Study of Immunological Mechanism in Dilated Cardiomyopathy : SYMPOSIUM ON CURRENT STATUS OF DILATED CARDIOMYOPATHY : 50th Annual Scientific Session of the Japanese Circulation Society

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概要

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• To determine the immune disturbances involved in the pathogenesis of dilated cardiomyopathy (DCM), the conditions in humoral and cellular immunity of DCM patients were studied. To examine the status in humoral immunity in DCM patients, circulating anti-heart antibodies (AHAbs) were analyzed. Circulating-AHAbs were classified into 4 types "heterophile-like", "intracellular", "intercalated disc" and "nuclear" patterns by indirect immuno-fluorescence technique, and a high rate of heterophile-like antibody was found in DCM. The cytotoxicity of this antibody was examined in cultured myocardial cells using the two-step method of the complement dependent cytotoxic test. The mean cytotoxic index (CI) value of the heterophile-like antibody positive sera was 22.3, which showed an apparent cytotoxicity against the cultured cells and it may be complement dependent. In addition, the frequency of lymphocyte subsets using monoclonal antibodies (OKT4, OKT8, Leu7, Leu11) and natural killer (NK) activity were evaluated to determine whether DCM patients had an imbalance in cellular immune reactions, which support the hypothesis of an immune disturbance as the pathological mechanism of DCM. The peripheral lymphocyte counts were significantly lower in patients with DCM (1737874/mm^3) than in normal control (NC, 2088556/mm^3) and in patients with ischemic heart diseases (IHD, 2395469/mm^3, both p<0.01). The percentage of T, B, OKT4 and OKT8 positive cells was not statistically different among DCM, IHD, and NC groups, whereas the percentage of T cells was significantly reduced in DCM patients (6.55.0%, p<0.05). NK functional activity as tested in DCM patients was frequently deficient (24.116.7% in DCM, 36.712.2% in NC). After 4-hr incubation with recombinant interleukin2 (rIL2), rIL2 induced the enhancement of NK activity in 3 out of 4 DCM patients with low UK activity, although, there was a non-responder to rIL2 in this group. These results suggested that DCM patients have a low IL2 production and/or less numbers of mature cells with NK cell function. Therefore, an imbalance in humoral and cellular immune reactions may cause insidious myocardial damage and subsequently lead to development of DCM.

• 社団法人日本循環器学会の論文
• 1987-06-20

著者

• Umemoto Seiji

  Department of Cardiovascular Medicine, Yamaguchi University Graduate School of Medicine

• Kusukawa Reizo

  Department Of Cardiology Tenri Hospital

• Kusukawa R.

  Yamaguchi University School Of Medicine

• Fukuta Shinji

  The Second Division Department Of Internal Medicin Yamaguchi University School Of Medicine

• Umemoto Seiji

  Department Of Internal Medicine Yamaguchi University School Of Medicine

• Umemoto Seiji

  The Department Of Medical Bioregulation Division Of Cardiovascular Medicine Yamaguchi University Sch

• Umemoto Seiji

  Second Dept.of Int.med. Yamaguchi University School Of Medicine

• YAMAKAWA KATSUTOSHI

  Department of Internal Medicine, Yamaguchi University School of Medicine

• FUKUTA SHINJI

  Department of Internal Medicine, Yamaguchi University School of Medicine

• YOSHINAGA TOSHIKO

  Department of Internal Medicine, Yamaguchi University School of Medicine

• ITAGAKI TATSUNORI

  Department of Internal Medicine, Yamaguchi University School of Medicine

• Yoshinaga Toshiko

  Second Division, Department of Internal Medicine, Yamaguchi University

• Fukuta Shinji

  Department Of Internal Medicine Yamaguchi University School Of Medicine.

• Itagaki Tatsunori

  Department Of Internal Medicine Yamaguchi University School Of Medicine.

• Fukuta Shinji

  The Second Department Of Internal Medicine Yamaguchi University School Of Medicine

• Fukuta Shinji

  Department Of Internal Medicine Yamaguchi University School Of Medicine

• Kusukawa Reizo

  Department Of Cardiology Tenri Hospilal

• Fukuta Shinji

  山口大学 内科

• Yoshinaga Toshiko

  The Second Division Department Of Internal Medicin Yamaguchi University School Of Medicine

• Yoshinaga Toshiko

  Second Division Department Of Internal Medicine Yamaguchi University

• Yamakawa Katsutoshi

  Yamaguchi University School Of Medicine

• Yamakawa Katsutoshi

  Department Of Internal Medicine Yamaguchi University School Of Medicine

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