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EBV reactivation-induced autoantibody production and management of Graves' disease

Research Project

Project/Area Number 17K08694
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Human pathology
Research InstitutionTottori University

Principal Investigator

NAGATA Keiko  鳥取大学, 医学部, 講師 (50304209)

Co-Investigator(Kenkyū-buntansha) 林 一彦  鳥取大学, 医学部, 特任教員 (30180962)
Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
KeywordsEpstein-Barr virus (EBV) / 再活性化 / 抗体産生 / バセドウ病 / 自己免疫疾患 / IgM / IgG4 / 活性化誘導シチジンデアミナーゼ (AID) / Epstein-Barr ウイルス (EBV) / TSHレセプター抗体 (TRAb) / Epstein-Barrウイルス(EBV) / TSHレセプター抗体(TRAb) / 女性ホルモン / AID / TRAb / EBウイルス / TRAbアイソタイプ / 自己反応性B細胞
Outline of Final Research Achievements

Epstein-Barr virus (EBV) is a ubiquitous herpes virus mainly persists in human B cells, and most adults have its antibodies. In the present study, we confirmed that EBV-infected B cells differentiated to plasma cells to produce antibodies along with EBV reactivation. In the EBV reactivation-induced Ig production, an activation-induced cytidine deaminase (AID) is induced, and thus class-switched antibodies including IgG, IgE, and IgG4 are produced as well as IgM which is the original isotype expressed on B cell surface.
TRAb, the causative autoantibodies of Graves’ disease, are produced in EBV reactivation-induced Ig production. Our results showed that TRAb produced without germinal center or bone marrow may play important roles in development and exacerbation of Graves’ disease. We constructed a new ELISA test to know clinical condition of Graves’ disease and obtained a patent (No. 6667806).

Academic Significance and Societal Importance of the Research Achievements

今回の研究によって、遺伝因子の関与が大きいといわれてきたバセドウ病の原因として環境因子のひとつであるEBV感染と、その再活性化が重要であることが示された。
EBV再活性化に誘導される抗体産生系は、従来の骨髄・胚中心を介する抗体産生系とは別の抗体産生系である。EBV再活性化に誘導される抗体産生系は、特に自己抗体を産生しやすい傾向があり、今後種々の自己免疫疾患の発症機序の解明においても、さらに研究されるべき分野である、ということが示された。

Report

(5 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (29 results)

All 2021 2020 2019 2018 2017 Other

All Journal Article (9 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 9 results,  Open Access: 9 results) Presentation (16 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results) Book (1 results) Remarks (2 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Epstein?Barr Virus Reactivation-Induced Immunoglobulin Production: Significance on Autoimmunity2020

    • Author(s)
      Nagata Keiko、Hayashi Kazuhiko
    • Journal Title

      Microorganisms

      Volume: 8 Issue: 12 Pages: 1875-1875

    • DOI

      10.3390/microorganisms8121875

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] High Level Estradiol Induces EBV Reactivation and EBV gp350/220(+)CD138(+) Double-positive B Cell Population in Graves’ Disease Patients and Healthy Controls2019

    • Author(s)
      Hara S, Nagata K, Nakayama Y, Higaki K, Matsushita M, Kuwamoto S, Kato M, Hayashi K
    • Journal Title

      Yonago Acta Medica

      Volume: 62 Issue: 2 Pages: 240-243

    • DOI

      10.33160/yam.2019.06.010

    • NAID

      130007665218

    • ISSN
      0513-5710, 1346-8049
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Subclinical Epstein-Barr virus primary infection and lytic reactivation induce thyrotropin receptor autoantibodies2019

    • Author(s)
      Tamoto N, Nagata K, Hara S, Nakayama Y, Kuwamoto S, Matsushita M, Kato M, Hayashi K
    • Journal Title

      Viral Immunology

      Volume: 32 Issue: 9 Pages: 362-369

    • DOI

      10.1089/vim.2019.0086

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Epstein-Barr Virus Lytic Reactivation Induces IgG4 Production by Host B Lymphocytes in Graves' Disease Patients and Controls: A Subset of Graves' Disease Is an IgG4-Related Disease-Like Condition.2018

    • Author(s)
      Nagata K, Hara S, Nakayama Y, Higaki K, Sugihara H, Kuwamoto S, Matsushita M, Kato M, Tanio S, Ishiguro K, Hayashi K.
    • Journal Title

      Viral Immunoogy

      Volume: 31 (8) Issue: 8 Pages: 540-547

    • DOI

      10.1089/vim.2018.0042

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Estradiol Affects Epstein-Barr Virus Reactivation-Induced Thyrotropin Receptor Antibody and Immunoglobulin Production in Graves' Disease Patients and Healthy Controls.2018

    • Author(s)
      Hara S, Nagata K, Kumata K, Matsushita M, Kuwamoto S, Kato M, Hayashi K.
    • Journal Title

      Viral Immunology

      Volume: 31 (7) Issue: 7 Pages: 486-491

    • DOI

      10.1089/vim.2018.0032

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Epstein-Barr Virus Lytic Reactivation Activates B Cells Polyclonally and Induces Activation-Induced Cytidine Deaminase Expression: A Mechanism Underlying Autoimmunity and Its Contribution to Graves' Disease2017

    • Author(s)
      Nagata, K. Kumata, K. Nakayama, Y. Satoh, Y. Sugihara, H. Hara, S. Matsushita, M. Kuwamoto, S. Kato, M. Murakami, I. Hayashi, K.
    • Journal Title

      Viral Immunol

      Volume: 30 Issue: 3 Pages: 240-249

    • DOI

      10.1089/vim.2016.0179

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Aberrant expression of AID and AID activators of NF-κB and PAX5 is irrelevant to EBV-associated gastric cancers, but is associated with carcinogenesis in certain EBV-non-associated gastric cancers.2017

    • Author(s)
      Mohri T, Nagata K, Kuwamoto S, Matsushita M, Sugihara H, Kato M, Horie Y, Murakami I, Hayashi K.
    • Journal Title

      Oncol Lett.

      Volume: 13 (6) Issue: 6 Pages: 4133-4140

    • DOI

      10.3892/ol.2017.5978

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Higher Expression of Activation-induced Cytidine Deaminase Is Significantly Associated with Merkel Cell Polyomavirus-negative Merkel Cell Carcinomas.2017

    • Author(s)
      Matsushita M, Iwasaki T, Nonaka D, Kuwamoto S, Nagata K, Kato M, Kitamura Y, Hayashi K.
    • Journal Title

      Yonago Acta Med.

      Volume: 60 (3) Pages: 145-153

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Immunoglobulin Production Induced by EBV Reactivation: Underlying Mechanisms of Autoimmune Diseases Including Graves' Disease2017

    • Author(s)
      Nagata K, Hayashi K
    • Journal Title

      Journal of Basic & Clinical Medicine

      Volume: 6 (2) Pages: 4-8

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] バセドウ病とEBウイルス再活性化2021

    • Author(s)
      長田佳子
    • Organizer
      第110回 日本病理学会 総会
    • Related Report
      2020 Annual Research Report
    • Invited
  • [Presentation] TRAbs induced by Epstein-Barr virus reactivation injure thyroid follicular epithelial cells2021

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi, Yukio Satoh, Mitsuhiko Osaki, Satoshi Kuwamoto, Junichiro Miake, Yoshinori Ichihara, Tatsuya Sawano, Kazuhiko Matsuzawa, Takeshi Imamura
    • Organizer
      第110回 日本病理学会 総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Thyrotropin receptor antibodies (TRAbs) induced by Epstein-Barr virus reactivation: Significance on Graves’ disease2021

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi, Yukio Satoh, Mitsuhiko Osaki, Junichiro Miake, Yoshinori Ichihara, Tatsuya Sawano, Yuhang Zhou, Agung Kurniawan Priyono, Kazuhiko Matsuzawa, Takeshi Imamura
    • Organizer
      第94回 日本薬理学会年会
    • Related Report
      2020 Annual Research Report
  • [Presentation] TRAb-IgM induced by Epstein-Barr virus reactivation: significance in Graves' disease2020

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi, Keisuke Kumata, Sayuri Hara, Satoshi Kuwamoto, Yoshihisa Umekita
    • Organizer
      第109回 日本病理学会 総会
    • Related Report
      2020 Annual Research Report
  • [Presentation] EBウイルス再活性化によって誘導されたTSHレセプター抗体による甲状腺濾胞上皮障害 An injury to the thyroid follicular epithelium by TRAbs induced by EBV reactivation2019

    • Author(s)
      長田佳子、尾崎充彦、佐藤幸夫、原 小百合、桑本聡史、松下倫子、加藤雅子、林一彦
    • Organizer
      第108回日本病理学会総会
    • Related Report
      2019 Research-status Report
  • [Presentation] EBウイルスはBasedow病の原因になるか?_EBウイルス再活性化に誘導される抗体産生とBasedow病の発症・増悪(イブニングセミナー)2019

    • Author(s)
      長田佳子
    • Organizer
      第29回日本内分泌学会・臨床内分泌代謝update
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Significance of Epstein-Barr Virus Reactivation-Induced Antibodies to Autoimmune Diseases: Relevance to Graves’ disease2019

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi
    • Organizer
      第48回日本免疫学会学術集会
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Cytotoxicity of Epstein-Barr Virus Reactivation-Induced TRAb-IgM to Thyrocytes2019

    • Author(s)
      Keiko Nagata, Mitsuhiko Osaki, Yukio Satoh, Sayuri Hara, Satoshi Kuwamoto, Michiko Matsushita, Masako Kato, Kazuhiko Hayashi
    • Organizer
      ENDO 2019(米国内分泌学会)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] EB virus reactivation induces IgG4 production from B cells in Graves’ disease patients and controls2018

    • Author(s)
      Keiko Nagata, Sayuri Hara, Yuji Nakayama, Katsumi Higaki, Hirotsugu Sugihara, Satoshi Kuwamoto, Michiko Matsushita, Masako Kato, Kazuhiko Hayashi
    • Organizer
      第107回 日本病理学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] The Role of the Immunoglobulins Produced by Epstein-Barr Virus Reactivation-Induced Pathway in Autoimmune Reaction2018

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi
    • Organizer
      第47回 日本免疫学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] バセドウ病患者および健常者のPBMCでは潜伏しているEBウイルス再活性化によってIgG4産生が誘導される2018

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi
    • Organizer
      第107回 日本病理学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] バセドウ病患者および健常者の末梢血単核球では、潜伏しているEBウイルスの再活性化によってIgG4産生が誘導される2018

    • Author(s)
      長田佳子、原 小百合、中山祐二、檜垣克美、杉原弘貢、桑本聡史、松下倫子、加藤雅子、林 一彦
    • Organizer
      第11回 IgG4研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] バセドウ病継続観察例における刺激性および阻害型TSHレセプター抗体価の変動2017

    • Author(s)
      長田佳子、熊田圭祐、原 小百合、松下倫子、桑本聡史、加藤雅子、村上一郎、林 一彦
    • Organizer
      題106回 日本病理学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] ImmunoglobulinG4 production is induced by reactivation of Epstein-Barr virus persistent in B lymphocytes from Graves’ disease patients and controls2017

    • Author(s)
      Keiko Nagata, Kazuhiko Hayashi
    • Organizer
      第46回 日本免疫学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] バセドウ病患者と健常者においてEpstein-Barr virusの再活性化に関連した抗体産生ではIgG4の産生も起こる2017

    • Author(s)
      長田佳子、熊田圭祐、原小百合、桑本聡史、松下倫子、加藤雅子、林 一彦
    • Organizer
      第14回 EBV研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] Association of Hedgehog signal expression with MCPyV infection and outcome in Merkel cell carcinoma.2017

    • Author(s)
      Matsushita M, Kuromi T, Iwasaki T, Kuwamoto S, Nonaka D, Nagata K, Kato M, Kitamura Y, Hayashi K.
    • Organizer
      29th European Congress of Pathology, Amsterdam, Netherlands
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Book] 臨床で使える! 甲状腺疾患診療のテキスト【電子版付】2019

    • Author(s)
      長田佳子・林一彦:深田修司(編)
    • Total Pages
      352
    • Publisher
      日本医事新報社
    • ISBN
      9784784972920
    • Related Report
      2019 Research-status Report
  • [Remarks] 研究紹介 鳥取大学医学部 薬理学・薬物療法学

    • URL

      https://tottori-univ-medpharm.jp/menu

    • Related Report
      2020 Annual Research Report
  • [Remarks] 鳥取大学医学部分子病理学

    • URL

      http://www.med.tottori-u.ac.jp/molepath/6023.html

    • Related Report
      2017 Research-status Report
  • [Patent(Industrial Property Rights)] 甲状腺ホルモンレセプター抗体アイソタイプ測定を用いたバセドウ病の病態診断キット及びバセドウ病の病態の診断方法2017

    • Inventor(s)
      国立大学法人鳥取大学 代表発明者:長田佳子
    • Industrial Property Rights Holder
      国立大学法人鳥取大学 代表発明者:長田佳子
    • Industrial Property Rights Type
      特許
    • Patent Publication Number
      2017-106884
    • Filing Date
      2017
    • Acquisition Date
      2017
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2022-01-27  

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