start-ver=1.4 cd-journal=joma no-vol=50 cd-vols= no-issue=6 article-no= start-page=293 end-page=297 dt-received= dt-revised= dt-accepted= dt-pub-year=1996 dt-pub=199612 dt-online= en-article= kn-article= en-subject= kn-subject= en-title= kn-title=Increased endothelial and epidermal thrombomodulin expression and plasma thrombomodulin level in progressive systemic sclerosis. en-subtitle= kn-subtitle= en-abstract= kn-abstract=

To clarify the relation between systemic and cutaneous vascular endothelial injury in progressive systemic sclerosis (PSS), we examined thrombomodulin (TM) expression in PSS skin lesions immuno-histopathologically and compared it with plasma soluble TM levels measured by specific enzyme-linked immunosorbent assay. The plasma soluble TM level in PSS patients was significantly higher than that of normal controls and was as high as the levels of SLE patients. In relation to disease activities, the plasma TM levels of sclerotic phase PSS patients were significantly higher than that of atrophic phase PSS patients. The plasma samples with anti-Scl-70 antibody showed a high TM level than samples with anti-centromere antibody or anti-RNP antibody. Barnett's types or systemic corticosteroid treatment did not affect the TM level. Histopathologically, the dermal endothelial TM expression significantly increased in the sclerotic skin and moderately increased in the non-sclerotic skin of PSS compared with that of normal control skin. In addition, immunoreactive TM expression in the epidermis also increased in PSS. Disease activity-dependent elevation of plasma TM levels and immuno-histopathological expression of TM suggested generalized endothelial and epidermal cell involvement in PSS, and compensation in part by overproduction of TM by endothelial cells.

en-copyright= kn-copyright= en-aut-name=MizutaniHitoshi en-aut-sei=Mizutani en-aut-mei=Hitoshi kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=1 ORCID= en-aut-name=HayashiTatsuya en-aut-sei=Hayashi en-aut-mei=Tatsuya kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=2 ORCID= en-aut-name=NouchiNobuhiro en-aut-sei=Nouchi en-aut-mei=Nobuhiro kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=3 ORCID= en-aut-name=InachiShin en-aut-sei=Inachi en-aut-mei=Shin kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=4 ORCID= en-aut-name=SuzukiKoji en-aut-sei=Suzuki en-aut-mei=Koji kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=5 ORCID= en-aut-name=ShimizuMasayuki en-aut-sei=Shimizu en-aut-mei=Masayuki kn-aut-name= kn-aut-sei= kn-aut-mei= aut-affil-num=6 ORCID= affil-num=1 en-affil= kn-affil=Mie University Faculty of Medicine affil-num=2 en-affil= kn-affil=Mie University Faculty of Medicine affil-num=3 en-affil= kn-affil=Mie University Faculty of Medicine affil-num=4 en-affil= kn-affil=Mie University Faculty of Medicine affil-num=5 en-affil= kn-affil=Mie University Faculty of Medicine affil-num=6 en-affil= kn-affil=Mie University Faculty of Medicine en-keyword=thrombomodulin kn-keyword=thrombomodulin en-keyword=scleroderma kn-keyword=scleroderma en-keyword=skin kn-keyword=skin en-keyword=endothelial cells kn-keyword=endothelial cells en-keyword=keratinocyte kn-keyword=keratinocyte END start-ver=1.4 cd-journal=joma no-vol= cd-vols= no-issue= article-no= start-page= end-page= dt-received= dt-revised= dt-accepted= dt-pub-year=2008 dt-pub=20080325 dt-online= en-article= kn-article= en-subject= kn-subject= en-title=健常人における実験的冷刺激時の視床下部―脳下垂体―副腎系の反応動態ならびに口腔顔面部の疼痛閾値の変化 kn-title=Responses of the hypothalamic-pituitary-adrenal axis and pain threshold changes in the orofacial region upon cold pressor stimulation in normal volunteers. en-subtitle= kn-subtitle= en-abstract= kn-abstract= en-copyright= kn-copyright= en-aut-name=SuzukiKoji en-aut-sei=Suzuki en-aut-mei=Koji kn-aut-name=鈴木康司 kn-aut-sei=鈴木 kn-aut-mei=康司 aut-affil-num=1 ORCID= affil-num=1 en-affil= kn-affil=岡山大学 END