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Immunologic、 Virologic、 and Bacteriologec Studies of Tonsillar Focal Infections and Their Clinical Applications

Research Project

Project/Area Number 63570814
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Otorhinolaryngology
Research InstitutionSapporo Medical University

Principal Investigator

YAMANAKA Noboru  Sapporo Medical College, Otolaryngology, Associate Professor, 医学部, 助教授 (10136963)

Co-Investigator(Kenkyū-buntansha) TAKEZAWA Hiroyuki  Sapporo Medical College, Otolaryngology, Instructor, 医学部, 助手 (30192165)
Project Period (FY) 1988 – 1990
Project Status Completed (Fiscal Year 1990)
Budget Amount *help
¥1,900,000 (Direct Cost: ¥1,900,000)
Fiscal Year 1990: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1989: ¥300,000 (Direct Cost: ¥300,000)
Fiscal Year 1988: ¥1,300,000 (Direct Cost: ¥1,300,000)
KeywordsTonsillar Focal Infections / Pustulosis Palmaris Et Plantaris / Sterno-Cost-Clavicular Hyperostosis / Soluble Immune Complexes / Anti-Keration Antibodies / Autoantibodies / Image Analysis / 掌蹠膿庖症 / EBウイルス / 自己抗体
Research Abstract

1) Soluble immune complexes were determined by a anti-C3 solid-phase enzyme-linked immunosorbent assay (anti-C3 ELISA) and were found to be significantly higher on average in patients with pustulosis palmaris et plantaris (PPP) and/or stemo-cost-clavicular hyperostosis (SCCH) than in normal controls. There was a close relationship between the degree of improvement in the skin lesions in PPP patients and in pains in SCCH Patients and the changes in soluble immune complexes after tonsillectomy.
2) Titers of anti-keratin antibodies (AKA) involving IgG and IgM fractions were determined by ELISA and found to be significantly higher on average in patients with PPP than normal controls. Positive rates of IgG-AKA and IgM-AKA in sera of PPP patients were 50% and 66%, respectively. Following tonsillectomies, patients with high IaM-AKA titers that decreased after surgery were found to benefit by a marked improvement in their skin lesions. There was a close relationship between the degree of improv … More ement in the skin lesions and the changes in IgM-AKA titers after the operation.
3) Epstein-Barr virus (EBV) transformed tonsillar lymphocytes were found to produce autoantibodies against nuclear envelope and cytoskeletal filaments, nucleolus and cytoskeletal filaments of human squamous cell carcinoma cell line (Hep2 cell).
4) Bacteriologic studies on tonsil of patients with PPP, chronic tonsillitis (CT), and healthy controls revealed that Streptococcus sanguis was isolated in significantly higher rate in PPP patients than in CT patients and healthy controls, and that IgG-antibody titer against bacterial antigen of Streptococcus salvarius was significantly lower in PPP patients than in CT patients and healthy controls.
5) Quantitative immunohistologic study on tonsil by the image analysis revealed that IgM-, IgG-and IgD-positive B cells were significantly increased in PPP patients than in CT patients and healthy controls, and that IgM-and IgD-positive B cells and CD4-positive T cells were significantly increased in patients with improvement of skin lesions after tonsillectomy.
6) Measurements of soluble immune complexes and IgM-anti-keratin antibody titer in sera of patients in combination with the conventioual tests were thought to be very useful for the preoperative diagnosis of tonsillar focal infections and for the post-operative counseling. Less

Report

(4 results)
  • 1990 Annual Research Report   Final Research Report Summary
  • 1989 Annual Research Report
  • 1988 Annual Research Report
  • Research Products

    (16 results)

All Other

All Publications (16 results)

  • [Publications] Yamanaka N,etal: "Tonsillectomyーinduced changes in antiーKeratin antibodies in patients with puspulosis palmaris at plantaris:a clinical correlation" Archives of Otos RhinoーLaryrigology. 246. 109-112 (1989)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 松山 秀明,山中 昇: "病巣性扁桃炎における免疫組織学的研究ー画像解析による定量的研究ー" 日本耳鼻咽喉科学会会報. 93. 6-17 (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Yamanaka N.etal: "Distribution of lymphoid cells in tonsillar compartments in relation to infection and ageー" A quantitative study using image analysis Acta Otolaryngol(Stockh).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] 山中 昇: "耳鼻咽喉科診療ハンドブックー病巣感染の部" 南江堂, (1990)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Yamanaka N, Matsuda F, Tsubota F, and Kataura A: "Immune response of tonsillar B lymphocytes" Acta Otolaryngol (Stockh). Suppl. 454. 148-152 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Yamanaka N, Shido F, and Kataura A.: "Tonsillectomy-induced changes in anti-keratin antibodies in patients with pustulosis palmaris et plantaris : a clinical correlaton" Arch Otorhinolaryngol. 246. 109-112 (1989)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Matsuyama H and Yamanaka N.: "Immunohistological study on human palatine tonsils in cases with pustulosis palmaris et plantaris - The quantitative study by image analyzer -" J Otolaryngol Jpn. 93 :. 6-17 (1990)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Yamanaka N, Matsuyama H, Harabuchi Y, and Kataura A.: "Distribution of lymphoid cells in tonsillar compartments in relation to infection and age - A quantitative study using image analysis" Act Otolaryngol (Stockh).

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1990 Final Research Report Summary
  • [Publications] Yamanaka N,etal: "Tonsillectomyーinduced changes in antiーKeratin antibodies in patient with pustulosis palmaris et plantaris : a clinical correlation" Archives of OtoーRhinoーLaryngology. 246. 109-112 (1989)

    • Related Report
      1990 Annual Research Report
  • [Publications] 松山 秀明,山中昇: "病巣性扁桃炎における免疫組織学的研究ー画像解析による定量的研究ー" 日本耳鼻咽喉科学会会報. 93. 6-17 (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Yamanaka,N.etal: "Distribution oflymphoid cells in tonsillar compartments in relation to infection and ageーA quantitative study using image analysisー" Acta Otolaryngol(Stockh).

    • Related Report
      1990 Annual Research Report
  • [Publications] 山中 昇(分担執筆): "耳鼻咽喉科診寮ハンドブックー病巣感染の部ー" 南江堂, (1990)

    • Related Report
      1990 Annual Research Report
  • [Publications] Yamanaka N.et al: "Tonsillectomy-induced changes in anti-keratin antibodies inpatients with pustulosis palmaris at plantaris:aclinical correlation" Archives of Oto-Rhino-Laryngology. 246. 109-112 (1989)

    • Related Report
      1989 Annual Research Report
  • [Publications] 松山秀明,山中昇: "病巣性扁桃炎における免疫組織学的研究-画像解析による定量的研究-" 日本耳鼻咽喉科学会会報. 93. 6-17 (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] 山中昇(分担執筆): "耳鼻咽喉科診療ハンドブック(病巣感染の部)" 南江堂, (1990)

    • Related Report
      1989 Annual Research Report
  • [Publications] N.Yamanaka,;F.Shido,;A.Kataura: Archives of Oto-Rhino-Laryngology. (1989)

    • Related Report
      1988 Annual Research Report

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Published: 1988-04-01   Modified: 2016-04-21  

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