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Why does Stevens-Johnson syndrome develop with mycoplasma pneumonia?

Research Project

Project/Area Number 15K09781
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Dermatology
Research InstitutionKyorin University

Principal Investigator

TAKAHASHI RYO  杏林大学, 医学部, 講師 (00317091)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsアレルギー / 感染症 / 薬疹 / 制御性T細胞 / SJS / 制御生T細胞 / 制御制T細胞
Outline of Final Research Achievements

Although the relation of Stevens-Johnson syndrome (SJS) and Mycoplasma pneumoniae (MP) infection has been well known, it remains unknown how MP infection contributes to SJS development. We investigated the frequencies and phenotype of regulatory T cells (Treg) in the peripheral blood of MP infection and viral infections patients at onset and after clinical resolution, and healthy controls.
The functional Treg was significantly decreased not only in the acute but also resolution stage of MP infection. IL-17A+Foxp3+ T cells was significantly increased in the resolution stage of MP infection. The development of IL-17A+Foxp3+ cells were found to be dependent on the generation of the ‘pathogenic’ pMOs, which are characterized by the potential to abundantly produce IL-6 in a TLR-2-dependent manner. Our findings suggest that MP infections could serve to enhance the risk of subsequently developing severe allergic diseases by chronically abrogating Treg-mediated suppression.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (2 results)

All 2015 2014

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (1 results)

  • [Journal Article] Crucial role of viral reactivation in the development of severe drug eruptions: a comprehensive review.2014

    • Author(s)
      Shiohara T, Ushigome Y, Kano Y, Takahashi R.
    • Journal Title

      Clin Rev Allergy Immunol

      Volume: - Issue: 2 Pages: 1-11

    • DOI

      10.1007/s12016-014-8421-3

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Presentation] An unfavorable shift from Treg to Th17 development can be preventable by selective depletion of IL-6-producing proinflammatory monocytes2015

    • Author(s)
      Ryo Takahashi, Yukiko Ushigome, and Tetsuo Shiohara
    • Organizer
      40th Annual Meeting of the Japanese Society for Investigative Dermatology
    • Place of Presentation
      岡山
    • Year and Date
      2015-12-11
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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