• 제목/요약/키워드: CD4 cell

검색결과 1,281건 처리시간 0.026초

Severe Anemia Due to Parvovirus Infection Following Treatment with Rituximab in a Pediatric Kidney Transplant Recipient : Anemia after Treatment of Rituximab in Kidney Recipient Patient

  • Kim, Seung Yun;Lee, Hyoung Jin;Park, Eujin;Ahn, Yo Han;Ha, Il-Soo;Cheong, Hae Il;Kang, Hee Gyung
    • Childhood Kidney Diseases
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    • 제19권2호
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    • pp.176-179
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    • 2015
  • Rituximab (RTX), a monoclonal antibody against the B-cell marker CD20, is commonly used as a treatment for antibody-mediated diseases or B-lymphocyte-mediated diseases. Destruction of B cells may reverse the disease course in many conditions; however, patients who are treated with RTX cannot respond appropriately to de novo infection due to lack of B lymphocytes. Here, we report one such case. A 7-year-old renal allograft recipient presented with severe anemia due to parvovirus infection after RTX treatment. The patient had focal segmental glomerulosclerosis and had received cadaveric kidney transplantation 6 months previously. She was treated with high-dose steroid for acute rejection and RTX for Epstein Barr Virus infection 3 months previously. At presentation, her hemoglobin level was 5.4 g/dL and leukocyte and platelet counts were normal. She had microcytic normochromic anemia and high viral load of parvovirus B19(70,578 copies/mL). Intravenous immunoglobulin ($200mg/kg{\cdot}d$) treatment controlled the progression of anemia and parvovirus infection. De novo parvovirus infection during the B lymphocyte-depletion period may have precipitated the severe anemia in this case. Close monitoring of infection is required after RTX therapy.

Immunomodulatory activity of acharan sulfate isolated from Achatina fulica

  • Kim, Hyeon-Seon;Lee, Jae-Kwon;Yang, In-Ho;Lee, Young-Ran;Shin, Hyun-Jeong;Park, Eun-Ju;Park, Hyung-Seok;Kim, Yeong-Shik;Lee, Chong-Kil
    • 대한약학회:학술대회논문집
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    • 대한약학회 2002년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2
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    • pp.307.2-308
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    • 2002
  • Acharan sulfate. a new glycosaminoglycan(GAG) isolated from the giant African snail Achatina fulica. was shown to have antitumor activity in vivo. To elucidate the mechanisms for the antitumor activity. we examined its impact on professional antigen presenting cells such as macrophages and dendritic cells (DCs). Acharan sulfate stimulated cytokine production (TNF-a and IL -1b). nitric oxide release. and morphological changes in a dose dependent manner on a macrophage cell Line Raw 264.7 cells. The differentiation-inducing activity of acharan sulfate was examined on immature DCs. Immature DCs were generated from mouse bone marrow (BM) cells by culturing with GM-CSF and IL-4, and then stimulated with acharan sulfate. The resultant DCs were then examined for funcional and phenotypic properties. It was found that acharan sulfate could induce functional maturation of immature DCs as determined by increased allogenic mixed lymphocyte reaction (MLR) and IL-12 production. Phenotypic. analysis for the expression of class II MHC molecules and major co-stimulatory molecules such as B7-1, B7-2 and CD40 also confirmed that acharan sulfate could induce maturation of immature DCs. These results suggest that that the antitumor activity of acharan sulfate is at least in part due to activation adn induction of differentiation of professinal antigen presenting cells. (omitted)

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Extraosseous Ewing's Sarcoma Presented as a Rectal Subepithelial Tumor: Radiological and Pathological Features

  • Bae, Heejin;Chung, Taek;Park, Mi-Suk;Kim, Myeong-Jin;Lim, Joon Seok;Kim, Honsoul
    • Investigative Magnetic Resonance Imaging
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    • 제21권1호
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    • pp.51-55
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    • 2017
  • Purpose: Extraosseous Ewing's sarcoma (EOE) of the rectum is extremely rare: only three cases have been reported in the literature and none of these reports described their imaging findings in detail. Herein, we describe the tumor imaging and pathological features in detail. Materials and Methods: We report a case of rectal EOE in a 72-year-old female who received local excision and was provisionally diagnosed with a rectal submucosal spindle cell tumor. We used immunohistochemistry, histopathology, and fluorescence in situ hybridization to characterize the tumor and provide a definitive diagnosis of EOE. Results: MRI revealed a well-demarcated submucosal tumor with heterogeneous enhancement and hemorrhagic foci in rectum. EOE was diagnosed by positive staining of tumor cells for CD99 and Fli-1 by immunohistochemistry and the presence of the EWSR1 gene translocation by fluorescence in situ hybridization. Although the patient underwent radiation treatment and surgery, the tumor recurred after 4 months as revealed by computed tomography and magnetic resonance imaging. Conclusion: Rectal EOE may present as a rectal submucosal tumor. The understanding of imaging and histological characteristics of this tumor are critical for accurate diagnosis and appropriate aggressive treatment.

단삼산(丹蔘散)의 거품세포 형성 및 혈관평활근세포 증식 억제를 통한 항동맥경화 효과 (Dansam-san (丹蔘散) Inhibits Atherosclerosis through Regulation of Foam Cell Formation and Vascular Smooth Muscle Proliferation)

  • 유도균;최동준;한창호;정승현;이원철;강윤호;신길조
    • 대한한의학회지
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    • 제28권2호통권70호
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    • pp.185-199
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    • 2007
  • Objectives : This study was carried out to investigate the inhibitive effect of a combined-herb prescription of Dansam-san (DSS) on formation of foam cells and cytokine. Methods : Experimental formation of foam cells was induced on macrophage RAW 264.7 with ox-LDL. The effect of DSS extract was observed by measuring the changes of CD36, $PPAR-{\Gamma}$, MMP-9, iNOS expression and changes of formation level of foam cells after treating experimentally induced foam cells with DSS extract. Then the antioxidative effect of DSS extract was compared with butylated hydroxyanisole (BHA). Result and Conclusions : Results obtained are as follows: 1. DSS extract showed significant antioxidative effect at 8 mg/ml or more. 2. DSS extract inhibited the formation of foam cells. 3. DSS extract inhibited the creation and revelation of conversion-related material about foam cells. 4. DSS extract prohibited the increase of smooth muscle of vessels.

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하악 후구치 삼각부에 발생한 후천성면역결핍증 관련 카포시육종: 증례보고 (AIDS-ASSOCIATED KAPOSI'S SARCOMA ON LEFT LOWER RETROMOLAR TRIANGLE AND PARAPHARYNGEAL AREA: A CASE REPORT)

  • 박영주;남정훈;노경록;방은오;김다영;김준현;정재안;신진업;강응선
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제35권3호
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    • pp.182-186
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    • 2009
  • There are several oral lesions related with AIDS, such as candidiasis, hairy leukoplakia, Kaposi's sarcoma, aphthous stomatitis, lichen planus, and other opportunistic infectious diseases. Among the others, Kaposi's sarcoma, the most common malignant tumor associated with AIDS, is closely linked to the number of CD4+ T cell. Kaposi's sarcoma often occurs in palate, the most prone site, and has characteristic clinical features in most cases. Sometimes, the tumor induces underlying bone destruction at late stage. We report a case of a 27 year-old man with AIDS-associated Kaposi's sarcoma at left lower retromolar triangle, parapharyngeal area and discuss the management of AIDS patients in dentistry.

선진 핵연료주기 시설(AFC)의 부식건전성 조사, 분석 (Corrosion Evaluation for Advanced Fuel Cycle Facilities)

  • 황성식
    • Corrosion Science and Technology
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    • 제11권6호
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    • pp.213-217
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    • 2012
  • 1) 선진 핵연료주기시설 관련 규제기술과 관련하여 인허가 안전심사의 경험이 없으며, 선진 핵연료주기시설 인허가를 위한 규제체계 및 안전성 평가방법 등의 개발이 필요한 단계이며 관련기기와 제반 공정에서 재료의 내식성을 평가하는 기준마련이 시급하다. 2) 선진 핵주기시설 관련 국내 기술수준을 분석하였고 그 핵심 공정인 전해환원, 전해정련, 전해제련공정의 실험변수를 조사하고 평가 필요항목을 정리하였다. 3) 전해환원과 전해정련공정의 경우 Hot-cell 내에 수분 및 산소가 일정 수준 이하로 유지되는 경우, 재료의 부식은 고려하지 않아도 되나 우라늄 잉곳 제조 공정에서 수냉 코일을 사용하게 되는 경우 물에 의한 부식을 고려해야 한다. 4) 전해 제련공정의 경우 LCC, RAR, Cd 증류공정에서 플랜지의 O-ring을 보호하기 위해 수냉 코일을 사용하게 되는 경우 물에 의한 부식을 고려해야 한다.

양격산화탕(凉膈散火湯)이 Atopy 피부염(皮膚炎)에 미치는 영향(影響) (Yangkyuksanhwa-tang effected to Atopic Dermatitis)

  • 윤보현;박성식
    • 사상체질의학회지
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    • 제16권2호
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    • pp.84-98
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    • 2004
  • 1. Objectives Yangkyuksanhwa-tang is used mush in pruritus and dermatopathy of Soyangin. It is suggested this prescription is effective on atopy dermatitis. 2. Methods For observation of Yangkyuksanhwa-tang effected to atopic dermatitis, extract of Yangkyuksanhwa-tang has been dispensed to the stratum corneum of epithelium in dermatome of murine after making damage to its defense mechanism against fat and causing atopic dermatitis artificially. After that, the change in outer dermatome and minute mechanism of epidermis, the change of eosinophil, the change in distribution of soybean agglutinin, the change in distribution of fat and ceramide in stratum corneum, the change in inflammation in dermatome, the change of cell accrementition and apoptosis, and the effect on anaphylaxis and Staphylococcus aureus was observed. 3. Results After administration of Yangkyuksanhwa-tang, severe skin damage such as eczema and psoriasis, that was observed in the case of atopy dermatitis, was decreased and the increase of eosinophil in serum was suppressed. Lipid lamella was recovered, so epidermal demage was relieved. The distribution of HSP70 in the outer skin was decreased. Yangkyuksanhwa-tang suppressed activation of $NF-_{\kappa}B$ p50, induced CD11/18b not to be generated, and suppressed inflammatory response of skin. Anaphylaxis and groth of Staphylococcus aureus was suppressed. 4. Conclusions Yangkyuksanhwa-tang decreased skin damage of atopy dermatitis. It has antibiosis about Staphylococcus aureus, it can be medicinal substances on atopy dermatitis. In addition, it is possible that it can be medicinal substances on regional skin allergy.

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Ursolic acid improves the indoxyl sulfate-induced impairment of mitochondrial biogenesis in C2C12 cells

  • Sasaki, Yutaro;Kojima-Yuasa, Akiko;Tadano, Hinako;Mizuno, Ayaka;Kon, Atsushi;Norikura, Toshio
    • Nutrition Research and Practice
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    • 제16권2호
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    • pp.147-160
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    • 2022
  • BACKGROUND/OBJECTIVES: Patients with chronic kidney disease (CKD) have a high concentration of uremic toxins in their blood and often experience muscle atrophy. Indoxyl sulfate (IS) is a uremic toxin produced by tryptophan metabolism. Although an elevated IS level may induce muscle dysfunction, the effect of IS on physiological concentration has not been elucidated. Additionally, the effects of ursolic acid (UA) on muscle hypertrophy have been reported in healthy models; however, it is unclear whether UA ameliorates muscle dysfunction associated with chronic diseases, such as CKD. Thus, this study aimed to investigate whether UA can improve the IS-induced impairment of mitochondrial biogenesis. MATERIALS/METHODS: C2C12 cells were incubated with or without IS (0.1 mM) and UA (1 or 2 μM) to elucidate the physiological effect of UA on CKD-related mitochondrial dysfunction and its related mechanisms using real-time reverse transcription-polymerase chain reaction, western blotting and enzyme-linked immunosorbent assay. RESULTS: IS suppressed the expression of differentiation marker genes without decreasing cell viability. IS decreased the mitochondrial DNA copy number and ATP levels by downregulating the genes pertaining to mitochondrial biogenesis (Ppargc1a, Nrf1, Tfam, Sirt1, and Mef2c), fusion (Mfn1 and Mfn2), oxidative phosphorylation (Cycs and Atp5b), and fatty acid oxidation (Pdk4, Acadm, Cpt1b, and Cd36). Furthermore, IS increased the intracellular mRNA and secretory protein levels of interleukin (IL)-6. Finally, UA ameliorated the IS-induced impairment in C2C12 cells. CONCLUSIONS: Our results indicated that UA improves the IS-induced impairment of mitochondrial biogenesis by affecting differentiation, ATP levels, and IL-6 secretion in C2C12 cells. Therefore, UA could be a novel therapeutic agent for CKD-induced muscle dysfunction.

간질성 폐질환환자들의 기관지 폐포세척액내 폐포 대식세포와 임파구의 접착분자 발현 및 Soluble ICAM-1 농도에 관한 연구 (The Expression of Adhesion Molecules on Alveolar Macrophages and Lymphocytes and Soluble ICAM-1 Level in Serum and Bronchoalveolar Lavge(BAL) Fluid of Patients with Diffuse Interstitial Lung Diseases(DILD))

  • 김동순;최강현;염호기;박명재;임채만;고윤석;김우성;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제42권4호
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    • pp.569-583
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    • 1995
  • 연구배경: 간질성 폐질환은 여러가지 다양한 원인에 의해, 또는 아직 밝혀지지 않은 원인에 의해 폐포염 및 폐간질내 염증으로 시작해 종국에는 폐섬유증으로 진행되는 질환들로 염증세포들의 이동에 필요한 접착분자들이 이들 질환의 발병기전에 중요한 역할을 할 것으로 추정되며, 현재까지는 뚜렷이 적당한 지표가 없었던 질환의 활동성을 판정하는 지표로 사용할 수 있을 가능성이 많다. 그러나 이제까지는 BAL내 AM에서 면역염색법으로 측정한 결과들로 방법 자체가 음성과 양성세포를 감별하기가 쉽지 않을 뿐 아니라 발현도 증가를 정량적으로 측정하지 못하는 단점이 있고, 따라서 발표된 결과들이 차이가 많다. 저자들은 간질성 폐질환 환자들에서 기관지 폐포세척액(BAL)내 AM과 임파구에서의 ${\beta}_2$-integrin(CD18)과 ICAM-1의 발현도를 FACS를 이용한 relative median fluorescence intenity(RMFI)를 측정하여 정상 대조군과 비교 관찰하고, 또한 혈청 및 BAL액내 가용정 ICAM-1(sICAM-1) 농도를 측정하고, BAL액내 다른 지표들과 비교하여 이들을 간질성 폐질환의 활성도를 반영할 수 있는 지표로 사용할 가능성을 알아 보았다. 방법: 대상은 조직학적으로 확인 된 미만성 간질성 폐섬유증(IPF) 환자 11명, 교원성 폐질환과 연관된 폐섬유증환자(CVD-PF) 6명, 폐유육종증 9명, 과민성 폐장염환자 2명과 대조군으후 건강한 정상인 9명이었고 BAL은 통상적인 방법을 사용하였다. ICAM-1 및 CD18은 단일항체를 사용하여 FACScan으로 median fluorescence intenity를 측정하여 RMFI를 구하고, sICAM-1농도는 ELISA법으로 측정하였다. 결과: AM에서 ICAM-1의 발현도는 $3.30{\pm}1.16$으로 대조군($0.93{\pm}0.18$)보다 증가되었고 임파구의 ICAM-1 발현도 $5.39{\pm}2.70$으로 대조군($1.06{\pm}0.21$)보다 높았다. CD18의 발현도는 임파구에서 $24.9{\pm}14.9$로 대조군($4.69{\pm}3.77$) 보다 향진되었으며, 이들 ICAM-1의 발현도는 AM 백분률과 역상관관계륜 보였고(r=-0.66, p=0.0001) 임파구의 백분율과는 정상관관계를 보였다(r=0.447, p=0.0116). 임파구가 증가되는 유육종증, 교원성질환, 과민성폐렴에서는 임파구의 ICAM-1 발현도와 BAL액내 임파구의 %(r=0.747, p=0.0006) 및 임파구농도(r=0.832, p=0.0002)와 좋은 상관관계를 보였고, 임파구의 IL-2수용체발현과도 연관관계를 나타내었다(r=0.539, p=0.0075). 또한 유육종증에서는 혈중 ACE 농도와 임파구의 ICAM-1 발현도가(r=0.905, p=0.0132) 높은 상관관계를 보여, 이들 접착분자 발현도가 병소의 활동성과 연관이 있음을 시사 하였다. 혈청내 sICAM-1농도는 환자군에서 $499.7{\pm}222.2\;ng/ml$로 대조군의 $199.0{\pm}38.9\;ng/ml$보다 높았으며(p=0.0097), BAL액내 sICAM-1농도도 환자군에서 $41.8{\pm}23.0\;ng/ml$로 대조군의 $20.1{\pm}13.6\;ng/ml$보다 증가를 보였다. 또한 혈청내 sICAM-1 농도는 AM의 ICAM-1 발현도 및 (r=0.554, p=0.0259) BAL액내 sICAM-1농도와 상관관계를 보였다. 또한 혈청 및 BAL액내의 albumin과 sICAM-1의 비율을 비교한 결과 BAL액내의 sICAM-1 농도가 훨씬 높은 것으로 미루어 대부분의 sICAM-1은 병소내에서 생성된 것임을 짐작할 수 있었다. 결론: 간질성폐질환환자들의 AM및 BAL-임파구에서 접착분자들의 발현도가 증가되었고, 혈청 및 BAL액내 sICAM-1 농도가 상승되어 있어 이들 접착분자들이 발병기전에 중요한 역할을 한다고 생각되며, 앞으로 이 활동성 판정의 지표로 사용할 기능성을 시사하였다.

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Pyrene으로 오염된 EPA토양의 열적처리조건에 따른 오염물질 제거 특성 연구 (Study on Plrene Removal Characteristic From An Artificially Contaminated EPA Synthetic Soil Matrix With Varying Heat Treatment Conditions)

  • 김영규;양고수
    • 한국토양환경학회지
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    • 제5권2호
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    • pp.55-66
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    • 2000
  • 본 실험에 사용된 토양으로는 U. S EPA Synthetic Soil Matrix를 선택하였고, 오염된 토양을 만들기 위하여 건조 토양의 무게 백분율로 4.79%에 해당하는 양만큼의 Pyrene을 Dichlomethane에 녹여 고체상태인 Pyrene을 토양에 오염시켰다. 오염된 시료(50$\pm$0.1mg)를 전기적으로 열적처리하는 열반응기는 외경이 20cm, 높이가 30cm인 실린더 형태로서 Pyrex재질로 제작하고 윗부분과 아래 부분은 알루미늄 플랜지로 밀폐시켰다. 내부에는 stainless steel판(3.5cm$\times$13cm$\times$0.00254m, 3.5cm$\times$13cm$\times$0.00254cm, 302 stainless steel shim)과 두개의 전극봉으로 구성되었다. 각각의 토양을 열적처리하기 위한 조건은 최고온도가 45$0^{\circ}C$에 가온율이 $1130^{\circ}C$/s인 경우, 최고온도 $760^{\circ}C$에 가온율이 $950^{\circ}C$/s인 경우 그리고 최고온도가 $977^{\circ}C$ 에 가온율이 $977^{\circ}C$ /s인 경우를 선정하였다. 토양을 열처리한 후 알루미늄 foil funnel과 glass filter paper에서 타르를 포집하였으며, 타르와 잔류토양 시료내의 물질은 Dichlorornethane을 이용하여 추출하였고 이를 HPLC로 측정하였다. 실험결과, 최고온도가 $455^{\circ}C$ 인 경우 Tar Filter에 포집된 Tar색은 White이었으며 대부분의 성분이 Pyrene으로 나타났다. 최고온도가 $760^{\circ}C$ 인 경우는 Tar의 색이 Pink brown이었으며, 약간의 그을음덩어리(Cluster)가 전극관과 Tar Filter의 표면에서 발견되었다. $977^{\circ}C$ 의 경우 Tar색은 Dark brown이었다. Tar성분을 추출하여 HPLC로 분석한 결과, 6개의 Bipyrene의 isomer가 발견되었으며 그 중에서 bacterial cell이나 human cell에 돌연변이를 유발할 수 있는 매우 유해한 성분으로 분류되는 Cyclopenta(cd) pyrene(CPEP)는 온도 조건 $455^{\circ}C$ 에서는 검출되지 않지만 $760^{\circ}C$$977^{\circ}C$ 에서는 검출되는 특징을 보였다. 그밖에 미미한 양이지만 C14H10과 C15H10이 검출되었다.

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