頭蓋病変が免疫機能の低下を示す可能性(Cranial lesions are signs of compromised immune function)

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2025-08-14 カリフォルニア大学サンタバーバラ校(UCSB)

カリフォルニア大学サンタバーバラ校の研究で、頭蓋骨の多孔性病変(PCLs)が現代でも免疫機能低下の指標となる可能性が示された。ボリビアのツィマネ族375名を対象にCTスキャンと健康データを解析したところ、眼窩部の多孔性病変(cribra orbitalia)を持つ成人は、過去20年以内の結核既往率が高く、ナイーブCD4 T細胞数が少ない傾向があった。一方、頭頂部の病変(cribra cranii)では同様の関連は確認されなかった。これらの結果は、PCLsが古代集団の慢性貧血や幼少期の健康状態の指標にとどまらず、現代においても免疫状態の評価に活用できる可能性を示す。成果はScience Advancesに掲載。

<関連情報>

先史時代に普遍的に見られた小児期の骨格異常は、現在の狩猟採集民兼農耕民にも存在し、成人期の免疫機能の指標を予測する Childhood skeletal lesions common in prehistory are present in living forager-farmers and predict adult markers of immune function

Amy S. Anderson, Aaron Blackwell, M. Linda Sutherland, Thomas Kraft, […] , and Michael D. Gurven
Science Advances  Published:16 Jul 2025
DOI:https://doi.org/10.1126/sciadv.adw3697

頭蓋病変が免疫機能の低下を示す可能性(Cranial lesions are signs of compromised immune function)

Abstract

Porous cranial lesions (cribra cranii and cribra orbitalia) are widely used by archaeologists as skeletal markers of poor child health. However, their use has not been validated with systematic data from contemporary populations, where there has been little evidence of these lesions or their health relevance. Using 375 in vivo computed tomography scans from a cohort-representative sample of adults aged 40+ years from the Bolivian Amazon, among food-limited, high-mortality forager-farmers, we identified cribra cranii on 46 (12.3%) and cribra orbitalia on 23 (6%). Cribra orbitalia was associated with several hallmarks of compromised immune function, including fewer B cells, fewer naïve CD4+ T cells, a lower CD4+/CD8+ T cell ratio, and higher tuberculosis risk. However, neither lesion type predicted other physician-diagnosed respiratory diseases, other markers of cell-mediated immunity, or hemoglobin values. While cribra orbitalia shows promise as a skeletal indicator of health challenges, our findings do not support the continued practice of using these lesions to infer anemia in adults.

医療・健康
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