腎と骨代謝 Vol.14 No.1(4)


特集名 透析アミロイドーシス --update
題名 実験的アミロイド線維伸長とAGE化β2-m
発刊年月 2001年 01月
著者 橋本 儀一 福井医科大学医学部附属病院検査部
著者 内木 宏延 福井医科大学医学部第二病理学
著者 吉田 治義 福井医科大学医学部臨床検査医学
著者 下条 文武 新潟大学医学部第二内科
【 要旨 】 β2-microglobulin(β2-m)は透析アミロイド線維(fAβ2-m)の主要構成成分である。最近のいくつかの研究によると,透析アミロイドーシスの発症にadvanced glycation end products(AGE)が重要な役割をもつことが示唆されている.われわれは,試験管内fAβ2-m伸長の一次反応速度論モデルを用いて,fAβ2-m伸長反応に対するAGE化β2-mの効果を調べた.37℃におけるβ2-mとfAβ2-mの反応では,fAβ2-mの伸長は反応開始直後から一気に増加したのに対し,AGE化β2-mの場合は,ほとんど伸長を示さなかった.さらに,AGE化β2-mはfAβ2-mの伸長反応を濃度依存的に抑制する効果を示した.これらの結果は,β2-mのAGE化は線維原性を減ずると考えられ,アミロイド沈着組織に認められるAGEは,アミロイド沈着後に起こったことを示唆するものと考えられた.
Theme Dialysis -- related amyloidosis -- update
Title Effect of AGE-modified Beta2-m on A Beta2-m amyloid fibril extension in vitro
Author Norikazu Hashimoto Department of Clinical and Laboraroty Medicine, Fukui Medical University
Author Hironobu Naiki Department of Pathology, Fukui Medical University
Author Haruyoshi Yoshida Department of Clinical and Laboraroty Medicine, Fukui Medical University
Author Fumitake Gejyo Department of Medicine (II), Niigata University School of Medicine
[ Summary ] Beta2-microglobulin (beta2-m) is a major constituent of amyloid fibrils (fAbeta2-m) deposited in patients with A amyloidosis. Lately, several advanced glycation end products (AGE) structures of and fAbeta2-m have been suggested to play an important role in the pathogenesis of Abeta2-m amyloidosis. Actually, immunohistochemical studies of amyloid-deposited tissue have revealed a patchy distribution of the AGE-modified area in the amyloid deposits. Then we modified native beta2-m with D-glucose and investigated the effect of these modification on fAbeta2-m extension in vitro, using the recently established first-order kinetic model of fA extension in vitro. Western blot analysis with a monoclonal anti-AGE antibody showed that these glucose-modified beta2-m contained AGE (AGE-beta2-m). During the incubation of fAbeta2-m with native beta2-m atb37 centigrade, the fluorescence of thioflavin T increased withoutba lag phase and proceeded to equilibrium. By contrast, very poor increase in fluorescence was observed during the incubation of fAbeta2-m with AGE-beta2-m. Be sides, AGE-beta2-m exhibited a dose-dependent inhibitory effect on the extension reaction of fAbeta2-m with native beta2-m. These results may suggest that the modification of beta2-m with AGE would be a secondary event of fAbeta2-m deposition in vivo, thus would not play a promoting role in the formation of fAbeta2-m in vivo.
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