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Amyloid-Related Imaging Abnormalities in the Era of Anti-Amyloid Beta Monoclonal Antibodies for Alzheimer's Disease: Recent Updates on Clinical and Imaging Features and MRI Monitoring

  • So Yeong Jeong;Chong Hyun Suh;Sang Joon Kim;Cynthia Ann Lemere;Jae-Sung Lim;Jae-Hong Lee
    • Korean Journal of Radiology
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    • v.25 no.8
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    • pp.726-741
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    • 2024
  • Recent advancements in Alzheimer's disease treatment have focused on the elimination of amyloid-beta (Aβ) plaque, a hallmark of the disease. Monoclonal antibodies such as lecanemab and donanemab can alter disease progression by binding to different forms of Aβ aggregates. However, these treatments raise concerns about adverse effects, particularly amyloid-related imaging abnormalities (ARIA). Careful assessment of safety, especially regarding ARIA, is crucial. ARIA results from treatment-related disruption of vascular integrity and increased vascular permeability, leading to the leakage of proteinaceous fluid (ARIA-E) and heme products (ARIA-H). ARIA-E indicates treatment-induced edema or sulcal effusion, while ARIA-H indicates treatment-induced microhemorrhage or superficial siderosis. The minimum recommended magnetic resonance imaging sequences for ARIA assessment are T2-FLAIR, T2* gradient echo (GRE), and diffusion-weighted imaging (DWI). T2-FLAIR and T2* GRE are necessary to detect ARIA-E and ARIA-H, respectively. DWI plays a role in differentiating ARIA-E from acute to subacute infarcts. Physicians, including radiologists, must be familiar with the imaging features of ARIA, the appropriate imaging protocol for the ARIA workup, and the reporting of findings in clinical practice. This review aims to describe the clinical and imaging features of ARIA and suggest points for the timely detection and monitoring of ARIA in clinical practice.

Involvement of Growth-Promoting Rhizobacterium Paenibacillus polymyxa in Root Rot of Stored Korean Ginseng

  • Jeon, Yong-Ho;Chang, Sung-Pae;Hwang, In-Gyu;Kim, Young-Ho
    • Journal of Microbiology and Biotechnology
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    • v.13 no.6
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    • pp.881-891
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    • 2003
  • Paenibacillus polymyxa is a plant growth-promoting rhizobacterium (PGPR) which can be used for biological control of plant diseases. Several bacterial strains were isolated from rotten roots of Korean ginseng (Panax ginseng C. A. Meyer) that were in storage. These strains were identified as P. polymyxa, based on a RAPD analysis using a P. polymyxa-specific primer, cultural and physiological characteristics, an analysis utilizing the Biolog system, gas chromatography of fatty acid methyl esters (GC-FAME), and the 16S rDNA sequence analysis. These strains were found to cause the rot in stored ginseng roots. Twenty-six P. polymyxa strains, including twenty GBR strains, were phylogenetically classified into two groups according to the ERIC and BOX-PCR analyses and 16S rDNA sequencing, and the resulting groupings systematized to the degrees of virulence of each strain in causing root rot. In particular, highly virulent GBR strains clustered together, and this group may be considered as subspecies or biovar. The virulence of the strains seemed to be related to their starch hydrolysis enzyme activity, but not their cellulase or hemicellulase activity, since strains with reduced or no starch-hydrolytic activity showed little or no virulence. Artificial inoculation of the highly virulent strain GBR-1 onto the root surfaces of Korean ginseng resulted in small brown lesions which were sunken and confined to the outer portion of the root. Ginseng root discs inoculated in vitro or two-year-old roots grown in soil drenched with the inoculum developed significant rot only when the inoculum density was $10^{6}-10^{7}$ or more colony-forming units (CFU) per ml. These results suggest that P. polymyxa might induce ginseng root rot if their population levels are high. Based on these results, it is recommended that the concentration of P. polymyxa should be monitored, when it is used as a biocontrol agent of ginseng, especially in the treatment of stored roots.

The Assessment and Recognition on Indoor Air Quality at Schools in Korea (전국 일부 학교 건축물 내의 실내 공기 및 인식도 조사)

  • Sohn Jong-Ryeul;Yoon Seung-Uk;Kim Jong-Hyuk;Lee Yong-Sik;Choi Han-Young;Kim Young-Sung;Son Bu-Soon;Yang Won-Ho;Kim Min-Hoi
    • Journal of environmental and Sanitary engineering
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    • v.20 no.3 s.57
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    • pp.1-9
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    • 2005
  • Recently, indoor air quality (IAQ) in workplace, residential environments and schools has been concerned of people, scientists and related the public, and has recognized the healthy effectsrelated to IAQ, specially in schools in Korea. Therefore, objectives of this study in this study were to measure and compare the perception of TAQ of selected air pollutants in Seoul from April to September 2004. Measurement place measured 2 schools of Seoul and local 9 schools (by Kyonggi Province, Chungchong-bukdo Chungchong-namdo, Chollado-bukdo, Cholla-namdo, Kyongsang-bukdo, Kyongsang-namdo, Kwangju, schoolin Pusan each 1 place). Temperature, humidity, illumination, carbon monoxide, carbon dioxide, TBC (total bacteria count), noise, PM10, TVOC(total volatile organic compounds), HCHO (formaldehyde) were measured simultaneously. Also, we Performed a questionnaire survey of 250 students and 50 teachers about their awareness for the importance of IAQ in their schools. Among this article, we handled noise, carbon monoxide, carbon dioxide, TBC, TVOC, HCHO, PM 10 in our conclusion. Major results were as follows ; Carbon monoxide (CO) was lower than indoor air standard of Korea. Carbon dioxide $(CO_2)$ appeared that 4 schools among our sample target school exceeded in normal standard. 4 schools were almost similar with normal standard. TBC appeared that 7 schools among 11 schools were higher than standard. Noise measured school's mean value passed exceeded standard. And school which passed over standard appeared to 7 schools among 11 schools. HCHO was exceeded 4 schools by standard that excess and certainly interrelation between school's establishment year and facilities of construction was detected. PM10 was exposed all schools by fitness in standard. TVOC appeared that 9 schools among 11 measurement school was exceeded health effect standard of Japan.

Zygotic Expression of c-myc Gene in Mouse Early Embryos: Functional Role of c-myc Promoter (생쥐 초기배아에서 c-myc Proto-Oncogene Promoter의 기능적 활성화)

  • Park, Ki-Soo;Kang, Hae-Mook;Shim, Chan-seob;Sun, Woong;Kim, Jae-man;Lee, Young-Ki;Kim, Kyung-jin
    • The Korean Journal of Zoology
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    • v.38 no.4
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    • pp.550-556
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    • 1995
  • The c-myc proto-oncogene is Involved In the control of normal cell proliferation and differentiation of many cell lineages. Although it has heen suggested that c-myc may play an important role in the mammalian early development, it Is unclear whether the embryonic c-myc mRNA is originated from zygotic gene expression or stored maternal message. Thus, we have construded expression vectors, In which the 5, flanking sequences including c-myc promoter region and a large non-coding exon I are fused 'sith E. coli lacZ gene that encedes $\beta$-galactosldase as a reporter. As c-myc exon I contains a modulatory sequence, we designed t, vo types of vectors (pcmyc.Gall and pcmyc-Ga12) to examine the role of exon I in c-myc expression. The former contains the complete exon I and the later has a deletion in 40 bp of modulator sequence located In the exon I of c-myc These vectors were microInjected into fertilized one-cell embryos and $\beta$-galactosidase activity was examined by X-gal staining during early embryogenesis. $\beta$-galactosidase activity derived from c-myc promoter was decreased at two-cell stage. The expression level directed by pcmyc- Ga12 was similar to that of pcmyc-Gal1, indicating that the medulatory sequence in exon I may not be Involved at least In the regulation of embryonic c-myc expression. In summary, the present study indicates that the c-myc promoter is functional at the early stage embryo, and the regulation of c-myc expression is under the control of "zygotic" clock of preimplantation mouse embryos.e embryos.

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MYLK Polymorphism Associated with Blood Eosinophil Level among Asthmatic Patients in a Korean Population

  • Lee, Soo Ok;Cheong, Hyun Sub;Park, Byung Lae;Bae, Joon Seol;Sim, Won Chul;Chun, Ji-Yong;Isbat, Mohammad;Uh, Soo-Taek;Kim, Yong Hooun;Jang, An-Soo;Park, Choon-Sik;Shin, Hyoung Doo
    • Molecules and Cells
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    • v.27 no.2
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    • pp.175-181
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    • 2009
  • The myosin light chain kinase (MYLK) gene encodes both smooth muscle and nonmuscle cell isoforms. Recently, polymorphisms in MYLK have been reported to be associated with several diseases. To examine the genetic effects of polymorphisms on the risk of asthma and related phenotypes, we scrutinized MYLK by re-sequencing/genotyping and statistical analysis in Korean population (n = 1,015). Seventeen common polymorphisms located in or near exons, having pairwise $r^2$ values less than 0.25, were genotyped. Our statistical analysis did not replicate the associations with the risk of asthma and log-transformed total IgE levels observed among African descendant populations. However, two SNPs in intron 16 (+89872C> G and +92263T> C), which were in tight LD (|D'| = 0.99), revealed significant association with log-transformed blood eosinophil level even after correction multiple testing ($P=0.002/P^{corr}=0.01$ and $P=0.002/P^{corr}=0.01$, respectively). The log-transformed blood eosinophil levels were higher in individuals bearing the minor alleles for +89872C> G and +92263T> C than in those bearing other allele. In additional subgroup analysis, the genetic effects of both SNPs were much more apparent among asthmatic patients and atopic asthma patients. Among atopic asthma patients, the log-transformed blood eosinophil levels were proportionally increased by gene-dose dependent manner of in both +89872C> G and +92263T> C(P = 0.0002 and P = 0.00007, respectively). These findings suggest that MYLK polymorphisms might be among the genetic factors underlying differential increases of blood eosinophil levels among asthmatic patients. Further biological and/or functional studies are needed to confirm our results.

Relationship between Cerebral Arteriovenous Oxygen Difference and Development of Delayed Cerebral Infarction in Patients with Severe Head Injury (중증 뇌손상 환자에서 뇌동정맥 산소함유량차이와 지연성 뇌경색 발생과의 관계)

  • Youn, Seung-Hwan;Cho, Joon;Moon, Chang-Taek;Chang, Sang-Keun;Park, Hyung-Chun;Park, Hyeon-Seon;Kim, Eun-Young
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.536-542
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    • 2000
  • Objective : This study was performed to evaluate the relationships among intracranial pressure(ICP), cerebral perfusion pressure(CPP), and cerebral arteriovenous oxygen difference($AVDO_2$) which were used as parameters of adequacy of cerebral blood flow to support cerebral metabolism after severe head injury and also to examine the association between delayed cerebral infarction and outcome. Material and Method : The authors studied the ICP, CPP and $AVDO_2$ before and after treatment on 34 head-injured patients from June 1996 to December 1997 and examined the association with the change of an ICP, CPP and $AVDO_2$ following treatment and the development of delayed cerebral infarction. Sixteen patients underwent craniotomy for hematoma evacuation and eighteen patients received mannitol to decrease ICP. Results : The development of delayed cerebral infarction was demonstrated in 3(42.9%) out of 7 patients in no improvement group and 13(48.1%) out of 27 patients in improvement group with an increased ICP following treatment. Also, the development of delayed cerebral infarction was demonstrated in 8(50%) out of 16 patients in no improvement group and 8(44.4%) out of 18 patients in improvement group with a decreased CPP following treatment. The association with changes of ICP and CPP following treatment and development of delayed cerebral infarction was not statistically significant(p>0.01). However, 11(78.6%) out of 14 patients who demonstrated an increase in $AVDO_2$ and 5(25%) out of 20 patients who demonstrated a decrease in $AVDO_2$ following treatment developed delayed cerebral infarction. No improvement(reduction) in $AVDO_2$ following treatment was significantly associated with the development of delayed cerebral infarction(p<0.01). All of 16 patients with delayed cerebral infarction showed poor prognosis. Conlcusion : The change of $AVDO_2$ rather than those of ICP and CPP was considered more important factor for the development of the delayed cerebral infarction and poor outcome.

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Relationship between Solar Radiation in Complex Terrains and Shaded Relief Images (복잡지형에서의 일사량과 휘도 간의 관계 구명)

  • Yun, Eun-Jeong;Kim, Dae-Jun;Kim, Jin-Hee;Kang, Dae-Gyoon;Kim, Soo-Ock;Kim, Yongseok
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.23 no.4
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    • pp.283-294
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    • 2021
  • Solar radiation is an important meteorological factor in the agricultural sector. The ground exposed to sunlight is highly influenced by the surrounding terrains especially in South Korea where the topology is complex. The solar radiation on an inclined surface is estimated using a solar irradiance correction factor for the slope of the terrain along with the solar radiation on a horizontal surface. However, such an estimation method assumes that there is no barrier in surroundings, which blocks sunlight from the sky. This would result in errors in estimation of solar radiation because the effect of shading caused by the surrounding terrain has not been taken into account sufficiently. In this study, the shading effect was simulated to obtain the brightness value (BV), which was used as a correction factor. The shaded relief images, which were generated using a 30m-resolution digital elevation model (DEM), were used to derive the BVs. These images were also prepared using the position of the sun and the relief of the terrain as inputs. The gridded data where the variation of direct solar radiation was quantified as brightness were obtained. The value of cells in the gridded data ranged from 0 (the darkest value) to 255 (the brightest value). The BV analysis was performed using meteorological observation data at 22 stations installed in study area. The observed insolation was compared with the BV of each point under clear and cloudless condition. It was found that brightness values were significantly correlated with the solar radiation, which confirmed that shading due to terrain could explain the variation in direct solar radiation. Further studies are needed to accurately estimate detailed solar radiation using shaded relief images and brightness values.

Which Environmental Factors Caused Lammas Shoot Growth of Korean Red Pine?

  • Lee, Chang-Seok;Song, Hye-Gyung;Kim, Hye-Soo;Lee, Bit-Na-Ra;Pi, Jeong-Hoon;Cho, Yong-Chan;Seol, Eun-Sil;Oh, Woo-Seok;Park, Sung-Ae;Lee, Seon-Mi
    • Journal of Ecology and Environment
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    • v.30 no.1
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    • pp.101-105
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    • 2007
  • Lammas growth, a rare phenomenon for Korean red pine (Pinus densiflora), occurred in 2006. Lammas shoots showed higher frequency and longer length in Seoul's hotter urban center than in urban boundary or suburban forest sites. Frequency and length showed a close correlation with urbanization density and vegetation cover expressed in NDVI. Air temperature in the late summer of 2006 was more than $1^{\circ}C$ higher than an average year. Of the predominant environmental signals that modulate bud flush, only temperature changed significantly during the year. Differences in temperature between the urban centers, urban boundaries and suburban forests correlated with varying land-use density. The rise in temperature likely spurred lammas growth of the Korean red pine. Symptoms of climate change are being detected throughout the world, and its consequences will be clearer in the future. Considerate interest in the responses of ecological systems to the variable changes is required to prepare for unforeseeable crises. Monitoring of diverse ecological phenomena at Long Term Ecological Research sites could offer harbingers of change.

Effects of sn-2 palmitic acid-fortified vegetable oil and fructooligosaccharide on calcium metabolism in growing rats fed casein based diet

  • Lee, Yeon-Sook;Kang, Eun-Young;Park, Mi-Na;Choi, You-Young;Jeon, Jeong-Wook;Yun, Sung-Seob
    • Nutrition Research and Practice
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    • v.2 no.1
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    • pp.3-7
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    • 2008
  • This study was carried out to investigate the efficacy of sn-2 palmitic acid-fortified vegetable oil (Sn2PA) on calcium absorption and to confirm the synergistic effects of fructooligosaccharide on calcium absorption. Male SD rats were fed 6 kinds of casein based diets containing vegetable oil (control), sn-2 palmitic acid-fortified vegetable oil (Sn2PA) and Sn2PA with fructooligosaccharide(Sn2PAFO) in two levels of calcium (normal 0.5% and high 1.0%) for 3 weeks. Total lipids, cholesterol, triglyceride and calcium in blood were measured. Feces were collected using cages for 4 days. Serum concentrations of total lipids and calcium were not significantly different among groups. However, serum triglyceride was significantly decreased by fructooligosaccharide supplementation regardless of dietary calcium level. The lipid absorption was not significantly different among experimental groups. Calcium absorption was significantly higher in Sn2PAFO group than other groups. Calcium solubility of intestine was increased by sn-2 palmitic acid supplementation. These results suggest that sn-2 palmitic acid and fructooligosaccharide supplementation could be beneficial for baby foods including infant formula, with regard to increasing absorption of calcium by more soluble calcium in the small intestinal content.

Population Genetic Analyses of Gibberella fujikuroi Isolated from maize in Korea

  • Park, Sook-Young;Seo, Jeong-Ah;Lee, Yin-Won;Lee, Yong-Hwan
    • The Plant Pathology Journal
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    • v.17 no.5
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    • pp.281-289
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    • 2001
  • We analyzed 88 strains of Gibberella fujikuroi (Analmorph: Fusarium section Liseola) from maize in Korea for mating population, mating type, fumonisin production vegetative compatibility, and random amplified polymorphic DNA (RAPD) patterns. We found 50 strains that were MATA-2, 22 that were MATA-1, 1 that was MATD-1, and 15 that were not reproducibly fertile with any of the mating type testers. Of the 50 MATA-2, 15 were female fertile, while 10 of the 22 MATA-1 strains were female fertile. A total of 1,138 nitrate non-utilizing (nit) mutants were recovered from a total of 88 strains. These strains were grouped into 39 vegetative compatability groups (VCGs) by demonstrating heterokaryosis between nit mutants. A single maize ear could be infected by more than one VCG of F. moniliforme. RAPD analysis measured genetic diversity among 63 strains of F. moniliforme. Several VCGs were distinguished by RAPD fingerprinting patterns. Most strains produced significant levels of fumonisins. However, 6 MATA-2 strains from a single VCG produced higher levels of fumonisin $\textrm{B}_3$ than that of fumonisin $\textrm{B}_1$ or $\textrm{B}_2$. From these data, we concluded that most Korean strains of F. moniliforme associated with maize belonged to mating population A and produced significant levels of fumonisins. Futhermore, RAPD analysis could differentiate strains associated with different VCGs.

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