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Study for mechanism of autoantibody production in myasthenia gravis

Research Project

Project/Area Number 09670647
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Neurology
Research InstitutionKanazawa University

Principal Investigator

YOSHIKAWA Hiroaki  Kanazawa University Health Service Center, Associate Professor, 保健管理センター, 助教授 (10272981)

Co-Investigator(Kenkyū-buntansha) 高守 正治  金沢大学, 医学部, 教授 (60039815)
Project Period (FY) 1997 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥3,200,000 (Direct Cost: ¥3,200,000)
Fiscal Year 2000: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1999: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 1998: ¥600,000 (Direct Cost: ¥600,000)
Fiscal Year 1997: ¥800,000 (Direct Cost: ¥800,000)
KeywordsMyasthenia gravis / Acetylcholine receptor / Anti-acetylcholine receptor antibody / Autoimmune disease / Thymus / Bone marrow / Peripheral blood lymphocytes / IgG / 抗アセチルコリン受容体抗体 / サイトカイン
Research Abstract

1. T cell-specific immunosuppressive agent ; FK506 prevents induction of rat experimental autoimmune myasthenia gravis (EAMG) evoked by immunizing T cells against the synthetic peptide which corresponds to human acetylcholine receptor (AChR) α-subunit residues 125-147 (Hα125-147).
2. The thymus in a majority of patients with acquired myasthenia gravis (MG) is the principal but not the sole reservoir of immunocytes that specifically react with muscle antigens.
3. The α-subunit segment 125-147 (Nα125-147) of the nicotinic acetylcholine receptor of human skeletal muscle (AChR) is stimulatory for lymph node T cells of immunized Lewis rats, and induces autoantibody production and clinical and electrophysiological signs of EAMG.The goal of this study was to identify and modify in this autoantigen the minimal epitope (s) necessary for helper T cell activation and disease induction. We identified Hα129-145 as a minimum epitope. The analog peptide with alanine substituted for phenylalanine 137 may have therapeutic potential because it is equivalent to the native peptide in its binding to MHC class II, but fails to stimulate a T cell proliferative response, and is therefore a candidate T cell receptor antagonist.
4. Thymocytes form MG patients were transferred into the peritoneal cavities of severe combined immunodeficiency (SCID) mice, which caused the mice to produce human IgG and IgM.The injected thymocytes were then recovered from the peritoneal cavities of MG-SCID mice. The functional human T and B cells survived in the SCID mice for a long period.
5. Peripheral blood mononuclear cells (PBMC) from MG patients is the most efficient site at producing AChRAb amongst thymocytes, bone marrow (BM) cells and PBMC, even in patients of short duration (equal to, or less than, 2 months). Monitoring AChRAb secretion by PBMC is useful to estimate the autoimmune activity of MG.

Report

(5 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (78 results)

All Other

All Publications (78 results)

  • [Publications] 吉川弘明,高守正治: "特集・自己免疫疾患診療の最新知識 重症筋無力症の最新知見"臨床成人病. 29(7). 933-939 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 安川善博,馬渕一徳,吉川弘明 他: "副腎皮質ステロイド・FK506併用療法が有効であった重症筋無力症の2例"神経免疫学. 8(1). 154-155 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 佐藤勝明,吉川弘明,高守正治: "免疫性神経疾患に対する二重膜濾過血漿交換と免疫吸着療法における免疫グロブリンと補体値の変動"神経治療学. 17(1). 39-43 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H,Satoh K et al.: "Analysis of immunoglobulin secretion by lymph organs with myasthenia gravis"Acta Neurol Scand. 103. 53-58 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H,Takamori M: "Benign segmental myoclonus : Electrophysiological evidence of transient dysfunction in the brainstem"J Clin Neurosci. 8. 54-56 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H,Mabuchi K, et al.: "Low-dose tacrolimus for intractable myasthenia gravis"J Clin Neurosci. (in press). (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Iwasa K, Satoh K, Takamori M.: "FK506 prevents induction of rat experimental autoimmune myasthenia gravis."J Autoimmun. 10. 11-16 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Lennon VA.: "Acetylcholine receptor autoantibody secretion by thymocytes : relationship to myasthenia gravis."Neurology. 49. 562-567 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Lambert EH, Walser-Kuntz DR, Yasukawa Y, McCormick DJ, Lennon VA.: "A 17mer self peptide of acetylcholine receptor binds to B cell MHC class II, activates helper T cells and stimulates autoantibody production and electrophysiological signs of myasthenia gravis."J Immunol. 159. 1393-1403 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Satoh K, Iwasa K, Takamori M.: "In vitro production of anti-acetylcholine receptor antibody and IgG by peripheral blood lymphocytes of patients with myasthenia gravis."Ann N Y Acad Sci. 841. 351-354 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H.: "Engraftment of myasthenia gravis thymocytes into severe combined immunodeficiency (SCID) mice."Autoimmunity. 28. 217-224 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Lennon VA.: "Myasthenia gravis (MG) thymocyte engraftment in severe combined immunodeficiency (SCID) mice."Muscle Nerve. (suppl 7). S124 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Lennon VA.: "Primary and memory autoimmune responses specific for muscle acetylcholine receptor in a human-mouse (Hu-SCID) chimeric system."Muscle Nerve. (suppl 7). S124 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Satoh K, Yasukawa Y and Yamada M.: "Analysis of immunoglobulin secretion by lymph organs with myasthenia gravis."Acta Neurol Scand. 103. 53-58 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Yoshikawa H, Mabuchi K, Yasukawa Y, Takamori M, Yamada M.: "Low-dose tacrolimus for intractable myasthenia gravis."J Clin Neurosci. (in press). (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 安川善博,馬渕一徳,吉川弘明, 他: "副腎皮質ステロイド・FK506併用療法が有効であった重症筋無力症の2例"神経免疫学. 8(1). 154-155 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 佐藤勝明,吉川弘明, 他: "免疫性神経疾患に対する二重膜濾過血漿交換と免疫吸着療法における免疫グロブリンと補体値の変動"神経治療学. 17(1). 39-43 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yoshikawa H, et al.: "Analysis of immunoglobulin secretion by lymph organs with myasthenia gravis."Acta Neurol Scand. 103(1). 53-58 (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] Yoshikawa H, et al.: "Low-dose tacrolimus for intractable myasthenia gravis."J Clin Neurosci. (in press). (2001)

    • Related Report
      2000 Annual Research Report
  • [Publications] 吉川弘明: "インフォームドコンセントの実際 重症筋無力症"内科. 83(6). 1392-1396 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉川弘明: "自己免疫疾患診療の最新知識-重症筋無力症"臨床成人病. 29(7). 933-939 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 安川善博,吉川弘明: "重症筋無力症患者における胸腺画像,胸腺組織像および臨床像の関連"神経免疫学. 7(1). 156-157 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 佐藤勝明,吉川弘明: "重症筋無力症患者における末梢血単核球のサイトカイン産生能"神経免疫学. 7(1). 160-161 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉川弘明: "SCIDマウスを使った重症筋無力症における自己免疫機序の研究"神経免疫学. 7(2). 245-252 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 吉川 弘明,高守 正治: "免疫学からみた神経系と神経疾患 EAMG"日本医学館 (分担執筆). 374 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Yoshikawa H: "FK506 prevents induction of rat experimental autoimmune myasthenia gravis." J Autoimmun. 10. 11-16 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa H: "Acetylcholine receptor autoantibody secretion by thymocytes:relationship to myasthenia gravis." Neurology. 49. 562-567 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa H: "A 17mer self peptide of acetylcholine receptor binds to B cell MHC classs II,activates helper T cells and stimulates autoantibody production and electrophysiological signs of myasthenia gravis." J Immunol. 159. 1570-1577 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa H: "In vitro production of antiacetylcholine receptor antibody and IgG by peripheral blood lymphocytes of patients with myasthenia gravis." Ann N Y Acad Sci. 841. 351-354 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa H: "Engrafiment of myasthenia gravis thymocytes into severe combined immunodeficiency(SCID)mice." Autoimmunity. 28. 217-224 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Takamori M: "Antigenic sites of the voltage-geted calcium channel in Lambert-Eaton myasthenic syndrome." Ann N Y Acad Sci. 841. 625-635 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症治療方針" 日内会誌. 86. 849-855 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "抗アセチルコリンレセプター抗体" 腎と透析. 43. 675-677 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "抗アセチルコリン受容体と重症筋無力症" 最新医学. 53. 1536-1547 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症患者の胸腺細胞による抗アセチルコリン受容体抗体産生" 神経免疫学. 6. 25 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症と抗アセチルコリン受容体抗体" Clinical Neuroscience. 16. 1108-1124 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症の最近治療情報" 難病と在宅ケア. 4. 7-10 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症の実験的治療" 神経治療学. 15. 603-606 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "がんと神経障害-Lambert-Eaton筋無力症候群" Clinical Neuroscience. 15. 903-907 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "重症筋無力症" ブレインナーシング. 13. 165-172 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "アセチルコリン受容体の分子生物学と重症筋無力症の分子免疫学的研究" 日本臨床. 55. 3315-3321 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "神経筋接合部疾患における分子生物学と分子免疫学の接点" 日本臨床. 55. 3106-3113 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "イオンチャネル病の分子病態" 北陸神経精神医学雑誌. 11. 1-11 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症" 内科. (in press). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "自己免疫疾患診療の最新知識-重症筋無力症" 臨床成人病. (in press). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Takamori M: "Antibodies to calcium channel and synaptotagmin in Lambert-Eaton myasthenic syndrome." Am J Med Sci. (in press). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Takamori M: "Anautoimmune channelopathy associated with cancer:Lambert-Eaton myasthenic syndrome." Intern Med. (in press). (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "自己免疫性イオンチャネル病としての筋無力症候群" 生体の科学. (in press).

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "重症筋無力症(アセチルコリン受容体)" 現代医療. 30. 306-310 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "分子免疫からみた電位依存性カルシウムチャネル-Lambert-Eaton筋無力症候群を中心として" 脳の科学. 20. 525-531 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "疾患概念の最新の知見-重症筋無力症" 最新医学. 53. 1536-1547 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "Ca^<2+>と病態-Lambert-Eaton筋無力症候群" 蛋白質 核酸 酵素. 43. 1112-1121 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "Congenital myasthenic syndrome" 診断と治療. 86. 40-41 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "最近の知見からみた神経筋接合部の分子病態と治療" 神経治療学. 15. 454-464 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 吉川 弘明: "免疫学からみた神経系と神経疾患 Experimental autoimmune myasthenia gravis(分担執筆)" 日本医学館印刷中,

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "臨床免疫学 筋疾患-重症筋無力症,ランバート・イートン筋無力症候群(分担執筆)" 朝倉書店, 9 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "新臨床内科学 第7版 筋疾患-重症筋無力症,多発筋炎,周期性四肢麻痺(分担執筆)" 医学書院, 7 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "今日の治療指針 1997 重症筋無力症(分担執筆)" 医学書院, 2 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "難病の診断と治療指針 重症筋無力症(分担執筆)" 厚生省保健医療局, 9 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "内科治療ガイド'97 重症筋無力症(分担執筆)" 文光堂, 6 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "自己免疫でおこる難治性疾患 重症筋無力症(分担執筆)" 医薬ジャーナル社, 13 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "アセチルコリン-最新の話題 アセチルコリン遊離機構の分子病態と免疫(分担執筆)" Excerpta Medica Inc., 26 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "臨床神経内科学(第3版改訂)神経筋接合部疾患,筋疾患(分担執筆)" 南山堂, 20 (1997)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "神経伝達物質 Update 重症筋無力症(分担執筆)" 中外医学社, 13 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "腫瘍性病変の神経科学 Lambert-Eaton筋無力症候群(分担執筆)" メジカル・ビュー社, 9 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "内科治療ガイド'98 重症筋無力症(分担執筆)" 文光堂, 6 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "難病の最新情報-疫学から臨床・ケアまで-(分担執筆)印刷中" 南山堂, (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] 高守 正治: "臨床神経内科学(第4版)神経筋接合部疾患(分担執筆)印刷中" 南山堂, (1999)

    • Related Report
      1998 Annual Research Report
  • [Publications] Yoshikawa H.: "Pure akinesia manifestecl neuroleptic malignant synclrcme:a clinical variant of progressive supranuelear palsy." Acta Neuropathol. 93・3. 306-309 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshikawa H.: "FK506 prevents inducfion of rat experimental autoimmune myasthenia gravis" J Autoimmun. 10・1. 11-16 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshikawa H.: "Acetylcholine receptor autoantibody secretion by thymocytes : relationship to inyasthenia gravis" Neurology. 49・2. 562-567 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshikawa H.: "A 17mer self peptide of acetylcholine receptor binds to B cell,MHC class II,actiuates helper T cells and stimulates autoantlbcdy proclution and …" J Immunol. 159・3. 1570-1577 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症治療方針" 日本内科学会雑誌. 86・5. 849-855 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 吉川 弘明: "抗アセチルコリン受容体抗体" 腎と透析. 43. 675-677 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 高守正治: "アセチルコリン受容体(AChR)の分子生物学と重症筋無力症(MG)の分子免疫学的研究" 日本臨床. 55・12. 3315-3321 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshikawa H.: "Engraftment of myasthenia gravis thymocytes into severe combined immunockficiemy (SCID) mlce." Autoimmunity. (発表予定).

    • Related Report
      1997 Annual Research Report
  • [Publications] Yoshikawa H.: "In vitro production of anti-acetylchcline receptor antibody and IgG by peripheral blood lymphocytes of patients with myasthnia gravis" Ann N Y Acad Sci. (発表予定).

    • Related Report
      1997 Annual Research Report
  • [Publications] 吉川 弘明: "重症筋無力症における胸腺,骨髄,末梢血リンパ球のin vitro抗体産生能" 厚生省特定疾患 免疫性神経疾患調査研究班 平成9年度 班会議 報告書. (発表予定).

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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