• Clinical and Experimental Pediatrics
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• 제58권12호
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• pp.505-508
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• 2015

It is uncommon for pediatric patients with rhabdomyosarcoma to present with clinical and/or laboratory features of disseminated intravascular coagulation (DIC). We report a case of metastatic alveolar rhabdomyosarcoma with severe bleeding because of DIC in a 13-year-old boy. He experienced persistent oozing at the site of a previous operation, gross hematuria, and massive epistaxis. Two weeks after initiating combination chemotherapy consisting of vincristine, doxorubicin, and cyclophosphamide, the patients' laboratory indications of DIC began to resolve. During this period, the patient received massive blood transfusion of a total of 311 units (26 units of red blood cells, 26 units of fresh frozen plasma, 74 units of platelet concentrates, 17 units of single donor platelets, and 168 units of cryoprecipitate), antithrombin-III and a synthetic protease inhibitor. Despite chemotherapy and radiation therapy, he died 1 year later because of disease progression. In children with metastatic rhabdomyosarcoma and massive DIC, prompt chemotherapy and aggressive supportive care is important to decrease malignancy-triggered procoagulant activities.

• 약학회지
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• 제36권4호
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• pp.350-356
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• 1992

Anticoagulant activities were tested for the fifteen kinds of medicinal plants by measuring activated partial thromboplastin time (aPTT). Of them five kinds or species (Artemisia princeps, Sanguisorba officinalis, Artemisia apiacea, Eclipa alba, Schizonepeta tenuifolia) were selected and fractionated for the preparation of acidic polysaccharides. They were extracted with water by refluxing and the extracts were precipitated with ethanol. The precipitates were separated based on charge using a DEAE-Sephadex. The low salt and high salt fractions were sulfated with anhydrous pyridine and chlorosulfonic acid complex. In vitro anticoagulant activities of sulfated polysaccharides were tested by measuring aPTT, prothrombin time (PT), and factor Xa clotting time using normal human plasma. No relationship was found between the amount of uronic acids and anticoagulant activities, but the sulfated ones show the increase of activities. In vivo anticoagulant properties of the sulfated polysaccharide from Artemisia apiacea were also tested by the intraveneous administration of three different doses (3,5 and 10 mg/kg) to rats. APTT and PT were increased significantly and the action of factor Xa and thrombin mediated through antithrombin III were inhibited slightly.

• Childhood Kidney Diseases
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• 제26권2호
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• pp.101-106
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• 2022

Nephrotic syndrome (NS) is a hypercoagulable state in which children are at risk of venous thromboembolism. A higher risk has been reported in children with steroid-resistant NS than in those with steroid-sensitive NS. The mortality rate of cerebral venous sinus thrombosis (CVST) is approximately 10% and generally results from cerebral herniation in the acute phase and an underlying disorder in the chronic phase. Our patient initially manifested as a child with massive proteinuria and generalized edema. He was treated with albumin replacement and diuretics, angiotensin-converting enzyme inhibitor, and deflazacort. Non-contrast computed tomography showed areas of hyperattenuation in the superior sagittal sinus when he complained of severe headache and vomiting. Subsequent magnetic resonance imaging revealed empty delta signs in the superior sagittal, lateral transverse, and sigmoid sinuses, suggesting acute CVST. Immediate anticoagulation therapy was started with unfractionated heparin, antithrombin III replacement, and continuous antiproteinuric treatment. The current report describes a life-threatening CVST in a child with steroid-dependent NS, initially diagnosed by contrast non-enhanced computed tomography and subsequently confirmed by contrast-enhanced magnetic resonance imaging, followed by magnetic resonance venography for recanalization, addressing successful treatment.

• Journal of Microbiology and Biotechnology
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• 제18권3호
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• pp.503-511
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• 2008

An edible marine red alga, Grateloupia filicina, collected from Jeju Island of Korea was hydrolyzed by cheap food-grade carbohydrases (Viscozyme, Celuclast, AMC, Termamyl, and Ultraflo) to investigate its anticoagulant activity. Among the tested enzymatic extracts of G. filicina, a Termamyl extract showed the highest anticoagulant activity. Anion-exchange chromatography on DEAE-cellulose and gel-permeation chromatography on Sepharose-4B were used to purify the active polysaccharide from the crude polysaccharide fraction of G. filicina. The purified sulfated polysaccharide (0.42 sulfate/total sugar) showed ${\sim}1,357kDa$ molecular mass and was comprised mainly of galactose(98%) and 1-2% of glucose. The sample showed potential anticoagulant activity on activated partial thromboplastin time (APTT) thrombin time (TT) assays. The purified G. filicina anticoagulant (GFA) inhibited the coagulation factor X (92%), factor II (82%), and factor VII (68%) of the coagulation cascade, and the molecular interaction (protein-polysaccharide) was highly enhanced in the presence of ATIII (antithrombin III). The dissociation constant of polysaccharide towards serine proteins decreased in the order of FXa (58.9 nM) >FIIa (74.6 nM) >FVII (109.3 nM). The low/less cytotoxicity of the polysaccharide benefits its use in the pharmaceutical industry; however, further studies that would help us to elucidate the mechanism of its activity are needed.

• Toxicological Research
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• 제17권
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• pp.97-104
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• 2001

Three types of proteases (MEF-1, MEF-2 and MEF-3) were purified from the egg cases of Ten-odera sinensis using ammonium sulfate fractionation, gel filtration on Bio-Gel P-60 and affinity chromatography on DEAE Affi-Gel blue gel. The proteases were assessed homogeneous by SDS-polyacrylamide gel electrophoresis and have molecular weight of 31,500, 32,900 and 35,600 Da, respectively. The N-terminal regions of the primary structure were compared and they were found to be different each other. MEFs readily digested the $A\alpha$ - and B$\beta$-chains of fibrinogen and more slowly the ${\gamma}$-chain. The action of the enzymes resulted in extensive hydrolysis of fibrinogen and fibrin, releasing a variety of fibrinopeptides. MEF-1 was inactivated by Cu$^{2+}$ and Zn$^{2+}$ and inhibited by PMSF and chymostatin. MEF-2 was inhibited by PMSF, TLCK. soybean trypsin inhibitor. MEF-3 was only inhibited by PMSF and chymostatin. Antiplasmin was not sensitive to MEF-1 but antithrombin III inhibited the enzymatic activity qf MEF-1. MEF-2 specifically bound to anti plasmin Among the chromogenic protease substrates, the most sensitive one to the hydrolysis of MEFs was benzoyl-Phe-Val-Arg-p-nitroanilide with maximal activity at pH 7.0 and 3$0^{\circ}C$. MEF-1 preferentially cleaved the oxidized B-chain of insulin between Leu15 and Tyr16. In contrast, MEF-2 specifically cleaved the peptide bond between Arg23 and Gly24. D-dimer concentrations increased on incubation of cross-linked fibrin with MEF-1, indicating the enzyme has a strong fibrinolytic activity.ity.

• 한국미생물생명공학회:학술대회논문집
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• 한국미생물생명공학회 2000년도 Proceedings of 2000 KSAM International Symposium and Spring Meeting
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• pp.178-181
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• 2000

In order to develop the novel gene expression system, we introduced new control elements which could influence the foreign gene expression in animal cells. When the foreign genes are introduced into the genome of higher eukaryotic cells, the expressions from these integrated genes are often low and can vary greatly depending on the positions of the integration sites due to the complex nature of the chromatin structures (1). First we screened the various DNA sequence elements which can function as an insulator of gene expression from these position effects and can cooperate with the SV40 enhancer/promoter. Among the several DNA elements from the various sources, we identified the particular DNA element which confers the increased frequency of the positive colonies, assayed by the reporter gene from stable selections indicating significantly reduced position effects. This element also showed the several fold-increased expression level as well as the copy-number dependent expression with host cell specificity. Second we modified the transcription termination element where we introduced the specific terminator in combination with SV40 polyA signal. This modified terminator showed the increased efficiency and the level of the gene expression. By combining these two elements, we made the animal cell expression system and tested successfully for the recombinant protein productions of TGF ${\beta}$-soluble receptor, Antithrombin III, and single chain Pro-Urokinase. [Supported by grants from MOCIE]

• Biotechnology and Bioprocess Engineering:BBE
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• 제5권4호
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• pp.234-241
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• 2000

The Saccharomyces cerevisiae PMR1 gene encodes a Ca2+-ATPase localized in the Golgi. We have investigated the effects of PMR1 disruption in S. cerevisiae on the glycosylation and secretion of three heterologous glycoproteins, human ${\alpha}$1-antitrypsin (${\alpha}$1-AT), human antithrombin III (ATHIII), and Aspergillus niger glucose oxidase (GOD). The pmr1 null mutant strain secreted larger amounts of ATHIII and GOD proteins per a unit cell mass than the wild type strain. Despite a lower growth rate of the pmr1 mutant, two-fold higher level of human ATHIII was detected in the culture supernatant from the pmr1 mutant compared to that of the wild-type strain. The pmr1 mutant strain secreted ${\alpha}$1-AT and the GOD proteins mostly as core-glycosylated forms, in contrast to the hyperglycosylated proteins secreted in the wild-type strain. Furthermore, the core-glycosylated forms secreted in the pmr1 mutant migrated slightly faster on SDS-PAGE than those secreted in the mnn9 deletion mutant and the wild type strains. Analysis of the recombinant GOD with anti-${\alpha}$1,3-mannose antibody revealed that GOD secreted in the pmr1 mutant did not have terminal ${\alpha}$1,3-linked mannose unlike those secreted in the mnn9 mutant and the wild type strains. The present results indicate that the pmr1 mutant, with the super-secretion phenotype, is useful as a host system to produce recombinant glycoproteins lacking high-mannose outer chains.

• Archives of Pharmacal Research
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• 제28권7호
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• pp.816-822
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• 2005

Catharsius protease-2 (CPM-2) was isolated from the body of dung beetles, Catharsius molossus, using a three step purification process (ammonium sulfate fractionation, gel filtration on Bio-Gel P-60, and affinity chromatography on DEAE Affi-Gel blue). The purified CPM-2, having a molecular weight of 24 kDa, was assessed homogeneously by SDS-polyacrylamide gel electrophoresis. The N-terminal amino acid sequence of CPM-2 was composed of X Val Gin Asp Phe Val Glu Glu lie Leu. CPM-2 was inactivated by $Cu^{2+}\;and\;Zn^{2+}$ and strongly inhibited by typical serine proteinase inhibitors such as TLCK, soybean trypsin inhibitor, aprotinin, benzamidine, and ${\alpha}_1$-antitrypsin. However, EDTA, EGTA, cysteine, $\beta$-mercaptoethanol, E64, and elastatinal had little effect on enzyme activity. In addition, antiplasmin and antithrombin III were not sensitive to CPM-2. Based on the results of a fibrinolytic activity test, CPM-2 readily cleaved $A{\alpha}-$ and $B{\beta}$-chains of fibrinogen and fibrin, and y-chain of fibrinogen more slowly. The nonspecific action of the enzyme resulted in extensive hydrolysis, releasing a variety of fibrinopeptides of fibrinogen and fibrin. Polyclonal antibodies of CPM-2 were reactive to the native form of antigen. The ELISA was applied to detect quantities, in nanograms, of the antigen in CPM-2 protein.

• Journal of Chest Surgery
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• 제37권3호
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• pp.245-251
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• 2004

심폐바이패스하 관상동맥우회술과 달리 심폐바이패스 없이 시행하는 관상동맥우회술의 경우 수술 후 혈액응고 기능이 항진되어 이식편의 혈전과 같은 문제가 발생되는 것이 우려된다. 비교연구를 통하여 심폐바이패스 없이 시행하는 관상동맥우회술 후 혈액응고기능이 항진되는지를 규명하고자 하였다. 2001년 11월부터 2002년 5월까지 관상동맥우회술을 시행받은 환자 중 심폐바이패스 없이 시행하는 관상동맥우회술을 시행받은 11명(I군, 연구군)과 같은 기간에 좌심실 심첨부와 중격의 무운동성으로 관상동맥우회술과 Dor 술식을 시행받은 11명의 환자들을(II군, 대조군)비교하였다. 술후 혈액응고기능이 항진되는지를 알아보기 위해 thromboelastography 검사를 수술 전, 술 후 1, 2, 3, 5일째 시행하여 r time, k time, $\alpha$ angle, MA값을 측정하였고 동시에 혈액응고기능검사, fibrinogen, D-dimer, protein S, protein C, antithrombin III, plasminogen, 혈소판 수 등을 시행하여 비교하였다. TEG검사의 각각의 변수값과 혈액응고기능검사 중 MA값, $\alpha$ angle, 혈소판수가 양 군 간 의미있는 차이를 보였다. MA값이 I군의 경우 술 후 3일과 5일째 140$\pm$72%와 153$\pm$98%로 증가하였으나 II군의 경우 87$\pm$27%와 78$\pm$28%로 감소하였다(p<0.05). $\alpha$ angle은 술후 3일째 I군이 122$\pm$92%로 증가하였고 II군이 69$\pm$23%로 감소하였다(p=0.09). 혈소판수는 술 후 3일째 I군이 63$\pm$55%였으며 II군이 33$\pm$13%였다(p<0.05). 심폐바이패스하 관상동맥우회술과 비교하여 심폐바이패스 없이 시행하는 관상동맥우회술의 경우 혈액응고기능이 항진되며 따라서 보다 적극적인 항응고치료의 필요성이 제기된다고 할 수 있다.

• Journal of Chest Surgery
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• 제37권5호
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• pp.391-400
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• 2004

이종간 장기이식은 즉각적이고 비가역적 초급성 거부 반응을 초래하는데 자연항체인 IgM이 주원인으로 알려져 있다. 따라서 항체를 제거하는 것이 초급성 거부반응을 감소시키는 하나의 방법이 될 수 있다. 이에 연구자들은 돼지\$\longrightarrow$ 개 이소 심장이식 모델에서 자연항체를 제거하기 위해 원심분리 후 혈장분반술(postcentrifugal plasmapheresis-PCPP)을 사용하고 수혜견의 항체 변화와 이종 심장이식 시 생존시간을 관찰하였다. 대상 및 방법: 10∼20 kg의 이계 교배시킨 돼지를 공여돈으로, 25∼30 kg의 잡종개를 수혜견으로 사용하였다. 실험군에 해당하는 수혜견은 COBE TPE plasmapheresis device(COBE Laboratories, Lakewood. CO)로 PCPP를 시행하였다. 심장이식 2일 전과 이식 당일 PCPP를 진행하였다. 대조군은 PCPP를 수행하지 않았다. 그룹 1에서는 PCPP를 1 plasma-volume(PV)을 시행하고, 2일 후 2 PV를 실시하였다. 그룹 2는 2 PV를 시행하고 2일 후 2 PV로 PCPP를 실시하였다. 돼지의 심장은 이소심장 이식법으로 수혜견의 복강내 신하(infrarenal) 대동맥과 하대정맥에 이식하였다. 수혜견 혈장내의 총 IgM과 IgG의 분석은 ELISA방법을 이용하였다. 실험에서 얻은 시료로 혈청 albumin, 전해질, 보체 활성도와 응고 인자의 변화를 관찰하였다. 또한 이식된 심장의 초급성 거부 반응을 확인하기 위해 이식 거부반응을 경험한 심장 절편을 조직 병리학적으로 관찰하였다. 결과: PCPP 방법으로 처리한 그룹 2에서의 혈장내의 총 IsM과 IgG의 제거율은 각각 95.7$\pm$1.2%, 80.5$\pm$2.4%를 나타냈다. 또한 각 그룹에서 혈청 albumin 농도가 감소하는 것을 관찰하였는데 그룹 1에서는 2.8에서 1.4g/㎗, 그룹 2에서는 3.0에서 1.5 g/㎗의 감소를 보였다. 보체 활성도는 PCPP를 시행하면 감소하였다가 PCPP시행 후 약 24시간 후면 정상으로 회복되었다. 2 PV로 2회 시행한 PCPP에서의 보체 활성도는 시행 전의 10% 수준까지 감소되었다. PCPP가 혈액응고인자에 미치는 영향을 보면 2 PV의 PCPP 시행으로 fibrinogen의 농도가 시행 전의 20% 수준 이하로 떨어졌으나 이 효과는 24시간 이내에 회복되었고 antithrombin III도 비슷한 양상을 보였으나 fibrinogen보다 소폭의 감소를 보였다. PT, aPTT는 PCPP도중에 간혹 연장되는 경우가 있었으나 늘 일정한 결과는 아니었으며 이식 후에 측정 가능 범위 이상으로 연장되었다. D-dimer의 경우 PCPP 시행 동안에는 검출되지 않았으나 이식 후 10분부터 검출되어 지속되었다. PCPP를 수행하지 않은 그룹 0 수혜견에 이식한 심장의 생존시간은 5분이었으나 PCPP에 의해 자연항체를 제거 후 이식된 심장의 생존시간은 90분으로 현저한 증가를 보였다. 또한 조직 병리학적으로도 이식 거부에 대한 특징이 그룹 0에 비해 그룹 2에서 지연됨을 확인하였다. 결론: PCPP는 수혜견의 자연항체를 효과적으로 제거하여 초급성 거부반응을 감소시킴으로써 결국 돼지의 이종 이식 전 심장의 생존시간을 증가시켰다.