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Study on the pathogenecity of tuberculosis in elderly people and development of its prevention

Research Project

Project/Area Number 15591061
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 膠原病・アレルギー・感染症内科学
Research InstitutionUniversity of the Ryukyus

Principal Investigator

SAITO Atsushi  University of the Ryukyus, Graduate School of Medicine, Professor, 大学院・医学研究科, 教授 (90039842)

Co-Investigator(Kenkyū-buntansha) KAWAKAMI Kazuyoshi  University of the Ryukyus, Graduate School of Medicine, Associate Professor, 大学院・医学研究科, 助教授 (10253973)
HIGA Futoshi  University of the Ryukyus, Graduate School of Medicine, Assistant Professor, 大学院・医学研究科, 助手 (50291555)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2004: ¥1,400,000 (Direct Cost: ¥1,400,000)
Fiscal Year 2003: ¥2,100,000 (Direct Cost: ¥2,100,000)
Keywordstuberculosis / aged people / diabetes mellitus / IFN-γ / IL-12 / senescence accelerated mice / diabetic mice / Th1反応 / 内因性再燃 / Th1サイトカイン
Research Abstract

Tuberculosis(TB) is still an important problem because the number of patients with this disease has recently been increased, especially with an increase in aged people. In the present study, we conducted an analysis on the pathogenecity of tuberculosis in this population, with a focus on the host immune responses.
In TB in an aged group, serum levels of IL-12 and IFN-γ tended to be and were significantly lower than in a younger group, respectively. From these data, it was suggested that lower Th1 immune responses could be one of the reasons for the development of TB in the aged population. In further study, we established an animal model of TB in aged people using senescence accelerated mice(SAM). These mice showed a tendency in the earlier death of this infection from 5 to 6 months after birth than control mice. The bacterial loads in lung, liver and spleen were significantly higher in 10 months-old SAM mice than in control mice with the same age. However, there was no significant difference in the concentrations of IFN-γ in these organs between two groups at 3 months after birth.
The number of patients with diabetes mellitus(DM), an important risk factor of TB, is known to increase with aging. Therefore, we measured the serum levels of IL-12 and IFN-γ in TB patients complicated with and not with DM and healthy control subjects. Such values were increased in TB patients compared to control subjects, which were significantly lower in DM group than in non-DM group. In addition, similar findings were obtained in an animal model of DM mice infected with Mycobacterium tuberculosis, which were established by administration of streptozotocin.
The present study suggested that TB in aged people could be developed on the basis of the impairment of Th1 immune responses to M.tuberculosis caused by various pathological conditions, including DM.

Report

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

    (17 results)

All 2005 2004 2003 Other

All Journal Article (11 results) Book (3 results) Publications (3 results)

  • [Journal Article] Lower expression of Thl-related cytokines and inducible nitric oxide synthase in mice with streptozotocin-induced diabetes mellitus infected with Mycobacterium tuberculosis2005

    • Author(s)
      Yamashiro S, et al.
    • Journal Title

      Clinical and Experimental Immunology 139

      Pages: 57-64

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Lower expression of Th1-related cytokines and inducible nitric oxide synthase in mice with streptozotocin-induced diabetes mellitus infected with Mycobacterium tuberculosis2005

    • Author(s)
      Yamashiro S, et al.
    • Journal Title

      Clinical and Experimental Immunology 139

      Pages: 57-64

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Lower expression of Th1-related cytokines and inducible nitric oxide synthase in mice with streptozotocin-induced diabetes mellitus infected with Mycobacterium tuberculosis2005

    • Author(s)
      Yamashiro S et al.
    • Journal Title

      Clinical and Experimental Immunology 139(1)

      Pages: 57-64

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Interferon-gamma production and host protective response against Mycobacterium tuberculosis in mice lacking both IL-12p40 and IL-182004

    • Author(s)
      Kawakami K, et al.
    • Journal Title

      Microbes and Infection 6

      Pages: 339-349

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Interferongamma production and host protective response against Mycobacterium tuberculosis in mice lacking both IL-12p40 and IL-182004

    • Author(s)
      Kawakami K, et al.
    • Journal Title

      Microbes and Infection 6

      Pages: 339-349

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Possible immunotherapy with interleukin-18 in intractable infectious diseases.2004

    • Author(s)
      Kawakami K
    • Journal Title

      Immunomodulators as promising therapeutic agents against infectious diseases (Kawakami K, Stevens DA, eds)(Research Signpost)

      Pages: 89-104

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] α-Galactosylceramide : NKT cell-based immunotherapy in intractable infectious diseases.2004

    • Author(s)
      Kinjo Y, Kawakami K
    • Journal Title

      Immunomodulators as promising therapeutic agents against infectious diseases(Kawakami K, Stevens DA, eds)(Research Signpost)

      Pages: 105-122

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Interferon-gamma production and host protective response against Mycobacterium tuberculosis in mice lacking both IL-12p40 and IL-182004

    • Author(s)
      Kawakami K et al.
    • Journal Title

      Microbes and Infection 6(4)

      Pages: 339-349

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Promissing immunotherapies with Thl-related cytokines against infectious diseases2003

    • Author(s)
      Kawakami K
    • Journal Title

      Journal of Infection and Chemotherapy 9

      Pages: 201-209

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Promissing immunotherapies with Th1-related cytokines against Infectious diseases2003

    • Author(s)
      Kawakami K
    • Journal Title

      Journal of Infection and Chemotherapy 9

      Pages: 201-209

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Promising immunotherapies with Th1-related cytokines against infectious diseases2003

    • Author(s)
      Kawakami K
    • Journal Title

      Journal of Infection and Chemotherapy 9(3)

      Pages: 201-209

    • NAID

      10013680533

    • Related Report
      2004 Annual Research Report
  • [Book] Immunomodulators as promising therapeutic against infectious diseases (Kawakami K, Stevens DA, eds.)2004

    • Author(s)
      Kawakami K
    • Publisher
      Research Signpost
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] Immunomodulators as promising therapeutic against infectious diseases (Kawakami K, Stevens DA, eds.)2004

    • Author(s)
      Kinjo K, Kawasaki K
    • Publisher
      Research Signpost
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] Immunomodulators as promising therapeutic agents against infectious diseases2004

    • Author(s)
      Kawakami K
    • Publisher
      Research Signpost
    • Related Report
      2004 Annual Research Report
  • [Publications] Koguchi, Y. et al.: "High plasma osteopontin level and its relationship with IL-12-mediated Th1 response in patients with active pulmonary tuberculosis"American Journal of Respiratory and Critical Care Medicine. 167. 1355-1359 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kawakami, K.: "Immunotherapy with Th1-related cytokines against infectious diseases"Journal of Infection and Chemotherapy. 9. 201-209 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kawakami, K. et al.: "Interferon-γ production and host protective response against Mycobacterium tuberculosis infection in mice lacking both IL-12p40 and IL-18"Microbes and Infection. 6(印刷中). (2004)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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