. Generation of LTC4 by leucocytes, respiratory function and the serum levels of lipids were compared between the two groups. The generation of LTC4 by leucocytes decreased significantly in Group A subjects following perilla seed oil-rich supplementation for 2(P < 0.05) and 4 weeks(P < 0.01). A significant difference in the generation of LTC4 was observed between the two groups after different dietary supplementations for 4 weeks (P < 0.05). Significantly increased values for PEF (P < 0.01), FVC (P < 0.05) and FEV1.0 (P < 0.05) were found in Group A subjects following perilla seed oil supplementation for 4 weeks, compared with the initial value prior to supplementation. A significant decrease in the serum level of total cholesterol, LDL-cholesterol and phospholipid was detected in Group A subjects following perilla seed oil supplementation for 4 weeks. The present results suggest that peril la seed oil-rich supplementation is effective in the treatment of asthma in terms of its ability to suppress LTC4 generat ion by leucocytes, and in inducing an improvement in pulmonary function associated with changes in the serum level of lipids.
キーワード perilla seed oil (エゴマ抽) a -1inolenic acid (α-リノレン酸) leukotriene C4 (ロイコトリエンC4) respiratory function (呼吸機能) 脂質代謝
出版物タイトル 岡大三朝分院研究報告
発行日 2001-02-01
71巻
開始ページ 50
終了ページ 58
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308088
JaLCDOI 10.18926/14900
タイトル(別表記) Fluticasone 投与にもかかわらず症状が軽快ぜすn-3系不飽和脂肪酸強化食による食事療法及びモンテルカストが著効した気管支喘息の1例
フルテキストURL 076_053_059.pdf
著者 高田 真吾| 芦田 耕三| 保崎 泰弘| 濱田 全紀| 岩垣 尚史| 菊池 宏| 光延 文裕|
抄録 A 25-year-old woman had the chief complaint of recurrent episodes of dyspnea and wheeze. Asthma had been diagnosed at infant years and sometimes experienced asthma attacks. She graduated senior high school and entered technical school in Tokyo. She received fluticasone (400μg daily) but exacerbation continued after she became an office clerk. She returned Kurashiki in October 2001 but had wheeze and asthma exacerbations. She was admitted to our hospital for evaluation and treatment of bronchial asthma on August 2, 2002. After admission, her symptoms subsided within some days. She was treated with montelukast and perilla seed oil-rich supplementation . The number of eosinophils decreased, decrease was observed in leukotriene (LT) B4 generation and in LTC4 generation, and pulmonary function improved following montelukast and perilla seed oil-rich supplementation for 4 weeks. The patient had no exacerbation under treatment and was discharged from the hospital on September 2, 2002. For some patients with persistent asthma, inhaled corticosteroids may fail to achieve adequate control possibly because corticosteroids do not completely inhibit the synthesis and release of cysteinyl leukotrienes (cysLTs) in the lung. Montelukast blocks the interaction of cysLTs with their receptor and resulting downstream events and perilla seed oil-rich diet suppresses LT generation. Combination therapy with montelukast and perilla seed oil-rich diet is more effective than montelukast or perilla seed oil-rich diet alone because of additive effects of montelukast with perilla seed oil-rich diet. We suggest that montelukast and perilla seed oil-rich supplementation are effective options when bronchial asthma patients receive inhaled corticosteroid but exacerbation continues.
キーワード モンテルカスト (montelukast) 気管支喘息 (bronchial asthma) ロイコトリエンC4 (leukotriene C4) エゴマ油食 (perilla seed oil-rich supplementation) フルチカゾン (fluticasone)
出版物タイトル 岡大三朝医療センター研究報告
発行日 2008-03-01
76巻
開始ページ 53
終了ページ 59
ISSN 1348-1258
言語 英語
論文のバージョン publisher
NAID 120002308179
著者 平松 祐司|
発行日 2009-04-01
出版物タイトル 岡山医学会雑誌
121巻
1号
資料タイプ 学術雑誌論文
著者 小林 功幸| 中村 進一郎| 大西 秀樹| 歳森 淳一| 桑木 健志| 萩原 宏明| 三宅 康広| 白羽 英則| 能祖 一裕| 八木 孝仁| 田中 紀章| 山本 和秀|
発行日 2009-04-01
出版物タイトル 岡山医学会雑誌
121巻
1号
資料タイプ 学術雑誌論文
著者 藤井 清香| 西江 学| 濱野 亮輔| 徳永 尚之| 常光 洋輔| 大塚 眞哉| 三好 和也| 高橋 正彦| 稲垣 優| 大崎 俊英| 岩垣 博巳|
発行日 2009-04-01
出版物タイトル 岡山医学会雑誌
121巻
1号
資料タイプ 学術雑誌論文
著者 光延 文裕|
発行日 2009-04-01
出版物タイトル 岡山医学会雑誌
121巻
1号
資料タイプ 学術雑誌論文
著者 藤川 達也| 白羽 英則| 山本 和秀|
発行日 2009-04-01
出版物タイトル 岡山医学会雑誌
121巻
1号
資料タイプ 学術雑誌論文
著者 李 貞海| 大島 光子| 本水 昌二|
発行日 2004
出版物タイトル 分析化学
53巻
4号
資料タイプ 学術雑誌論文
JaLCDOI 10.18926/14839
タイトル(別表記) 脂質代謝に関連した気管支喘息患者における白血球ロイコトリエン産生能に対するα-リノレン酸食の効果
フルテキストURL 72_045_054.pdf
著者 岡本 誠| 光延 文裕| 芦田 耕三| 保崎 泰弘| 柘野 浩史| 西田 典教| 横井 正| 高田 真吾| 谷崎 勝朗| 谷本 光音|
抄録 Dietary sources of a -linolenic acid, such as perilla seed oil, may have the capacity to inhibit the generation of leukotrienes (LTs) by leucocytes in patients with asthma, as has been reported with the consumption of other long - chain n- 3 fatty a-cids. The factors affecting the suppression of leukotriene (LT) C4 generation by leucocytes were examined by comparing the clinical features of patients with asthma who had been given dietary perilla seed oil (n - 3 fatty acids). Group A consisted of patients in whom the leucocyte generation of dietary perilla seed oil LTC4 was suppressed by this procedure. Group B consisted of those in whom LTC4 generation was not suppressed. LTC4 generation by leucocytes significantly decreased in group A for two (P<0.05) and four weeks (P
キーワード alpha -linolenic acid leukotrieneC4 bronchial asthma lipometabolism
出版物タイトル 岡大三朝分院研究報告
発行日 2002-02-01
72巻
開始ページ 45
終了ページ 54
ISSN 0918-7839
言語 英語
論文のバージョン publisher
NAID 120002308212
JaLCDOI 10.18926/14787
フルテキストURL 74_026_034.pdf
著者 光廷 文裕| 保崎 泰弘| 芦田 耕三| 岩垣 尚史| 永田 拓也| 藤井 誠| 高田 真吾| 横井 正| 浜田 全紀| 谷崎 勝朗|
抄録 To determine the characteristics of the elderly in high - resolution computed tomography (HRCT) lung densitometry, mean lung density (MLD) and relative area of the lungs showing attenuation values less than -950 HU (RA(950)) on HRCT were evaluated in nonsmoking control subjects (n = 80) and patients with asthma (n = 80) in relation to their age and pulmonary function. MLD was significantly decreased, and RAW was significantly increased with increasing age in both asthmatics and controls. The MLD values were significantly lower in asthmatics compared with controls in subjects aged between 60 and 69 years and over age 70. RAgsov alues were significantly higher in asthmatics compared with controls in subjects aged between 50 and 59 years, between 60 and 69, and over 70. % FEV(1) and FEV(1) / FVC were significantly decreased in elderly asthmatic patients over 70 years of age compared with the values in those under 49. Percent residual volume (% RV) was significantly larger in patients over 70 years of age than in those between 50 and 59, and under 49 years. RAW was significantly larger in patients with steroid-dependent intractable asthma (SDIA) between 50 and 59 years of age, and between 60 and 69 compared with RA 950 in those without SDIA. However, RAW did not differ significantly between SDIA and non-SDIA in patients over age 70. The results suggested that in % LAA of the lungs on HRCT was significantly increased in the elderly subjects with and without asthma, and it was significantly higher in the elderly asthmatics than the elderly controls.
キーワード aging (加齢) high-resolution computed tomography (高分解能CT) low attenuation area (低吸収域) mean lung density (平均CT値) pulmonary function (肺機能)
出版物タイトル 岡大三朝医療センター研究報告
発行日 2004-02-01
74巻
開始ページ 26
終了ページ 34
ISSN 1348-1258
言語 英語
論文のバージョン publisher
NAID 120002308286
JaLCDOI 10.18926/14768
タイトル(別表記) 気管支喘息に対する温泉療法とα-リノレン酸強化食の効果
フルテキストURL 73_055_063.pdf
著者 岡本 誠| 芦田 耕三| 光延 文裕| 保崎 泰弘| 柘野 浩史| 西田 典数| 永田 拓也| 横井 正| 高田 真吾| 谷崎 勝朗| 谷本 光音|
抄録 N-3 fatty acids are reportedly effective for asthma. In addition, spa therapy has been reported to be effective for patients with asthma. In the present study, the effects of spa therapy combined with perilla seed oil- rich diet (rich in n-3 fatty acid)were examined on asthma. A total of 14 asthmatic patients had a complex spa therapy and consumed a perilla seed oil- rich diet - rich in a -linolenic acid (alpha-LNA) for 8 weeks. Generation of leukotriene (LT) C4 by leucocytes, respiratory function were analyzed. The generation of LTC4 by leucocytes decreased significantly for 2, 4 and 8 weeks (P
キーワード bronchial asthma spa therapy perilla seed oil alpha -linolenic acid Leukotriene C4
出版物タイトル 岡大三朝医療センター研究報告
発行日 2003-02-01
73巻
開始ページ 55
終了ページ 63
ISSN 1348-1258
言語 英語
論文のバージョン publisher
NAID 120002308428
著者 山下 英敏|
発行日 1991
出版物タイトル 岡山医学会雑誌
103巻
11-12号
資料タイプ 学術雑誌論文
著者 水田 稔|
発行日 1991
出版物タイトル 岡山医学会雑誌
103巻
11-12号
資料タイプ 学術雑誌論文
著者 沖野 毅|
発行日 1990-02
出版物タイトル 岡山医学会雑誌
102巻
1-2号
資料タイプ 学術雑誌論文
著者 久山 圭介|
発行日 1991
出版物タイトル 岡山医学会雑誌
103巻
11-12号
資料タイプ 学術雑誌論文
著者 平川 栄一郎|
発行日 1990-02
出版物タイトル 岡山医学会雑誌
102巻
1-2号
資料タイプ 学術雑誌論文
著者 高橋 喜亮|
発行日 1966-06-30
出版物タイトル 岡山医学会雑誌
78巻
6号
資料タイプ 学術雑誌論文
著者 十河 泰司| 木村 正司| 小曳 直樹| 小笠原 望| 原岡 昭一| 斎藤 大治| 辻 孝夫|
発行日 1990-02
出版物タイトル 岡山医学会雑誌
102巻
1-2号
資料タイプ 学術雑誌論文