3 調査研究

㸱 ㄪᰝ◊✲
㸱࣭㸯 ሗᩥ
㸯㸧⇃ᮏ┴࡛୺࡟║⑌ᝈ࠿ࡽ᳨ฟࡉࢀࡓ࢔ࢹࣀ࢘࢖ࣝࢫࡢ
ศᏊ␿Ꮫゎᯒ㸦 ᖺᗘ㹼 ᖺᗘ㸧
ྜྷᒸ ೺ኴ ᪥㝰 㝣ኴ㑻 㸨 Ύ⏣ ┤Ꮚ 㸨 すᮧ ᾈ୍㸨 ཎ⏣ ㄔஓ せ᪨
ὶ⾜ᛶゅ⤖⭷⅖㸦EKC㸧➼ࡢ୺࡞ཎᅉ࢘࢖ࣝࢫ࡛࠶ࡿࣄࢺ࣭࢔ࢹࣀ࢘࢖ࣝࢫ
㸦HAdV㸧ࡢὶ⾜ᆺࢆᢕᥱࡍࡿࡓࡵ㸪2008 ᖺᗘ࠿ࡽ 2013 ᖺᗘࡢ㛫࡟᳨ฟࡉࢀ
ࡓ HAdV ࡢศᏊ␿Ꮫゎᯒࢆ⾜ࡗࡓࠋࡑࡢ⤖ᯝ㸪12 ࡢᆺࡀ᳨ฟࡉࢀ㸪≉࡟ 3 ᆺ㸪
4 ᆺ㸪8 ᆺ㸪37 ᆺ㸪53 ᆺ㸪54 ᆺ㸪ཬࡧ 56 ᆺࡢ᳨ฟ⋡ࡀ㧗࠿ࡗࡓࠋࡲࡓ㸪4 ᆺ㸪
8 ᆺ㸪37 ᆺ㸪ཬࡧ 53 ᆺ࡛ὶ⾜ࡢᖺḟኚ໬ࡀࡳࡽࢀࡓࠋ
࡞࠾㸪52 ᆺ௨㝆ࡢ᪂ᆺ HAdV ࡛ࡣ㸪2008 ᖺᗘ࡟ 54 ᆺࡀ᳨ฟࡉࢀ㸪2010 ᖺ
ᗘ࠿ࡽ 53 ᆺཬࡧ 56 ᆺࡶ᳨ฟࡉࢀࡣࡌࡵࡓࠋࡇࢀࡽࡢ᪂ᆺ HAdV ࡟ࡼࡿ EKC
ࡢ⮫ᗋ⑕≧ࡣ௚ࡢᆺࡼࡾ㔜⑕࡛㸪἞⒪ࡀ㛗ᘬࡃഴྥ࡟࠶ࡗࡓࠋ
࣮࣮࢟࣡ࢻ㸸ὶ⾜ᛶゅ⤖⭷⅖㸪࢔ࢹࣀ࢘࢖ࣝࢫ㸪᪂ᆺ࢔ࢹࣀ࢘࢖ࣝࢫ
⛬ᗘࡢᢠ⾑Ύ࡜ࡢ୰࿴ヨ㦂࡛⾜ࢃࢀ࡚࠸ࡓࡀ㸪㏆ᖺࡣ㸪
ࡣࡌࡵ࡟
ᙜᡤࡣឤᰁ⑕Ⓨ⏕ືྥㄪᰝ஦ᴗ࡜ࡋ࡚㸪║⛉ᐃⅬ࠿
PCRἲ࡛ቑᖜࡋࡓDNAࡢไ㝈㓝⣲ษ᩿ࣃࢱ࣮࡛ࣥᆺู
ࡽᥦ౪ࡉࢀࡓ⮫ᗋ᳨యࡢ࢘࢖ࣝࢫ᳨ᰝࢆ⾜ࡗ࡚࠸ࡿࠋ
ࡍࡿ᪉ἲ 9㸧㸪PCRἲ࡛ቑᖜࡉࢀࡓhexson㑇ఏᏊࡢ㒊ศ㓄
║⛉⑌ᝈࡢ࠺ࡕ㸪஬㢮ឤᰁ⑕ᐃⅬᢕᥱ⑌ᝈࡢ୍ࡘ࡛࠶
ิࢆゎㄞࡍࡿࡇ࡜࡟ࡼࡾᆺูࡍࡿ᪉ἲ 10㸧㸪ቑᖜࡉࢀࡿ
ࡿὶ⾜ᛶゅ⤖⭷⅖㸦௨ୗࠕEKCࠖ࡜࠸࠺ࠋ㸧ࡣ㸪୺࡟ࣄ
DNAࡢࢧ࢖ࢬࡀHAdVࡢᆺࡈ࡜࡟␗࡞ࡿࡼ࠺࡟タィࡋࡓ
ࢺ࣭࢔ࢹࣀ࢘࢖ࣝࢫ㸦௨ୗࠕHAdVࠖ࡜࠸࠺ࠋ㸧ࡢឤᰁ
࣐ࣝࢳࣉࣞࢵࢡࢫ-PCRἲ࡟ࡼࡗ࡚ᆺูࡍࡿ᪉ἲ 11㸧࡞࡝
࡟ࡼࡗ࡚Ⓨ⑕ࡍࡿ⑌ᝈ࡛࠶ࡿࠋHAdV ࡣ┤ᚄ⣙ 80nm㸪
ࡢ㑇ఏᏛⓗ᪉ἲࡶ⾜ࢃࢀ࡚࠸ࡿࠋࡋ࠿ࡋ㸪᪂ᆺHAdV࡟
ṇ 20 㠃యᵓ㐀ࡢ࢚࣮ࣥ࣋ࣟࣈࢆᣢࡓ࡞࠸ 2 ᮏ㙐 DNA
ࡣ㸪」ᩘࡢ࢘࢖ࣝࢫࡢ㑇ఏᏊࡀ⤌ࡳኚࢃࡿࡇ࡜࡟ࡼࡾ⏕
࢘࢖ࣝࢫ࡛㸪2008 ᖺࡲ࡛ࡣ 51 ✀㢮ࡢᆺࡀᏑᅾࡋ㸪A
ࡌࡓ࣓࢟ࣛ࢘࢖ࣝࢫࡀከᩘྵࡲࢀ࡚࠾ࡾ㸪 53ᆺࡣhexon
㡿ᇦࡀ22ᆺ㸪fiber㡿ᇦࡀ8ᆺ㸪ཬࡧpenton㡿ᇦࡀ37ᆺ㸪54
㹼F ࡢ 6 ✀࡟ศ㢮ࡉࢀ࡚࠸ࡓࠋࡋ࠿ࡋࡑࡢᚋ㸪᪂ࡓ࡞
࡜࡞ࡾ㸪ࡉࡽ࡟
ᆺࡣfiber㡿ᇦࡀ8ᆺ㸪56ᆺࡣhexon㡿ᇦࡀ15ᆺ㸪pentonཬ
⫶⭠⅖⏤᮶ࡢ 52 ᆺࡀ G ✀࡜ࡉࢀࡓࡓࡵ㸪✀ࡶ A㹼G
ࡧfiber㡿ᇦࡀ9ᆺ࡛࠶ࡿࠋࡇࢀࡽࡢ࢘࢖ࣝࢫࢆṇ☜࡟ᆺ
ᆺࡀḟࠎ࡜ሗ࿌ࡉࢀ㸪⌧ᅾ 68✀㢮
㸧
ࠋHAdV ࡢ✀࡜ᘬࡁ㉳ࡇࡍ
ุᐃࡍࡿࡓࡵ࡟ࡣ㸪ࣇࣝࢤࣀ࣒㸦⣙36,000bp㸧ࡢሷᇶ㓄
⑌ᝈ࡟ࡣ᫂░࡞㛵㐃ᛶࡀࡳࡽࢀ㸪EKC ࠿ࡽࡣᚑ᮶ D ✀
ิࢆỴᐃࡍࡿ᪉ἲࡀ᭱ࡶ☜ᐇ࡛࠶ࡿࡀ㸪⌧ᅾ㸪ᙜᡤࡀಖ
ࡢ 8 ᆺ㸪19 ᆺ㸪37 ᆺ㸪E ✀ࡢ 4 ᆺ㸪ཬࡧ B ✀ࡢ 3 ᆺ
᭷ࡋ࡚࠸ࡿࢧ࣮ࣥ࢞ἲ࡟ࡼࡿ࢟ࣕࣆ࣮ࣛࣜࢩ࣮ࢣࣥࢧ
ࡢ 7 ✀࡜࡞ࡗ࡚࠸ࡿ
㸧㸪㸧
࡞࡝ࡀࡼࡃ᳨ฟࡉࢀ࡚࠸ࡓࡀ㸪㏆ᖺࡣ 53 ᆺ
㸧㸧
࣮࡛ࣇࣝࢤࣀ࣒ࡢሷᇶ㓄ิࢆỴᐃࡍࡿࡇ࡜ࡣᐜ࡛᫆ࡣ
㸪54
࡞࠸ࠋࡑࡇ࡛㸪⡆᫆ᆺูἲ࡜ࡋ࡚㛤Ⓨࡉࢀ࡚࠸ࡿࢤࣀ࣒
ᆺ 㸧㸧㸪ཬࡧ 56 ᆺ 㸪࡜࠸ࡗࡓ᪂ᆺ HAdV ࡀ᳨ฟࡉ
ࡢhexon㸪fiberཬࡧpenton㡿ᇦࡢ୍㒊ࢆࡑࢀࡒࢀPCRἲ࡛
ࢀ㸪D ✀࡟ศ㢮ࡉࢀࡿࡇ࡜ࡀሗ࿌ࡉࢀ࡚࠸ࡿࠋ
ቑᖜࡋ㸪ሷᇶ㓄ิࢆỴᐃࡍࡿ᪉ἲ 12㸧࡟ࡼࡾᐇ᪋ࡋࡓࠋ
║⛉㡿ᇦ࡟࠾ࡅࡿHAdVࡢᆺྠᐃࡣ㸪ᚑ᮶㸪ศ㞳ࡉࢀ
ᮏ◊✲࡛ࡣ㸪║⛉ࡢ⮫ᗋ᳨య࠿ࡽ᳨ฟࡉࢀࡓ HAdV
ࡓ࢘࢖ࣝࢫ࡜║⑌ᝈࢆ㉳ࡇࡋࡸࡍ࠸HAdV࡟ᑐࡍࡿ10✀
㸨1 ᪥㝰║⛉་㝔 㸨2 ⌧⇃ᮏ┴┴༡ᗈᇦᮏ㒊ⰱ໭ᆅᇦ᣺⯆ᒁಖ೺⚟♴⎔ቃ㒊 㸨3 ⌧⇃ᮏ┴┴໭ᗈᇦᮏ㒊
㜿⸽ᆅᇦ᣺⯆ᒁಖ೺⚟♴⎔ቃ㒊
ࢆ୰࿴ヨ㦂ࡸ㑇ఏᏛⓗ᪉ἲ࡛ᆺูࡋ㸪ὶ⾜ᆺࡢᖺḟኚ
✀㢮ࡢᆺࡢ HAdV ࡀ᳨ฟࡉࢀࡓࠋᆺࡢෆヂࡣ㸪37 ᆺࡀ
໬࡜ᆺෆࡢ㑇ఏᏛⓗኚ␗ཬࡧᆺ࡟ࡼࡿ⮫ᗋ⑕≧ࡢ┦㐪
55 ௳㸦28.6%㸧㸪56 ᆺࡀ 33 ௳㸦17.1%㸧㸪53 ᆺࡀ 21 ௳
࡟ࡘ࠸࡚ゎᯒࢆ⾜ࡗࡓࡢ࡛ሗ࿌ࡍࡿࠋ
㸦10.9%㸧㸪3 ᆺࡀ 18 ௳㸦9.3%㸧㸪8 ᆺࡀ 17 ௳㸦8.8%㸧㸪
4 ᆺཬࡧ 54 ᆺࡀྛ 16 ௳㸦8.3%㸧㸪11 ᆺࡀ 5 ௳㸦2.6%㸧㸪
ᮦᩱཬࡧ᪉ἲ
19 ᆺࡀ 2 ௳㸦1.0%㸧㸪1 ᆺ㸪6 ᆺཬࡧ 34 ᆺࡀྛ 1 ௳㸦0.5%㸧㸪
2008 ᖺ 4 ᭶࠿ࡽ 2014 ᖺ 3 ᭶ࡢ㛫࡟㸪EKC ࠶ࡿ࠸ࡣ
53 ᆺ㸪54 ᆺཬࡧ 56 ᆺࡣྜィ 70 ௳㸦36.4%㸧࡛࠶ࡗࡓࠋ
㸧᳨ᰝᮦᩱ
ᆺู୙᫂㸦NT㸧ࡀ 6 ௳㸦3.1%㸧࡛࠶ࡾ㸪᪂ᆺ࡛࠶ࡿ
⤖⭷⅖➼ࡢ⮫ᗋデ᩿ྡ࡛║⛉ᐃⅬ࠿ࡽᥦ౪ࡉࢀࡓ⤖⭷
⮫ᗋデ᩿ྡู࡟ࡳࡿ࡜㸪EKC ࡜デ᩿ࡉࢀࡓ 257 ௳࡛ࡣ㸪
ࡠࡄ࠸ᾮ 460 ௳ࢆ᳨ᰝᮦᩱ࡜ࡋࡓࠋ
163 ௳㸦63.4%㸧࠿ࡽ HAdV ࡀ᳨ฟࡉࢀ㸪37 ᆺࢆ➹㢌
࡟㸪3 ᆺ㸪4 ᆺ㸪8 ᆺ㸪53 ᆺ㸪54 ᆺཬࡧ 56 ᆺࡢ᳨ฟ⋡
㸧᳨ᰝ᪉ἲ
ձ࢘࢖ࣝࢫศ㞳ཬࡧ୰࿴ヨ㦂࡟ࡼࡿᆺู㸸A549 ⣽
ࡀ㧗࠿ࡗࡓࠋ୍᪉㸪⤖⭷⅖➼࡜デ᩿ࡉࢀࡓ 203 ௳࡛ࡣ㸪
⬊ཬࡧ RD-18S ⣽⬊ࢆ⏝࠸㸪HAdV ࡢศ㞳ࢆ⾜ࡗࡓࠋ
29 ௳㸦14.3%㸧࠿ࡽ HAdV ࡀ᳨ฟࡉࢀ㸪56 ᆺࡢ᳨ฟ⋡
ࡑࡢᚋ㸪HAdV ᢠ⾑Ύ㸦1㹼8 ᆺ㸪11 ᆺ㸪19 ᆺཬࡧ 37
ࡀẚ㍑ⓗ㧗࠿ࡗࡓ㸦⾲ 1㸧ࠋ
ᆺ㸸ࢹࣥ࢝⏕◊ࡲࡓࡣᅜ❧ឤᰁ⑕◊✲ᡤ㓄ᕸ㸧࡟ࡼࡿ
୰࿴ヨ㦂࡛ᆺࢆỴᐃࡋࡓࠋࡲࡓ㸪ୗグࡢ㑇ఏᏊ᳨ᰝἲ
㸧ὶ⾜ᆺࡢᖺḟኚ໬
4 ᆺ㸪8 ᆺ㸪37 ᆺཬࡧ 53 ᆺ࡟ὶ⾜ࡢᖺḟኚ໬ࡀࡳࡽ
ࡶే⏝ࡋ࡚ᆺูࢆ⾜ࡗࡓࠋ
ࢀࡓࠋ4 ᆺࡣ 2012 ᖺᗘ㸪8 ᆺࡣ 2013 ᖺᗘ࡟᳨ฟ⋡ࡀቑ
ղ3&5 ἲ࡟ࡼࡿ㑇ఏᏊ᳨ᰝཬࡧࢲ࢖ࣞࢡࢺࢩ࣮ࢡ࢚
ࣥࢫἲ࡟ࡼࡿᆺู㸸2008 ᖺ 4 ᭶࠿ࡽ 2010 ᖺ 7 ᭶ࡲ࡛
ຍࡋࡓࠋ37 ᆺࡣẖᖺᗘ᳨ฟࡉࢀ࡚࠸ࡿࡀ㸪≉࡟ 2008
ࡢဗ㢌ࡠࡄ࠸ᾮ 130 ௳࠿ࡽศ㞳ࡉࢀࡓᰴࡣ୰࿴ヨ㦂ࡢ
ᖺᗘ㹼2009 ᖺᗘཬࡧ 2013 ᖺᗘࡢ᳨ฟ⋡ࡀ㧗࠿ࡗࡓࠋ
ࡳ࡛ᆺูࢆ⾜ࡗࡓࠋṧࡾࡢဗ㢌ࡠࡄ࠸ᾮ 330 ௳ࡣ㸪࢘
53 ᆺࡣ 2010 ᖺᗘ࠿ࡽ᳨ฟࡉࢀጞࡵࡓࡀ㸪ึᖺᗘࡀ᭱
࢖ࣝࢫศ㞳࡜୪⾜ࡋ࡚㸪ဗ㢌ࡠࡄ࠸ᾮ࠿ࡽ┤᥋ DNA
ࡶ㧗⋡࡟᳨ฟࡉࢀࡓ㸦⾲ 2㸪ᅗ 1㸧ࠋ
ࢆᢳฟࡋ㸪HAdV ࡢࢫࢡ࣮ࣜࢽࣥࢢ⏝࡜ࡋ࡚ Xu ࡽ
13㸧
㸧᭶᳨ูฟ≧ἣ
ࡢ Ad1/Ad2 ࣉࣛ࢖࣐࣮࡟ࡼࡿ PCR ἲ࡛ࢤࣀ࣒ DNA ࡢ
ྛᆺࡢ᳨ฟᩘࡣᖺᗘ࡟ࡼࡾ␗࡞ࡾ㸪ᐃࡲࡗࡓࣃࢱ࣮
hexon C4 㡿ᇦࢆቑᖜᚋ㸪࢔࣮࢞ࣟࢫࢤࣝ㟁ẼὋື࡟ࡼ
ࣥࡣࡳࡽࢀ࡞࠿ࡗࡓ㸦ᅗ 2㸧ࠋ
ࡾ┠ⓗ㑇ఏᏊࡢቑᖜࣂࣥࢻ㸦482bp㸧ࢆ☜ㄆࡋࡓࠋ࡞࠾㸪
ᖺ㱋᳨ูฟ≧ἣ
࢘࢖ࣝࢫࡣศ㞳࡛ࡁࡎ㸪㑇ఏᏊࡢࡳࡀ᳨ฟࡉࢀࡓ᳨య
20 ௦㹼40 ௦ࢆࣆ࣮ࢡ࡜ࡋ࡚㸪0 ṓ࠿ࡽ 70 ṓ௨ୖࡲ
ࡸ㸪୰࿴ἲ࡛ศ㞳ᰴࡢᆺỴᐃࡀ࡛ࡁࡎ㸪᪂ᆺ HAdV ࡀ
࡛ᖜᗈ࠸ᖺ㱋ᒙ࠿ࡽ᳨ฟࡉࢀࡓࡀ㸪92.7㸣㸦178 ௳/192
␲ࢃࢀࡓᰴࡣ㸪෌ᗘ Takeuchi ࡽ
14㸧
௳㸧ࡀ 20 ௦௨ୖ࠿ࡽࡢ᳨ฟ࡛࠶ࡾ㸪20 ṓᮍ‶࠿ࡽࡣ
ࡢ S28/S52 ࣉࣛ࢖
࣐࣮࡟ࡼࡿ PCR ἲ࡛ hexon loop1 㡿ᇦࢆ㸪Xu ࡽ
13㸧
㠀ᖖ࡟ᑡ࡞࠿ࡗࡓ㸦ᅗ 3㸧ࠋ
ࡢ
㸧⣔⤫ᶞゎᯒ
6 ᑐࡢ✀≉␗ⓗࣉࣛ࢖࣐࣮ࢆ⏝࠸ࡓ࣐ࣝࢳࣉࣞࢵࢡࢫ
PCR ἲ࡛ fiber 㡿ᇦࢆ㸪ཬࡧ Fujimoto ࡽ 14㸧ࡢ penton PCR
ࢲ࢖ࣞࢡࢺࢩ࣮ࢣࣥࢫἲ࡛ሷᇶ㓄ิࢆỴᐃࡋࡓ୍㒊
⏝ࣉࣛ࢖࣐࣮࡛ penton 㡿ᇦࢆࡑࢀࡒࢀࡢ PCR ᮲௳࡛
ࡢᰴ࡟ࡘ࠸࡚㸪hexon㸪fiber㸪ཬࡧ penton 㡿ᇦࡢศᏊ
ቑᖜࡋࡓࠋቑᖜࣂࣥࢻࢆ⢭〇ᚋ㸪ࢲ࢖ࣞࢡࢺࢩ࣮ࢡ࢚
⣔⤫ᶞゎᯒࢆ⾜ࡗࡓࠋࡑࡢ⤖ᯝ㸪ྛᆺࡈ࡜࡟᫂░࡞ࢡ
ࣥ ࢫ ἲ ࡛ ሷ ᇶ 㓄 ิ ࢆ Ỵ ᐃ ࡋ 㸪 BLAST ᳨ ⣴ ཬ ࡧ
ࣛࢫࢱ࣮ࢆᙧᡂࡋࡓࠋࢡࣛࢫࢱ࣮ෆࡢሷᇶ㓄ิࡢ㐪࠸
MEGA5.0 ࢆ⏝࠸ࡓ㏆㞄⤖ྜἲ࡟ࡼࡿศᏊ⣔⤫ᶞ࡛ᆺ
ࡣ࡯࡜ࢇ࡝ㄆࡵࡽࢀ࡞࠿ࡗࡓࡀ㸪4 ᆺ㸦fiber 㡿ᇦ㸧㸪8
ࢆุᐃࡋࡓࠋ
ᆺ㸦hexon 㡿ᇦ㸪penton 㡿ᇦ㸧ཬࡧ 56 ᆺ㸦penton 㡿ᇦ㸧
ճ⮫ᗋ᝟ሗࡢ཰㞟㸸HAdV ࡢᆺ࡟ࡼࡿ⮫ᗋ⑕≧➼ࡢ
࡛㸪᳨ฟᖺᗘ࡟ࡼࡾࢃࡎ࠿࡞㐪࠸ࡀࡳࡽࢀ㸪ࢧࣈࢡࣛ
┦㐪ࢆㄪᰝࡍࡿࡓࡵ㸪᳨యῧ௜ࡢᝈ⪅᝟ሗࢆཧ⪃࡟ࡍ
ࢫࢱ࣮ࢆᙧᡂࡋࡓࠋ࡞࠾㸪࣓࢟ࣛ࢘࢖ࣝࢫ࡜ࡉࢀࡿ 53
ࡿ࡜࡜ࡶ࡟㸪⑓ཎయᐃⅬ࡛࠶ࡿ║⛉་㝔࠿ࡽ┤᥋᝟ሗ
ᆺࡣ hexon 㡿ᇦࡀ 22 ᆺ㸪fiber 㡿ᇦࡀ 8 ᆺཬࡧ penton
ࢆ཰㞟ࡋࡓࠋ
㡿ᇦࡀ 37 ᆺ࡜ྠ୍ࡢࢡࣛࢫࢱ࣮࡟ศ㢮ࡉࢀࡓࠋࡲࡓ㸪
54 ᆺࡣ fiber 㡿ᇦࡢࡳ 8 ᆺࡢࢧࣈࢡࣛࢫࢱ࣮࡜ࡋ࡚ศ
㢮ࡉࢀ㸪56 ᆺࡣ hexon 㡿ᇦࡀ 15 ᆺ㸪fiber 㡿ᇦཬࡧ penton
᳨ᰝᡂ⦼
㸧+$G9 ࡢ᳨ฟ≧ἣ
㡿 ᇦ ࡀ 9 ᆺ ࡜ ྠ ୍ࡢ ࢡ ࣛࢫ ࢱ ࣮ ࡟ ศ 㢮ࡉ ࢀ ࡓ 㸦 ᅗ
4-a,b,c㸧ࠋ
║⛉ࡢ⮫ᗋ᳨య 460 ௳୰ 192 ௳㸦41.7㸣㸧࠿ࡽ㸪12
⾲㸯 ⮫ᗋデ᩿ྡู࢔ࢹࣀ࢘࢖ࣝࢫ᳨ฟ≧ἣ㸦㹼 ᖺᗘ㸧
ὶ⾜ᛶ
⤖⭷⅖➼
ྜィ
ゅ⤖⭷⅖
᳨యᩘ
+$G9 ᆺ
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
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+$G9 ᆺ
㸦㸧
㸦㸧
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+$G9 ᆺ
㸦㸧
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㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
+$G9 ᆺ
㸦㸧
㸦㸧
㸦㸧
+$G917
㸦㸧
㸦㸧
㸦㸧
᳨ฟᩘ
᳨ฟ⋡ 㸣
㸣
㸣
ͤ㸦 㸧ෆࡣྛᆺࡢ᳨ฟᩘ/᳨ฟᩘ㸦㸣㸧
᳨యᩘ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G9 ᆺ
+$G917
᳨ฟᩘ
᳨ฟ⋡㸦㸧
⾲㸰 ᆺู࣭ᖺᗘู࢔ࢹࣀ࢘࢖ࣝࢫ᳨ฟᩘ
ᖺᗘ ᖺᗘ ᖺᗘ ᖺᗘ ᖺᗘ ᖺᗘ
㸪
ྜィ
ᅗ㸯 ᆺู࣭ᖺᗘู࢔ࢹࣀ࢘࢖ࣝࢫ᳨ฟ๭ྜ ᅗ㸱 ᖺ㱋ู࢔ࢹࣀ࢘࢖ࣝࢫ᳨ฟ≧ἣ
ᅗ㸰 ᭶ู࢔ࢹࣀ࢘࢖ࣝࢫ᳨ฟ≧ἣ
AB605243 AdV-53
AB330103 AdV-22
20131604 Kumamoto/2013
20131529 Kumamoto/2013
20121537 Kumamoto/2012
20121515 Kumamoto/2012
20121506 Kumamoto/2012
20101548 Kumamoto/2010
20101544 Kumamoto/2010
㻥㻥
20101543 Kumamoto/2010
20101527 Kumamoto/2010
20101526 Kumamoto/2010
20101525 Kumamoto/2010
20101524 Kumamoto/2010
20101523 Kumamoto/2010
20101522 Kumamoto/2010
㻡
20101519 Kumamoto/2010
20101507 Kumamoto/2010
20101504 Kumamoto/2010
AB330130 AdV-49
20131586 Kumamoto/2013
AB330089 AdV-8
20131584 Kumamoto/2013
㻢㻠
20131559 Kumamoto/2013
20131555 Kumamoto/2013
㻤
㻥㻥
20131544 Kumamoto/2013
20111532 Kumamoto/2011
20121540 Kumamoto/2012
AB330097 AdV-16
㻝㻡
㻟㻜
AB330085 AdV-4
20121536 Kumamoto/2012
㻥㻥
20121561 Kumamoto/2012
20121577 Kumamoto/2012
㻣㻝
20121581 Kumamoto/2012
㻢㻠 20121584 Kumamoto/2012
20121596 Kumamoto/2012
20131511 Kumamoto/2013
20131515 Kumamoto/2013
㻣㻢 20121546 Kumamoto/2012
㻥㻥
20121592 Kumamoto/2012
AB330100 AdV-19
AB330107 AdV-26
㻡㻠
AB330111 AdV-30
20121545
Kumamoto/2012
㻢㻞
20121576 Kumamoto/2012
㻥㻥
20131531 Kumamoto/2013
㻟㻢
20131562 Kumamoto/2013
㻥㻥 20131575 Kumamoto/2013
20131581 Kumamoto/2013
AB330118 AdV-37
20121538 Kumamoto/2012
AB448770 AdV-54
20121532 Kumamoto/2012
20121526 Kumamoto/2012
㻥㻥 20121523 Kumamoto/2012
20121517 Kumamoto/2012
20081583 Kumamoto/2008
20081579 Kumamoto/2008
㻤㻡
20081577 Kumamoto/2008
20081576 Kumamoto/2008
AB330090 AdV-9
AB330113 AdV-32
㻤㻞
AB330104 AdV-23
AB330110 AdV-29
20101505
Kumamoto/2010
㻡㻠
20101512 Kumamoto/2010
20101513 Kumamoto/2010
20101529 Kumamoto/2010
20101533 Kumamoto/2010
㻥㻥
20101535 Kumamoto/2010
㻣㻝
20101536 Kumamoto/2010
20101537 Kumamoto/2010
20101563 Kumamoto/2010
20121516 Kumamoto/2012
20121518 Kumamoto/2012
20121524 Kumamoto/2012
20121542 Kumamoto/2012
㻥㻥 20121563 Kumamoto/2012
20121569 Kumamoto/2012
20121570 Kumamoto/2012
20121594 Kumamoto/2012
20131502 Kumamoto/2013
20131505 Kumamoto/2013
20131513 Kumamoto/2013
20131520 Kumamoto/2013
20131532 Kumamoto/2013
20131612 Kumamoto/2013
20131621 Kumamoto/2013
AB330096 AdV-15
HM770721 AdV-56
AB330088 AdV-7
20101542 Kumamoto/2010
20131508 Kumamoto/2013
㻥㻥
20131523 Kumamoto/2013
20131527 Kumamoto/2013
㻣㻤 20131541 Kumamoto/2013
20131558 Kumamoto/2013
AB330084 AdV-3
DQ923122 AdV-52
DQ874353 AdV-55
AB330082 AdV-1
㻢㻢
AB330092 AdV-11
㻠㻞
㻜㻚㻝
ᅗ D KH[RQ 㡿ᇦࡢศᏊ⣔⤫ᶞ
㻞㻞 ᆺ㻌
䠄㻡㻟 ᆺ䠅㻌
㻤 ᆺ㻌
㻠 ᆺ㻌
㻝㻥 ᆺ㻌
㻟㻣 ᆺ㻌
㻡㻠 ᆺ㻌
㻝㻡 ᆺ㻌
䠄㻡㻢 ᆺ䠅㻌
㻟 ᆺ㻌
20121540 Kumamoto/2012
20131584 Kumamoto/2013
20131565 Kumamoto/2013
20131559 Kumamoto/2013
20131555 Kumamoto/2013
20131552 Kumamoto/2013
20131549 Kumamoto/2013
20131548 Kumamoto/2013
20131546 Kumamoto/2013
20131545 Kumamoto/2013
20131544 Kumamoto/2013
㻟㻝 20111532 Kumamoto/2011
AB746853 AdV-8
20131586 Kumamoto/2013
AB605243 AdV-53
20101504 Kumamoto/2010
20101507 Kumamoto/2010
20101522 Kumamoto/2010
20101543 Kumamoto/2010
㻣㻟
20101544 Kumamoto/2010
20101548 Kumamoto/2010
20121506 Kumamoto/2012
20131529 Kumamoto/2013
20131604 Kumamoto/2013
20101519 Kumamoto/2010
㻠㻢 20101523 Kumamoto/2010
20101524 Kumamoto/2010
㻡㻣 20101525 Kumamoto/2010
20101527 Kumamoto/2010
20101526 Kumamoto/2010
AB448770 AdV-54
20081576 Kumamoto/2008
20081577 Kumamoto/2008
㻤㻞 20081579 Kumamoto/2008
20081583 Kumamoto/2008
20121517 Kumamoto/2012
㻣㻝
AJ854486 AdV-9
HM770721 AdV-56
20101505 Kumamoto/2010
20101512 Kumamoto/2010
20101513 Kumamoto/2010
20101529 Kumamoto/2010
20101533 Kumamoto/2010
20101535 Kumamoto/2010
20101536 Kumamoto/2010
20101537 Kumamoto/2010
20121563 Kumamoto/2012
㻥㻞 20121515 Kumamoto/2012
20121516 Kumamoto/2012
㻟㻥
20101563 Kumamoto/2010
20121569 Kumamoto/2012
20121570 Kumamoto/2012
20121594 Kumamoto/2012
20131502 Kumamoto/2013
20131505 Kumamoto/2013
20131520 Kumamoto/2013
20131532 Kumamoto/2013
20131621 Kumamoto/2013
JN226748 AdV-15
㻢㻤
FJ619037 AdV-22
AB448771 AdV-19
20121592 Kumamoto/2012
AB448777 AdV-37
㻞㻟
㻠㻣
20121546 Kumamoto/2012
20121577 Kumamoto/2012
㻥㻣 20131531 Kumamoto/2013
20131534 Kumamoto/2013
20131562 Kumamoto/2013
20131570 Kumamoto/2013
㻢㻜 20131575 Kumamoto/2013
20131578 Kumamoto/2013
20131581 Kumamoto/2013
20131585 Kumamoto/2013
20131587 Kumamoto/2013
20131589 Kumamoto/2013
20131618 Kumamoto/2013
㻝㻜㻜
20121536 Kumamoto/2012
20121561 Kumamoto/2012
20121576 Kumamoto/2012
㻝㻜㻜 20121581 Kumamoto/2012
20121584 Kumamoto/2012
㻝 20121596 Kumamoto/2012
㻜 20131511 Kumamoto/2013
㻞 20131515 Kumamoto/2013
㻟
AY594253 AdV-4
㻥
AB920438 AdV-3
20101542 Kumamoto/2010
20131508 Kumamoto/2013
20131523 Kumamoto/2013
㻝㻜㻜 20131527 Kumamoto/2013
20131541 Kumamoto/2013
20131543 Kumamoto/2013
20131558 Kumamoto/2013
JX173085 AdV-1
JX123029 AdV-55
AY598970 AdV-11
㻣㻥
DQ923122 AdV-52
㻠㻥
㻜㻚㻞
ᅗ E ILEHU 㡿ᇦࡢศᏊ⣔⤫ᶞ
㻤 ᆺ㻌
㻤 ᆺ㻌
䠄㻡㻟 ᆺ䠅㻌
㻡㻠 ᆺ㻌
㻥 ᆺ㻌
䠄㻡㻢 ᆺ䠅㻌
㻝㻥 ᆺ㻌
㻟㻣 ᆺ㻌
㻠 ᆺ㻌
㻟 ᆺ㻌
㻟㻤
㻞
20101543 Kumamoto/2010
20101527 Kumamoto/2010
20101544 Kumamoto/2010
20101548 Kumamoto/2010
20121537 Kumamoto/2012
20131529 Kumamoto/2013
20131604 Kumamoto/2013
20131605 Kumamoto/2013
AB605243 AdV-53
20121577
Kumamoto/2012
20131618
Kumamoto/2013
20131587 Kumamoto/2013
20131585
Kumamoto/2013
20131581 Kumamoto/2013
㻥㻟 20131578
Kumamoto/2013
20131575 Kumamoto/2013
20131573 Kumamoto/2013
20131570 Kumamoto/2013
20131562 Kumamoto/2013
20131534
Kumamoto/2013
20131531 Kumamoto/2013
AB448777 AdV-37
20101526 Kumamoto/2010
20101525 Kumamoto/2010
㻟㻜
20101524 Kumamoto/2010
20101523 Kumamoto/2010
20101522 Kumamoto/2010
20101519 Kumamoto/2010
20101507 Kumamoto/2010
20101504 Kumamoto/2010
㻥㻤 AB448771 AdV-19
20121546 Kumamoto/2012
AB746853 AdV-8
20131544 Kumamoto/2013
20131545 Kumamoto/2013
20131546 Kumamoto/2013
㻟㻠
20131547 Kumamoto/2013
㻞㻢
20131548 Kumamoto/2013
20131549 Kumamoto/2013
㻥㻞 20131552 Kumamoto/2013
20131555 Kumamoto/2013
20131557 Kumamoto/2013
20131559 Kumamoto/2013
20131565 Kumamoto/2013
20131567 Kumamoto/2013
㻜 20131556 Kumamoto/2013
㻜 20111532 Kumamoto/2011
㻜 20131584 Kumamoto/2013
㻞
㻥㻠
AY598970 AdV-11
KF268123 AdV-3
20101542 Kumamoto/2010
20131508 Kumamoto/2013
㻝㻤
20131523 Kumamoto/2013
20131527 Kumamoto/2013
㻥㻤
20131541 Kumamoto/2013
20131543 Kumamoto/2013
20131558 Kumamoto/2013
AY594253 AdV-4
20121561 Kumamoto/2012
20121576 Kumamoto/2012
㻤㻢 20121581 Kumamoto/2012
20121584 Kumamoto/2012
㻣㻢 20121596 Kumamoto/2012
20131511 Kumamoto/2013
20131515 Kumamoto/2013
㻥㻥
JN226748 AdV-15
JX123029 AdV-55
DQ923122 AdV-52
JX173085 AdV-1
20121532 Kumamoto/2012
20121538 Kumamoto/2012
20121529 Kumamoto/2012
20121526 Kumamoto/2012
㻥㻠 20121517 Kumamoto/2012
20081583 Kumamoto/2008
㻟㻟
20081579 Kumamoto/2008
20081577 Kumamoto/2008
20081576 Kumamoto/2008
AB448770 AdV-54
20101537 Kumamtoo/2010
㻥㻥 20101563 Kumamoto/2010
20121569 Kumamoto/2012
20121570 Kumamoto/2012
20121594 Kumamoto/2012
20131502 Kumamoto/2013
㻢㻟 20131505 Kumamoto/2013
20131513 Kumamoto/2013
20131520 Kumamoto/2013
20131612 Kumamoto/2013
20131621 Kumamoto/2013
㻜 20121524 Kumamoto/2013
HM770721 AdV-56
㻜 AJ854486 AdV-9
20101505 Kumamoto/2010
㻠 20101512 Kumamoto/2010
20101513 Kumamoto/2010
20101529 Kumamoto/2010
㻟㻥
20101533 Kumamoto/2010
20101535 Kumamoto/2010
20101536 Kumamoto/2010
20121542 Kumamoto/2013
ᅗ F SHQWRQ 㡿ᇦࡢศᏊ⣔⤫ᶞ
㻟㻣 ᆺ㻌
䠄㻡㻟 ᆺ䠅㻌
㻌㻌
㻟㻣 ᆺ 㻟㻣 ᆺ㻌
䠄㻡㻟 ᆺ䠅㻌
㻝㻥 ᆺ㻌
㻤 ᆺ㻌
㻟 ᆺ㻌
㻠 ᆺ㻌
㻡㻠 ᆺ㻌
㻥 ᆺ㻌
䠄㻡㻢 ᆺ䠅㻌
⾲䠏㻌 䜴䜲䝹䝇ศ㞳䛸 㻼㻯㻾 ἲ䛾ẚ㍑䠄௳ᩘ䠅㻌
㻌㻌
㻼㻯㻾䠄䠇䠅㻌 㻼㻯㻾䠄䠉䠅㻌
ྜィ㻌
ศ㞳䠄䠇䠅㻌
㻝㻞㻟㻌
㻜㻌
㻝㻞㻟㻌
ศ㞳䠄䠉䠅㻌
㻞㻣㻌
㻝㻤㻜㻌
㻞㻜㻣㻌
ྜィ㻌
㻝㻡㻜㻌
㻝㻤㻜㻌
㻟㻟㻜㻌
㛗ᖺ࡯࡜ࢇ࡝᳨ฟࡉࢀ࡞࠿ࡗࡓ 8 ᆺ࡟ࡼࡿ EKC ࡀ㸪
2011 ᖺ࡟ᕝᓮᕷ࡛✺↛ᩓⓎᛶ࡟㞟ᅋⓎ⏕ࡋࡓ஦౛ࢆ
ሗ࿌ࡋ࡚࠸ࡿࡇ࡜࠿ࡽ㸪ࡇࢀࡽࡢᆺࡣ㸪ࡲࡔ EKC ࡢ㔜
せ࡞ཎᅉ࢘࢖ࣝࢫ࡛࠶ࡾ㸪㞟ᅋච␿ࡢపୗ࡟ࡼࡾ㸪኱
ὶ⾜ࢆ㉳ࡇࡍྍ⬟ᛶࡀ♧၀ࡉࢀࡓࠋ
᪂ᆺ HAdV ࡢ࠺ࡕ㸪53 ᆺࡣ 2010 ᖺᗘ࡟ึࡵ᳨࡚ฟ
ࡉࢀࡓࡀ㸪᳨ฟ௳ᩘࡢ 36.3㸣㸦12 ௳/33 ௳㸧ࢆ༨ࡵ㸪
㸧᪂ᆺ +$G9 ࡢ୰࿴ヨ㦂࡟࠾ࡅࡿ஺ᕪ཯ᛂ
᪂ᆺ HAdV ࡣ࠸ࡎࢀࡢᆺࡶ 8 ᆺ࡜஺ᕪ཯ᛂࡀㄆࡵࡽ
ࡑࡢᚋẖᖺᗘ᳨ฟࡉࢀ࡚࠸ࡿࠋkaneko ࡽ 3㸧ࡣ㸪53 ᆺ
ࢀ㸪HAdV ᢠ⾑Ύ࡛⣽⬊ኚᛶຠᯝ㸦CPE㸧ࡀᢚไࡉࢀ
ࡣ 1996 ᖺ࠿ࡽᅜෆ࡛ᬑ㏻࡟᳨ฟࡉࢀࡿࡼ࠺࡟࡞ࡗࡓ
ࡿഴྥࢆ♧ࡋࡓࠋࡋ࠿ࡋ㸪ᐇ㝿ࡢ 8 ᆺ HAdV ࡜ẚ㍑ࡍ
ࡀ㸪ᐇ㝿ࡣ 1980 ᖺ௦࡟ EKC ࠿ࡽศ㞳ࡉࢀ࡚࠸ࡓ㢮ఝ
ࡿ࡜ᢚไࡢᙅ࠸ᰴࡀከࡃ㸪୰࡟ࡣ࡯࡜ࢇ࡝ᢚไࡢㄆࡵ
࢘࢖ࣝࢫ࠿ࡽ㐍໬ࡋࡓྍ⬟ᛶࡀ࠶ࡿ࡜㏙࡭࡚࠸ࡿࠋ
54 ᆺࡣ㸪Ishiko ࡽ 5㸧㸪16㸧࡟ࡼࡿ࡜㸪2000 ᖺ࡟⚄ᡞཬ
ࡽࢀ࡞࠸ᰴࡶほᐹࡉࢀࡓࠋ
ࡧ὾ᯇࡢ EKC ᝈ⪅࠿ࡽ᳨ฟࡉࢀ㸪2001 ᖺ࡟ࡣᮏ┴ࡢ
࢘࢖ࣝࢫศ㞳࡜ 3&5 ἲࡢẚ㍑
ᝈ⪅࠿ࡽࡶ᳨ฟࡉࢀ࡚࠸ࡿࠋࡑࡢᚋ㸪௒ᅇࡢㄪᰝ࡛
୧᪉ࡢ᳨ᰝἲࢆే⏝ࡋࡓ⮫ᗋ᳨య 330 ௳࡟ࡘ࠸࡚㸪
᳨ᰝἲࡈ࡜ࡢ᳨ᰝᡂ⦼ࢆẚ㍑ࡍࡿ࡜㸪࢘࢖ࣝࢫศ㞳࡛
2008 ᖺ࡟᳨ฟࡉࢀࡿࡲ࡛㸪ࡑࡢືྥࡣ୙࡛᫂࠶ࡿࡀ㸪
ࡣ 123 ௳㸦37.3㸣㸧࠿ࡽศ㞳ࡉࢀ㸪PCR ἲ࡛ࡣࡑࢀࡽ
54 ᆺࡣ 8 ᆺࡢᢠ⾑Ύ࡜஺ᕪࡀ࠶ࡾ㸪8 ᆺྠᵝ㸪⣽⬊ᇵ
ࢆࡍ࡭࡚ྵࡴ 150 ௳㸦45.4㸣㸧࠿ࡽ᳨ฟࡉࢀࡓ㸦⾲ 3㸧ࠋ
㣴࡟ࡼࡿ CPE ࡢⓎ⌧ࡀ㐜࠸ࡇ࡜࠿ࡽ㸪8 ᆺ࡜ㄗྠᐃࡉ
ࢀ࡚࠸ࡿྍ⬟ᛶࡀ⪃࠼ࡽࢀࡓࠋ
ࡲࡓ㸪࢘࢖ࣝࢫศ㞳ࡢࡳ᳨࡛ᰝࡋࡓ 2008 ᖺ 4 ᭶࠿ࡽ
56 ᆺࡣ㸪Kaneko ࡽ 6㸧࡟ࡼࡿ࡜㸪ᮏ┴ࢆྵࡴᅜෆ 7
2010 ᖺ 7 ᭶ࡲ࡛ࡢ 130 ௳࠿ࡽ 42 ᰴࡢ HAdV ࡀศ㞳ࡉ
ࢀ㸪ࡇࢀࡽࡢ᳨యࡣࡍ࡭࡚ PCR 㝧ᛶ࡛࠶ࡾྜィࡍࡿ࡜㸪
㐨┴࡛ 2008 ᖺᗘ࡟᥇ྲྀࡉࢀࡓ EKC ࡢ᳨య 102 ௳୰ 11
࢘࢖ࣝࢫศ㞳࡟ࡼࡾ 460 ௳୰ 165 ௳㸦35.9㸣㸧࠿ࡽ
௳࠿ࡽ᳨ฟࡉࢀ㸪ࡇࡢ࠺ࡕ 2 ௳ࡣᮏ┴࡛᥇ྲྀࡉࢀࡓ᳨
HAdV ࡀศ㞳ࡉࢀࡓࠋPCR ἲ࡛ࡣࡇࢀࡽࢆࡍ࡭࡚ྵࡴ
య࠿ࡽ᳨ฟࡉࢀ࡚࠸ࡿࠋ࡞࠾㸪ࡇࡢ 2 ௳ࡣᙜᡤ࡛ࡣ࢘
192 ௳㸦41.7㸣㸧࠿ࡽ HAdV ࡀ᳨ฟࡉࢀࡓࠋ࡞࠾㸪࢘
࢖ࣝࢫࡀศ㞳࡛ࡁ࡞࠿ࡗࡓࡓࡵ㸪௒ᅇࡢ᳨ᰝᡂ⦼࡟ࡣ
࢖ࣝࢫศ㞳㝜ᛶ࣭PCR 㝧ᛶ࡜࡞ࡗࡓ HAdV ࡢᆺࡣ㸪3
ྵࡲࢀ࡚࠸࡞࠸ࠋ௨ᚋ㸪2010 ᖺᗘ࠿ࡽẖᖺᗘ᳨ฟࡉࢀ㸪
ᆺࡀ 1 ௳㸪8 ᆺࡀ 14 ௳㸪53 ᆺࡀ 2 ௳㸪54 ᆺࡀ 6 ௳㸪
⌧ᅾ࡛ࡣ EKC ࠿ࡽ᳨ฟࡉࢀࡿ୺せ࢘࢖ࣝࢫࡢ୍ࡘ࡜
ᆺ୙᫂㸦NT㸧ࡀ 4 ௳࡛࠶ࡗࡓ㸦ࢹ࣮ࢱᮍᥖ㍕㸧ࠋ
࡞ࡗ࡚࠸ࡿࠋ
ࡇࢀࡽ 3 ✀ࡢ᪂ᆺ HAdV ࡣ࣓࢟ࣛ࢘࢖ࣝࢫ࡛࠶ࡾ㸪
㸧+$G9 ࡢᆺ࡟ࡼࡿ⮫ᗋ⑕≧ࡢ┦㐪
୰࿴ヨ㦂࡟࠾࠸࡚㸪ከࡃࡢᰴ࡛ 8 ᆺᢠ⾑Ύ࡜ࡢ஺ᕪ཯
⑓ཎయᐃⅬࡢ║⛉་㝔࠿ࡽᚓࡽࢀࡓ᝟ሗ࡟ࡼࡿ࡜㸪
᪂ᆺ HAdV ࡟ࡼࡿ EKC ࡢ⮫ᗋᡤぢࡣ㸪௚ࡢᆺ࡟ࡼࡿ
ᛂࡀࡳࡽࢀ㸪ᚑ᮶ࡢ HAdV ᢠ⾑Ύࢆ⏝࠸ࡓ୰࿴཯ᛂ࡛
EKC ࡼࡾ㔜⑕࡞⤖⭷඘⾑ࢆ♧ࡍ౛ࡀከࡃ㸪ࡉࡽ࡟ゅ⭷
ࡣᆺูỴᐃࡀᅔ㞴࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓࠋࡋࡓࡀࡗ࡚㸪
㞀ᐖࡶከ࠸ഴྥࡀㄆࡵࡽࢀࡿࠋࡲࡓ㸪἞⒵ࡲ࡛࡟せࡍ
௒ᚋࡣ㸪ࢤࣀ࣒ࡢ 3 㡿ᇦࡢ୍㒊ࢆቑᖜࡋ࡚ሷᇶ㓄ิࢆ
ࡿᮇ㛫ࡣ㸪᪂ᆺཬࡧ 37 ᆺ࡛ 17㹼18 ᪥㛫㸪ࡑࡢ௚ࡢᆺ
Ỵᐃࡍࡿ⡆᫆ᆺูἲࡸࣇࣝࢤࣀ࣒ゎᯒ࡛ᆺูࢆ⾜࠺ᚲ
࡛⣙ 12 ᪥㛫⛬ᗘ࡛࠶ࡗࡓࠋ
せࡀ࠶ࡿࠋ
ࡲࡓ,ศᏊ⣔⤫ᶞゎᯒࡢ⤖ᯝ㸪ྛᆺࡢ HAdV ࡣ㸪hexon㸪
⪃ ᐹ
fiber㸪penton ࡢ 3 㡿ᇦ࡜ࡶ㸪ᆺࡈ࡜࡟᫂░࡞ࢡࣛࢫࢱ
EKC ࡢཎᅉ࡜࡞ࡿ HAdV ࡢᆺࡣ㸪E ✀ࡢ 4 ᆺ㸪B ✀
࣮ࢆᙧᡂࡋࡓࠋࡉࡽ࡟㸪Shimada ࡽ 10㸧ࡸ Hiroi ࡽ 17㸧
ࡢ 3 ᆺཬࡧ 11 ᆺ➼ࢆ㝖ࡃ࡜㸪୺࡟ D ✀࡛࠶ࡾ㸪ࡇࢀ
ࡢศᯒ⤖ᯝ࡜ྠᵝ㸪ྛࢡࣛࢫࢱ࣮ෆ࡛ࡣᶆ‽ᰴ࡜ྛᰴ
ࡲ࡛඲ᅜⓗ࡟ 8 ᆺ㸪19 ᆺ㸪37 ᆺ࡞࡝ࡀὶ⾜ࢆ⧞ࡾ㏉ࡋ
ࡀ㠀ᖖ࡟㧗࠸┦ྠᛶࢆ♧ࡋࡓࠋࡋ࠿ࡋ࡞ࡀࡽ㸪ศ㞳ᖺ
࡚ࡁࡓࠋ௒ᅇ㸪2008 ᖺᗘ࠿ࡽ 2013 ᖺᗘࡲ࡛࡟㸪║⛉
ᗘ࡟ࡼࡿࢃࡎ࠿࡞㐪࠸࡛ࢧࣈࢡࣛࢫࢱ࣮ࢆᙧᡂࡋࡓᰴ
ࡢ⮫ᗋ᳨య࠿ࡽ᳨ฟࡉࢀࡓ HAdV ࡢศᏊ␿Ꮫゎᯒࢆ⾜
ࡶࡳࡽࢀࡓࡇ࡜࠿ࡽ㸪HAdV ࡣྛ㡿ᇦࡢሷᇶ㓄ิࢆಖ
ࡗࡓ࡜ࡇࢁ㸪12 ࡢᆺࡀ᳨ฟࡉࢀ㸪EKC ࡜デ᩿ࡉࢀࡓ⮫
ࡕ࡞ࡀࡽࡶࢃࡎ࠿࡟ኚ␗ࡋ㸪ὶ⾜ࢆ⧞ࡾ㏉ࡋ࡚࠸ࡿྍ
ᗋ᳨య࠿ࡽ 3 ᆺ㸪4 ᆺ㸪8 ᆺ㸪37 ᆺ㸪53 ᆺ㸪54 ᆺ㸪ཬ
⬟ᛶࡀ♧၀ࡉࢀࡓࠋ
HAdV ࡢ᳨ᰝἲ࡟㛵ࡋ࡚㸪Ლཎࡽ
ࡧ 56 ᆺࡀከᩘ᳨ฟࡉࢀࡓࠋ≉࡟㸪4 ᆺཬࡧ 8 ᆺࡣ㸪㏆
࡟㸪8 ᆺࡣ 2013 ᖺᗘ࡟ᛴቑࡋࡓࠋFujimoto ࡽ
ࡣ࢘࢖ࣝࢫศ㞳
࡛ࡣ 30.4㸣࡛࠶ࡗࡓ㝧ᛶ⋡ࡀ㸪PCR ἲ࡛ࡣ 73.9㸣࡜㸪
ᖺ࡯࡜ࢇ࡝᳨ฟࡉࢀ࡚࠸࡞࠿ࡗࡓࡀ㸪4 ᆺࡣ 2012 ᖺᗘ
15㸧
18㸧
⣙ 2.4 ಸ㧗ឤᗘ࡟࡞ࡗࡓ࡜ሗ࿌ࡋ࡚࠸ࡿࠋ௒ᅇ㸪ᡃࠎ
ࡶ㸪
ࡢㄪᰝ࡛ࡣ㸪࢘࢖ࣝࢫศ㞳ࡢࡳ⾜ࡗࡓ 2008 ᖺᗘ࡜ 2009
4) Walsh Michael P, Chintakuntlawar Ashish, Robinson
ᖺࡢ㝧ᛶ⋡ࡣ 30㸣⛬ᗘ࡛࠶ࡗࡓࡀࠊPCR ἲࢆే⏝ࡋࡓ
Christopher M, Madisch Ijad, Harrach, Bala´ zs, Hudson
2010 ᖺᗘ௨㝆ࡣྛᖺᗘ 40㸣௨ୖ࡜࡞ࡾ㸪ᗄศ᳨ฟ⋡ࡀ
Nolan R., Schnurr David, Heim Albert, James Chodosh,
ྥୖࡋࡓࠋ࢘࢖ࣝࢫࢆศ㞳ࡋಖᏑࡋ࡚࠾ࡃࡇ࡜ࡣ㸪ᑗ
Seto Donald, Jones Morris S㸸 PLoS ONE 㸦2009㸧㸬
᮶ࡢヲ⣽࡞ゎᯒࡢࡓࡵ࡟ᚲせ୙ྍḞ࡛࠶ࡿࡀ㸪࢘࢖ࣝ
5) Ishiko H, Shimada Y, Konno T, Hayashi A, Ohguchi T, Tagawa
ࢫࡀศ㞳ࡉࢀࡓ᳨యࡣࡍ࡭࡚ PCR ἲ᳨࡛ฟࡉࢀࡓࡇ
Y, Aoki K, Ohno S, Yamazaki S. J Clin Microbiol,46(6):2002-8
࡜࠿ࡽ㸪ὶ⾜≧ἣࢆ㎿㏿࡟ㄪᰝࡍࡿࡓࡵ࡟ࡣ㸪᫬㛫࡜
(2008) 㸬
6) Kaneko H, Suzutani T, Aoki K, Kitaichi N, Ishida S,
ᡭ㛫ࡢ࠿࠿ࡿ࢘࢖ࣝࢫศ㞳ࡼࡾ㸪PCR ἲࡢ᪉ࡀ⡆౽࡛
ຠ⋡ⓗ࡞᪉ἲ࡛࠶ࡿࡇ࡜ࡀ♧ࡉࢀࡓࠋ
Ishiko H, Ohashi T, Okamoto S, Nakagawa H,
ࡲࡓ㸪ᆺ࡟ࡼࡿ⮫ᗋ⑕≧ࡢ┦㐪ࢆㄪᰝࡋࡓ࡜ࡇࢁ㸪
Hinokuma R, Asato Y, Oniki S, Hashimoto T, Iida T,
᪂ᆺ࡟ࡼࡿ EKC ࡣ⑕≧ࡢ㔜⑕໬㸪἞⒵ᮇ㛫ࡢᘏ㛗ࡀㄆ
Ohno S㸸Br J Ophthalmol 95, 32–36 (2011)㸬
ࡵࡽࢀࡓࡀ㸪ࡇࢀࡣ㸪᪂ᆺ HAdV ࡀ㏆ᖺὶ⾜ࡋጞࡵࡓ
7) Robinson CM, Singh G, Henquell C, Walsh MP,
ࡇ࡜࡟ࡼࡾ㸪᪂ᆺ HAdV ࡢᢠయࡢಖ᭷⪅ࡀᑡ࡞࠸ࡇ࡜
Peigue-Lafeuille H, Seto D, Jones MS, Dyer DW,
ࡶ୍ᅉ࡛࠶ࡿ࡜᥎ᐹࡉࢀࡓࠋ
Chodosh J.㸸Virology. 20,409(2),141-7㸦2011㸧㸬
௨ୖࡢࡇ࡜࠿ࡽ㸪ࢃࡎ࠿࡞ࡀࡽࡶ㑇ఏᏊࡢኚ␗ࡸ㑇
8) Kaneko H, Aok K, Ohno S, Ishiko H, Fujimoto T,
ఏᏊࡢ⤌ࡳኚࢃࡗࡓ᪂ᆺ HAdV ࡢὶ⾜➼ࡀㄆࡵࡽࢀࡿ
Kikuchi M, Harada S, Gonzalez G, Koyanagi K O,
ࡇ࡜࠿ࡽ㸪௒ᚋࡶᘬࡁ⥆ࡁㄪᰝࢆ⥅⥆ࡍࡿࡇ࡜ࡀ㔜せ
Watanabe H, Suzutani1 T㸸J Clin Microbiol.49, 484–490
࡛࠶ࡿࠋ
㸦2011㸧㸬
9) Saitoh-Inagawa W, Oshima A, Aoki K, Itoh N, Isobe K,
Uchio E, Ohno S, Nakajima H, Hata K, Ishiko H: J Clin
ࡲ࡜ࡵ
Microbiol.䠈, 2113-2116. 䠄1996䠅䠊
║⛉ᐃⅬ࡛୺࡟ EKC ࠿ࡽ᳨ฟࡉࢀࡿ HAdV ࡢศᏊ
␿Ꮫᆺゎᯒࢆ⾜ࡗࡓ࡜ࡇࢁ㸪ᮏ┴࡛ࡶὶ⾜ᆺࡢᖺḟኚ
10) Shimada Y, Ariga T, Tagawa Y, Aoki K, Ohno S, Ishiko
H㸸J Clin Microbiol.42(4),1577-1584㸦2004㸧㸬
໬ࡀࡳࡽࢀ㸪4 ᆺ㸪8 ᆺ㸪37 ᆺ㸪ཬࡧ 53 ᆺ࡛ὶ⾜ᖺᗘ
ࡀ☜ㄆࡉࢀࡓࠋ2008 ᖺᗘ࠿ࡽ㸪᪂ᆺ HAdV ࡀ᳨ฟࡉࢀ
11) Banik U, Adhikary AK, Suzuki E, Inada T, Okabe N.㸸J
Clin Microbiol.43(3):1064-8㸦2005㸧㸬
ࡣࡌࡵ㸪ࡇࢀࡽࡢᆺ࡟ࡼࡿ EKC ࡣᚑ᮶ࡢᆺࡼࡾ㔜⑕࡛
12) ᅜ❧ឤᰁ⑕◊✲ᡤ⦅㸸⑓ཎయ᳨ฟ࣐ࢽࣗ࢔ࣝ㸦ဗ
἞⒪ࡀ㛗ᘬࡃഴྥࡀㄆࡵࡽࢀࡓࠋ
㢌⤖⭷⇕࣭ὶ⾜ᛶゅ⤖⭷⅖᳨ᰝ㸪デ᩿࣐ࢽࣗ࢔ࣝ㸪
ࡲࡓ㸪᪂ᆺ HAdV ࡛ࡣ㸪஺ᕪ཯ᛂ࡟ࡼࡾᚑ᮶ࡢ HAdV
➨ 2 ∧㸧(2012)㸬
ᢠ⾑Ύࢆ⏝࠸ࡓ୰࿴ヨ㦂ࡀᅔ㞴࡛࠶ࡿࡇ࡜࠿ࡽ㸪hexon㸪
13) Xu W㸪McDonough MC㸪 Erdman DD㸸 J. Clin.
fiber㸪ཬࡧ penton ࡢ 3 㡿ᇦࡢࢩ࣮ࢣࣥࢫ࡟ࡼࡿᆺỴᐃ
Microbiol., 38㸪4114-4120㸬(2000)㸬
ࡀᚲ㡲࡜࡞ࡗࡓࠋ࡞࠾㸪௒ᅇ⾜ࡗࡓ 3 㡿ᇦࡢ㑇ఏᏊゎ
14) Takeuchi S㸪Itou N㸪Uchio E㸪Aoki K㸪Ohno S㸸J Clin
ᯒ࡟ࡼࡾ㸪HAdV ࡣ㸪ྛ㡿ᇦࡢሷᇶ㓄ิࢆಖࡕ࡞ࡀࡽ
Microbiol.,37㸪1839-1845(1999)㸬
ࡶࢃࡎ࠿࡟ኚ␗ࡋ㸪ὶ⾜ࢆ⧞ࡾ㏉ࡋ࡚࠸ࡿྍ⬟ᛶࡀ♧
15) Fujimoto T㸪Matsushima Y㸪Shimizu H㸪Ishimaru Y㸪
၀ࡉࢀࡓࠋ௒ᚋࡶ㸪ᘬࡁ⥆ࡁㄪᰝࢆ⥅⥆ࡍࡿࡇ࡜ࡀ㔜
Kano A㸸Jpn.J.Infect.Dis.,65㸪260-263㸬㸦2012㸧
せ࡛࠶ࡿࠋ
16) Ishiko H, Aoki K㸸J Clin Microbiol.47, 2678–2679
ᩥ⊩
㸦2009㸧,
1㸧Ghebremedhin B.,㸸European Journal of Microbiology and
17) Hiroi Satoshii, Morikawa Saeko, Takahashi
Immunology 41, 26–33 (2014)㸬
Kazuo, Komano Jun, Kase Tetsuo㸸Jpn. J. Infect.
Dis., 66, 436-438㸦2013㸧㸬
2) Jones MS 2nd, Harrach B, Ganac RD, Gozum MM,
DelaCruz WP, Riedel B, Pan C, Delwart EL, Schnurr
18㸧Ლཎ῟╬, ℈ᓮගᏹ, Ụ⸨Ⰻᶞ, ༓ࠎ࿴຾ᕫ, 㨣ᮌ
DP: J. Virol 81, 5978–5984 (2007)㸬
ಙ஀㸸⚟ᒸ┴ಖ೺⎔ቃ◊✲ᡤᖺሗ㸪29㸪96㸫99㸪
㸦 2002㸧㸬
3) Kaneko H, Aoki K, Ishida S, Ohno S, Kitaichi N, Ishiko H,
Fujimoto T, Ikeda Y, Nakamura M, Gonzalez G, Koyanagi KO,
Watanabe H, Suzutani T.㸸J Gen Virol. 92(Pt 6):1251-9㸦 2011㸧㸬