• 제목/요약/키워드: PGD

검색결과 128건 처리시간 0.033초

착상전 유전진단을 위한 유전상담 현황과 지침개발을 위한 기초 연구 (A Study of Guidelines for Genetic Counseling in Preimplantation Genetic Diagnosis (PGD))

  • 김민지;이형송;강인수;정선용;김현주
    • Journal of Genetic Medicine
    • /
    • 제7권2호
    • /
    • pp.125-132
    • /
    • 2010
  • 목 적: 착상전 유전진단(preimplantation genetic diagnosis, PGD)은 유전질환을 가진 부부들을 대상으로 체외수정을 통해 획득한 배아에서 유전진단을 하는 방법이다. 다양한 유전질환을 가진 부부에게 그 질환에 맞는 PGD의 설계가 진행되어야 하기 때문에 PGD 시행 전유전상담을 시행하는 것은 PGD 설계에 있어서 매우 중요하다. 이에, PGD 시행 시 필요한 유전상담의 내용에 대해 환자 및 가족과 전문가의 구체적인 의견을 수렴하고 분석하고자 하였다. 대상 및 방법: 본 연구는 PGD에 있어서 유전상담의 필요성과 중요성에 대한 의견을 알아보고자, 2010년 2월 3일부터 4월 30일까지 PGD를 실시 또는 실시 예정인 부부들과 PGD 관련 전문가들을 대상으로 이메일과 직접 설문지를 배포하여 설문조사를 실시하였다. 결 과: 환자 60명과 전문가 31명을 포함하여 총 91명이 설문조사에 응답하였으며, 환자들은 염색체 이상 질환 49명(81.7%)과 단일유전자 이상 질환 11명(18.3%) 이었다. 설문에 응답한 환자와 전문가 모두 유전상담이 PGD의 의료서비스 일환으로 반드시 필요하다고 답하였다. 환자의 충분한 이해를 위하여 필요한 유전상담의 시간에 대해 환자와 가족 그리고 전문가 의견을 수렴한 결과, 각각 45명(75.0%)과 23명(74.2%)이 적정한 유전상담시간을 30분 이상이라고 응답하였다. 하지만, 현 의료시스템에서는 짧은 진료시간 내 진료와 유전상담을 동시에 진행함으로써 환자에게 완벽한 정보제공이 이루어지지 않는 것으로 나타났다. 한편, 전문가 그룹에서는 진료시간의 부족과 유전질환의 정보 부족이 유전상담의 어려운 점이라고 답하였으며, 이에 비 의사(non-MD) 전문유전상담사가 필요하다는 의견이 30명(96.7%)으로 높게 나타났다. 환자와 가족들은 PGD 시술 시 예기치 못한 결과의 가능성, 환자가 가진 유전질환의 위험을 예방할 수 있는 선택사항, 환자가 가지고 있는 유전질환의 위험도 평가, 유전자 검사 시 검사의 목적 설명 및 검사기술의 한계점과 오진률의 설명, PGD 시술 전반에 관한 기술적인 정보 등에 대하여 관심을 가지고 있으며 더 자세한 설명을 필요로 하는 것으로 나타났다. 이에 대한 전문가 의견 역시 환자 및 가족이 관심 있고 자세한 설명을 원하는 정보와 대부분 일치하였다. 이에 따라 환자의 요구와 의견으로 나타난 위의 결과들을 향후 PGD를 위한 유전상담의 지침(guide-line) 구축 시 반영하여야 할 것으로 사료된다. 결 론: 본 연구에서 유전진단과 생식의학 기술의 발전과 더불어 PGD의 적용과 효율성 등에 대한인식이 높아짐에 따라, PGD를 시행함에 있어서 구체적이고 체계적인 유전상담이 필요하다는 것을 확인할 수 있었다. 본 연구의 설문조사 결과가 향후 PGD를 위한 유전상담 지침서(guideline)에 반영되어 적절한 PGD의 설계, 실시, 사후관리에 큰 도움이 되기를 기대한다.

Simulation method of ground motion matching for multiple targets and effects of fitting parameter variation on the distribution of PGD

  • Wang, Shaoqing;Yu, Ruifang;Li, Xiaojun;Lv, Hongshan
    • Earthquakes and Structures
    • /
    • 제16권5호
    • /
    • pp.563-573
    • /
    • 2019
  • When generating spectrum-compatible artificial ground motion in engineering practices, the effect of the variation in fitting parameters on the distribution of the peak ground displacement (PGD) has not yet drawn enough attention. In this study, a method for simulating ground motion matching for multiple targets is developed. In this method, a frequency-dependent amplitude envelope function with statistical parameters is introduced to simulate the nonstationarity of the frequency in earthquake ground motion. Then, several groups of time-history acceleration with different temporal and spectral nonstationarities were generated to analyze the effect of nonstationary parameter variations on the distribution of PGD. The following conclusions are drawn from the results: (1) In the simulation of spectrum-compatible artificial ground motion, if the acceleration time-history is generated with random initial phases, the corresponding PGD distribution is quite discrete and an uncertain number of PGD values lower than the limit value are observed. Nevertheless, the mean values of PGD always meet the requirement in every group. (2) If the nonstationary frequencies of the ground motion are taken into account when fitting the target spectrum, the corresponding PGD values will increase. A correlation analysis shows that the change in the mean and the dispersion values, from before the frequencies are controlled to after, correlates with the modal parameters of the predominant frequencies. (3) Extending the maximum period of the target spectrum will increase the corresponding PGD value and, simultaneously, decrease the PGD dispersion. Finally, in order to control the PGD effectively, the ground motion simulation method suggested in this study was revised to target a specified PGD. This novel method can generate ground motion that satisfies not only the required precision of the target spectrum, peak ground acceleration (PGA), and nonstationarity characteristics of the ground motion but also meets the required limit of the PGD, improving engineering practices.

프로스타글란딘 D2와 E2의 생성에 대한 허파 마크로파이지의 역할 (Role of Alveolar Macrophages in Productions of Prostaglandin D2 and E2 in the Inflamed Lung)

  • 주명수
    • 생명과학회지
    • /
    • 제20권6호
    • /
    • pp.845-852
    • /
    • 2010
  • 프로스타글란딘 D2 (PGD2)와 E2 (PGE2)는 COX-2로부터 유래되는 주요 프로스타노이드로서, 슈도모나스에 의한 폐감염이 발생하였을 경우 폐에서 합성되어 슈도모나스 세균감염을 조절할 수 있음을 밝힌바 있음. 본 연구에서는 두 프로스타노이드의 생성 비율을 조절하는 기전을 연구하고자함. 마크로파아지에 의해 PGD2/PGE2 비율이 결정되는 지 조사하기 위해, 마우스의 허파로부터 마크로파아지를 분리하고 LPS로 처리할 경우, COX-2, PGD2합성 효소인 L-PGDS, PGE2의 합성효소인 mPGES-1 등의 발현이 두 프로스타노이드의 생성 비율에 미치는 영향을 조사하였음. 또한 이 효소들의 발현이 일차 허파 마크로파아지에 특이적인지의 여부를 조사하기 위해, 허파 마트로파이지 세포주인 MH-S와 비교 조사하였음. COX-2가 프로스타글린딘 비율에 미치는 영향을 조사하기 위해, COX-2 특이적 siRNA릉 이용하여 COX-2의 발현을 억제하고 L-PGDS, mPGES-1 등의 발현을 조사하였음. 결과에 따르면, 일차 허파 마트로파아지는 MH-S과는 달리 많은 양의 PGE2를 생성하나, 두 세포간 COX-2, L-PGDS, mPGES-1의 발현에는 큰 차이가 없었음. 이는 이들 효소 외에 다른 인자들이 두 프로스타노이드의 비율을 결정하는데 관여함을 제시함. LPS의 처리에 의해 폐염증을 발생시키고 허파에서의 PGD2/PGE2 비율을 조사한 결과, LPS에 의해 폐염증이 발생할 경우 LPS를 처리한 일차 허파 마크로파아지와 유사하게 PGE2의 발현이 PGD2에 비해 상당히 높았음. 결과적으로 본 연구의 결과는, 허파에서의 PGD2/PGE2 비율은, COX-2, L-PGDS, mPGES-1 등 PGD2나 PGE2의 합성에 직접적인 영향을 주는 효소에 의해 결정되지 않으며, 허파마크로파아지의 PGD2/PGE2 비율을 반영할 가능성을 제시함.

Peroxisome proliferator-activated receptor γ is essential for secretion of ANP induced by prostaglandin D2 in the beating rat atrium

  • Zhang, Ying;Li, Xiang;Liu, Li-Ping;Hong, Lan;Liu, Xia;Zhang, Bo;Wu, Cheng-Zhe;Cui, Xun
    • The Korean Journal of Physiology and Pharmacology
    • /
    • 제21권3호
    • /
    • pp.293-300
    • /
    • 2017
  • Prostaglandin $D_2$ ($PGD_2$) may act against myocardial ischemia-reperfusion (I/R) injury and play an anti-inflammatory role in the heart. Although the effect of $PGD_2$ in regulation of ANP secretion of the atrium was reported, the mechanisms involved are not clearly identified. The aim of the present study was to investigate whether $PGD_2$ can regulate ANP secretion in the isolated perfused beating rat atrium, and its underlying mechanisms. $PGD_2$ (0.1 to $10{\mu}M$) significantly increased atrial ANP secretion concomitantly with positive inotropy in a dose-dependent manner. Effects of $PGD_2$ on atrial ANP secretion and mechanical dynamics were abolished by AH-6809 ($1.0{\mu}M$) and AL-8810 ($1.0{\mu}M$), $PGD_2$ and prostaglandin $F2{\alpha}$ ($PGF2{\alpha}$) receptor antagonists, respectively. Moreover, $PGD_2$ clearly upregulated atrial peroxisome proliferator-activated receptor gamma ($PPAR{\gamma}$) and the $PGD_2$ metabolite 15-deoxy-${\Delta}12$, 14-$PGJ_2$ (15d-$PGJ_2$, $0.1{\mu}M$) dramatically increased atrial ANP secretion. Increased ANP secretions induced by $PGD_2$ and 15d-$PGJ_2$ were completely blocked by the $PPAR{\gamma}$ antagonist GW9662 ($0.1{\mu}M$). PD98059 ($10.0{\mu}M$) and LY294002 ($1.0{\mu}M$), antagonists of mitogen-activated protein kinase (MAPK)/extracellular signal-regulated kinase (ERK) and phosphatidylinositol-3-kinase (PI3K)/protein kinase B (Akt) signaling, respectively, significantly attenuated the increase of atrial ANP secretion by $PGD_2$. These results indicated that $PGD_2$ stimulated atrial ANP secretion and promoted positive inotropy by activating $PPAR{\gamma}$ in beating rat atria. MAPK/ERK and PI3K/Akt signaling pathways were each partially involved in regulating $PGD_2$-induced atrial ANP secretion.

Inactivation of the Wall-Associated De-N-acetylase (PgdA) of Listeria monocytogenes Results in Greater Susceptibility of the Cells to Induced Autolysis

  • Popowska, Magdalena;Kusio, Monika;Szymanska, Paulina;Markiewicz, Zdzislaw
    • Journal of Microbiology and Biotechnology
    • /
    • 제19권9호
    • /
    • pp.932-945
    • /
    • 2009
  • Several species of Gram-positive bacteria have cell wall peptidoglycan (syn. murein) in which not all of the sugar moieties are N-acetylated. This has recently been shown to be a secondary effect, caused by the action of a peptidoglycan N-acetylglucosamine deacetylase. We have found that the opportunistic pathogen Listeria monocytogenes is unusual in having three enzymes with such activity, two of which remain in the cytoplasm. Here, we examine the enzyme (PgdA) that crosses the cytoplasmic membrane and is localized in the cell wall. We purified a hexa-His-tagged form of PgdA to study its activity and constructed a mutant devoid of functional Lmo0415 (PgdA) protein. L. monocytogenes PgdA protein exhibited peptidoglycan N-acetylglucosamine deacetylase activity with natural substrates (peptidoglycan) from both L. monocytogenes and Escherichia coli as well as the peptidoglycan sugar chain component N-acetylglucosamine, but not with N-acetylmuramic acid. As was reported recently [6], inactivation of the structural gene was not lethal for L. monocytogenes nor did it affect growth rate or morphology of the cells. However, the pgdA mutant was more prone to autolysis induced by such agents as Triton X-100 and EDTA, and is more susceptible to the cationic antimicrobial peptides (CAMP) lysozyme and mutanolysin, using either peptidoglycan muramidases or autolysis-inducing agents. The pgdA mutant was also slightly more susceptible than the wild-type strain to the action of certain beta-lactam antibiotics. Our results indicate that protein PgdA plays a protective physiological role for listerial cells.

종방향 영구지반변형에 의한 매설관로의 거동 특성 해석 (Response Analysis of Buried Pipelines Considering Longitudinal Permanent Ground Deformation)

  • 김태욱
    • 한국지진공학회:학술대회논문집
    • /
    • 한국지진공학회 2000년도 추계 학술발표회 논문집 Proceedings of EESK Conference-Fall 2000
    • /
    • pp.184-191
    • /
    • 2000
  • In this research, a numerical model is developed for analysis of buried pipelines considering longitudinal permanent ground deformation(PGD) due to liquefaction induced lateral spreading. Buried pipelines and surrounding soil are medeled as continuous pipelines using the beam elements and a series of elasto-plastic springs uniformly distributed along the pipelines, respectively. Idealized various PGD patte군 based on the observation of PGD are used as a loading configuration and the length of the lateral spread zone is considered as a loading parameter. Numerical results are verified with other research results and efficient applicability of developed procedure is shown. Analyses are performed by varying different parameters such as PGD pattern, pipe diameter and pipe thickness. Results show that response of buried pipelines are more affected by pipe thickness than pipe diameter. Finally, the critical length of the lateral spread zone and the critical magnitude of PGD which cause yielding, local buckling or tension failure are proposed for the steel pipe which are normally used in Korea.

  • PDF

유전성 대사질환의 착상전 유전진단 (Preimplantation Genetic Diagnosis in Inborn Error Metabolic Disorders)

  • 강인수
    • 대한유전성대사질환학회지
    • /
    • 제5권1호
    • /
    • pp.94-107
    • /
    • 2005
  • Prenatal diagnosis (PND) such as amniocentesis or chorionic villi sampling has been widely used in order to prevent the birth of babies with defects especially in families with single gene disorderor chromosomal abnormalities. Preimplantation genetic diagnosis (PGD) has already become an alternative to traditional PND. Indications for PGD have expanded beyond those practices in PND (chromosomal abnormalities, single gene defects), such as late-onset diseases with genetic predisposition, and HLA typing for stem cell transplantation to affected sibling. After in vitro fertilization, the biopsied blastomere from the embryo is analyzed for single gene defect or chromosomal abnormality. The unaffected embryos are selected for transfer to the uterine cavity. Therefore, PGD has an advantage over PND as it can avoid the risk of pregnancy termination. In this review, PGD will be introduced and application of PGD in inborn error metabolic disorder will be discussed.

  • PDF

Crystal Structures of 6-Phosphogluconate Dehydrogenase from Corynebacterium glutamicum

  • Hyeonjeong Yu;Jiyeon Hong;Jihye Seok;Young-Bae Seu;Il-Kwon Kim;Kyung-Jin Kim
    • Journal of Microbiology and Biotechnology
    • /
    • 제33권10호
    • /
    • pp.1361-1369
    • /
    • 2023
  • Corynebacterium glutamicum (C. glutamicum) has been considered a very important and meaningful industrial microorganism for the production of amino acids worldwide. To produce amino acids, cells require nicotinamide adenine dinucleotide phosphate (NADPH), which is a biological reducing agent. The pentose phosphate pathway (PPP) can supply NADPH in cells via the 6-phosphogluconate dehydrogenase (6PGD) enzyme, which is an oxidoreductase that converts 6-phosphogluconate (6PG) to ribulose 5-phosphate (Ru5P), to produce NADPH. In this study, we identified the crystal structure of 6PGD_apo and 6PGD_NADP from C. glutamicum ATCC 13032 (Cg6PGD) and reported our biological research based on this structure. We identified the substrate binding site and co-factor binding site of Cg6PGD, which are crucial for understanding this enzyme. Based on the findings of our research, Cg6PGD is expected to be used as a NADPH resource in the food industry and as a drug target in the pharmaceutical industry.

종방향 영구지반변형에 대한 지중 매설관로의 거동특성 해석 (Response Analysis of Buried Pipeline Subjected to Longitudinal Permanent Ground Deformation)

  • 김문겸;임윤묵;김태욱;박종헌
    • 한국지진공학회논문집
    • /
    • 제6권2호
    • /
    • pp.51-61
    • /
    • 2002
  • 본 연구에서는 액상화-종방향 영구지반변형에 대한 지중매설관로의 거동특성을 해석하기 위하여 수치해석 알고리즘을 개발하였다. 기존의 연구결과가 간략한 해석식의 제안을 중심으로 진행되어 왔으며 영구지반변형의 형상과 폭에 따라 해석방법이 달라지는 단점을 가지고 있었던 것을 고려한다면, 개발된 수치해석 기법은 다양한 영구지반변형의 형상과 폭을 단일한 알고리즘 내에서 처리할 수 있다는 특징을 가지고 있다. 이를 위해 본 연구에서는 연속관 형태의 지중매설관로와 주변지반을 보요소와 등가지반강성으로 표현되는 탄-소성 지반 스프링을 이용하여 모형화하였으며, 지진발생시 실측된 지반변형에 기초하여 영구지반변형의 형상을 5가지의 대표적인 형태로 이상화하여 고려하였다. 국내 계기지진피해사례의 부족으로 인하여 영구지반변형의 크기와 지반변형의 폭은 기존의 연구결과를 참조하여 설정하였으며, 국내에서 사용되는 일반적인 강관을 대상으로 지반변형의 형상과 크기 및 폭, 매설관로의 관경, 관두께 등을 변화시켜 가면서 다양한 수치해석을 수행하였다. 수치해석 결과, 종방향 영구지반변형에 대한 매설관로의 거동에 미치는 주요 인자들의 영향정도를 평가할 수 있었다.

Preimplantation genetic diagnosis for Charcot-Marie-Tooth disease

  • Lee, Hyoung-Song;Kim, Min Jee;Ko, Duck Sung;Jeon, Eun Jin;Kim, Jin Young;Kang, Inn Soo
    • Clinical and Experimental Reproductive Medicine
    • /
    • 제40권4호
    • /
    • pp.163-168
    • /
    • 2013
  • Objective: Preimplantation genetic diagnosis (PGD) is an assisted reproductive technique for couples carrying genetic risks. Charcot-Marie-Tooth (CMT) disease is the most common hereditary neuropathy, with a prevalence rate of 1/2,500. In this study, we report on our experience with PGD cycles performed for CMT types 1A and 2F. Methods: Before clinical PGD, we assessed the amplification rate and allele drop-out (ADO) rate of multiplex fluorescent polymerase chain reaction (PCR) followed by fragment analysis or sequencing using single lymphocytes. We performed six cycles of PGD for CMT1A and one cycle for CMT2F. Results: Two duplex and two triplex protocols were developed according to the available markers for each CMT1A couple. Depending on the PCR protocols, the amplification rates and ADO rates ranged from 90.0% to 98.3% and 0.0% to 11.1%, respectively. For CMT2F, the amplification rates and ADO rates were 93.3% and 4.8%, respectively. In case of CMT1A, 60 out of 63 embryos (95.2%) were diagnosed and 13 out of 21 unaffected embryos were transferred in five cycles. Two pregnancies were achieved and three babies were delivered without any complications. In the case of CMT2F, a total of eight embryos were analyzed and diagnosed. Seven embryos were diagnosed as unaffected and four embryos were transferred, resulting in a twin pregnancy. Two healthy babies were delivered. Conclusion: This is the first report of successful pregnancy and delivery after specific PGD for CMT disease in Korea. Our PGD procedure could provide healthy babies to couples with a high risk of transmitting genetic diseases.