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Pathogenesis of Guillain-Barre syndrome and Fisher syndromes : evidence of molecular mimicry

Research Project

Project/Area Number 14370210
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Neurology
Research InstitutionDokkyo University School of Medicine

Principal Investigator

YUKI Nobuhiro  Dokkyo University School of Medicine, Department of Neurology, Associated Professor, 医学部, 助教授 (60285913)

Co-Investigator(Kenkyū-buntansha) YAMADA Mitsunori  Niigata University, Department of Pathology, Brain Research Institute, Associated Professor, 脳研究所, 助教授 (30240039)
UEDA Syuichi  Dokkyo University School of Medicine, Department of Neurology, Professor, 医学部, 教授 (60150570)
KOBATA Tetsuji  Dokkyo University School of Medicine, Department of Neurology, Professor, 医学部, 教授 (10205445)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥10,400,000 (Direct Cost: ¥10,400,000)
Fiscal Year 2003: ¥3,600,000 (Direct Cost: ¥3,600,000)
Fiscal Year 2002: ¥6,800,000 (Direct Cost: ¥6,800,000)
KeywordsGuillain-Barre syndrome / molecular mimicry / lipo-oligosaccharide / animal model / autoimmune disease / フィッシャー症候群 / Haemophilus influenzae / 症例対照試験 / Campylobacter jejuni / リポ多糖 / 疾患モデル
Research Abstract

Molecular mimicry between microbial and self components is postulated as the mechanism that accounts for the antigen and tissue specificity of immune responses in post-infectious autoimmune diseases. Little direct evidence exists, and research in this area has focused principally on T cell-mediated, anti-peptide responses, rather than on humoral responses to carbohydrate structures. Guillain-Barre syndrome, the most frequent cause of acute neuromuscular paralysis, occurs 1 to 2 weeks after various bacterial and viral infections, particularly Campylobacter jejuni enteritis. Carbohydrate mimicry between the bacterial lipo-oligosaccharide and human GM1 ganglioside is seen as having relevance to the pathogenesis of Guillain-Barre syndrome, and conclusive evidence is reported here. On sensitization with C.jejuni lipo-oligosaccharide, rabbits developed anti-GM1 IgG antibody and flaccid limb weakness. Paralyzed rabbits had pathological changes in their peripheral nerves identical to those present in Guillain-Barre syndrome. Immunization of mice with the lipo-oligosaccharide generated a monoclonal antibody that reacted with GM1 and bound to human peripheral nerves. The monoclonal antibody and anti-GM1 IgG from patients with Guillain-Barre syndrome blocked muscle action potentials in a muscle-spinal cord co-culture, indicative that anti-GM1 antibody can cause muscle weakness. These findings show that carbohydrate mimicry is an important cause of autoimmune neuropathy.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (22 results)

All Other

All Publications (22 results)

  • [Publications] Yuki N, Saperstein DS.: "Axonal Guillain-Barre syndrome subtypes : do we need more splitting?"Neurology. 61・5. 598-599 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Susuki K, Nishimoto Y, Yamada M, Baba M, Ueda S, Hirata K, Yuki N.: "Acute motor axonal neuropathy rabbit model : immune attack on nerve root axons."Ann Neurol. 54・3. 383-388 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Odaka M, Yuki N, Yamada M, Koga M, Takemi T, Hirata K, Kuwabara S.: "Bickerstaffs brainstem encephalitis : clinical features of 62 cases and a subgroup associated with Guillain-Barre syndrome."Brain. 126・10. 2279-2290 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Koga M, Yuki N, Hirata K, Morimatsu M, Mori M, Kuwabara S.: "Anti-GM1 antibody IgG subclass : a clinical recovery predictor in Guillain-Barre syndrome."Neurology. 60・9. 1514-1518 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Odaka M, Yuki N, Hirata K.: "Patients with chronic inflammatory demyelinating polyneuropathy initially diagnosed as Guillain-Barre syndrome."J Neurol. 250・8. 913-916 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Koga M, Yuki N, Tsukada Y, Hirata K, Matsumoto Y.: "CDR3 spectratyping analysis of the T cell receptor repertoire in Guillain-Barre and Fisher syndromes."J Neuroimmunol. 141・1-2. 112-117 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuki M, Separstein DS: "Axonal Gui1lain-Barre syndrome subtypes : do we need more spitting?"Neurology. 61(5). 598-599 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Susuki K, Nishimoto Y, Yamada M, Baba M, Ueda S, Hirata K, Yuki N: "Acute motor axonal neuropathy rabbit model : immune attack on nerve root axons."Ann Neurol. 54(3). 383-388 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Odaka M, Yuki N, Yamada M, Koga M, Takemi T, Hirata K: "Bickerstaffs brainstem encephalitis : clinical features of 62 cases and a subgroup associated with Guillain-Barre syndrome."Brain. 126(10). 2279-2290 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Koga M, Yuki N, Hirata K, Morimatsu M, Mori M, Kuwabara S: "Anti-GM I antibody IgG subclass : a clinical recovery predictor in Guillain-Barre syndrome."Neurology. 60(9). 1514-1518 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Odaka M, Yuki N, Hirata K: "Patients with chronic inflammatory demyelinating polyneuropathy initially diagnosed as Guillain-Barre syndrome."J Neurol. 250(8). 913-916 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Koga M, Yuki N, Tsukada Y, Hirata K, Matsumoto Y: "CDR3 spectratyping analysis of the T cell receptor repertoire in Guillain-Barre and Fisher syndromes."J Neuroimmunol. 141(1-2). 112-117 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Yuki N, Saperstein DS.: "Axonal Guillain-Barre syndrome subtypes : do we need more splitting?"Neurology. 61・5. 598-599 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Susuki K, Nishimoto Y, Yamada M, Baba M, Ueda S, Hirata K, Yuki N.: "Acute motor axonal neuropathy rabbit model : immune attack on nerve root axons."Ann Neurol. 54・3. 383-388 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Odaka M, Yuki N, Yamada M, Koga M, Takemi T, Hirata K, Kuwabara S.: "Bickerstaffs brainstem encephalitis : clinical features of 62 cases and a subgroup associated with Guillain-Barre syndrome."Brain. 126・10. 2279-2290 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Koga M, Yuki N, Hirata K, Morimatsu M, Mon M, Kuwabara S.: "Anti-GM1 antibody IgG subclass : a clinical recovery predictor in Guillain-Barre syndrome."Neurology. 60・9. 1514-1518 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Odaka M, Yuki N, Hirata K.: "Patients with chronic inflammatory demyelinating polyneuropathy initially diagnosed as Guillain-Barre syndrome."J Neurol. 250・8. 913-916 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Koga M, Yuki N, Tsukada Y, Hirata K, Matsumoto Y: "CDR3 spectratyping analysis of the T cell receptor repertoire in Guillain-Barre and Fisher syndromes."J Neuroimmunol. 141・1-2. 112-117 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Susuki K: "Fine specificities of anti-LM1 IgG antibodies in Guillain-Barre syndrome"J Neurol Sci. 195. 145-148 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Koga M: "Anti-GTla IgG in Guillain-Barre syndrome"J Neurol Neurosurg Psychiatry. 72. 767-771 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kuwabara S: "Differences in membrane properties of axonal and demyelinating Guillain-Barre syndromes"Ann Neurol. 52. 180-187 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Tagawa Y: "High anti-GM1 and anti-GDla IgG antibody titers are detected in Guillain-Barre syndrome but not in chronic inflammatory demyelinating polyneuropaty"Eur Neurol. 48. 118-119 (2002)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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