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[Kawasaki disease and innate immunity].

Abstract
Kawasaki disease (KD) is an acute self-limited systemic vasculitis, and could develop in association with innate immune disorders. An innate immune system appears to play a key role in the development of KD, because pathogen-associated molecular patterns(PAMPs) and damage-associated molecular patterns(DAMPs) are elevated in the sera at acute phase KD, and oral administration of innate immune Nod1 ligand induces KD-like coronary arteritis in mice. PAMPs can be produced massively from microbes in a certain condition. DAMPs are produced from the host cells by the stimulation of PAMPs. We propose a hypothesis that PAMPs and DAMPs activate innate immune system and vascular cells through innate immune pattern recognition receptors(PRR) to release chemokines and cytokines, and induce KD in genetically predisposed individuals.
AuthorsToshiro Hara
JournalNihon rinsho. Japanese journal of clinical medicine (Nihon Rinsho) Vol. 72 Issue 9 Pg. 1542-7 (Sep 2014) ISSN: 0047-1852 [Print] Japan
PMID25518400 (Publication Type: English Abstract, Journal Article)
Topics
  • Animals
  • Disease Models, Animal
  • Gene Expression Profiling
  • Humans
  • Immunity, Innate
  • Mucocutaneous Lymph Node Syndrome (genetics, immunology, pathology)

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