• Pediatric Infection and Vaccine
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• 제16권1호
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• pp.40-46
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• 2009

목 적: 3개월 이하의 열이 있는 영아에서 세균성 수막염의 진단에 도움이 되는 유용한 예측인자를 알아보고자 연구를 시작하였다. 방 법: 2003년 1월부터 2008년 4월까지 전주예수병원에 직장 체온으로 $38^{\circ}C$ 이상의 발열을 주소로 내원한 3개월 이하의 영아 652명을 대상으로, 내원 당시 체온, 말초 혈액에서 총 백혈구수, 대호중구수, 절대호중구수, C-반응 단백, 혈액 배양검사를 하였고, 세균성 수막염과 연관있는 인자를 분석하였다. 결 과: 세균성 수막염과 관련된 인자로는 C-반응 단백, 대호중구수, 절대호중구수, 연령의 P value가 각각 0.036, 0.037, 0.036, 0.001로 모두 통계학적인 의의가 있었다. C-반응 단백, 대호중구수, 절대호중구수, 연령의 곡선하면적은 각각 0.969, 0.946, 0.765, 0.235이었으며, C-반응 단백의 민감도, 특이도 및 차단점은 각각 83%, 96%, 8 mg/dL, 대호중구수는 각각 83%, 95%, $2,500/mm^3$, 절대호중구수는 각각 83%, 62%, $5,100/mm^3$이었다. C-반응 단백이 7 mg/dL 미만에서는 우도가 0.17이고, 사후확률은 0.1%, 음성예측도가 91% 이어서 세균성 수막염을 배제할 수 있었으며, C-반응단백이 9 mg/dL 이상인 경우 우도는 20.1로, 대호중구수의 16.6, 절대호중구수의 2.18, 연령의 0.61보다 높아서, 혈청 C-반응 단백이 세균성 수막염을 예측하는데 가장 유용한 것으로 판단되었다. 결 론: 3개월 이하의 영아가 발열이 있는 경우 C-반응 단백, 대호중구수, 절대호중구수가 높은 경우에는 세균성 수막염과 관련이 더 많았으며, 특히 혈청 C-반응 단백이 가장 유용한 인자로, 7 mg/dL 미만인 경우는 세균성 수막염을 배제하는데 도움이 되었고, 9 mg/dL 이상인 경우에는 세균성 수막염의 강한 예측인자가 되어 뇌척수액 검사를 적극적으로 고려해야 할 것으로 사료되었다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권10호
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• pp.4699-4711
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• 2016

Background: In the last decade, it has become clear that change of gene expression may alter the hematopoietic cell quiescent state and consequently play a major role in leukemogenesis. WT1 is known to be a player in acute myeloid leukemia (AML) and FOXP3 has a crucial role in regulating the immune response. Objectives: To evaluate the impact of overexpression of WT1and FOXP3 genes on clinical course in adult and pediatric AML patients in Egypt. Patients and methods: Bone marrow and peripheral blood samples were obtained from 97 de novo non M3 AML patients (63 adult and 34 pediatric). Real-time quantitative PCR was used to detect overexpression WT1 and FOXP3 genes. Patient follow up ranged from 0.2 to 39.0 months with a median of 5 months. Results: In the pediatric group; WT1 was significantly expressed with a high total leukocyte count median 50X109/L (p=0.018). In the adult group, WT1 had an adverse impact on complete remission induction, disease-free survival and overall survival (p=0.02, p=0.035, p=0.019 respectively). FOXP3 overexpression was associated with FAB subtypes AML M0 +M1 vs. M2, M4+M5 (p =0.039) and the presence of hepatomegaly (p=0.005). Conclusions: WT1 and FOXP3 overexpression has an adverse impact on clinical presentation, treatment response and survival of pediatric and adult Egyptian AML patients.

• Tuberculosis and Respiratory Diseases
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• 제83권3호
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• pp.175-184
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• 2020

Quantitative sputum cytometry facilitates in assessing the nature of bronchitis associated with exacerbations of chronic obstructive pulmonary disease (COPD). This is not assessed in most clinical trials that evaluate the effectiveness of strategies to prevent or to treat exacerbations. While up to a quarter of exacerbations may be associated with raised eosinophil numbers, the vast majority of exacerbations are associated with neutrophilic bronchitis that may indicate airway infections. While eosinophilia may be a predictor of response to corticosteroids (oral and inhaled), the limited efficacy of anti-interleukin 5 therapies would suggest that eosinophils may not directly contribute to those exacerbations. However, they may contribute to airspace enlargement in patients with COPD through various mechanisms involving the interleukin 13 and matrix metalloprotease pathways. The absence of eosinophils may facilitate in limiting the unnecessary use of corticosteroids. The presence of neutrophiia could prompt an investigation for the specific pathogens in the airway. Additionally, sputum measurements may also provide insight into the mechanisms of susceptibility to airway infections. Iron within sputum macrophages, identified by hemosiderin staining (and by more direct quantification) may impair macrophage functions while the low levels of immunoglobulins in sputum may also contribute to airway infections. The assessment of sputum at the time of exacerbations thus would facilitate in customizing treatment and treat current exacerbations and reduce future risk of exacerbations.

• Journal of Veterinary Science
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• 제24권2호
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• pp.20.1-20.13
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• 2023

Background: As Actinobacillus pleuropneumonniae (APP) infection causes considerable losses in the pig industry, there is a growing need to develop effective therapeutic interventions that leverage host immune defense mechanisms to combat these pathogens. Objectives: To demonstrate the role of microRNA (miR)-127 in controlling bacterial infection against APP. Moreover, to investigate a signaling pathway in macrophages that controls the production of anti-microbial peptides. Methods: Firstly, we evaluated the effect of miR-127 on APP-infected pigs by cell count/enzyme-linked immunosorbent assay (ELISA). Then the impact of miR-127 on immune cells was detected. The cytokines tumor necrosis factor (TNF)-α and interleukin (IL)-6 were evaluated by ELISA. The expression of cytokines (anti-microbial peptides [AMPs]) was assessed using quantitative polymerase chain reaction. The expression level of IL-6, TNF-α and p-P65 were analyzed by western blot. The expression of p65 in the immune cells was investigated by immunofluorescence. Results: miR-127 showed a protective effect on APP-infected macrophage. Moreover, the protective effect might depend on its regulation of macrophage bactericidal activity and the generation of IL-22, IL-17 and AMPs by targeting sphingosine-1-phosphate receptor3 (SIPR3), the element involved in the Toll-like receptor (TLR) cascades. Conclusions: Together, we identify that miR-127 is a regulator of S1PR3 and then regulates TLR/nuclear factor-κB signaling in macrophages with anti-bacterial acticity, and it might be a potential target for treating inflammatory diseases caused by APP.

• 한국근적외분광분석학회:학술대회논문집
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• 한국근적외분광분석학회 2001년도 NIR-2001
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• pp.1251-1251
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• 2001

The routine analysis of milk chemical components is of major importance both for the management of animals in dairy farms and for quality control in dairy industries. NIRS technology is an analytical technique which greatly simplifies this routine. One of the most critical aspects in NIRS analysis of milk is sample preparation and analysis modes which should be fast and straightforward. An important difficulty when obtaining NIR spectra of milk is the high water content (80 to 90%) of this product, since water absorbs most of the infrared radiation, and, therefore, limits the accuracy of calibrating for other constituents. To avoid this problem, the DESIR system was set up. Other ways of radiation-sample interaction adapted for liquids or semi-liquids exist, which are practically instantaneous and with limited or null necessity of sample preparation: Transmission and Folded Transmission or Transflectance. The objective of the present work is to compare the precision and accuracy of milk calibration equations in two analysis modes: Reflectance (dry milk) and Folded Transmission (liquid milk). A FOSS-NIR Systems 6500 I spectrophotometer (400-2500 nm) provided with a spinning module was used. Two NIR spectroscopic methods for milk analysis were compared: a) folded transmission: liquid milk samples in a 0.1 pathlength sample cell (ref. IH-0345) and b) reflectance: dried milk samples in glass fibre filters placed in a standard ring cell. A set of 101 milk samples was used to develop the calibration equations, for the two NIR analysis modes, to predict casein, protein, fat and dry matter contents, and 48 milk samples to predict Somatic Cell Count (SCC). The calibrations obtained for protein, fat and dry matter have an excellent quantitative prediction power, since they present $r^2$ values higher than 0.9. The $r^2$ values are slightly lower for casein and SCC (0.88 and 0.89 respectively), but they still are sufficiently high. The accuracy of casein, protein and SCC equations is not affected by the analysis modes, since their ETVC values are very similar in reflectance and folded transmission (0.19% vs 0.21%; 0.16% vs 0.19% and 55.57% vs 53.11% respectively), Lower SECV values were obtained for the prediction of fat and dry matter with the folded transmission equations (0.14% and 0.25% respectively) compared to the results with the reflectance ones (0.43% and 0.34% respectively). In terms of accuracy and speed of analytical response, NIRS analysis of liquid milk is recommended (folded transmission), since the drying procedure takes 24 hours. However, both analysis modes offer satisfactory results.

• Clinical and Experimental Pediatrics
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• 제54권8호
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• pp.340-344
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• 2011

Purpose: Brain natriuretic peptide (BNP) has been considered a biochemical marker for myocarditis in Kawasaki disease. We performed this study to determine its quantitative significance. Methods: We attempted to correlate log-transformed BNP concentrations (log-BNP) and clinical, laboratory, and echocardiographic variables in 81 children with Kawasaki disease. Stepwise multiple linear regression analysis was used to determine the variables independently associated with log-BNP concentration. Results: Serum C-reactive protein level (P<0.0001), serum alanine aminotransferase concentration (P =0.0032), white blood cell count (P=0.0030), and left ventricular mass index (P=0.0024) were positively related with log-BNP, and hemoglobin level (P<0.0001), serum albumin level (P<0.0001), $Na^+$ concentrations (P<0.0001), left ventricular fractional shortening (P=0.0080), and peak early diastolic tissue velocity of the left ventricular basal lateral segment (P=0.0045) were negatively related to the log-BNP concentration. Multiple regression analysis showed that serum albumin concentration ($R_2$=0.31, P=0.0098) and left ventricular mass index ($R_2$=0.09, P=0.0004) were significantly associated with the log-BNP concentration. Conclusion: Elevated BNP levels during the acute phase of Kawasaki disease may be attributable to cardiac dysfunction associated with the increase in left ventricular mass, and log-BNP concentration may be a quantitative biochemical marker of myocarditis in Kawasaki disease.

• 한국근적외분광분석학회:학술대회논문집
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• 한국근적외분광분석학회 2001년도 NIR-2001
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• pp.1247-1247
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• 2001

Constituents of animal biofluids such as milk, blood and urine contain information specifically related to metabolic and health status of the ruminant animals. Some changes in composition of biofluids can be attributed to disease response of the animals. Mastitis is a major problem for the global dairy industry and causes substantial economic losses from decreasing milk production and reducing milk quality. The purpose of this study was to investigate potential of NIRS combined with multivariate analysis for cow's mastitis diagnosis based on NIR spectra of milk, blood and urine. A total of 112 bulk milk, urine and blood samples from 4 Holstein cows were analyzed. The milk samples were collected from morning milking. The urine samples were collected before morning milking and stored at -35$^{\circ}C$ until spectral analysis. The blood samples were collected before morning milking using a catheter inserted into the carotid vein. Heparin was added to blood samples to prevent coagulation. All milk samples were analyzed for somatic cell count (SCC). The SCC content in milk was used as indicator of mastitis and as quantitative parameter for respective urine and blood samples collected at same time. NIR spectra of blood and milk samples were obtained by InfraAlyzer 500 spectrophotometer, using a transflectance mode. NIR spectra of urine samples were obtained by NIR System 6500 spectrophotometer, using 1 mm sample thickness. All samples were divided into calibration set and test set. Class variable was assigned for each sample as follow: healthy (class 1) and mastitic (class 2), based on milk SCC content. SIMCA was implemented to create models of the respective classes based on NIR spectra of milk, blood or urine. For the calibration set of samples, SIMCA models (model for samples from healthy cows and model for samples from mastitic cows), correctly classified from 97.33 to 98.67% of milk samples, from 97.33 to 98.61% of urine samples and from 96.00 to 94.67% of blood samples. From samples in the test set, the percent of correctly classified samples varied from 70.27 to 89.19, depending mainly on spectral data pretreatment. The best results for all data sets were obtained when first derivative spectral data pretreatment was used. The incorrect classified samples were 5 from milk samples,5 and 4 from urine and blood samples, respectively. The analysis of changes in the loading of first PC factor for group of samples from healthy cows and group of samples from mastitic cows showed, that separation between classes was indirect and based on influence of mastitis on the milk, blood and urine components. Results from the present investigation showed that the changes that occur when a cow gets mastitis influence her milk, urine and blood spectra in a specific way. SIMCA allowed extraction of available spectral information from the milk, urine and blood spectra connected with mastitis. The obtained results could be used for development of a new method for mastitis detection.

• Nuclear Medicine and Molecular Imaging
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• 제43권5호
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• pp.451-458
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• 2009

목적: 광학적 분자 발광영상은 발광효소를 이용하여 발광하는 빛의 신호를 영상화하는 기법이다. 발광하는 광량이 분자 변화 또는 세포 수와 비례하고 신호 대 잡음비가 좋아서 영상을 얻고, 정략분석이 가능하다. 이 연구에서는 정량적 분석을 위해 비례적 측정 정량화기법을 개발하였다. 대상 및 방법: 개발 중인 ALIS (animal light imaging system) 광학발광영상 카메라에서 박테리아 수를 달리한 박테리아 광원 3가지와 또 다른 3가지 광원을 이용하여 발광영상을 측정하였다. 일정한 세기의 광원에 대해서 측정 방법을 수학적으로 표현하기 위해 cd와 광속의 개념을 이용하여 간단한 수식을 유도하였다. 실험을 통해 측정시간 1초를 기준으로 얻어진 값으로 표준 정량화 함수를 얻었다. 얻어진 정량화 함수를 이용하여 박테리아를 이용한 실험에 필요한 함수의 상수 값을 구했으며, 세 가지 세기가 다른 광원을 이용하여 측정한 값을 측정시간과 함께 정량화 식에 대입하여 측정하였다. 결과: 표준측정함수를 이용하여 측정시간에 비례하는 정량적 값을 얻을 수 있었다. 정량화결과를 측정시간으로 나눠준 값은 일정하였으며, 측정시간에 대비한 비례적 값을 얻을 수 있었다. 결론: 측정한 결과를 정량화 함수에 대입하여 정량화시킨 값은 표준정량화 하기에 적합하였다. 이 정량화 방법은 다른 광학적 분자영상 장비에 적용하여도 빛의 세기를 표준화 시킬 수 있을 뿐 만 아니라 성격이 다른 각각의 광원에 대해서도 보다 정량적인 분석을 시행할 수 있으므로, 새로운 표준 정량화 방법으로 발전시킬 수 있을 것으로 기대한다.

• Journal of Chest Surgery
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• 제29권12호
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• pp.1354-1359
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• 1996

심낭의 질환은 심혈관계에서 중요한 부분이지만 심낭압이나 심낭저류액의 조성에 대해서 연구된 바 는 거의 없다. 저자는 선천성 심장병(group A) 이나 후천성 심장병을(group B)을 가지고 있는 심장질환 환자에서 심장저류액의 정량, 정성적 분석에 대한 연구를 시행하였다. 심낭내압을 측정하기 위해 개심술 혹은 심장절개를 시행한 환자에게서 심방절개전 물을 채운 작은 18G polyethylene catheter를 심방내로 삽입하고 표준화된 monitor에 연결하여 측정하였다. 모든 수치는 동일 환자에게서 동시에 채취한 혈액에서 측정된 자료와 비교하여 분석하였다. 평균 심낭내압은 2.4mmHg였고 심낭저류액의 양은 group A에서 체표면적당 13cc, group B에서 17. 7cc였다. 그리고 세포수는 group A에서 138$\pm$l16/1, group B에서 230$\pm$ 13511였고 산도는 group A에서 2.Bg/dL, group B에서 3.IgldL로 혈장단백질농도에 비해 현저하게 낮은 농도를 나타냈다. LDH와 amylase는 혈청과 차이가 없었으나 group B에서 group A에 비해 야간 높은 수치를 보였다.

• 생명과학회지
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• 제29권8호
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• pp.871-878
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• 2019

본 연구에서는 Rhododendron brachycarpum (RB, 홍만병초)의 80% 메탄올 추출물 및 분획물의 항암 활성을 규명하고자 하였다. RB n-hexane 분획물은 HT-29 세포에서 가장 높은 활성 저해를 보였다($IC_{50}=20.2{\pm}1.2{\mu}g/ml$). 더욱이, 콜로니와 구형 형성은 수와 크기는 유의적으로 감소시켰다. RB의 n-hexane 분획물에서($0.22{\pm}0.02$ fold change) TOP / FOP 플래시 리포터 억제 활성은 추출물 및 다른 분획물 보다 낮게 나타났다. n-hexane 및 ethyl acetate 분획물은 세포 내 ${\beta}-catenin$의 발현을 조절하였다. 2 차 대사 산물이 ${\beta}-catenin$ 분해를 감소시킬 수 있는지 여부를 조사하기 위해 Western blot을 실시한 결과 n-hexane 분획물에서 $p-GSK3{\beta}$를 조절하였으며, 세포내 ${\beta}-catenin$은 핵에서 정량적인 변화를 가져왔다. 이러한 결과는 RB의 n-hexane 분획물로부터 천연 항암 물질을 포함하고 있음을 보여줍니다.