• Title/Summary/Keyword: IG

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뇌유구낭미충증 환자의 뇌척수액내 특이 IgG항체의 기원 (Intracranial synthesis of specific IgG antibody in cerebrospinal fluid of neurocysticercosis patients)

  • 조승열;김석일
    • Parasites, Hosts and Diseases
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    • 제26권1호
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    • pp.15-26
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    • 1988
  • 뇌 유구낭미충증의 진단에는 혈청뿐만 아니라 뇌척수액내 특이 IgG항체가도 측정하여 혈청학적 진단의 민감도를 약 10% 높일 수 있다. 이 경우 뇌척수액내 특이 IgG항체가 그 환자의 혈청에서 혈관-뇌 장벽을 넘어 이전된 것인지 또는 두개강내 병변에 형성된 육아종에서 생성한 것인지를 결정하는 일은 뇌척수액내 특이 IgG항체가 측정의 의미를 부여하는 데에 중요하다. 이 연구는 그 기원을 찾기 위하여 실시하였다. 확진된 뇌 유구낭미충증 환자 82례와 기타 신경계질환 환자 및 건강대조인 45례에서 오은 혈청과 뇌척수액에서 각각 총단백질, 알부민 및 IgG 농도를 측정하였다. 그리고 Tourtellotte and Ma (1978)의 공식에 의하여 뇌척수액내 IgG농도를 여출(濾出, transudation; 혈관-뇌장벽이 정상인 상태에서 생리적으로 뇌척수액으로 이전된 것), 삼출(渗出, exudation; 혈관-뇌장벽이 파괴된 상태에서 병적으로 이전된 것) 및 두개강내 생사 등 세가지 기원으로 분리하였다. 고리고 혈청 및 뇌척수액내 특이 IgG항체가를 효소 면역측정법으로 측정하였다. 뇌척수액내 특이 Ig9G항체가와 각기원별 IgG량과의 관계를 통계학적으로 검정하였다. 그 결과를 요약하며 다음과 같다. 1. 뇌 유구낭미충증 환자 뇌척수액에는 총단백질, 알부민 및 IgG평균치가 상승되어 있었다. 각 단백질 농도는 혈청내 특이 IgG항체가와는 관계없이 뇌척수액내 IgG항체가 양성자에서 높았다. 2. 뇌 유구낭미충증 환자의 뇌척수액내 IgG량(14.0mg/dl)은 여출(4.52mg/dl), 삼출(2.94mg/dl) 및 두개강내 생산(6.88mg/dl)으로 구성되었다. 뇌척수액왜 특이 IgG항체가는 여출 및 삼출에 의한 IgG양과는 통계학적 유의성이 없는 관계이었으나 두개강내 생산량과는 유의한 관계가 있었다. 3. 제 4뇌실에 병 변이 화인된 뇌유구낭미충증 환자의 측뇌실에서 얻은 뇌척수액에는 총단백 질, 알부민 및 IgG량이 정상범위이었고 특이 IgG항체는 음성이 었다. 같은 환자의 요추천자로 얻은 뇌척수액에서는 각 단백질이 상승되어 있었고 특이 IgG항체가는 양성이었다. 4. 뇌 유구낭미충증 환자의 뇌척수액내 EgG량중 삼출에 의한 양이 증가된 예에서는 대부분 두개강내 IgG생산이 동반되고 있었다. 따라서 삼출에 의한 뇌척수액내 IgG 출현은 뇌유구낭미충증의 진행중 어느 시기에 특히 심한 것으로 추정된다. 이상의 결과에서 유구낭미충증 환자의 뇌척수액내 특이 IgG항체는 두개 강네 병변에서 생산된 것임을 알 수 있었다. 따라서 뇌척수액을 이용한 특이 IgG항체 측정은 진단에 도움이 된다고 생각된다.

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Regulation of IgE and Type II IgE receptor expression by insulin-like growth factor-1: Role ofSTAT6 and $NF-{\kappa}B$.

  • Koh, Hyun-Ja;Park, Hyun-Hee;Lee, Choong-Eun
    • BMB Reports
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    • 제33권6호
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    • pp.454-462
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    • 2000
  • Interleukin-4(IL-4) is known to be a major cytokine regulating immunoglobulin E(IgE) response by the induction of IgE production and type II IgE receptor(IgER II: CD23) expression. Recently, however, the role of neuroendocrine factors has been implicated in modulating the IgE response. Among various neuroendocrine growth factors, we investigated the effects of the insulin-like growth factor-1(IGF-1) since IL-4 and IGF-1 share common intracellular signaling molecules, such as the insulin receptor substrate-1/2(IRS-1/2) to induce a specific cellular response. In the human peripheral blood mononuclear cell (PBMC) cultures, IGF-1 was capable of inducing a substantial level of IgE production in a dose-dependent manner. It also noticeably upregulated the IL-4-induced or IL-4 plus anti-CD40-induced IgE production. Similarly, the IGF-1-induced IgE production was enhanced by IL-4 or anti-CD40 in an additive manner, which became saturated at high concentrations of IGF-1. Although IGF-1 alone did not induce IgER II (CD23) expression, it augmented the IL-4-induced surface CD23 expression in a manner similar to the action of anti-CD40. These results imply that IGF-1 is likely to utilize common signaling pathways with IL-4 and anti-CD40 to induce IgE and IgER II expression. In support of this notion, we observed that IGF-1 enhanced the IL-4-induced signal transducers and activators of transcription 6(STAT6) activation and independently induced $NF-{\kappa}B$ activation. Both of these bind to the IgE(C) or IgER II (CD23) promoters. Together, our data suggest that IL-4 and IGF-1 work cooperatively to activate STAT6 and $NF-{\kappa}B$. This leads to the subsequent binding of these transcription factors to the $C{\varepsilon}$ and CD23 promoters to enhance the expression of IgE and IgER II. The observed differential ability of IGF-1 on the induction of IgE vs. IgER II is discussed based on the different structure of the two promoters.

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황색육아종과 동반된 면역글로불린G4관련안질환 1예 (IgG4-related Ophthalmic Disease Associated with Adult Xanthogranulomatous Disease)

  • 이승현;정석중;허진형;유혜린
    • 대한안과학회지
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    • 제59권11호
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    • pp.1071-1076
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    • 2018
  • 목적: 기존 안와 황색육아종이 진단되었던 환자에서 재발된 피부 황색육아종을 통하여 면역글로불린G4관련안질환이 동반 진단된 증례를 보고하고자 한다. 증례요약: 양안의 눈꺼풀 부종을 주소로 38세 남성이 내원하였다. 전안부 및 후극부에서 특이 소견이 관찰되지 않았다. 조직검사상 포말조직구 및 토우튼 거대세포가 관찰되며 S100 및 CD1 염색에 음성 소견을 보여 성인황색육아종 진단하 경구 아자씨오프린과 프레드리솔론 치료를 받았다. 4년 뒤 양안의 노란색 눈꺼풀 종괴를 주소로 재내원하였다. 자기공명영상에서 양안 안와 상외측의 대칭적인 연부조직 부종이 관찰되었고, 혈액검사상 immunoglobulin G (IgG) 및 IgG4 수치가 상승되었다. 조직검사 후 면역화학염색에서 IgG4+/IgG+ 10-20%, IgG4+ 22/고배율시야가 확인되었으며 과거 조직을 재염색하여 IgG4+/IgG+ 40-50%, IgG4+ 59/고배율시야를 확인하여 전형적인 면역글로불린G4관련안질환으로 새롭게 진단하였다. 결론: 비특이적인 눈꺼풀 부종환자에서 면역글로불린G4관련안질환을 고려해야 하며, 기존 황색육아종 환자에서도 면역글로불린G4관련안질환이 동반될 수 있다.

알레르기 환자에서 Immunoglobulin E와 Eosinophil count 및 Allergen과의 관련성 (Relationship between Immunoglobulin E, Eosinophil Count and Allergens in Allergic Patients)

  • 윤인숙;권세영
    • 한국콘텐츠학회논문지
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    • 제9권4호
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    • pp.236-246
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    • 2009
  • 알레르기 환자의 증가로 인하여 알러겐을 찾는 것은 중요하다. MAST는 알러겐 특이 IgE항체를 측정하는 간단한 방법이다. 본 연구에서는 알레르기 환자에서 알러겐 특이 IgE 항체, 총 IgE, 호산구수와의 관련성을 평가하고자 하였다. 연구 결과 총 IgE 양성률은 흡입형 패널에서 96.97%, 식품형 패널에서 98.06%였다. 알러겐 특이 IgE 항체의 양성률은 흡입형 패널에서 집먼지 51.52%, 북아메리카 집먼지 진드기 45.46%, 고양이 31.99% 였으며, 식품형 패널에서 각각 55.34%, 42.72%, 34.96%였다. 혈청 총 IgE는 알레르기와 관련이 있었으나, 알레르기가 항상 호산구증가와 관련이 있는 것은 아니었다.

Acid Stability of Anti-Helicobacter pyroli IgY in in Aqueous Polyol Solution

  • Lee, Kyong-Ae;Chang, Sung-Keun;Lee, Yoon-Jin;Lee, Jong-Hwa;Koo, Nan-Sook
    • BMB Reports
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    • 제35권5호
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    • pp.488-493
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    • 2002
  • IgY was separated from a hen's egg yolk that was immunized with Helicobacter pyroli. The anti-H. pyroli IgY activity at acidic pH and the suppressive effect of polyol on acid-induced inactivation of IgY were investigated. Sorbitol and xylitol were used as polyols. IgY was quite stable at pH 5~7. Irreversible inactivation of IgY was observed at pH below 4, and proceeded rapidly at pH below 3. The acid stability of IgY was enhanced in the presence of 30% sorbitol or above. In a 50% aqueous sorbitol solution, an acid-induced inactivation was almost completely suppressed at pH 3. However, the improvement of IgY activity was not observed in the aqueous xylitol solution. IgY showed almost the same activity as native IgY when sucrose was substituted for sorbitol. On the other hand, the xylitol replacement with sucrose did not enhance the acid stability of IgY. The acid-induced inactivation of IgY was related to tryptophyl fluorescence. Fluorescence emission spectra suggested that structural changes near the tryptophan residues may occur under acidic conditions. An increase in sorbitol concentration induced a blue shift. The fluorescence emission of IgY in a 50% sorbitol solution had a peak at 330 nm, which was the same emission peak that was exhibited by native IgY. Sorbitol could, therefore, be used as a good stabilizer of IgY under acidic conditions.

IgG Avidity Antibodies against Toxoplasma gondii in High Risk Females of Reproductive Age Group in India

  • Siddiqui, Naushaba;Shujatullah, Fatima;Khan, Haris M.;Rabbani, Tamkin;Khan, Parvez A.
    • Parasites, Hosts and Diseases
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    • 제52권5호
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    • pp.487-491
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    • 2014
  • Toxoplasma gondii is an obligate intracellular protozoan that is distributed worldwide. Recently, several tests for avidity of Toxoplasma IgG antibodies have been introduced to help discriminate between recently acquired and distant infections. The study was conducted in Jawaharlal Nehru Medical College and Hospital, India from February 2011 to September 2012. Serum specimens were subjected to Toxoplasma IgM ELISA and IgG avidity ELISA test. Out of 48 patients with abortions, 17 (35.4%) were positive for IgM ELISA, and 8 (16.6%) had low IgG avidity antibodies. Out of 48 patients with other obstetric problems, 23 (47.9%) were positive for IgM ELISA, and 17 (35.4%) had low IgG avidity antibodies. Combining both groups on avidity test, only 25 of 40 (62.5 %) IgM-positive women had low-avidity IgG antibodies suggesting a recent T. gondii infection in these women. More importantly, 15 (37.5%) of the IgM-positive women had high-avidity antibodies suggesting that the infection was acquired before gestation The relation of IgM seropositivity with the following risk factors was not found to be statistically significant; contact with cats (0.13), non-vegetarian food habits (0.05), and low socio-economic status (0.49). While, for IgG avidity ELISA, only contact with cats (0.01) was significantly associated with seropositivity. All other risk factors have P-values of >0.05 (not significant). IgG avidity test when used in combination with IgM test was a valuable assay for diagnosis of ongoing or recently acquired T. gondii infection in India.

Management of IgA vasculitis nephritis (Henoch-Schonlein purpura nephritis) in Children

  • Namgoong, Meekyng
    • Childhood Kidney Diseases
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    • 제24권1호
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    • pp.1-13
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    • 2020
  • Immunoglobulin (Ig)A vasculitis nephritis (IgAVN), also referred to as Henoch-Schönlein purpura nephritis, is a relatively benign disease in children. However, two 24-year European cohort studies have reported high sustained rates of hypertension, severe proteinuria, and renal dysfunction in patients with IgAVN. Notably, the incidence and exacerbation rates of proteinuria, hypertension, and renal dysfunction during pregnancy were high even in women who recovered from IgAVN before pregnancy. Patients with IgAVN need lifelong care. Trials have been performed to investigate early biomarkers and genes associated with poor prognosis to identify high-risk patients in whom IgAVN may progress to severe renal disease. Urinary IgA/cr, IgM/cr levels, and HLAB35 and angiotensinogen gene expression were shown to be predictors of progression of IgAVN to severe renal dysfunction. The 2019 Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) initiative group published guidelines for pediatric IgAVN, following the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines established in 2012. Compared with the KDIGO guidelines, the SHARE guidelines recommend earlier corticosteroid administration in cases of mild proteinuria (>0.5 g/d). Clinical trials of targeted budesonide delivery to the distal ileum, monoclonal antibody targeting C5, eculizumab and anti-CD20 monoclonal antibody administration, among others are currently underway in patients with IgA nephropathy. It is expected that newer therapeutic agents would become available for IgAVN in the near future. This review summarizes IgAVN with emphasis on recently published literature, including possible preventive strategies, predictive biomarkers for progression of IgAVN, and various treatments.

Vomitoxin의 면역 독성효과 (Immunotoxic effects of vomitoxin)

  • 김종수;김용환
    • 대한수의학회지
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    • 제32권1호
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    • pp.25-34
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    • 1992
  • The present study were carried out to investigate the effects of Vomitoxin(Deoxynivalenol, DON) induced dysregulation of IgA synthesis. The data presented here demonstrate that exposure to dietary DON increases serum IgA and concurrently decreases IgG and IgM. Peyer's path(PP) and splenocytes from mice fed dietary DON produced increased IgA in mitogen stimulated and macrophage(MØ) perform essential role for Ig synthesis and was affected by the presence of DON. The synthesis and secretion of IgM and IgG under the presence of DON do not require T cell helper activity, whereas those of IgA do require such activity. These results suggest that dietary DON alters the regulation of IgA production and may act as an immunostimulator.

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Plasma Protein Profile of Neonatal Buffalo Calves in Relation to the Protein Profile of Colostrum/Milk during First Week Following Parturition

  • Lone, Abdul Gani;Singh, Charanbir;Singha, S.P.S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제16권3호
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    • pp.348-352
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    • 2003
  • An investigation was made into the protein profile of colostrum/milk of ten Murrah buffaloes and of their ten buffalo calves during their first week of neonatal life to study the materno-neonatal transfer of immunoglobulins (Ig). Calves were pail fed 3.5 liter of colostrum and/or milk per calf/day exclusively from their dam. First blood sample from newborn calves was collected before colostrum feeding on the day of birth (day zero) and the sampling continued daily for seven days after colostrum/milk feeding. Colostrum/milk Ig and IgG values were $4.82{\pm}2.60$, $2.19{\pm}1.90$, $1.12{\pm}0.82$, $0.69{\pm}0.44$, $0.59{\pm}0.31$, $0.47{\pm}0.20$, $0.40{\pm}0.22$, $0.40{\pm}0.25$ and $3.58{\pm}1.90$, $1.08{\pm}0.92$, $0.52{\pm}0.40$, $0.31{\pm}0.20$, $0.27{\pm}0.14$, $0.22{\pm}0.08$, $0.18{\pm}0.09$, $0.14{\pm}0.08$ respectively during 0-7 days post partum. The concentration of total colostrum/milk proteins, Ig, IgG and albumin were highest within 12 h post-partum. Thereafter, the concentrations followed a declining trend which may be attributed to the reduced transfer of proteins from the maternal blood, declining synthesis by the mammary glands and/or depletion of stored proteins. The concentrations of plasma Ig and IgG before colostrum feeding on day zero were $0.42{\pm}0.09$ and $0.08{\pm}0.03$ respectively. The levels of plasma Ig were $1.90{\pm}0.37$, $1.80{\pm}0.31$, $1.80{\pm}0.26$, $1.81{\pm}0.28$, $1.78{\pm}0.31$, $1.79{\pm}0.21$, $1.80{\pm}0.32$ and of IgG were $1.57{\pm}0.41$, $1.30{\pm}0.29$, $1.31{\pm}0.21$, $1.27{\pm}0.18$, $1.23{\pm}0.21$, $1.23{\pm}0.16$, $1.26{\pm}0.21$ on days 1-7 after birth after colostrum/milk feeding. The concentrations of total plasma proteins, Ig, IgG were lowest before colostrum feeding and increased significantly (p<0.05) after colostrum feeding in buffalo neonates. The results suggest that the highest amounts of colostral Ig and IgG were available on the day of parturition and thus the calves should receive colostrum as early after birth as possible. Colostrum Ig and IgG concentrations were not correlated to plasma Ig and IgG concentrations in the post-suckle buffalo calves and therefore, colostrum Ig and IgG concentrations were probably not the principle determinants of calf post-suckle plasma Ig and IgG concentrations.

소아에서 관찰된 IgG-associated mesangial glomerulonephritis 2례 (Two Cases of IgG-associated Mesangial Glomerulonephritis in Children)

  • 이상후;김병길;송지선
    • Childhood Kidney Diseases
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    • 제12권1호
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    • pp.93-98
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    • 2008
  • IgG 신병증(IgG-associated mesangial glomerulonephritis)은 전세계적으로 드물게 보고되고 있는 새로운 원발성 사구체 질환으로 1993년 Sato 등에 의해 처음으로 보고되었고 이후 1994년 Yoshikawa 등에 의해 소아에서의 10례가 보고되었다. 주로 단백뇨를 주소로 하며 현미경적 혈뇨를 동반하기도 한다. 이 질환은 조직 면역 형광 검사상 사구체 간질에 IgG의 침착을 보이는 사구체 신염이다. 이 질환은 초기에는 양성 경과를 취하는 것으로 알려졌으나 2002년 Fakhouri 등은 대부분은 양성 경과를 보이지만 일부는 말기 신부전증으로 진행함을 관찰할 수 있었으며 1례에서는 신장이식 후 이식신에서 IgG 신병증이 재발된 예도 보고 하였다. 본 증례에서는 한명은 신증후군이 동반되었고 한명은 무증상 현미경적 혈뇨만을 보였다. 이들 모두 면역 형광 현미경 소견상 사구체 간질에 IgG 침착이 주로 보였고 IgM, 보체의 침착도 보였다. 또한 전자현미경 소견상 사구체간질에 고밀도 전자 침착이 보였다. 신생검에서 면역 현미경 소견과 전자 현미경 소견으로 진단된 IgG 신병증 소아환자 2례를 경험하고 국내에서는 아직 보고된 예가 없기에 문헌 고찰과 함께 증례를 보고하는 바이다.

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