Research Project
Grant-in-Aid for Scientific Research (C)
Myasthenia gravis (MG) is thought to be a disorder targeting at the acetylcholine receptor (AChR) on postsynaptic membrane of neuromuscular junction (NMJ). One of clinical characteristics of MG is high prevalence of thymic abnormality as high as 90% of patients. About 80% of patients have thymic follicular hyperplasia and 20% have thymoma. The patients with thymoma are refractory to therapy, i.e., they need to receive high amount of steroid for treatment. We measured AChR antibody, cytokines and antibodies against cytokines for studying the autoimmunity of MG patients with thymoma. For measurement of AChR antibodies, we used immunoprecipitation method. For measurement of cytokines, enzyme-linked immunosorbent assay (ELISA) was applied. For measurement of antibodies against cytokines, the modified ELISA was utilized. As a result, antibodies against interleukin (IL)-12 p70 were high in patients with thymoma with or without MG. IL-12 p40 and anti-IL-12 p40 antibodies elevated in sera from MG patients with thymoma. Additionally, we developed assay system for detecting antibodies against ryanodine receptor (RyR) that have a role in excitation-contraction (E-C) coupling of skeletal muscle. The method use whole protein of RyR instead to synthetic peptide, and is more sensitive and specific than ELISA system using synthetic peptide. Using detection system for RyR antibodies, we found that a group of MG patients with thymoma have autoantibodies against both AChR and RyR. Therefore, the pathological targets of MG patients with thymoma are synaptic transmission (AChR) and E-C coupling (RyR).
All 2008 2007 2006 2005 2004 Other
All Journal Article (45 results) (of which Peer Reviewed: 11 results) Presentation (16 results) Book (6 results) Remarks (1 results) Patent(Industrial Property Rights) (3 results)
Mol Pharm Bull 28
Pages: 736-739
J Neuroimmunol 195
Pages: 108-115
Pages: 108-15
120001135293
Clin Neurophysiol 118
Pages: 1144-1148
Eur J Neurol 14
Pages: 1230-1235
Acta Neurol Scand 116
Pages: 406-408
臨床神経学 47
Pages: 880-881
10020102808
Pages: 1144-8
Pages: 1230-5
Pages: 406-8
Clinical Neurophysiology 118・5
J Neuroimmunol 175
Pages: 169-175
Eur J Neurol 13
Pages: 655-658
Mayo Clin Proc 81
Pages: 1207-1214
Neuro-Ophthalmology 30
Pages: 45-45
Pages: 169-75
Pages: 655-8
Pages: 1207-14
Journal of Neuroimmunology 175・1-2
European Journal of Neurology 13・6
Mayo Clinic Proceedings 81・9
Pages: 48-48
Journal of Neuroimmunology (in press)
Eur J Neurol (in press)
Clinical Neuroscience 23
Pages: 388-391
神経眼科 22
Pages: 336-346
10018960388
Pages: 736-9
Biological Pharmaceutical Bulletin (In press)
Biomedical Research 25
Pages: 255-261
□J Clin Neurosci 11
Pages: 610-613
Neurology 62
Pages: 1894-1896
神経免疫学 12
脊椎脊髄ジャーナル 17
Pages: 911-915
神経治療学 21
Pages: 31-40
Pages: 255-61
130004903682
J Clin Neurosci 11
Biomed Res 25
J Clin Neurosci 11・6
Neurology 62・10
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