• 제목/요약/키워드: EBV

검색결과 168건 처리시간 0.031초

전염성 단핵구증과 비경색증이 동반된 청소년 난치성 가와사끼병 1예 (A case of adolescent Kawasaki disease with Epstein-Barr virus-associated infectious mononucleosis complicated by splenic infarction)

  • 최병삼;권보상;김기범;전윤경;천정은;배은정;노정일;최정연;윤용수
    • Clinical and Experimental Pediatrics
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    • 제52권9호
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    • pp.1029-1034
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    • 2009
  • 가와사끼병은 주로 소아기에 발생하는 급성 전신 혈관염으로, 원인은 아직 명확히 알려져 있지 않다. EBV는 전염성 단핵구증의 원인으로 잘 알려져 있으며, 또한 가와사키병의 원인으로도 보고된 바 있다. 가와사끼병으로 인한 합병증은 관상동맥류를 포함한 심혈관계 합병증이 주를 이루지만, 다양한 종류의 합병증들이 보고 되고 있다. 저자들은 EBV 감염과 연관된 전염성 단핵구증, 거대 관상동맥류, 심낭삼출, 비경색증이 동반된 난치성 가와사끼병 환자 1예를 경험하였기에 보고하는 바이다. 환자는 3번의 면역글로불린 치료에도 반응이 없었지만, pulse methylprednisolone 치료 후에 임상 증상은 급격히 호전되었고, 거대 관상동맥류만 지금까지 지속되고 있다.

소아에서 엡스타인-바 바이러스 감염과 관련한 막성 신병증 1례 (Membranous Nephropathy Associated with Epstein-Barr Virus Infection in a Child)

  • 이은희;임동희;임형은;유기환;원남희;홍영숙;이주원
    • Childhood Kidney Diseases
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    • 제12권1호
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    • pp.88-92
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    • 2008
  • 막성 신병증은 성인에 비해 소아에서는 드문 신병증으로 감염, 자가면역, 종양에 의한 이차성 신병증이 알려져 있다. 그 중에서도 엡스타인-바 바이러스 감염과의 관련은 잘 알려지지 않아, 최근 1개 보고에서 면역기능이 저하된 2례를 소개한 바 있을 뿐이다. 이에 저자들은 면역기능이 정상으로 보이는 소아에서 엡스타인-바 바이러스 감염과 관련한 막성 신병증 1례를 경험하였기에 보고하는 바이다.

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한국인 코인두암종의 조직병리학적 유형 및 EBV 출현율 (Histopathologic Types and EBV Prevalence in Nasopharyngeal Carcinomas of Koreans)

  • 황정은;정민정;노종렬;최승호;남순열;김상윤;조경자
    • 대한두경부종양학회지
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    • 제28권1호
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    • pp.3-7
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    • 2012
  • Background and Objectives : Nasopharyngeal carcinoma(NPC) shows a distinct geographic and demographic distribution with high incidences in Chinese and Southeast Asians. Current WHO classification divides NPC into nonkeratinizing carcinoma(NKC)(differentiated and undifferentiated subtypes), keratinizing squamous cell carcinoma(KSCC), and basaloid squamous cell carcinoma(BSCC). Relative frequency of histologic subtypes of NPC is known to vary according to the incidence of NPC. Korea is one of the low-incidence countries according to the GLOBOCAN 2008 database by IARC. The aim of this study is to assess the histopathologic types and EBV status of NPC of Koreans. Materials and Methods : We reviewed and reclassified 168 cases of NPC(132 males and 36 females) diagnosed from January 1996 through July 2006. In situ hybridization for EBV-encoded early RNA(EBER) was performed on 146 cases and the results were compared among different histologic types, genders, and age and stage groups. Results : NKC, undifferentiated subtype(NKC-U) was identified in 106 cases(63.1%) and differentiated subtype(NKC-D) in 49 cases(29.2%). Remaining 13 cases(7.7%) were classified as KSCC. NKC and NKC-U were more common in females than in males. EBV prevalence was higher in NKC than in KSCC(NKC-U, 90% ;, NKC-D, 84.1% ; KSCC, 7.7%) and more common in younger age(${\leq}40$) than older age(>40) group. Conclusion : Histologic type distribution and EBV prevalence of NPC in Korean patients corresponded to that of intermediate incidence area. Pathogenesis of nasopharyngeal KSCC is assumed to be different from that of NKC.

Evaluation Frequency of Merkel Cell Polyoma, Epstein-Barr and Mouse Mammary Tumor Viruses in Patients with Breast Cancer in Kerman, Southeast of Iran

  • Reza, Malekpour Afshar;Reza, Mollaie Hamid;Mahdiyeh, Lashkarizadeh;Mehdi, Fazlalipour;Hamid, Zeinali Nejad
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.7351-7357
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    • 2015
  • Breast cancer is the most common cancer among women worldwide. Roles of the Epstein-Barr, Merkel cell polyoma and mouse mammary tumor viruses in breast carcinogenesis are still controversial although any relationship would clearly be important for breast cancer etiology, early detection and prevention. In the present study associations between EBV, MMTV and Merkel cell polyoma virus and breast cancer in 100 Iranian patients were evaluated using paraffin-embedded tissues. EBER RNA and expression of p53 and large T antigen were evaluated by real time PCR and CD34, p63, HER2, PR and ER markers were studied by immunohistochemistry. EBV was detected in 8/100 (8%), MMTV in 12/100 (12%), MPy in 3/100 (3%) and EBER RNA in 18/100 (18%) cases. None of the control samples demonstrated any of the viruses. p53 was suppressed in EBV, MPy and MMTV positive samples. The large T antigen rate was raised in MPy positive samples. Our results showed that EBV, MMTV and the Merkel cell polyoma virus are foundwith some proportion of breast cancers in our patients, suggesting that these viruses might have a significant role in breast cancer in Kerman, southeast of Iran.

Acute Gastritis and Splenic Infarction Caused by Epstein-Barr Virus

  • Jeong, Ji Eun;Kim, Kyung Moon;Jung, Hye Lim;Shim, Jae Won;Kim, Deok Soo;Shim, Jung Yeon;Park, Moon Soo;Park, Soo Kyung
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권2호
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    • pp.147-153
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    • 2018
  • Epstein-Barr virus (EBV) infection can be presented with various clinical manifestations and different levels of severity when infected. Infectious mononucleosis, which is most commonly caused by EBV infection in children and adolescents, is a clinical syndrome characterized by fatigue, malaise, fever, sore throat, and generalized lymphadenopathy. But rarely, patients with infectious mononucleosis may present with gastrointestinal symptoms and complicated by gastritis, splenic infarction, and splenic rupture. We encountered a 16-year-old girl who presented with fever, fatigue, and epigastric pain. Splenic infarction and EBV-associated gastritis were diagnosed by using esophagogastroduodenoscopy and abdominal computed tomography. Endoscopy revealed a generalized hyperemic nodular lesion in the stomach, and the biopsy findings were chronic gastritis with erosion and positive in situ hybridization for EBV. As splenic infarction and acute gastritis are rare in infectious mononucleosis and are prone to be overlooked, we must consider these complications when an infectious mononucleosis patient presents with gastrointestinal symptom.

소아에서의 조직구성 괴사성 림프절염 : human herpesvirus 8과 Epstein Barr virus와의 연관성 (Histiocytic necrotizing lymphadenitis in children : association of human herpes virus 8 and Epstein Barr virus)

  • 김현아;정주영;김상우;임성직;신행섭
    • Clinical and Experimental Pediatrics
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    • 제49권8호
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    • pp.875-881
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    • 2006
  • 목 적 : KD는 주로 동양의 젊은 성인 여성에게서 경부 림프절 종대로 발현하는 것이 특징이며 수개월 내에 자연 치유되는 양호한 경과를 가지는 질환이다, 저자들은 KD로 진단된 소아환아의 임상적 특징을 알아보고, 환아들의 림프절 조직에서 바이러스 검출을 시도하여 KD와 HHV 8, EBV와의 연관성을 알아보기 위하여 본 연구를 시행하였다. 방 법 : 인제대학교 상계백병원에서 1998년 1월부터 2005년 12월까지 KD로 진단되어 치료받은 17세 이하 소아 26례를 대상으로 임상적 특징을 고찰하였다. 병력지 고찰을 통하여 후향적으로 분석하였고 추적 조사는 외래 병력 기록지와 전화 방문을 통하여 분석하였다. KD 환아의 림프절 조직으로부터 DNA를 추출하여 HHV 8 DNA를 검출하기 위해 PCR, EBV RNA를 검출하기 위해 ISH가 시행되었다. 결 과 : KD로 진단된 26명 중 남아 11례, 여아 15례로 성비는 1:1.4였고, 평균 연령은 13세였다. 환아의 연도별 분포는 2000년에 7례로 가장 많았으며, 여름에 가장 많이 진단되었다. 주증상은 발열(8/26)과 림프절의 동통(11/26)으로 발열의 기간은 평균 7.3일 이었다. 목빗근 뒷부위의 림프절 종대가 72%(18/24)였고 1례에서 경부 이외의 림프절 종대로 나타났다. 림프절의 크기는 $1cm{\times}1cm$에서부터 $6cm{\times}6cm$까지로 다양하게 나타났다. 백혈구 감소가 46%(6/13)에서 있었고 적혈구 침강 속도상승(>20 mm/hr)이 62%(8/13)에서 나타났다. 검체 확보가 가능하였던 20례 모두에서 HHV 8 DNA는 검출되지 않았으며, ISH를 이용한 EBV RNA 검사 결과도 음성이었다. KD 26례 모두 임상 경과는 양호하였으며, 1례(4%)만이 추적 중 발열과 함께 재발하였다. 전신성 홍반성 루프스를 포함한 결체 조직 질환으로의 이환은 관찰되지 않았다. 결 론 : KD는 소아에서 드물지 않게 발생하므로, 림프절 종대를 호소하는 환아에서 감별 진단에 포함되어야 한다. HHV 8과 EBV는 소아에서 진단된 KD의 원인 병원체로 작용할 가능성이 적을 것으로 생각된다.

Detection of Lymphotropic Herpesviruses by Multiplex Polymerase Chain Reaction

  • Park, Sang-Tae;Kim, Seung-Han;Lee, Dong-Gun;Park, Jung-Hyun;Shin, Wan-Shik;Kim, Tai-Gyu;Paik, Soon-Young;Kim, Chun-Choo
    • Journal of Microbiology
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    • 제39권3호
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    • pp.226-228
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    • 2001
  • Human lymphotropic herpesvirus is known to be a major pathogen associated with various diseases in bone marrow transplantation (BMT) recipients. A multiplex nested-polymerase chain reaction (PCR) method was developed for the simultaneous detection of human lymphotropic herpesviruses, including Ebstein-Barr virus (EBV), cytomegalovirus (CMV), and human herpesvirus 6 variants A and B (HHV6-A, HHV6-B). To demonstrate the usefulness of multiplex PCR for the analysis of clinical samples, peripheral blood mononuclear cells and serum from BMT recipients were analysed. The results skewed that a clear detection could be made between EBV, HCMV and HHV-6. This multiplex PCR assay is an efficient and cost-effective approach to the analysis of large numbers of samples to determine the epidemiological importance of EBV HCMV and HHV-6.

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Epstein-Barr Virus-infected Akata Cells Are Sensitive to Histone Deacetylase Inhibitor TSA-provoked Apoptosis

  • Kook, Sung-Ho;Son, Young-Ok;Han, Seong-Kyu;Lee, Hyung-Soon;Kim, Beom-Tae;Jang, Yong-Suk;Choi, Ki-Choon;Lee, Keun-Soo;Kim, So-Soon;Lim, Ji-Young;Jeon, Young-Mi;Kim, Jong-Ghee;Lee, Jeong-Chae
    • BMB Reports
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    • 제38권6호
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    • pp.755-762
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    • 2005
  • Epstein-Barr virus (EBV) infects more than 90% of the world's population and has a potential oncogenic nature. A histone deacetylase (HDAC) inhibitor, trichostatin A (TSA), has shown potential ability in cancer chemoprevention and treatment, but its effect on EBV-infected Akata cells has not been examined. This study investigated the effect of TSA on the proliferation and apoptosis of the cells. TSA inhibited cell growth and induced cytotoxicity in the EBV infected Akata cells. TSA treatment sensitively induced apoptosis in the cell, which was demonstrated by the increased number of positively stained cells in the TUNEL assay, the migration of many cells to the sub-$G_0/G_1$ phase in flow cytometric analysis, and the ladder formation of genomic DNA. Western blot analysis showed that caspase-dependent pathways are involved in the TSA-induced apoptosis of EBV-infected Akata cells. Overall, this study shows that EBV-infected B lymphomas are quite sensitive to TSA-provoked apoptosis.

Effect of errors in pedigree on the accuracy of estimated breeding value for carcass traits in Korean Hanwoo cattle

  • Nwogwugwu, Chiemela Peter;Kim, Yeongkuk;Chung, Yun Ji;Jang, Sung Bong;Roh, Seung Hee;Kim, Sidong;Lee, Jun Heon;Choi, Tae Jeong;Lee, Seung-Hwan
    • Asian-Australasian Journal of Animal Sciences
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    • 제33권7호
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    • pp.1057-1067
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    • 2020
  • Objective: This study evaluated the effect of pedigree errors (PEs) on the accuracy of estimated breeding value (EBV) and genetic gain for carcass traits in Korean Hanwoo cattle. Methods: The raw data set was based on the pedigree records of Korean Hanwoo cattle. The animals' information was obtained using Hanwoo registration records from Korean animal improvement association database. The record comprised of 46,704 animals, where the number of the sires used was 1,298 and the dams were 38,366 animals. The traits considered were carcass weight (CWT), eye muscle area (EMA), back fat thickness (BFT), and marbling score (MS). Errors were introduced in the pedigree dataset through randomly assigning sires to all progenies. The error rates substituted were 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, and 80%, respectively. A simulation was performed to produce a population of 1,650 animals from the pedigree data. A restricted maximum likelihood based animal model was applied to estimate the EBV, accuracy of the EBV, expected genetic gain, variance components, and heritability (h2) estimates for carcass traits. Correlation of the simulated data under PEs was also estimated using Pearson's method. Results: The results showed that the carcass traits per slaughter year were not consistent. The average CWT, EMA, BFT, and MS were 342.60 kg, 78.76 ㎠, 8.63 mm, and 3.31, respectively. When errors were introduced in the pedigree, the accuracy of EBV, genetic gain and h2 of carcass traits was reduced in this study. In addition, the correlation of the simulation was slightly affected under PEs. Conclusion: This study reveals the effect of PEs on the accuracy of EBV and genetic parameters for carcass traits, which provides valuable information for further study in Korean Hanwoo cattle.

클론성 염색체이상을 보인 혈구포식 림프조직구증 1예 (A Case of Hemophagocytic Lymphohistiocytosis with Clonal Karyotype Abnormalities)

  • 최계령;김하늬;조치현;유병준;김명한;김장수;임채승;이갑노
    • Laboratory Medicine Online
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    • 제1권2호
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    • pp.110-114
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    • 2011
  • 혈구포식 림프조직구증(hemophagocytic lymphogistiocytosis, HLH)에서 관찰되는 클론성 염색체이상은 혈액종양이 골수조직을 침범한 경우에 흔하게 발견되며, 혈액종양의 근거가 없는 환자에서 EBV 감염과 관련되어 드물게 보이는 경우가 있다. 본 저자들은 혈액종양 병력도 없고 EBV 감염도 없이 클론성 염색체이상을 동반하였으며 치명적인 임상경과를 보인 HLH 1예를 경험하여 보고하는 바이다. 본 증례는 지속적인 발열 및 상기도감염 증상을 주소로 내원한 75세 남자환자였다. 검사소견에서 범혈구감소증, 저섬유소원증, 간기능 이상과 비장종대, 골수에서 현저한 혈구탐식을 보이는 성숙한 양성 조직구의 증식이 관찰되었다. 전혈에서 실시한 EBV RT-PCR 결과는 음성이었으나 CMV RT-PCR에서는 319 copies/mL의 양성소견이 관찰되었다. 골수검체를 이용한 핵형 분석결과에서는 복잡한 클론성이상을 보이는 비정상 염색체가 존재하였다. 본 환자는 염색체이상을 동반한 HLH 진단 하에 스테로이드 충격요법과 감염에 대한 예방적 항생제치료를 시행하였으나, 내원 13일째 파종성 혈관내응고로 사망하였다.