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2006 Fiscal Year Final Research Report Summary

Analysis of mechanisms responsible for clonal expansion of PNH-type hematopoietic stem cells mediated by autoreactive T cells in patients with bone marrow failure

Research Project

Project/Area Number 17390275
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Hematology
Research InstitutionKanazawa University

Principal Investigator

NAKAO Shinji  Kanazawa Univesity, Graduate School of Medical Science, Professor, 医学系研究科, 教授 (70217660)

Co-Investigator(Kenkyū-buntansha) TAKAMI Akiyoshi  Kanazawa University Hospital, Instructor, 医学部附属病院, 助手 (80324078)
YAMAZAKI Hirohito  Kanazawa University Hospital, Instructor, 医学部附属病院, 助手 (50361994)
KONDO Yukio  Kanazawa University Hospital, Instructor, 医学部附属病院, 助手 (10322116)
YACHIE Akihiro  Kanazawa Univesity, Graduate School of Medical Science, Professor, 医学系研究科, 教授 (40210281)
Project Period (FY) 2005 – 2006
Keywordsaplastic anemia / DRS / moesin / paroxysmal nocturnal hemoglobinuria / autoantibody / cytotoxic T cell
Research Abstract

In an attempt to determine whether CD4^+ T cells specific to diazepam-binding inhibitor protein-1 (DRS-1) contribute to the survival advantage of paroxysmal nocturnal hemoglobinuria (PNH)-type stem cells, we established a lymphobastoid cell line with PIG-A mutation from an aplastic anemia (AA) patients showing a high titer antibodies speicific to DRS-1. We tried to transfect the PNH-type LCL cells with DRS-1 cDNA using various methods such as retroviral vectors and electroporation to use them as a target of DRS-1 specific CD4^+ T cells. However, all the methods failed to induce expression of DRS-1 gene in LCL cells, probably due to inhibitory mechanisms for the DRS-1 expression inherent to B lymphocytes. Thus, we suspended this experiments and focused on another candidate autoantigen, moesin.
We screened the sera of AA patients possessing small populations of PNH-type cells for the presence of antibodies (Abs) which recognize proteins derived from a leukemia cell line, UT-7. Immunoblott … More ing using proteins derived from lysates or culture supernatants of UT-7 cells revealed the presence of IgG Abs specific to an 80 kD protein. Peptide mass fingerprinting identified this 80 kD protein as moesin. Enzyme-linked immunosorbent assay (ELISA) using recombinant moesin showed high titers of anti-moesin Abs in 25 (37%) of 67 AA patients. Moesin was secreted from several myeloid leukemia cell lines other than UT-7, such as OUN-1 and K562, as an exosomal protein. The presence of anti-moesin Abs was significantly correlated with the presence of PNH-type cells and anti-diazepam-binding inhibitor-related protein-1 (DRS-1) Abs. AA patients that did not show any of these three markers tended to respond poorly to immunosuppressive therapy. These findings suggest that a B-cell response to moesin, possibly derived from hematopoietic cells, frequently occurs in patients with AA and that detection of anti-moesin Abs in combination with other markers may be useful in diagnosing immune pathophysiology in AA patients. Less

  • Research Products

    (26 results)

All 2007 2006 2005

All Journal Article (23 results) Book (3 results)

  • [Journal Article] Roles of DRB1 *1501 and DRB1*1502 in the pathogenesis of aplastic anemia.2007

    • Author(s)
      Sugimori, C., et al.
    • Journal Title

      Exp Hematol 35・1

      Pages: 13-20

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Specific antibodies to moesin, a membrane-cytoskeleton linker protein, are frequently detected in patients with acquired aplastic anemia.2007

    • Author(s)
      Takamatsu, H., et al.
    • Journal Title

      Blood 109・6

      Pages: 2514-2520

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Specific antibodies to moesin, a membrane-cytoskeleton linker protein, are frequently detected in patients with acquired aplastic anemia.2007

    • Author(s)
      Takamatsu H, Feng X, Chuhjo T, Lu X, Sugimori C, Okawa K, Yamamoto M, Iseki S, Nakao S
    • Journal Title

      3Iood. 109(6)

      Pages: 2514-2520

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Clinical significance of a small population of paroxysmal nocturnal hemoglobinuria-type cells in the management of bone marrow failure.2006

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

      Int J Hematol. 84・2

      Pages: 118-122

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Reduced-intensity unrelated cord blood transplantation for treatment of metastatic renal cell carcinoma : first evidence of cord-blood-versus-solid-tumor effect.2006

    • Author(s)
      Takami, A., et al.
    • Journal Title

      Bone Marrow Transplant 38・11

      Pages: 729-732

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 汎血球減少の臨床病態と検査血液学的特徴2006

    • Author(s)
      中尾 眞二
    • Journal Title

      日本検査血液学会雑誌 検査と血液 7・3

      Pages: 433-441

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 骨髄不全におけるPNH型血球検出の意義2006

    • Author(s)
      中尾 眞二
    • Journal Title

      血液・腫瘍科 53・5

      Pages: 499-504

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 薬剤性再生不良性貧血2006

    • Author(s)
      中尾 眞二
    • Journal Title

      血液フロンティア 16・10

      Pages: 69-75

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 再生不良性貧血の病態と治療2006

    • Author(s)
      中尾 眞二
    • Journal Title

      日本医事新報 4302号

      Pages: 89

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] 再生不良性貧血の病態と治療2006

    • Author(s)
      中尾 眞二
    • Journal Title

      日本内科学会雑誌 95・9

      Pages: 1851-1857

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Minor population of CD55-CD59-blood cells predicts response to immunosuppressive therapy and prognosis in patients with aplastic anemia.2006

    • Author(s)
      Sugimori C, Chuhjo T, Feng X, Yamazaki H, Takami A, Teramura M, Mizoguchi H, Omine M, Nakao S
    • Journal Title

      3lood. 107(4)

      Pages: 1308-1314

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Clinical significance of a small population of paroxysmal nocturnal hemoglobinuria-type cells in the management of bone marrow failure.2006

    • Author(s)
      Nakao S, Sugimori C, Yamazaki H
    • Journal Title

      nt JHematol. 84(2)

      Pages: 118-122

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Roles of DRB1 * 1501 and DRB1*1502 in the pathogenesis of aplastic anemia.2006

    • Author(s)
      Sugimori C, Yamazaki H, Feng X, Mochizuki K, Kondo Y, Takami A, Chuhjo T, Kimura A, Teramura M, Mizoguchi H, Omine M, Nakao S
    • Journal Title

      ExpHematol. 35(1)

      Pages: 13-20

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Reduced-intensity unrelated cord blood transplantation for treatment of metastatic renal cell carcinoma : first evidence of cord-blood-versus-solid-tumor effect.2006

    • Author(s)
      Takami A, Takamatsu H, Yamazaki H, Ishiyama K, Okumura H, Ohata K, Konaka H, Asakura H, Namiki M, Nakao S
    • Journal Title

      3one Marrow Transplant 38(11)

      Pages: 729-732

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Immune pathophysiology of aplastic anemia.2005

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

      Int J Hematol. 82・3

      Pages: 196-200

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Minor population of CD55-CD59-blood cells predicts response to Immunosuppressive therapy and prognosis in patients with aplastic anemia.2005

    • Author(s)
      Sugimori C, et al.
    • Journal Title

      Blood 107・4

      Pages: 1308-1314

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] High incidence of cytomegalovirus reactivationin adult recipients of an unrelated cord blood transplant.2005

    • Author(s)
      Takami A, et al.
    • Journal Title

      Haematologica 90・9

      Pages: 1291-1293

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Impact of human leucocyteantigen mismatch on graft-versus-host disease and graft failure after reduced intensity conditioning allogeneic haematopoietic stem cell transplantation from related donors.2005

    • Author(s)
      Teshima T, et al.
    • Journal Title

      Br J Haematol. 130・4

      Pages: 575-587

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Isolated hyperkalemia associated with cyclosporine administration in allogeneic stem cell transplantation for renal cell carcinoma.2005

    • Author(s)
      Takami A, et al.
    • Journal Title

      Int J Hematol. 81・2

      Pages: 159-161

    • Description
      「研究成果報告書概要(和文)」より
  • [Journal Article] Immune pathophysiology of aplastic anemia.2005

    • Author(s)
      Nakao S, Feng X, Sugimori C
    • Journal Title

      IntJHematol. 82(3)

      Pages: 196-200

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] High incidence of cytomegalovirus reactivation in adult recipients of an unrelated cord blood transplant.2005

    • Author(s)
      Takami A, Mochizuki K, Asakura H, Yamazaki H, Okumura H, Nakao S
    • Journal Title

      Haematologica. 90(9)

      Pages: 1290-1292

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Impact of human leucocyte antigen mismatch on graft-versus-host disease and graft failure after reduced intensity conditioning allogeneic haematopoietic stem cell transplantation from related donors.2005

    • Author(s)
      Teshima T, Matsuo K, Matsue K, Kawano F, Taniguchi S, Hara M, Hatanaka K, Tanimoto M, Harada M, Nakao S, Abe Y, Wake A, Eto T, Takemoto Y, Imamura M, Takahashi S, Ishida Y, Kanda Y, Kasai M, Takaue Y
    • Journal Title

      3rJHaematol. 130(4)

      Pages: 575-587

    • Description
      「研究成果報告書概要(欧文)」より
  • [Journal Article] Isolated hyperkalemia associated with cyclosporine administration in allogeneic stem cell transplantation for renal cell carcinoma.2005

    • Author(s)
      Takami A, Asakura H, Takamatsu H, Yamazaki H, Arahata M, Hayashi T, Shibayama M, Onto M, Yoshida T, Namiki M, Nakao S
    • Journal Title

      IntJHematol. 81

      Pages: 159-161

    • Description
      「研究成果報告書概要(欧文)」より
  • [Book] Annual Review 2006 血液2006

    • Author(s)
      中尾 眞二
    • Total Pages
      73-79
    • Publisher
      中外医学社
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] 内科外来診療実践ガイド 個別診療を重視したこれからの診療のすべて-縮刷版-2006

    • Author(s)
      中条 達也, 中尾 眞二
    • Total Pages
      233-236
    • Publisher
      文光堂
    • Description
      「研究成果報告書概要(和文)」より
  • [Book] 血液疾患 State of arts2005

    • Author(s)
      中尾 眞二
    • Total Pages
      210-212
    • Publisher
      医歯薬出版
    • Description
      「研究成果報告書概要(和文)」より

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Published: 2008-05-27  

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