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Molecular biological studies of the mechanism of the development of vasculitis in Kawasaki disease.

Research Project

Project/Area Number 14570764
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionWakayama Medical University

Principal Investigator

SUZUKI Hiroyuki  Wakayama Medical University, Pediatrics, Assistant Professor, 医学部, 講師 (80196865)

Co-Investigator(Kenkyū-buntansha) MURAGAKI Yasuteru  Wakayama Medical University, First Pathology, Associate Professor, 医学部, 助教授 (40190904)
UEMURA Shigeru  Wakayama Medical University, Pediatrics, Associate Professor, 医学部, 助教授 (50137262)
YOSHIKAWA Norishige  Wakayama Medical University, Pediatrics, Professor, 医学部, 教授 (10158412)
Project Period (FY) 2002 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,400,000 (Direct Cost: ¥3,400,000)
Fiscal Year 2004: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2003: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2002: ¥1,800,000 (Direct Cost: ¥1,800,000)
KeywordsKawasaki Disease / Vascular smooth muscle / Autoantibody / IgA / IgM / specific antigen
Research Abstract

The etiology and pathogenesis of Kawasaki disease (KD) remain unknown. Previously we reported that auto-antibodies against a 70 kDa protein from smooth muscle cells derived from human coronary artery (SMC) were detected in the sera of patients with KD. In this study, we tried to identify the specific antigen(s) that react with circulating auto-antibodies against SMC by immunoscreening of the cDNA expression library.
1)Immunoscreening of a cDNA expression library : Approximately 3×10^5 plaques from the cDNA library derived from SMC (Uni-ZAP cDNA library, Stratagene) were used to screen for clones showing immunoreactivity with sera from four patients with KD, which yielded auto-antibodies that were strongly positive in preliminary Western immunoblots. Bound auto-antibodies were detected using a second antibody separately with horse-radish peroxide-conjugated rabbit anti-human IgA and IgM (Dako). The screening of the cDNA library were performed three times, and positive clones were isolate … More d. 2)DNA sequence analysis : Cloned phage DNAs were converted into plasmid DNAs using the methods of the in vivo excision. PCR reactions were performed using these plasmid DNAs as templates and both T3 and T7 as specific primers, and then the nucleotide sequences of each cloned cDNA insertion were analyzed with an automated sequencer ABI Prism 310 Genetic Analyzer. Corresponding proteins were searched by Blast analysis using the GenBank sequence database. Results : Eight positive clones were identified by the screenings. Seven clones and two clones were isolated using IgA and IgM as the second antibody, respectively. One clone was isolated by both IgA and IgM. Although the sizes of the identified proteins varied widely, three proteins were around 70kDa. In addition, two proteins including one around 70kDa in size were independently isolated from the sera of different patients with KD. Conclusions : Our results suggest that some of these proteins may be a specific antigen(s) against the auto-antibodies in the sera of KD patients and it may be useful for understanding the mechanisms by which auto-antibodies may cause the systemic vasculitis in KD. Further studies will be required to definite the specific antigen recognized by the circulating auto-antibodies in KD. Less

Report

(4 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (19 results)

All 2004 2003 2002 Other

All Journal Article (13 results) Publications (6 results)

  • [Journal Article] 川崎病急性期に心不全を生じ、厳密な水分管理を要した乳児例2004

    • Author(s)
      北野尚美, 中尾幸子, 重里敏子, 南 孝臣, 武内 崇, 鈴木啓之他
    • Journal Title

      Prog Med 24

      Pages: 1640-1644

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 一週一話・溶連菌感染とスーパー抗原2004

    • Author(s)
      鈴木啓之
    • Journal Title

      日本医事新報 4180

      Pages: 89-89

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Cerebrospinal Fluid Cytokines in Salmonella Urbana Encephalopathy.2004

    • Author(s)
      Minami K, Yanagawa T, Okuda M, Suzuki H, et al.
    • Journal Title

      Tohoku J Exp Med 203

      Pages: 129-132

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Relation of streptococcal pyrogenic exotoxin C as a causative super antigen for Kawasaki disease.2003

    • Author(s)
      Yoshioka T, Matsutani T, Toyosaki-Maeda T, Suzuki H, et al.
    • Journal Title

      Pediatr Res 53

      Pages: 403-410

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 子供の川崎病発症を契機に発見された川崎病親子例2003

    • Author(s)
      花井直美, 鈴木啓之, 南 孝臣, 武内 崇 他
    • Journal Title

      日本小児科学会雑誌 107

      Pages: 1375-1377

    • NAID

      10012164675

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Water retention in the acute pahse of Kawasaki disease -Relationship between edema and development of coronary arterial lesions-2003

    • Author(s)
      Suzuki H, Takeuchi T, Minami T, et al.
    • Journal Title

      Eur J Pediatr 162

      Pages: 856-859

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Relation of streptococcal pyrogenic exotoxin C as a causative superantigen for Kawasaki disease.2003

    • Author(s)
      Yoshioka T, Matsutani T, Toyosaki-Maeda T, Suzuki H, et al.
    • Journal Title

      Pediatr Res 53

      Pages: 403-310

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] A case of two-generation Kawasaki disease in a mother and daughter recognized after onset in the daughter2003

    • Author(s)
      Hanai N, Suzuki H, Minami T, Takeuchi T, et al.
    • Journal Title

      J Jpn Pediatr Soc 107

      Pages: 1375-1377

    • NAID

      10012164675

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Water retention in the acute pahse of Kawasaki disease-Relationship between edema and development of coronary arterial lesions -2003

    • Author(s)
      Suzuki H, Takeuchi T, Minami T, et al.
    • Journal Title

      Eur J Pediatr 162

      Pages: 856-859

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Detection of auto-antibodies against a 74 kDa protein derived from vascularsmooth muscle cells in patients with Kawasaki disease.2002

    • Author(s)
      Suzuki H, Muragaki Y, Uemura S, et al.
    • Journal Title

      Eur J Pediatr 161

      Pages: 324-329

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Detection of auto-antibodies against a 70 kDa protein derived from vascularsmooth muscle cells in patients with Kawasaki disease.2002

    • Author(s)
      Suzuki H, Muragaki Y, Uemura S, et al.
    • Journal Title

      Eur J Pediatr 161

      Pages: 324-329

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] A Porimorphism in plasma platelet-activating factor acetylhydrase is involved in resistance to immunoglobulin treatment in Kawasaki disease

    • Author(s)
      Minami T, Suzuki H, Takeuchi T, Uemura S, Sugatani J, Yoshikawa N
    • Journal Title

      J Pediatrics (In press)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] A Porimorphism in plasma platelet-activating factor acetylhydrase is involved in resistance to immunoglobulin treatment in Kawasaki diseas

    • Author(s)
      Minami T, Suzuki H, Takeuchi T, Uemura S, Sugatani J, Yoshikawa N
    • Journal Title

      J Pediatrics (in press)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] Yoshioka T, Matsutani T, Toyosaki-Maeda T, Suzuki H, et al.: "Relation of streptococcal pyrogenic exotoxin C as a causative superantigen for Kawasaki disease."Pediatr Res. 53(3). 403-410 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 南 孝臣, 鈴木啓之, 武内 崇 他: "急性期CRP低値で経過し、冠動脈瘤を形成した川崎病男児例"Prog Med. 23(7). 1737-1740 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 花井直美, 鈴木啓之, 南 孝臣, 竹内 崇 他: "子供の川崎病発症を契機に発見された川崎病親子例"日本小児科学会雑誌. 107(10). 1375-1377 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Suzuki H, Takeuchi T, Minami T, et al.: "Water retention in the acute pahse of Kawasaki disease -Relationship between edema and development of coronary arterial lesions -"Eur J Pediatr. 162(12). 856-859 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Suzuki H, Muragaki Y, Uemura S, et al.: "Detection of auto-antibodies against a 70 kDa protein derived from vascular smooth muscle cells in patients with Kawasaki disease"Eur J Pediatr. 161. 324-329 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Yoshioka T, Matsutani T, Toyosaki-Maeda T, Suzuki H, et al.: "Relation of streptococcal pyrogenic exotoxin C as a causative superantigen for Kawasaki disease"Pediatr Res. 53(3). 403-410 (2003)

    • Related Report
      2002 Annual Research Report

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

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