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2011 Fiscal Year Final Research Report

Analysis of factors that regulate effector T cell and regulatory T cell recruitment to the skin

Research Project

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Project/Area Number 21390327
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Dermatology
Research InstitutionKyorin University

Principal Investigator

SHIOHARA Tetsuo  杏林大学, 医学部, 教授 (10118953)

Co-Investigator(Renkei-kenkyūsha) MIZUKAWA Yoshiko  杏林大学, 医学部, 助教 (50301479)
TAKAHASHI Ryo  杏林大学, 医学部, 助教 (00317091)
Project Period (FY) 2009 – 2011
Keywordseffector T 細胞 / regulatory T 細胞 / 皮膚ホーミング / 薬疹 / ヘルペスウイルス
Research Abstract

In this study, we investigated which factors can determine the balance between effector T cells (Teff) and regulator T cells (Treg) in the inflammatory sites. In fixed drug eruption (FDE) lesions that spontaneously resolve, mast cells expressing high levels of IL-16 are abundantly detected, thereby inducing Treg recruitment to the inflammatory site. In contrast, the paucity of mast cells expressing IL-16 in the SJS/TEN lesions that exibit severe immunopathology made Treg impossible to migrate into the inflammatory site. On the other hand, the abundance of mast cells expressing IL-16 was detrimental to tumor regression through the induction of Treg recruitment. Repeated application of imiquimod able to stimulate TLR7/8 caused an increase in IL-17 expressing mast cells and a profound decrease in the Treg/Teff ratio, which was associated with tumor regression. Thus, the balance between Treg and Teff in the inflammatory site can be determined by mast cells resident in the lesion: if they preferentially produce IL-16, the lesions spontaneously resolve; but if they produce IL-17, immunopathology ensues.

  • Research Products

    (23 results)

All 2012 2011 2010

All Journal Article (8 results) (of which Peer Reviewed: 8 results) Presentation (10 results) Book (5 results)

  • [Journal Article] Diffuse large B-cell lymphoma as a sequela of Stevens-Johnson syndrome associated with the increased Epstein-Barr virus load2012

    • Author(s)
      Hirahara K, Kano Y, Shiohara T
    • Journal Title

      Eur J Dermatol

      Volume: 22 Pages: 144-145

    • DOI

      DOI:10.1684/ejd.2011.1584

    • Peer Reviewed
  • [Journal Article] Herpes zoster in patients with drug-induced hypersensitivity syndrome/DRESS2012

    • Author(s)
      Kano Y, Horie C, Inaoka M, Mizukawa Y, Ishida T, Shiohara T
    • Journal Title

      Acta Derm Venereol

      Volume: 92 Pages: 193-220

    • DOI

      DOI:10.2340/00015555-1317

    • Peer Reviewed
  • [Journal Article] 薬疹の最先端-最新の概念・病態・治療 薬疹の概念-ここまで広がった薬疹の概念2011

    • Author(s)
      塩原哲夫
    • Journal Title

      医学のあゆみ

      Volume: 237(78) Pages: 755-760

    • URL

      http://www.ishiyaku.co.jp/

    • Peer Reviewed
  • [Journal Article] 薬疹の最先端-最新の概念・病態・治療はじめに2011

    • Author(s)
      塩原哲夫
    • Journal Title

      医学のあゆみ

      Volume: 238(7,8) Pages: 753

    • URL

      http://www.ishiyaku.co.jp/

    • Peer Reviewed
  • [Journal Article] Genome-wide association study identifies HLA-A*3101 allele as a genetic risk factor for carbamazepine-induced cutaneous adverse drug reaction in Japanese population2011

    • Author(s)
      Ozeki T, Mushiroda T, Shiohara T (12人、9番目)
    • Journal Title

      Hum Mol Genet

      Volume: 20 Pages: 1034-1041

    • DOI

      DOI:10.1093/hmg/ddq537

    • Peer Reviewed
  • [Journal Article] Recognition of immune reconstitution syndrome necessary for better management of patients with severe drug eruptions and those under immunosuppressive therapy2010

    • Author(s)
      Shiohara T, Kurata M, Mizukawa Y, Kano Y
    • Journal Title

      Allergol Int

      Volume: 59 Pages: 333-343

    • DOI

      DOI:10.2332/allergolint.10-RAI-0260

    • Peer Reviewed
  • [Journal Article] 皮膚科セミナリウム 薬疹固定薬疹2010

    • Author(s)
      塩原哲夫
    • Journal Title

      日皮会誌

      Volume: 120 Pages: 1147-1163

    • URL

      http://www.dermatol.or.jp/

    • Peer Reviewed
  • [Journal Article] 特集「アレルギー疾患の病理像-その共通点と相違点-」薬疹の病理像2010

    • Author(s)
      塩原哲夫
    • Journal Title

      アレルギー免疫

      Volume: 17 Pages: 844-852

    • URL

      http://www.iyaku-j.com/

    • Peer Reviewed
  • [Presentation] Role of Viral Infection in Drug Allergy2012

    • Author(s)
      Shiohara T
    • Organizer
      The 2012 American Academy of Allergy Asthma & Immunology Annual Meeting
    • Place of Presentation
      Orlando (U.S.A)
    • Year and Date
      2012-03-03
  • [Presentation] 感染症とアレルギー2012

    • Author(s)
      塩原哲夫
    • Organizer
      第20回大分アレルギー講習会
    • Place of Presentation
      大分
    • Year and Date
      2012-02-04
  • [Presentation] 病態から見た薬疹の診断と治療2011

    • Author(s)
      塩原哲夫
    • Organizer
      第63会日本皮膚科学会西部支部学術大会
    • Place of Presentation
      那覇
    • Year and Date
      2011-10-08
  • [Presentation] DIHSの診療に欠かせない最新知識-免疫再構築症候群としてのDIHS-2011

    • Author(s)
      塩原哲夫
    • Organizer
      第41会日本皮膚アレルギー・接触皮膚炎学会総会学術大会
    • Place of Presentation
      甲府
    • Year and Date
      2011-07-16
  • [Presentation] 薬剤性過敏症症候群(DIHS)はなぜ起こるのか2011

    • Author(s)
      塩原哲夫
    • Organizer
      第74回日本皮膚科学会東京支部学術大会
    • Place of Presentation
      東京
    • Year and Date
      2011-02-11
  • [Presentation] Drug-induced hypersensitivity syndromeの成因・診断・治療2010

    • Author(s)
      塩原哲夫
    • Organizer
      第60回日本アレルギー学会
    • Place of Presentation
      東京
    • Year and Date
      2010-11-27
  • [Presentation] Drug-induced hypersensitivity syndrome / Stevens-Johnson syndrome2010

    • Author(s)
      塩原哲夫
    • Organizer
      第37回日本小児臨床薬理学会
    • Place of Presentation
      東京
    • Year and Date
      2010-11-03
  • [Presentation] Future research cooperation’s with J-SCAR2010

    • Author(s)
      Shiohara T
    • Organizer
      Regi SCAR-International Meeting
    • Place of Presentation
      Freiburg (Germany)
    • Year and Date
      2010-09-27
  • [Presentation] Longitudinal analyses of viral reactivation in severe drug eruptions2010

    • Author(s)
      Shiohara T
    • Organizer
      Regi SCAR-International Meeting
    • Place of Presentation
      Freiburg (Germany)
    • Year and Date
      2010-09-26
  • [Presentation] Mechanisms of viral and mycoplasma infections predisposing for severe drug eruptions2010

    • Author(s)
      Shiohara T
    • Organizer
      Regi SCAR (Severe Cutaneous Adverse Reactions)-International Meeting
    • Place of Presentation
      Freiburg (Germany)
    • Year and Date
      2010-09-26
  • [Book] The dark side of activation of intraepidermal CD8^+ T cells uniquely specialized to mediate protective immunity. In: Adverse cutaneous drug eruptions (French LE, ed) Curr Probl Dermatol2012

    • Author(s)
      ShioharaT, Mizukawa Y, Kano Y
    • Total Pages
      106-121
    • Publisher
      Karger Press
  • [Book] Drug-induced hypersensitivity syndrome (DIHS): Recent advances in the diagnosis, pathogenesis and management. In: Adverse cutaneous drug eruptions (French LE, ed) Curr Probl Dermatol2012

    • Author(s)
      Shiohara T, Kano Y, Takahashi R, Ishida T, Mizukawa Y
    • Total Pages
      122-138
    • Publisher
      Karger Press
  • [Book] Drug-induced hypersensitivity syndrome. In : Asian Skin and Skin Diseases. Special book of the 2^<nd> World Congress of Dermatology. Eun HC, Kim SC, Lee WS, ed.2011

    • Author(s)
      Shiohara T, Kano Y
    • Total Pages
      77-84
    • Publisher
      MEDrang Inc
  • [Book] DIHSの後遺症として発現する自己免疫疾患とは. 皮膚科臨床アセット. 薬疹診療のフロントライン.相原道子編.2011

    • Author(s)
      塩原哲夫
    • Total Pages
      121-124
    • Publisher
      中山書店
  • [Book] 薬疹の発症におけるウイルス感染の役割とは.皮膚科臨床アセット.薬疹診療のフロントライン.相原道子編2011

    • Author(s)
      塩原哲夫
    • Total Pages
      27-32
    • Publisher
      中山書店

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Published: 2013-07-31  

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