DNA Research Advance Access originally published online on February 7, 2008
DNA Research 2008 15(2):103-114; doi:10.1093/dnares/dsm035
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Focused Microarray Analysis of Peripheral Mononuclear Blood Cells from Churg–Strauss Syndrome Patients


1 Department of Molecular Genetics, Osaka University, Osaka 565-0871, Japan
2 DNA-chip Development Center for Infectious Diseases; Research Institute for Microbial Diseases; Osaka University, 3-1 Yamadaoka, Suita, Osaka 565-0871, Japan
3 Innovation Plaza Osaka, 3-1-10 Technostage, Izumi, Osaka 594-1144, Japan
4 Department of Rheumatology and Internal Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan
Received 19 October 2007 ; accepted 25 December 2007.
DNA diagnostics are useful but are hampered by difficult ethical issues. Moreover, it cannot provide enough information on the environmental factors that are important for pathogenesis of certain diseases. However, this is not a problem for RNA diagnostics, which evaluate the expression of the gene in question. We here report a novel RNA diagnostics tool that can be employed with peripheral blood mononuclear cells (PBMCs). To establish this tool, we identified 290 genes that are highly expressed in normal PBMCs but not in TIG-1, a normal human fibroblast cell. These genes were entitled PREP after predominantly expressed in PBMC and included 50 uncharacterized genes. We then conducted PREP gene-focused microarray analysis on PBMCs from seven cases of Churg–Strauss syndrome (CSS), which is a small-vessel necrotizing vasculitis. We found that PREP135 (coactosin-like protein), PREP77 (prosaposin), PREP191 (cathepsin D), PREP234 (c-fgr), and PREP136 (lysozyme) were very highly up-regulated in all seven CSS patients. Another 28 genes were also up-regulated, albeit more moderately, and three were down-regulated in all CSS patients. The nature of these up- and down-regulated genes suggest that the immune systems of the patients are activated in response to invading microorganisms. These observations indicate that focused microarray analysis of PBMCs may be a practical, useful, and low-cost bedside diagnostics tool.
Key words: focused microarray; RNA diagnosis; PMBC; allergic granulomatosis angiitis; Churg–Strauss syndrome
* To whom correspondence should be addressed. Tel. +81-6-6875-3980. Fax. +81-6-6875-5192. E-mail: snj-0212{at}biken.osaka-u.ac.jp
These two authors contributed equally to this work.