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皮膚疾患における炎症に関与するサイトカイン産生細胞および線維化に関わる遺伝子発現についての研究

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(1)Title. 皮膚疾患における炎症に関与するサイトカイン産生細胞お よび線維化に関わる遺伝子発現についての研究( 本文 (Fulltext) ). Author(s). 増子, 峻矢. Report No.(Doctoral Degree). 博士(薬科学) 連創博乙第3号. Issue Date. 2017-12-26. Type. 博士論文. Version. ETD. URL. http://hdl.handle.net/20.500.12099/74897. ※この資料の著作権は、各資料の著者・学協会・出版社等に帰属します。.

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(209)   Fig. 1 Distribution of immune cells in skin cell suspensions freshly isolated from skin biopsies of psoriatic patients.  Biopsies were performed onplaques of lesional skin (L = 22 patients) and non lesional skin (NL = 7 patients) of psoriatic patients. A, Gating strategy on Aqua/live dead negative cells in relation to cell size (FSC); on viable CD45+ hematopoietic cells (right panel). B, CD45+ cells (%). C, Intracytoplasmic staining of lesional skin cell suspensions using anti–IL-22 mAb, anti–IL-17A mAb, or isotype-matched control mAb after gating on CD45+ cells. C: ****P < 0.0001 by unpaired t test (Mann-Whitney).. GE.

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(215) Fig. 2 c-Kit+ cells are major IL-22 producers, and CD3+ T cells are the main source of IL-17 in psoriatic plaques. A, IL-22 and IL-17 expression gated on c-Kit+ CD3- and c-Kit- CD3+ cells; %CD3+ versus c-Kit+ IL-22+/IL-17+ CD45+ cells. B, Cell-surface versus intracytoplasmic staining with anti–IL-22 or anti–IL-17 mAb in relation to c-Kit expression after gating on CD45+ cells. A: Data show 1 representative experiment of 5. **P < 0.01 and ****P < 0.0001 by unpaired t test (Mann-Whitney). . . GG.

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(221) Fig. 3 Mast cells (c-kit+ FcεRI+ cells) produce IL-22 and IL-17 and express IL-17R in psoriatic plaques. A, Morphology of fluorescence-activated cell sorting–sorted c-Kit+ FcεRI+ mast cells and c-Kit- FcεRI- CD3+ T cells after gating on CD45+ hematopoietic viable cells. B, IL17RA and c-Kit cell-surface expression after gating on c-Kit+ FcεRI+ mast cells and cKit- FcεRI- CD3+ T cells. C, Intracytoplasmic IL-22 and IL-17 production in relation to CD127 expression after gating on c-Kit+ FcεRI+ mast cells.   . . GI.

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(226) =)% ʘɽžʥu}Β97 Γc. . Fig. 4 Quantification of IL-22 and IL-17 mRNA expression at the single-cell level in human mast cells and T cells in skin biopsy specimens of patients with psoriasis. β2-Microglobulin, IL-22, and IL-17 mRNA expression after gating on mast cells (cKit+ FcεRI+ CD3-) and T cells (c-Kit- FcεRI- CD3+) in human psoriatic skin biopsy specimens.   . GJ.

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(231) b #a j—Œ RÁ¢Ï¥äµä‰ =)% ʘɽlbɑʖĻ ŠȻˆdzDzǛ ʒƅ͏ˆjgƒƂńuƒg}c #a  ŠɑʖĻ„‰’èȜuƒg}‰ˆƤub #a ŠɑʖǍ„‰’èȜuƒg}Β97 Γc.  Fig. 5 Psoriatic plaques that persist despite ustekinumab treatment maintain a gene expression associated with Th17 comparable to untreated plaques. qRT-PCR comparing lesional versus non-lesional skin in both untreated and ustekinumab-treated patients with moderate-to-severe psoriatic plaques was performed. Normal skin from control subjects without psoriasis was also included. NS: normal skin, NL: non-lesional skin, Plaque: lesional skin. *P < 0.05 and **P < 0.01 by paired Student’s t-test. GK.

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(237)  ͨǛɼlɑʖĻ—™•Ƃńuƒg}Β97  j—Œ Γc.  Fig. 6 CD3-IL-17+ cells are increased in the refractory plaques of ustekinumabtreated patients. Leukocytes were isolated immediately ex-vivo from psoriatic plaques in untreated (n=9) vs. ustekinumab-treated (n = 8) patients. A, Expression of IL-17A (below panel) and isotype control (upper panel) in relation to CD3 expression. B, Persistence of IL17+ CD3+ T cells in plaques from treated patients. C, Significant increase in the percentage of IL-17+ CD3- CD45+ cells in ustekinumab-treated patients. **P < 0.01 by unpaired t test (Mann-Whitney).. GL.

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(253)  ˉ˦Šòʗ‰ʒǤ„͓̌‡ć˛ýpˆfšlb Ø·Âˉ˦ˆ—š #

(254)  ʃʂŠȝʤˆŠ‡€ƒg‡gĉģDzĉɓˆ—€ƒb #

(255)  žʃʂuƒgšˉ˦‰ç͏lbØ·Âˉ˦ˆɸǔʚ‡ÂàѼæºͨǛ„fšb w‡ #

(256)  ͨǛØ·Âˉ˦‰ƓŶlʥt›} 

(257)  lb #

(258) ) žʘɽuƒgš ˉ˦ˆ #

(259)  lˍŞu}ɹǤžʥu}Ŝ˧Ǜ•˟i˜›šcr›ˆƤubȪʣʲ „ŠÏãæ³£ÂÛÂàæɓžʄgƒØ·Âˉ˦ˆjpš #

(260) ) ‰ʘɽ~p„‡ nb #

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(262)  ˉ˦ÿƆ‰ #

(263)  ʃʂˉ˦„fšŜ˧Ǜž ʥu}lbʒƅ͏ˆjgƒïˆ #

(264)  žʃʂwš + ˉ˦ˆɊubʃʂˉ˦ uƒ ‰ƠëǁŠƪtg ˟i˜›šcçȗb # •òʗˆjgƒ #

(265)  j—Œ # ‰͓̌‡ʃʂˉ˦ uƒʡ˜›ƒgšlbȥ̸‰žŦ„Šïˆ # ‰ʃʂˆ͟ HE.

(266) ëuƒgš t›ƒgš cukub # ˆ—š # ʃʂˆŠ 9>F9DB? ˆjg ƒ #

(267) j—Œ #  ˆ—šĸɩlǖ̌„fš  žŦt›ƒj™bt˜ˆȪʣʲ ˆjgƒbï̌‡ # ͨǛˉ˦„fšØ·Âˉ˦Š ˉ˦˝î„

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(269)  ŠɑʖĻ Šʭǁ‰ =)% ʘɽj—Œ #

(270)  ͨǛ + ˉ˦l’˜›}übɑʖωǝˠ˝ˆɊuͶ + ˉ˦ˆjpš #

(271)  ͨǛɼlȦǢ ˆƂńuƒg}cr›˜‰Ǫ˗Š #  ÿƆˆ—š #

(272)  ʃʂˉ˦‰ķǐlƭǬ ʚˆʂvƒgšr žʥŭuƒj™bńiƒbØ·Âˉ˦‘}Š # ldzDzǛʒ ƅ͏‰ #

(273)  ʃʂˆ͟ëuƒgšŜ˧Ǜžʥuƒgšc‘™b¤·À«ÆØÐ dzDzǛʒƅ͏ˆƤwšɑʖˆjgƒb˴ɱĤʏˉ˦k˜‰ #

(274)  ʃʂžǰķwš r ľ͓„fš ˟i˜›šc . #

(275)  j—Œ # lʞńʚj—ŒʞðʚˆØ¤·‰¯ß¾È³£Â‰̢ʽʌƻ. ž̟Ʃwš  lb͈ǁˆ # žʘɽty}Âßä·¶¥Å¿­Ø¤·„ŠĤʏ ˉ˦‰ɚɨžą‡gʛ˯ˢŒl’˜›} žŦ  t›}r k˜bòʗ‰ʒƅ ͏ˆjgƒbïˆØ·Âˉ˦ˆ—™ʃʂt›} # Š͙̓Ŋʓ–̆ʛˢŒˆ͟ ëub #  +8

(276)  ˉ˦ˌ̲‰ɖǛŊŠɬʓˆ͟ëuƒgš ǿƣt›šc̉ ʛ˯ˉ˦„ #

(277)  „Їn # l¯ß¾È³£Â‰̢ʽʌƻžǃm̱rw ž Ŧ  t›ƒgšr k˜•ŠȻ‰r l˟i˜›šcȪʣʲˆjgƒòʗ‰ʒƅ ͏„̒ƣt›}Ø·Âˉ˦Š # ͨǛ‘}Š # #

(278)  ͨǛ„f€}lb #

(279)  ɸʌʚͨǛØ·Âˉ˦ŠƫȐ„f€}cw‡bòʗʒƅ͏ˆjgƒ + ˉ˦ ~p„Їn # ͨǛØ·Âˉ˦l¯ß¾È³£Â‰̢ʽʌƻˆ͟ëuƒgš ˟i˜›šc. HF.

(280)  ÿèbʶ

(281) ʵ„Šbòʗ‰ʛ˯ʒƅ͏ˆjpš #

(282)  j—Œ # ͨǛˉ˦ˆ ńiƒbòʗɑʖ́„fš¤·À«ÆØÐˆƤwšdzDzǛʒƅ͏ˆjpš³£Â ©£äʘɽžȷ̘u}c{‰ˍȮb3"9D3U)]ˉ˦ uƒȷıu}Ø· Âˉ˦lòʗ‰ʒƅ͏„ï̌‡. # ͨǛˉ˦„fšr žĴ”ƒȝ˜kˆu}c. t˜ˆbØ·Âˉ˦l #

(283)  ~p„Їnb #

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(286)  ͨǛɼlƂńuƒj™bdzDzǛʒ ƅ‰LjǪˆØ·Âˉ˦k˜‰ #

(287)  l͟ëuƒgšŜ˧Ǜlʥŭt›}c . . HG.

(288) ʶ ʵ ¡ÂÎæǛʛ˯ɬʒƅ͏ˆjpš #a j—Œ #a

(289)  ͨǛˉ˦ˆgƒ‰ ȷ̘ 

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(291) ΑʭǁbƑď„

(292)   Α†„f™b¡ÂÎæǛʛ˯ɬ‰ĤʏƔʚʒǤŠ˴ɱĤʏˉ˦j—ŒɻǏĤ ʏˉ˦ˆ—š̊Şʚ‡͟눗™•}˜t›bʛ˯Êà¡ɀ˧‰Ĉéžɸǔ w š 

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(300) c # Š #a

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(303)  ‡˜ Œˆ D8I=93CDB?=1<<I=@8?@?95D9>Β+*#'Γ

(304)  ‡†¯ß¾È³£ÂʆȬ³£Â© £äˆ—š # ‰ɖǛŊlʂvƒgšct˜ˆŠb # Š +8 ˉ˦–ƌƀŽɾ ŠȻˆ @B?CD17<1>49> ' ‰ŚƟĉ„fš 385=?1DDB13D1>DB535@D?B 8?=?<?7?EC=?<53E<55H@B5CC54?>+85<@5BDI@5 Β)+  Þʘɽu ƒj™bØ·Âˉ˦ˆ—™ʃʂt›š ' ˆ—€ƒ•ɖǛŊwšcƛͭ‰ rœb ʛ˯‰¡âá°ä‰ȡ͵ˆjgƒ )+ ‰µ®ÄáĄ͉lɬʓǛŗǗˆ͓̌„ fšr lʥt›ƒgš

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(315)  lʒǤ‰Lj Ǫˆ͓̌‡NJŀžȮ}uƒj™bħˆ #)Qžûu *++ žɖǛŊwš

(316)

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(320)

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(324)  j—Œ # ‰ʘɽˆ͟ëuƒj™ 

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(333)  ˉ˦j—Œ +8 ˉ˦l¡ÂÎæǛʛ˯ɬǝˠ‰ʒƅ͏j—Œ̃ɜ„• ȷıt›

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(339) cr›˜‰r k˜b #

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(382) H*97=1<4B938b.9>CD?> '1B;B &1;F9<<5b&>D1B9?b1>141ˆ—€ƒƺ͒u}ÒËàä̃k˜ <I=@8?3ID5C5@1B1D9?>=549E=K.9C5>D >3 b*DBE>?b1>141žʄg}ə ͆ơǁ͋Ǖɓˆ—€ƒǏ}c . HM.

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(384) Α65D1<31<6C5BE=.9C5>D >3 žńi} )?CG5<<'1B; $5=?B91< >CD9DED5)'$ 

(385)  ɧƐ#965+538>?<?795C >3 žʄg}c B565<49>

(386) V7 =<1<29?385=58B9>7b*1>957?bb,*ƓŶé„ '$>7 =<*97=1<4B938j—Œ ?>? V7 =<1<29?385=58B9>7 ˆ—š  Ƞ͞‰żΆĸɩžńi}c   ˉ˦‰LjǤƔʚȷ̘   ʶ

(387) ʵˆjpš  ŠȻˆȼȪċǪž̄€}c   *̔ȭ   ʶ

(388) ʵˆjpš  ŠȻˆ̔ȭu}c   ˏ̗Ɣʚ̔ȭ   ʶ

(389) ʵˆjpš  ŠȻˆ̔ȭu}c . . HN.

(390)   ƛΈǪ˗ . 

(391)  ¡ÂÎæǛʛ˯ɬ‰ʒƅ͏ɚɨlʥt›} + ˉ˦‰ȷ̘    ¡ÂÎæǛʛ˯ɬ‰ʒƅ͏ˆjgƒ•ˉ˦‰ɚɨl’˜›šr —™bˉ˦IJ ƹˆgƒòʗǝˠ Ɋ̶ȷ̘u}c{‰ˍȮbíʑǝˆjpš + ˉ˦‰ŀވ ʞ͊Š̞”˜›‡k€}lΒ97  j—Œ Γb¡ÂÎæǛʛ˯ɬʒƅ͏„Š +8 ˉ˦‰ŀŞl˾unΌk€}Β97 ΓcçȗbͶ +8 ˉ˦)+ 

(392) 

(393)  + ˉ˦‰ŀŞŠĈéwšĞšžʥu}97 c. IE.

(394)  Fig. 7 Increased infiltration of Th2 cells inlesional skin of AD relative to psoriasis. Single cell suspensions from lesional skin biopsies were prepared from atopic dermatitis (AD; skin= 8) and psoriasis (Pso; skin=10) patients. A, Strategy to gate for CRTH2+ and CRTH2- CD161+ cells on T cells in skin B, % CD3+ T cells. C, % CRTH2+ and % CRTH2- CD161+ gated on CD3+ T cells in skin. Data shown are mean ± SEM. ***P < 0.001 by unpaired Student’s t-test.. IF.

Fig. 1 Distribution of immune cells in skin cell suspensions freshly isolated  from  skin biopsies of psoriatic patients
Fig. 4 Quantification of IL-22 and IL-17 mRNA expression at the single-cell level  in human mast cells and T cells in skin biopsy specimens of patients with  psoriasis.
Fig. 6 CD3 - IL-17 +  cells are increased in the refractory plaques of ustekinumab- ustekinumab-treated patients
Fig. 7 Increased infiltration of Th2 cells in lesional skin of AD relative to psoriasis
+7

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