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Innovative Contribution to Medical Treatment 知性と独創性あふれる医薬品会社として医療の進歩に貢献します。

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インタビューフォーム

レスキュラ®点眼液0.12% インタビューフォーム

広告シリーズ

No 緑内障性視神経症の病態と治療を考える 大学名 著者名
※敬称省略
1

定説を疑うことから、新たな発見が生まれる

医薬発明家 上野隆司
2

プロストとプロストン(レスキュラ®点眼液0.12%)-構造の違い-

慶應義塾大学 真島行彦
3

プロストとプロストン(レスキュラ®点眼液0.12%)-薬理作用の違い-

慶應義塾大学 真島行彦
7

専門医から見た緑内障性視神経障害のメカニズム-眼血流の観点から-

大阪医科大学 杉山哲也
13

緑内障点眼薬の血流改善作用-HRF解析によるレスキュラ®点眼液0.12%(ウノプロストン)の効果-

順天堂大学浦安病院 木村至
17

エンドセリンと緑内障

慶應義塾大学 真島行彦
18

単独投与による長期経過-レスキュラ®点眼液0.12%(ウノプロストン)による眼圧および視野の長期経過-

金沢大学

齋藤代志明

杉山和久

20

初期緑内障における青錐体系網膜感度-bule-on-yellow perimetryによる評価-

東京慈恵会医科大学附属青戸病院 高橋現一郎
21

初期緑内障性視野変化におけるセクター解析-レスキュラ®点眼液(ウノプロストン)単独点眼治療-

長谷川眼科 飯田伸子
22

レスキュラ®点眼液0.12%(イソプロピルウノプロストン)の薬理作用(最近の論文から)-BKチャンネル活性化薬-

慶應義塾大学 真島行彦
23

プロストン系緑内障治療薬-レスキュラ®点眼液0.12%(ウノプロストン)の薬効分類変更-

慶應義塾大学 真島行彦

論文情報

 BKチャンネル活性薬イソプロピルウノプロストンによる虚血再灌流後の神経保護作用 著者 / 真島行彦 ・ 吉川奈美 ・ 井上亮 ・ 田渕玲子 ・ 河合陽介 ・ 花田敬三 [ 医学と薬学61(6):853-862,2009 ]

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1. 神経保護関連 (Neuroprotection)
  Cellular and molecular effects of unoprostone as a BK channel activator.
  Cuppoletti J, Malinowska DH, Tewari KP, Chakrabarti J, Ueno R.
  Biochim Biophys Acta. 2007 May;1768(5):1083-92. (Also see Mechanism)
   
  Unoprostone isopropyl rescues retinal progenitor cells from apoptosis in vitro.
  Mukuno H, Nakamura M, Kanamori A, Nagai A, Negi A, Seigel G.
  Curr Eye Res. 2004 Dec;29(6):457-64.
   
  Neuroprotective properties of a synthetic docosanoid, unoprostone isopropyl: clinical benefits in the treatment of glaucoma.
  Melamed S.
  Drugs Exp Clin Res. 2002;28(2-3):63-73. Review.
   
  Photoreceptor protection against constant light-induced damage by isopropyl unoprostone, a prostaglandin F(2alpha) metabolite-related compound.
  Hayami K, Unoki K.
  Ophthalmic Res. 2001 Jul-Aug;33(4):203-9.
   
2. 血流関連 (Ocular Blood Flow)
  a) 動物眼 (Animal eyes)
  Effect of unoprostone on topographic and blood flow changes in the ischemic optic nerve head of rabbits.
  Sugiyama T, Mashima Y, Yoshioka Y, Oku H, Ikeda T.
  Arch Ophthalmol. 2009 Apr;127(4):454-9. (Also see Anti-Endothelin Function)
   
  Effects of topical travoprost and unoprostone on optic nerve head circulation in normal rabbits.
  Ohashi M, Mayama C, Ishii K, Araie M.
  Curr Eye Res. 2007 Sep;32(9):743-9.
   
  b) 動物摘出血管 (Ex Vivo)
  Vasodilatory mechanism of unoprostone isopropyl on isolated rabbit ciliary artery.
  Yoshitomi T, Yamaji K, Ishikawa H, Ohnishi Y.
  Curr Eye Res. 2004 Mar;28(3):167-74.
   
  Comparison of the vasoactive effects of the docosanoid unoprostone and selected prostanoids on isolated perfused retinal arterioles.
  Yu DY, Su EN, Cringle SJ, Schoch C, Percicot CP, Lambrou GN.
  Invest Ophthalmol Vis Sci. 2001 Jun;42(7):1499-504.
   
  Effects of isopropyl unoprostone on rabbit ciliary artery.
  Hayashi E, Yoshitomi T, Ishikawa H, Hayashi R, Shimizu K.
  Jpn J Ophthalmol. 2000 May-Jun;44(3):214-20.
   
  c) 人眼 (Human eyes)
  Effect of topical unoprostone isopropyl on optic nerve head circulation in controls and in normal-tension glaucoma patients.
  Kimura I, Shinoda K, Tanino T, Ohtake Y, Mashima Y.
  Jpn J Ophthalmol. 2005 Jul-Aug;49(4):287-93.
   
  Long-term effect of topically applied isopropyl unoprostone on microcirculation in the human ocular fundus.
  Makimoto Y, Sugiyama T, Kojima S, Azuma I.
  Jpn J Ophthalmol. 2002 Jan-Feb;46(1):31-5.
   
  Partial antagonism of endothelin 1-induced vasoconstriction in the human choroid by topical unoprostone isopropyl.
  Polska E, Doelemeyer A, Luksch A, Ehrlich P, Kaehler N, Percicot CL, Lambrou GN, Schmetterer L.
  Arch Ophthalmol. 2002 Mar;120(3):348-52. (Also see Anti-Endothelin Function)
   
  Effect of topical unoprostone on circulation of human optic nerve head and retina.
  Tamaki Y, Araie M, Tomita K, Nagahara M, Sandoh S, Tomidokoro A.
  J Ocul Pharmacol Ther. 2001 Dec;17(6):517-27.
   
3. 作用機序関連 (Mechanism)
  a) In Vivo
  Increase in outflow facility with unoprostone treatment in ocular hypertensive patients.
  Toris CB, Zhan G, Camras CB.
  Arch Ophthalmol. 2004 Dec;122(12):1782-7.
   
  Intraocular metabolites of isopropyl unoprostone.
  Numaga J, Koseki N, Kaburaki T, Kawashima H, Tomita G, Araie M.
  Curr Eye Res. 2005 Oct;30(10):909-13.
   
  b) In Vitro
  Effect of bimatoprost, latanoprost, and unoprostone on matrix metalloproteinases and their inhibitors in human ciliary body smooth muscle cells.
  Ooi YH, Oh DJ, Rhee DJ.
  Invest Ophthalmol Vis Sci. 2009 Nov;50(11):5259-65
   
  Cat iris sphincter smooth-muscle contraction: comparison of FP-class prostaglandin analog agonist activities.
  Sharif NA, Kaddour-Djebbar I, Abdel-Latif AA.
  J Ocul Pharmacol Ther. 2008 Apr;24(2):152-63.
   
  Cellular and molecular effects of unoprostone as a BK channel activator.
  Cuppoletti J, Malinowska DH, Tewari KP, Chakrabarti J, Ueno R.
  Biochim Biophys Acta. 2007 May;1768(5):1083-92.
   
  The effects of prostaglandin analogues on prostanoid EP1, EP2, and EP3 receptor-deficient mice.
  Ota T, Aihara M, Saeki T, Narumiya S, Araie M.
  Invest Ophthalmol Vis Sci. 2006 Aug;47(8):3395-9.
   
  The effect of unoprostone isopropyl on Ca2+ release-activated Ca2+ currents in cultured monkey trabecular meshwork cells and ciliary muscle cells.
  Shimura M, Yasuda K, Nakzawa T, Kashiwagi K.
  J Ocul Pharmacol Ther. 2006 Aug;22(4):219-26.
   
  The effects of prostaglandin analogues on IOP in prostanoid FP-receptor-deficient mice.
  Ota T, Aihara M, Narumiya S, Araie M.
  Invest Ophthalmol Vis Sci. 2005 Nov;46(11):4159-63.
   
  Effects of unoprostone and endothelin 1 on L-type channel currents in human trabecular meshwork cells.
  Thieme H, Steinhausen K, Ottlecz A, Lambrou GN, Strauss O, Wiederholt M, Rosenthal R.
  Ophthalmic Res. 2005 Nov-Dec;37(6):293-300.
   
  Human ciliary muscle cell responses to FP-class prostaglandin analogs: phosphoinositide hydrolysis, intracellular Ca2+ mobilization and MAP kinase activation.
  Sharif NA, Crider JY, Husain S, Kaddour-Djebbar I, Ansari HR, Abdel-Latif AA.
  J Ocul Pharmacol Ther. 2003 Oct;19(5):437-55
   
  Comparison between isopropyl unoprostone and latanoprost by prostaglandin E(2)induction, affinity to prostaglandin transporter, and intraocular metabolism.
  Kashiwagi K, Kanai N, Tsuchida T, Suzuki M, Iizuka Y, Tanaka Y, Tsukahara S.
  Exp Eye Res. 2002 Jan;74(1):41-9.
   
  Studies on receptor binding and signal transduction pathways of unoprostone isopropyl.
  Bhattacherjee P, Paterson CA, Percicot C.
  J Ocul Pharmacol Ther. 2001 Oct;17(5):433-41.
   
  Mechanisms of action of unoprostone on trabecular meshwork contractility.
  Thieme H, Stumpff F, Ottlecz A, Percicot CL, Lambrou GN, Wiederholt M.
  Invest Ophthalmol Vis Sci. 2001 Dec;42(13):3193-201
   
4. 抗エンドセリン作用 (Anti-Endothelin Function)
  Effect of unoprostone on topographic and blood flow changes in the ischemic optic nerve head of rabbits.
  Sugiyama T, Mashima Y, Yoshioka Y, Oku H, Ikeda T.
  Arch Ophthalmol. 2009 Apr;127(4):454-9.
   
  Effects of unoprostone on phosphorylated extracellular signal-regulated kinase expression in endothelin-1-induced retinal and optic nerve damage.
  Munemasa Y, Kitaoka Y, Hayashi Y, Takeda H, Fujino H, Ohtani-Kaneko R, Hirata K, Ueno S.
  Vis Neurosci. 2008 Mar-Apr;25(2):197-208.
   
  Effects of topically instilled bunazosin hydrochloride and other ocular hypotensive drugs on endothelin-1-induced constriction in rabbit retinal arteries.
  Okada Y, Ichikawa M, Ishii K, Hara H.
  Jpn J Ophthalmol. 2004 Sep-Oct;48(5):465-9.
   
  Inhibition of endothelin-1 and KCL-induced increase of [CA2+]i by antiglaucoma drugs in cultured A7r5 vascular smooth-muscle cells.
  Wu KY, Wang HZ, Hong SJ.
  J Ocul Pharmacol Ther. 2004 Jun;20(3):201-9.
   
  Partial antagonism of endothelin 1-induced vasoconstriction in the human choroid by topical unoprostone isopropyl.
  Polska E, Doelemeyer A, Luksch A, Ehrlich P, Kaehler N, Percicot CL, Lambrou GN, Schmetterer L.
  Arch Ophthalmol. 2002 Mar;120(3):348-52.
   
5. 臨床 (Clinical Study)
  [Long-term effects of isopropyl unoprostone monotherapy on intraocular pressure and visual field for normal-tension glaucoma and primary open-angle glaucoma patients]
  Saito Y, Saeki T, Sugiyama K.
  Nippon Ganka Gakkai Zasshi. 2006 Sep;110(9):717-22. Japanese.
   
  Rescula as an alternative therapy for beta-blockers with long-term drift effect in glaucoma patients.
  Chen CL, Tseng HY, Wu KY.
  Kaohsiung J Med Sci. 2006 Jun;22(6):266-70.
   
  The efficacy of unoprostone isopropyl as an adjunct to topical beta-blocker in patients with open angle glaucoma: a-6-month study.
  Leelachaikul Y, Euswas A.
  J Med Assoc Thai. 2005 Nov;88 Suppl 9:S100-4.
   
  Blood-aqueous barrier changes after the use of prostaglandin analogues in patients with pseudophakia and aphakia: a 6-month randomized trial.
  Arcieri ES, Santana A, Rocha FN, Guapo GL, Costa VP.
  Arch Ophthalmol. 2005 Feb;123(2):186-92. (Also see Safety and Side Effect)
   
  Brimonidine 0.2% vs unoprostone 0.15% both added to timolol maleate 0.5% given twice daily to patients with primary open-angle glaucoma or ocular hypertension.
  Sharpe ED, Henry CJ, Mundorf TK, Day DG, Stewart JA, Jenkins JN, Stewart WC.
  Eye (Lond). 2005 Jan;19(1):35-40.
   
  The safety and efficacy of unoprostone 0.15% versus brimonidine 0.2%.
  Stewart WC, Stewart JA, Day DG, Jenkins J.
  Acta Ophthalmol Scand. 2004 Apr;82(2):161-5.
   
  Unoprostone isopropyl pretreatment decreases endothelin-1 release and the intra-ocular pressure spike induced by laser trabeculoplasty in the rabbit.
  Holló G, Visontai Z, Lakatos P, Vargha P.
  Ophthalmologica. 2003 May-Jun;217(3):231-6.
   
  Timolol 0.5%/dorzolamide 2% fixed combination vs timolol maleate 0.5% and unoprostone 0.15% given twice daily to patients with primary open-angle glaucoma or ocular hypertension.
  Day DG, Schacknow PN, Wand M, Sharpe ED, Stewart JA, Leech J, Stewart WC.
  Am J Ophthalmol. 2003 Feb;135(2):138-43.
   
  A double-masked randomized comparison of the efficacy and safety of unoprostone with timolol and betaxolol in patients with primary open-angle glaucoma including pseudoexfoliation glaucoma or ocular hypertension. 6 month data.
  Nordmann JP, Mertz B, Yannoulis NC, Schwenninger C, Kapik B, Shams N; Unoprostone Monotherapy Study Group-EU.
  Am J Ophthalmol. 2002 Jan;133(1):1-10.
   
  Additive efficacy of unoprostone isopropyl 0.12% (rescula) to latanoprost 0.005%.
  Stewart WC, Sharpe ED, Stewart JA, Holmes KT, Latham KE.
  Am J Ophthalmol. 2001 Mar;131(3):339-44.
   
6. 副作用 (Safety and Side Effect)
  Blood-aqueous barrier changes after the use of prostaglandin analogues in patients with pseudophakia and aphakia: a 6-month randomized trial.
  Arcieri ES, Santana A, Rocha FN, Guapo GL, Costa VP.
  Arch Ophthalmol. 2005 Feb;123(2):186-92.
   
  Low incidence of iris pigmentation and eyelash changes in 2 randomized clinical trials with unoprostone isopropyl 0.15%.
  McCarey BE, Kapik BM, Kane FE; Unoprostone Monotherapy Study Group.
  Ophthalmology. 2004 Aug;111(8):1480-8.
   
  Comparison of iridial pigmentation between latanoprost and isopropyl unoprostone: a long term prospective comparative study.
  Chiba T, Kashiwagi K, Chiba N, Ishijima K, Furuichi M, Kogure S, Abe K, Tsukahara S.
  Br J Ophthalmol. 2003 Aug;87(8):956-9.
   
  Safety of unoprostone isopropyl 0.15% ophthalmic solution in patients with mild to moderate asthma.
  Gunawardena KA, Crame N, Mertz B, Shams N.
  Ophthalmologica. 2003 Mar-Apr;217(2):129-36.
   
  Safety of unoprostone isopropyl as mono- or adjunctive therapy in patients with primary open-angle glaucoma or ocular hypertension.
  de Arruda Mello PA, Yannoulis NC, Haque RM.
  Drug Saf. 2002;25(8):583-97. Review.
   
  Comparison of the cardiovascular effects of unoprostone 0.15%, timolol 0.5% and placebo in healthy adults during exercise using a treadmill test.
  Stewart WC, Stewart JA, Crockett S, Kubilus C, Brown A, Shams N.
  Acta Ophthalmol Scand. 2002 Jun;80(3):272-6.
   
  New glaucoma medications in the geriatric population: efficacy and safety.
  Novack GD, O'Donnell MJ, Molloy DW.
  J Am Geriatr Soc. 2002 May;50(5):956-62. Review.
   
  Effects of topical unoprostone and latanoprost on acute and recurrent herpetic keratitis in the rabbit.
  Kaufman HE, Varnell ED, Toshida H, Kanai A, Thompson HW, Bazan NG.
  Am J Ophthalmol. 2001 May;131(5):643-6.
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