• 제목/요약/키워드: Repeat Response

검색결과 109건 처리시간 0.022초

반복유산을 경험한 환자에서 임신중 태반항원과 동종항원에 노출된 모체 림프구면역반응은 언제부터 소실되나? (When Dose Losses of Maternal Lymphocytes Response to Trophoblast Antigen or Alloantigen Occur in Women with a History of Recurrent Spontaneous Abortion?)

  • 최범채
    • Clinical and Experimental Reproductive Medicine
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    • 제25권2호
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    • pp.115-122
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    • 1998
  • The maintenance of a viable pregnancy has long been viewed as an immunological paradox. The deveolping embryo and trophoblast are immunologically foreign to the maternal immune system due to their maternally inherited genes products and tissue-specific differentiation antigens (Hill & Anderson, 1988). Therefore, speculation has arisen that spontaneous abortion may be caused by impaired maternal immune tolerance to the semiallogenic conceptus (Hill, 1990). Loss of recall antigen has been reported in immunosuppressed transplant recipients and is associated with graft survival (Muluk et al., 1991; Schulik et al., 1994). Progesterone $(10^{-5}M)$ has immunosuppressive capabilities (Szekeres-Bartho et al., 1985). Previous study showed that fertile women, but not women with unexplained recurrent abortion (URA), lose their immune response to recall antigens when pregnant (Bermas & Hill, 1997). Therefore, we hypothesized that immunosuppressive doses of progesterone may affect proliferative response of lymphocytes to trophoblast antigen and alloantigen. Proliferative responses using $^3H$-thymidine ($^3H$-TdR) incorporation of peripheral blood mononuclear cells (PBMCs) to the irradiated allogeneic periperal blood mononuclear cells as alloantigen, trophoblast extract and Flu as recall antigen, and PHA as mitogen were serially checked in 9 women who had experienced unexplained recurrent miscarriage. Progesterone vaginal suppositories (100mg b.i.d; Utrogestan, Organon) beginning 3 days after ovulation were given to 9 women with unexplained RSA who had prior evidence of Th1 immunity to trophoblast. We checked proliferation responses to conception cycle before and after progesterone supplementation once a week through the first 7 weeks of pregnancy. All patients of alloantigen and PHA had a positive proliferation response that occmed in the baseline phase. But 4 out of 9 patients (44.4%) of trophoblast antigen and Flu antigen had a positive proliferative response. The suppression of proliferation response to each antigen were started after proliferative phase and during pregnancy cycles. Our data demonstrated that since in vivo progesterone treated PBMCs suppressed more T-lymphocyte activation and $^3H$-TdR incorporation compare to PBMCs, which are not influenced by progesterone. This data suggested that it might be influenced by immunosuppressive effect of progesterone. In conclusion, progesterone may play an important immunological role in regulating local immune response in the fetal-placental unit. Furthermore, in the 9 women given progesterone during a conception cycle, Only two (22%) repeat pregnancy losses occured in these 9 women despite loss of antigen responsiveness (one chemical pregnancy loss and one loss at 8 weeks of growth which was karyotyped as a Trisomy 4). These finding suggested that pregnancy loss due to fetal aneuploidy is not associated with immunological phenomena.

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한국인 정신분열병 환자에서 항정신병 약물의 치료 반응과 도파민 D2, D3 및 D4 수용체 유전자 다형성 (The Relationship between the Therapeutic Response to Antipsychotic Drugs and the Dopamine D2, D3, and D4 Receptor Gene Polymorphisms in Korean Schizophrenic Patients)

  • 김희철;정성원;김대광;정철호
    • 생물정신의학
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    • 제14권3호
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    • pp.167-176
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    • 2007
  • 항정신병 약물의 치료 반응을 예측해 줄 수 있는 유전자 지표를 찾기 위한 최근의 많은 약물유전학 연구들은 일관된 결과를 보고하지 못하고 있다. 본 연구는 항정신병 약물의 치료 반응과 도파민 D2, D3 및 D4 수용체 유전자 다형성과 관련성을 조사하였다. 연구 대상은 18~60세에 해당되면서 정신분열병의 DSM-IV 진단기준을 만족하고 본 연구에 대해 서면 동의한 국립부곡병원의 입원 환자 200명이었다. 연구는 대상자들의 입원 당시 병록지를 검토하여 후향적으로 이루어졌다. 대상자들은 퇴원할 당시를 기준으로 약물치료 반응 정도에 따라'반응군'과'비반응군'으로 구분되었으며 양군 사이의 도파민 수용체 유전자 다형성 차이를 비교하였다. 대상자 200명 중에서 188명(94%)이 비전형 항정신병 약물을 사용하였고 반응군은 141명(70.5%)이었다. 도파민 D2 수용체 유전자 Ser311Cys 다형성, 도파민 D3 수용체 유전자 Ser9Gly 다형성, 도파민 D4 수용체 유전자 exon III의 48개 염기반복 다형성에서 반응군과 비반응군 사이의 대립유전자 및 유전자형 빈도의 차이를 보이지 않았다. 결론적으로 본 연구에서는 항정신병 약물의 치료 반응과 도파민 D2 수용체 유전자 Ser311Cys 다형성, 도파민 D3 수용체 유전자 Ser9Gly 다형성, 그리고 도파민 D4 수용체 유전자 exon III의 48개 염기반복 다형 성과는 연관성이 없었다. 향후에는 단일의 항정신병 약물에 대한 전향적인 방법의 통제된 연구가 필요하다.

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Phase II Study of Pemetrexed as Second or Third Line Combined Chemotherapy in Patients with Colorectal Cancer

  • Wu, Xue-Yan;Huang, Xin-En;You, Shan-Xi;Lu, Yan-Yan;Cao, Jie;Liu, Jin;Xiang, Jin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권3호
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    • pp.2019-2022
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    • 2013
  • Purpose: To investigate the safety and efficacy of pemetrexed combined with chemotherapy as second or third line in patients with stage IV colorectal cancer (CRC). Patients and Methods: This trial was conducted to evaluate the effectiveness and safety of pemetrexed given to patients with recurrent or metastatic colorectal carcinoma who previously received 5-FU-based chemotherapy. All patients were required to have a histological diagnosis of colorectal adenocarcinoma with measurable metastatic disease and prior chemotherapy. Patients received pemetrexed at a dose of 500 $mg/m^2$ by 10 minute infusion on day 1, repeated every 21 days. Doses were modified depending on nadir counts. Combined chemotherapy included Oxaliplatin, Irinotecan and cis-platinum. Results: Thirty patients were enrolled and twenty-nine were evaluable for response. One patient did not have repeat radiological testing to determine response because he went off study after only one cycle of treatment for economic reasons. For 29 evaluable patients, 1 partial response, 6 stable disease and 22 progressive disease were recorded. Response rate was 3.45% (1/29). All responses occurred in patients receiving a starting dose of pemetrexed 500 $mg/m^2$. Median time to progression for all eligible patients was 2.5 months. The most common toxicities experienced were mild to moderate fever, hepatic damage, myelosuppression, nausea, vomiting, constipation, abdominal pain, diarrhea, and skin rash. Conclusion: Pemetrexed at 500 $mg/m^2$ given every three weeks combined with chemotherapy is associated with moderate response and good tolerability in patients with stage IV CRC.

Regulation of ANKRD9 expression by lipid metabolic perturbations

  • Wang, Xiaofei;Newkirk, Robert F.;Carre, Wilfrid;Ghose, Purnima;Igobudia, Barry;Townsel, James G.;Cogburn, Larry A.
    • BMB Reports
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    • 제42권9호
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    • pp.568-573
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    • 2009
  • Fatty acid oxidation (FAO) defects cause abnormal lipid accumulation in various tissues, which provides an opportunity to uncover novel genes that are involved in lipid metabolism. During a gene expression study in the riboflavin deficient induced FAO disorder in the chicken, we discovered the dramatic increase in mRNA levels of an uncharacterized gene, ANKRD9. No functions have been ascribed to ANKRD9 and its orthologs, although their sequences are well conserved among vertebrates. To provide insight into the function of ANKRD9, the expression of ANKRD9 mRNA in lipidperturbed paradigms was examined. The hepatic mRNA level of ANKRD9 was repressed by thyroid hormone ($T_3$) and fasting, elevated by re-feeding upon fasting. However, ANKRD9 mRNA level is reduced in response to apoptosis. Transient transfection assay with green fluorescent protein tagged- ANKRD9 showed that this protein is localized within the cytoplasm. These findings point to the possibility that ANKRD9 is involved in intracellular lipid accumulation.

Postbuckling strength of an axially compressed elastic circular cylinder with all symmetry broken

  • Fujii, Fumio;Noguchi, Hirohisa
    • Structural Engineering and Mechanics
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    • 제11권2호
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    • pp.199-210
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    • 2001
  • Axially compressed circular cylinders repeat symmetry-breaking bifurcation in the postbuckling region. There exist stable equilibria with all symmetry broken in the buckled configuration, and the minimum postbuckling strength is attained at the deep bottom of closely spaced equilibrium branches. The load level corresponding to such postbuckling stable solutions is usually much lower than the initial buckling load and may serve as a strength limit in shell stability design. The primary concern in the present paper is to compute these possible postbuckling stable solutions at the deep bottom of the postbuckling region. Two computational approaches are used for this purpose. One is the application of individual procedures in computational bifurcation theory. Path-tracing, pinpointing bifurcation points and (local) branch-switching are all applied to follow carefully the postbuckling branches with the decreasing load in order to attain the target at the bottom of the postbuckling region. The buckled shell configuration loses its symmetry stepwise after each (local) branch-switching procedure. The other is to introduce the idea of path jumping (namely, generalized global branch-switching) with static imperfection. The static response of the cylinder under two-parameter loading is computed to enable a direct access to postbuckling equilibria from the prebuckling state. In the numerical example of an elastic perfect circular cylinder, stable postbuckling solutions are computed in these two approaches. It is demonstrated that a direct path jump from the undeformed state to postbuckling stable equilibria is possible for an appropriate choice of static perturbations.

종형 구조물의 맥놀이 지도 작성법과 성덕대왕신종의 맥놀이 지도 (Beat Map Drawing Method of Bell Type Structures and Beat Maps of the King Seong-deok Divine Bell)

  • 김석현
    • 한국소음진동공학회논문집
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    • 제13권8호
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    • pp.626-636
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    • 2003
  • The beat distribution property of the King Seong-deok Divine Bell is investigated by experiment and analysis. The beat map method is proposed to explain the beat distribution property on the circumference of the bell. For the analytical investigation, an analytical model of the vibration beat is derived on a slightly asymmetric shell of revolution by using the modal expansion method. In the analytical method, the beat map can be drawn only if the modal parameters of the bell are obtained. The analytical beat model is applied to draw the beat map of the King Seong-deok Divine Bell. The validity of the analytical method is verified by comparing the analytical beat maps with the experimental results. This paper proposes a visualization method of the beat and theoretically identifies the reason why the clear and unclear beats repeat periodically along the circumference of the bell and how the striking position influences the beat distribution property.

Classification and Expression Profiling of Putative R2R3 MYB Genes in Rice

  • Kim, Bong-Gyu;Ko, Jae-Hyung;Min, Shin-Young;Ahn, Joong-Hoon
    • Journal of Applied Biological Chemistry
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    • 제48권3호
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    • pp.127-132
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    • 2005
  • MYB genes, comprising group of related genes found in animal, plant, and fungal genomes, encode common DNA-binding domains composed of one to four repeat motifs. MYB genes containing two repeats (R2R3) constitute largest MYB gene family in plants. R2R3 MYB genes play important roles in regulation of secondary metabolism, control of cell shape, disease resistance, and hormone response. Eight-four R2R3 MYB genes were retrieved from rice genome for functional characterization of MYB genes. Analysis of MYB domains revealed each MYB domain contains three ${\alpha}$-helices with regularly spaced tryptophan residues. R2R3 MYB genes were divided into four subfamilies based on phylogenic analysis result. Real-time PCR analysis of 34 MYB genes revealed 12 MYB genes were highly expressed in seeds than in leaves, whereas 4 genes were highly expressed in leaves.

농촌지역 초등학교 화장실의 거주후 평가 연구 -H군의 D초등학교를 중심으로 (POE of Toilet of Elementary School in Rural Area)

  • 한종구;박동소
    • 한국농촌건축학회논문집
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    • 제9권1호
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    • pp.9-16
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    • 2007
  • Educational Facility has a specialty that similar design is repeatedly taken place so the importance of POE(Post Occupancy Evaluation) is increased for the improvement of problem appeared at the former projects. The POE could provides help to the design of next project and the direction when the need of remodeling is faced. Through the process of POE, the repeat of design mistakes could be prevented and the good information related with building efficiency and other problems could be applied to the design of next school project . In this study, the POE of Manbalro(barefoot) toilet of D Elementary school in rural area of H county is performed. The toilet is renovated as an educational environment improvement project of H county educational office in Chungcheong Namdo Province. The study is focused on the user's behavior at Manbalro toilet for carrying out indicative POE by the subjective response of user's. From the research, several being reformed items is proposed however the toilet is evaluated as a successful project that design purpose of initial stage is applied well.

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사묘용안탕(四妙勇安湯) 물추출물이 DNCB로 유발된 접촉성피부염에 미치는 영향 (Effect of Samyoyongantang on Contact Hypersensitivity induced by Repeat Elicitation of DNCB.)

  • 변성희;이병욱;김상찬
    • 대한한의학방제학회지
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    • 제13권2호
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    • pp.59-69
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    • 2005
  • Samyoyongantang (SMY), a herbal medicine, has been used as cure for gangrene. To evaluate anti-inflammatory effect of samyoyongantang, we treated samyoyongantang extract in animal model system induced contact hypersensitivity. Contact hypersensitivity, a local inflammatory response of the skin, was induced by 1% DNCB on the right ear of BALB/c mouse. Samyoyongantang was prepared as water extract and administrated everyday for 2 weeks per oral. A right ear of mouse was potently swelled by 1% of DNCB treatm ent, but a mouse ear thickness was significantly reduced by samyoyongantang after 2 we eks treatment. Samyoyongantang reduced IgG in serum obtained from blood of 1 % DNCB-treated mouse. IgE in serum was not changed by samyoyongantang treatment. From these results, anti-inflammatory effect of samyoyongantang, especially reduction of ear swell ing, might be partly due to reduction of IgG in serum.

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Krylov subspace-based model order reduction for Campbell diagram analysis of large-scale rotordynamic systems

  • Han, Jeong Sam
    • Structural Engineering and Mechanics
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    • 제50권1호
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    • pp.19-36
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    • 2014
  • This paper focuses on a model order reduction (MOR) for large-scale rotordynamic systems by using finite element discretization. Typical rotor-bearing systems consist of a rotor, built-on parts, and a support system. These systems require careful consideration in their dynamic analysis modeling because they include unsymmetrical stiffness, localized nonproportional damping, and frequency-dependent gyroscopic effects. Because of this complex geometry, the finite element model under consideration may have a very large number of degrees of freedom. Thus, the repeated dynamic analyses used to investigate the critical speeds, stability, and unbalanced response are computationally very expensive to complete within a practical design cycle. In this study, we demonstrate that a Krylov subspace-based MOR via moment matching significantly speeds up the rotordynamic analyses needed to check the whirling frequencies and critical speeds of large rotor systems. This approach is very efficient, because it is possible to repeat the dynamic simulation with the help of a reduced system by changing the operating rotational speed, which can be preserved as a parameter in the process of model reduction. Two examples of rotordynamic systems show that the suggested MOR provides a significant reduction in computational cost for a Campbell diagram analysis, while maintaining accuracy comparable to that of the original systems.