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Pathogenesis of Kawasaki disease : Gene expression in susceptible hosts determined by microarray

Research Project

Project/Area Number 14570786
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Pediatrics
Research InstitutionKURUME UNIVERSITY

Principal Investigator

ISHII Masahiro  Kurume University, Assistant Professor, 医学部, 講師 (90222950)

Co-Investigator(Kenkyū-buntansha) SUGAHARA Yoko  Kurume University, Fellow, 医学部, 助手 (40309787)
FURUI Jun  Kurume University, Fellow, 医学部, 助手 (00341339)
MUTA Hiromi  Kurume University, Fellow, 医学部, 助手 (40343694)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2003: ¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 2002: ¥2,200,000 (Direct Cost: ¥2,200,000)
KeywordsKawasaki disease / Pathogenesis / Gene expression / Coronary artery lesion / Vasuculitis / Gene chip / 細胞接着分子 / 血管新生因子 / 接着分子 / ガンマグロブリン
Research Abstract

Background : The etiology of Kawasaki disease (KD) remains unknown despite extensive investigations. Our hypothesis suggested that very common infectious agents might cause KD in some susceptible hosts. We investigated the difference of gene expression between patients with KD and control subjects by use the Affymetrix GeneChip system. Methods : Five patients with KD, ranged age from to years, mean follow up periods years, including Group A patients (n=8) who had coronary artery lesions GALs and Group B patients (n=8) who had no GALs, 2 patients who had no history of KD as controls (n=10), were studied. We analyzed a gene expression profile with RNA sample provided mononuclear cells in peripheral white blood cells. The difference of gene expression did more than 1.5 times with significance. Result : Most gene expression in KD patients was resembled. However some differences of gene expression were found among 3 groups. The gene of Human gremline IgD chain gene and H.sapiens mRNA for T … More cell lerkemia/lymphoma 1 were expressed on KD patients with CALs more than on patients with no CALs. In addition, the gene of Homo sapiens mRNA for KIAA0752 protein were expressed on KD patients with GALS more than on KD patients with no CALS. The connection gene of a Human MHC class II HLA-DR7 and Human MHC class II I-ILA-DRw53 were expressed on KD patients with GALS more than patients who had no history of KD. The gene of Human complement cytolysis inhibitor (CLI) mRNA and Spermidine/Spermine N1-Acetyltransferase (SS-A) were expression on patients without history of KD more than KD patients with CALs. SS-A gene may relate to vascular disease. Previous report suggested that gene expression of the SS-A related to the shear stress in human umbilical vein endothelial cells. Conclusion : This study suggested that some hereditary factors may participate in KD patients, especially to relate the factors of vascular disease. The present results demonstrate the merit of further investigation of the alterations as a source of baseline information for the design of future genetic therapy for coronary artery lesions due to KD vasculitis. Less

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] Sugahara Y, Ishii M, Muta H, Egami K, Akagi T, Matsuishi T: "Efficacy and safety of thermal vasodilation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect."Am J Cardiol. 92. 109-113 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Muta H, Ishii M, Sakaue T, Furui J, Sugahara Y, Matsuichi T.: "Older age is a risk factors for the development of cardiac sequelae in Kawasaki disease from the nationwide survey in Japan"Pediatrics. (印刷中).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Muta H, Ishii M, MD, Egami K, Furui J, Sugahara Y, Matsuishi T: "Early Intravenous Gamma-globulin Treatment for Kawasaki Disease : From the 15 and 16 Nationwide Surveys in Japan"J Pediatr. (印刷中).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 姫野和家子, 赤木禎治, 石井正浩, 前野泰樹, 浦部大策, 松石豊次郎: "3ヵ月未満に発症した川崎病の臨床像に関する検討"日本小児科学会雑誌. 107. 1014-1019 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 石井正浩, 牟田広実, 菅原洋子, 古井 潤, 籠手田雄介, 松石豊次郎: "川崎病の急性期にガンマグロブリンの早期投与は本当に悪いのでしょうか"小児内科. 35. 1563-1566 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 石井正浩, 姫野和家子, 松石豊次彦: "川崎病、内科医・小児科研修医のための小児救急医療治療ガイドライン"診断と治療社. 469 (2004)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sugahara Y, Ishii M, Muta H, Eganii K, Akagi T, Matsuishi T.: "Efficacy and safety of thermal vasodilatation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect"Am J Cardiol. 92. 109-113 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Muta H, Ishii M, Sakaue T, Egami K, Furui J, Sugahara Y, Akagi T, Nakamura Y, Yanagawa H, Matsuishi T: "Older age is a risk factors for the development of cardiac sequelae in Kawasaki disease from the nationwide survey in Japan."Pediatrics. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Muta H, Ishii M, MD, Egami K, Furui J, Sugahara Y, Akagi T, Nakamura Y, Yanagawa H, Matsuishi T: "Early Intravenous Gamma-globulin Treatment for Kawasaki Disease : From the 15 and 16 Nationwide Surveys in Japan."J Pediatr. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Uehara R, Yashiro M, Hayasaka S, Old I, Nakamura Y, Muta H, Ishii_M, Matsuishi T, Sonobe T, Yanagawa H.: "Serum alanine aminotransferase concentrations in patient with Kawasaki disease."Pediatr Infect Dis J. 22. 839-842 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Sugahara Y, Ishii M, Muta H, Egami K, Akagi T, Matsuishi T: "Efficacy and safety of thermal vasodilation therapy by sauna in infants with severe congestive heart failure secondary to ventricular septal defect."Am J Cardiol. 92. 109-113 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Muta H, Ishii M, Sakaue T, Furui J, Sugahara Y, Matsuishi T: "Older age is a risk factors for the development of cardiac sequelae in Kawasaki disease from the nationwide survey in Japan"Pediatrics. (印刷中).

    • Related Report
      2003 Annual Research Report
  • [Publications] Muta H, Ishii M, MD, Egami K, Furui J, Sugahara Y, Matsuishi T: "Early Intravenous Gamma-globulin Treatment for Kawasaki Disease : From the 15 and 16 Nationwide Surveys in Japan"J Pediatr. (印刷中).

    • Related Report
      2003 Annual Research Report
  • [Publications] 姫野和家子, 赤木禎治, 石井正浩, 前野泰樹, 浦部大策, 松石豊次郎: "3ヶ月未満に発症した川崎病の臨床像に関する検討"日本小児科学会雑誌. 107. 1014-1019 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 石井正浩, 牟田広実, 菅原洋子, 古井 潤, 籠手田雄介, 松石豊次郎: "川崎病の急性期にガンマグロブリンの早期投与は本当に悪いのでしょうか"小児内科. 35. 1563-1566 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 石井正浩, 姫野和家子, 松石豊次郎: "川崎病"川崎病、内科医・小児科研修医のための小児救急医療治療ガイドライン. 227-236 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Ishii M, Himeno W, Sawa M, Iemura M, Furui J, Muta H, Sugahara Y, Egami K, et al.: "Assessment of the ability of myocardial contrast echocardiography with harmonic power Doppler imaging to identify perfusion abnormalities in patients with Kawasaki disease at rest and during dipyridamole stress"Pediatr Cardiol. 23巻. 192-199 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Muta H, Ishii M, Maeno Y, Akagi T, Kato H: "Quantitative evaluation of the changes in plasma concentration of cardiac natriuretic before and after transcatheter closure of atrial septal defect"Acta Paediatr. 91巻. 649-652 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ishii M, Ueno T, Ikeda H, Iemura M, Sugimura T, Furui J, Sugahara Y, et al.: "Sequential follow-up results of catheter intervention for coronary artery lesions aftery lesions after Kawasaki disease : quantitative coronary artery angiography and intravascular ultrasound imaging study"Circulation. 105巻. 3004-3010 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Muta H, Ishii M, Matsuishi T: "Coronary artery aneuryms after Kawasaki disease in a patient with single coronary artery"Pediatr Cardiol. 23巻. 568-569 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Furui J, Ishii M, Ikeda H, Muta H, Egami K, Sugahara Y, et al.: "Soluble forms of the selectin family in children with Kawasaki disease : prediction for coronary artery lesions"Acta Paediatr.. 91巻. 1183-1186 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] 牟田広実, 石井正浩, 廣瀬彰子, 古井潤, 菅原洋子 他: "川崎病ガンマグロブリン療法における製剤間での治療効果の比較"日児誌. 106巻. 742-746 (2002)

    • Related Report
      2002 Annual Research Report

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

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