Abstract
Immunoserological studies on polyclonal B cell activation were carried out on 39 patients with mucocutaneous lymph node syndrome (MCLS) and in age-matched healthy individuals. The incidence of anti-mite, P. acnes (Kato) and EB virus antibodies, recently proposed as aetiological agents by some investigators, was increased in the patient group. Serum immunoglobulin (Ig) M level and IgM-anti-dinitrophenyl (DNP) antibodies, which are considered to be parameters of polyclonal B cell activation, were determined in MCLS cases. The level of serum IgM in MCLS was significantly elevated (0.02<P<0.05). Levels of anti-DNP antibodies in seven cases of MCLS (18%) were significantly higher than those of the controls (P<0.01). Nine of the ten pair sera in MCLS showed a stage-dependent decrease in anti-DNP antibodies. These results suggest that polyclonal B cell activation occurs in MCLS.
Similar content being viewed by others
Abbreviations
- MCLS:
-
mucocutaneous lymph node syndrome
- P. acnes :
-
Propionibacterium acnes
- EB virus:
-
Epstein-Barr virus
- D. farinae :
-
Dermatophagoides farinae
- PBS:
-
phosphatebuffered saline
- Ig:
-
immunoglobulin
- RT:
-
room temperature
- FITC:
-
fluorescein isothiocyanate
- DNP:
-
dinitrophenyl
- BSA:
-
bovine serum albumin
- OD:
-
optical density
References
Bourgois A, Kitajima K, Hunter IR, Askonas BA (1977) Surface immunoglobulins of lipopolysaccharide-stimulated spleen cells. The behavior of IgM, IgD and IgG. Eur J Immunol 7: 151–158
Eisen HN, Carsten ME, Belman S (1954) Studies of hypersensitivity to low molecular weight substances. III. The 2,4-dinitrophenyl group as a determinant in the precipitan reaction. J Immunol 73: 296–308
Fujimoto T, Kato H, Ichinose E, Sasaguri Y (1982) Immune complex and mite antigen in Kawasaki disease. Lancet ii: 980–981
Fujiwara H, Kao T, Shimizu J, Fujiwara T, Oo MM, Hamashima Y (1983) Microorganism in the heart in Kawasaki disease. Lancet ii: 620–621
Furukawa F, Oguchi M, Hashimoto M, Ohkawa S, Ozaki M, Imamura S (1982) Human Ia-like antigen expressed cutaneous T cell lymphoma associated with Epstein-Barr virus infection. Dermatologica 164: 30–35
Furukawa F, Kohno A, Hamashima Y (1984) Serological abnormalities in Japanese patients with borderline leprosy. Int J Lepr 52: 96–98
Furukawa F, Ohshio G, Ozaki M, Hamashima Y (1984) Antihapten antibodies in Japanese patients with lepromatous leprosy. Arch Dermatol Res 276: 195–198
Furusho K, Ohba T, Soeda T, Okabe T, Hiroto T (1981) Possible role for mite antigen in Kawasaki disease. Lancet ii: 194–195
Hamashima Y, Kishi K, Tasaka K (1973) Rikettsia-like bodies in infantile acute febrile mucocutaneous lymph-node syndrome. Lancet ii: 42
Hamashima Y, Tasaka K, Hoshino T, Nagata N, Furukawa F, Kao T, Tanaka H (1982) Mite-associated particles in Kawasaki disease. Lancet ii: 266
Henle G, Henle W (1966) Immunofluorescence in cells derived from Burkitt's lymphoma. J Bacteriol 91: 1248–1256
Hirose S, Maruyama N, Ohta K, Shirai T (1980) Polyclonal B cell activation and autoimmunity in New Zealand mice. 1. Natural thymocytotoxic autoantibodies (NTA). J Immunol 125: 610–615
Hirose S, Yoshida H, Ohta K, Nakai Y, Maruyama N, Shirai T (1981) Polyclonal B cell activation and autoimmunity in New Zealand mice: Anti-DNA antibodies and proteinuria. In: Shiokawa, Abe, Yamauchi (eds) New horizons in rheumatoid arthritis. Elsevier, North Holland, p 102
Izui S, McConahey PJ, Dixon FJ (1978) Increased spontaneous polyclonal activation of B-lymphocytes in mice with spontaneous autoimmune disease. J Immunol 121: 2213–2219
Japan MCLS Research Comittee (1980) Guide line for diagnosis of MCLS. Japanese Institute of Public Health, Tokyo, Japan
Kao T, Shimizu J, Furukawa F, Saito Y, Iwamoto H, Fujiwara H, Hamashima Y (1984) Reevaluation of microorganism in skin lesions in mucocutaneous lymphnode syndrome. Report of 18 cases. Acta Dermatol (Kyoto) 79: 293–298
Kato H, Fujimoto T, Inoue O, Kondo M, Koga Y, Yamamoto S, Shingu M, Tominaga K (1983) Variant strain of Propionibacterium acnes: A clue to the aetiology of Kawasaki disease. Lancet ii: 1383–1388
Kawasaki T (1967) Febrile oculo-oro-cutaneo-acrodesquamatous syndrome with or without acute nonsupprative cervical lymphadenopathy. Observations of 50 cases. Jpn J Allergy 16: 178–223 (in Japanese)
Kawasaki T, Kosai F, Osawa S, Shigematsu I, Yanagawa S (1974) A new infantile acute febrile mucocutaneous lymph node syndrome prevailing in Japan. Pediatrics 54: 271–276
Kikuta H, Mizuno F, Osato T, Konno M, Ishikawa N, Noro S, Sakurada N (1984) Kawasaki disease and an unusual primary infection with Epstein-Barr virus. Pediatrics 73: 413–414
Kishishita M, Yanase S, Ito Y (1982) Activation of Epstein-Barr virus expression in human lymphoblastoid P3HR-1 and Raji cells with propionic acid and with culture fluids of propionic acid-producing anaerobes. Cancer Lett 16: 117–120
Leung DYM, Siegel RL, Grady S, Krensky A, Maede R, Reinherz EL, Geha R (1982) Immunoregulatory abnormalities in mucocutaneous lymph node syndrome. Clin Immunol Immunopathol 23: 100–112
Leung DYM, Chu ET, Wood N, Grady S, Maede R, Geha RS (1983) Immunoregulatory T cell abnormalities in mucocutaneous lymph node syndrome. J Immunol 130: 2002–2004
Moren DM, Anderson LJ, Hurwitz ES (1980) National surveillance of Kawasaki disease. Pediatrics 65: 21–24
Numazaki Y, Ohmi A, Ito H (1984) Isolation of the CPE agent from two patients with Kawasaki disease. Igaku no ayumi 130: 15–16 (in Japanese)
Shannon K, Fink CW, Buchanan GR, Punaro M, Stastny P (1983) Lymphocyte subpopulation in Kawasaki disease. Clin Exp Rheumatol 1: 59–62
Sugiura A (1983) Progress in Kawasaki disease. Medico 14: 5883–5889 (in Japanese)
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Furukawa, F., Ohshio, G. & Hamashima, Y. Possible polyclonal B cell activation in mucocutaneous lymph node syndrome. Eur J Pediatr 145, 104–108 (1986). https://doi.org/10.1007/BF00441867
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00441867