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大学・研究所にある論文を検索できる 「Microbiome analysis of contact lens care solutions and tear fluids of contact lens wearers: Possible involvement of streptococcal antigens in allergic symptoms related to contact lens wear」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Microbiome analysis of contact lens care solutions and tear fluids of contact lens wearers: Possible involvement of streptococcal antigens in allergic symptoms related to contact lens wear

堀田 芙美香 近畿大学

2022.06.15

概要

【目的】
分子生物学的手法を用いてアレルギー症状(AS)を有するコンタクトレンズ(CL)装用者の CL 保存液と涙液を分析することにより、CL 装用に伴う AS の病因を解明すること。

【方法】
AS を有する CL 装用者 9 例(AS 群)と無症状の CL 装用者 6 例(健常群)を対象とし、それぞれから CL 保存ケースと涙液を回収した。CL 保存ケース内の保存液と涙液に含まれる細菌群集を培養法と 16S rDNA シーケンシングによって分析した。涙液中のヒスタミンレベルを高速液体クロマトグラフィーで測定した。AS 群の涙液中 IgE が結合する細菌を同定するために、ウエスタンブロット法を行った。

【結果】
AS 群と健常群の間で、CL 保存液の培養陽性率やコロニー形成単位に有意差はなかった。1 例を除いて、涙液から細菌は分離されなかった。CL 保存液のメタ 16S 解析の結果、CL 保存液から多様な細菌が検出され、AS 群 9 例は菌叢パターンにより 3 つグループに分けられた(CL-I,II,III group)。このうち、CL-I group(4 例)は健常群とは明らかに異なる菌叢パターンを示した。ヒスタミンは AS 群の 2 例から検出され、その 2 例は CL-I group に属していた。CL-I group では、CL 保存液の菌叢に占めるグラム陽性菌の相対的存在量が健常群より高く、その中でも、Streptococcus 属の相対的存在量が他の対象者より有意に高かった(P<0.01)。
また、CL-I group では、Shannon-Weaver 係数も他の対象者より有意に高かった(P<0.01)。
涙液のメタ 16S 解析の結果、AS 群の涙液の菌叢パターンは、CL 保存液同様 3 つのグループに分かれ、CL-I group では、涙液の菌叢に占める Streptococcus 属の相対的存在量も他の対象者より有意に高かった(P<0.01)。AS 群、健常群の全例において、涙液中に Streptococcus 属の菌体に結合する IgE が検出された。

【考察】
培養可能な細菌による CL 保存液の汚染状況は、AS を有する症例と健常者の間で差はなく、過去の報告と一致していた。
AS を有する一部の CL 装用者の CL 保存液・涙液には Streptococcus 属が相対的に多く含まれており、涙液中に Streptococcus 属に結合する IgE が存在していたことから、CL 装用に伴う ASの中には、Streptococcus 属が病因として関与する病型がある可能性が考えられた。

【結論】
CL 装用に伴う AS には、Streptococcus 属が関与している可能性がある。

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