• 제목/요약/키워드: Bone marrow transplantation

검색결과 179건 처리시간 0.032초

혼합형 동종이인자형 키메라쥐에서 특정공여군의 동종 폐이식펀에대한 관용 (Mixed Chimerism to Achieve Donor-Specific Transplantation Tolerance for Lung Allografts in Rats)

  • 염욱
    • Journal of Chest Surgery
    • /
    • 제29권7호
    • /
    • pp.713-722
    • /
    • 1996
  • 폐이식후의 수용자들의 낮은 생존율은 주로 거부반응 또는 면역억제제 사용에 따른 합병증과 관련이 있다. 따라서 이식편에대한 수용자의 관용을 유도해낼 수 있는 더욱 좋은 방법이 절실히 요구된다. 저자 는 동종의 골수간세포가 주입되어진 혼합동종이 인자형 키메라 쥐에서 특정 동종 공여군의 공여 폐이식 편에대한 관용의 초래여부를 연구하였다. Fisher(F344)와 Wistar Forth(WF)종주의 쥐에서 치사량의 (1100c0y) 방사선조사후 T-임파구를 제거한 동일종주와 동종이인자형 골수의 혼합물로 재구성하였다 (F)44+WFIWF, AC1+F3441F3f4).28일후 말초혈액에서 임파구형의 검사로 혼합형 키메리즘이 확 인된 쥐에서 특정 공여군 또는 제3군의 동종 공여폐로 좌측의 동소 폐이식을시행하였다. 이식후 어떠 한 면역억제제도 투여하지 않았다. 이식편의 거부는 흉부 X선검사로 관찰하였고 조직학적으로 확인하 였다. 혼합형 키메라쥐들은 특정 공여군의 폐들을 받아들였으나 종주들 끼리의 특정효과에의한 것은 아 니었고, 이들에서 150일이상 거부반응을 관찰할 수 없었다. 이식편에대한 관용은 키메리즘의 백분율과 는 관계없이 일어났으며 제3군의 공여폐에대해서 \ulcorner정상대조군에서와 마찬가지로 10일내에 이식편에 대한거부반응이 완료되었다. 이 결과들은흔합형 키메라에서 정상적인 면역기전을 유지하면서도,특정 공여군의 폐이식후 안정적이고_1. 지속적 인, 이식 편에대한 관용이 일어난다는 것을 보여준다.

  • PDF

Suspension culture system을 이용한 hematopoietic stem cell의 expansion

  • 권준;김미정;김병수;박홍우
    • 한국생물공학회:학술대회논문집
    • /
    • 한국생물공학회 2001년도 추계학술발표대회
    • /
    • pp.475-478
    • /
    • 2001
  • 체외에서 hematopoietic cells의 배양은 필수이식으로 하여금 hematopoietic malignancies로 인해 고통받는 환자들을 치료할 수 있다. 본 실험에서는 골수의 초기 농도$1.5{\times}10^6cells/ml$로 하여 IL-3(5ng/ml), SCF(5ng/ml)과 FL(25ng/ml)의 성장 인자들을 첨가함으로써 bone marrow의 전체 cell의 증식은 생성시키지 못 했지만 LTC-IC는 3.6배의 증식을 가져왔다.

  • PDF

Colonic Angioectasia in an Adolescent Boy with Hoyeraal-Hreidarsson on Long-Term Anabolic Steroid Therapy

  • Khalaf, Racha;Cuffari, Carmen
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제21권1호
    • /
    • pp.68-71
    • /
    • 2018
  • Androgen therapy has proven efficacy in treating patients with bone marrow failure who are not candidates for bone marrow transplantation. Herein, we report on a case of colonic angioectasia secondary to oxymetholone use in an adolescent patient with Hoyeraal-Hreidarsson syndrome (HHS). A 13-year-old Caucasian male with HHS characterized by cerebellar hypoplasia, developmental delay, microcephaly, esophageal strictures and myelodysplasia presented with severe hematochezia from colonic angioectasia secondary to long-term oxymetholone therapy. These vascular lesions resolved spontaneously once this anabolic steroid was discontinued. While androgen therapy is often recommended for certain anemias and myelodysplastic syndromes, clinicians should be aware of the potential complication in developing these perceived uncommon colonic angioectasias. Moreover, pediatric gastroenterologists should familiarize themselves in identifying these vascular lesions by colonoscopy, especially among the high risk groups on long-term anabolic steroid therapy.

Toxicity and Biomedical Imaging of Fluorescence-Conjugated Nanoparticles in Hematopoietic Progenitor Cells

  • Min, Gye-Sik;Kim, Dong-Ku
    • Reproductive and Developmental Biology
    • /
    • 제35권4호
    • /
    • pp.503-510
    • /
    • 2011
  • Cellular uptake of nanoparticles for stem cell labeling and tracking is a critical technique for biomedical therapeutic applications. However, current techniques suffer from low intracellular labeling efficiency and cytotoxic effects, which has led to great interest in the development of a new labeling strategy. Using silica-coated nanoparticles conjugated with rhodamine B isothiocyanate (RITC) (SR), we tested the cellular uptake efficiency, biocompatibility, proliferation or differentiation ability with murine bone marrow derived hematopoietic stem/progenitor cells. The bone marrow hematopoietic cells showed efficient uptake with SR with dose or time dependent manner and also provided a higher uptake on hematopoietic stem/progenitor cells. Biocompatibility tests revealed that the SR had no deleterious effects on cell cytotoxicity, proliferation, or multi-differentiation capacities in vitro and in vivo. SR nanoparticles are advantageous over traditional labeling techniques as they possess a high level of cellular internalization without limiting the biofunctionality of the cells. Therefore, SR provides a useful alternative for gene or drug delivery into hematopoietic stem/progenitor cells for basic research and clinical applications.

Intracranial Chloroma(Granulocytic Sarcoma) by Lymphocytic Leukemia

  • Jeong, Ho-Seok;Kim, Moo-Seong;Jung, Yong-Tae;Sim, Jae-Hong
    • Journal of Korean Neurosurgical Society
    • /
    • 제38권1호
    • /
    • pp.65-67
    • /
    • 2005
  • Intracranial chloroma may occur in leukemia, although they are rare. A 23-year-old female complained diplopia. Brain magnetic resonance MR imaging showed tumors in the both cavernous sinus, both tentorial and anterior falx. Gamma-Knife radiosurgery was performed with maximal dose; 20Gy, marginal dose; 10Gy. Peripheral blood smear revealed leukemia, and bone marrow aspiration biopsy showed acute lymphocytic leukemia. Two weeks later, MR image for the stereotactic biopsy noticed markedly decreased tumor size. Biopsy result was lymphocytic leukemia. She received conventional radiation therapy, chemotherapy, and bone marrow transplantation. Brain involvement by acute lymphocytic leukemia is very rare. Even though chloroma are sensitive to radiation therapy, prognosis is poor because of the gravity of the underlying disease and association with impending blast transformation. The authors reports a intracranial chloroma by acute lymphocytic leukemia.

Attenuation of Hepatic Graft-versus-host Disease in Allogeneic Recipients of MyD88-deficient Donor Bone Marrow

  • Lim, Ji-Young;Lee, Young-Kwan;Lee, Sung-Eun;Ju, Ji-Min;Park, Gyeongsin;Choi, Eun Young;Min, Chang-Ki
    • IMMUNE NETWORK
    • /
    • 제15권3호
    • /
    • pp.125-134
    • /
    • 2015
  • Acute graft-versus-host-disease (GVHD) is characterized by selective damage to the liver, the skin, and the gastrointestinal tract. Following allogeneic hematopoietic stem cell transplantation, donor bone marrow (BM) cells repopulate the immune system of the recipient. We previously demonstrated that the acute intestinal GVHD (iGVHD) mortality rate was higher in MyD88-deficient BM recipients than that in the control BM recipients. In the present study, the role of MyD88 (expressed by donor BM) in the pathophysiology of hepatic GVHD (hGVHD) was examined. Unlike iGVHD, transplantation with MyD88-deficient T-cell depleted (TCD) BM attenuated hGVHD severity and was associated with low infiltration of T cells into the liver of the recipients. Moreover, GVHD hosts, transplanted with MyD88-deficient TCD BM, exhibited markedly reduced expansion of $CD11b^+Gr-1^+$ myeloidderived suppressor cells (MDSC) in the liver. Adoptive injection of the MDSC from wild type mice, but not MyD88-deficient mice, enhanced hepatic T cell infiltration in the MyD88-deficient TCD BM recipients. Pre-treatment of BM donors with LPS increased MDSC levels in the liver of allogeneic wild type BM recipients. In conclusion, hGVHD and iGVHD may occur through various mechanisms based on the presence of MyD88 in the non-T cell compartment of the allograft.

전신방사선치료시 산란체의 두께에 따른 선량측정 (The Study of Dosimetry according to the Thickness of Beam Spoiler on Total Body Irradiation)

  • 김영재;전병규;이재식;정재은
    • 한국방사선학회논문지
    • /
    • 제8권5호
    • /
    • pp.265-269
    • /
    • 2014
  • 방사선을 이용한 백혈병의 전신방사선 치료는 환자의 골수에 건강한 골수세포를 이식하는 골수이식(bone marrow transplantation) 시행 전, 골수의 재구성을 위한 준비단계로 전신에 외부 방사선을 조사(external beam therapy)하여 유해한 세포를 죽이거나 면역체계의 억제를 목적으로 시행된다. 전신방사선 치료를 시행할 경우 환자의 표면선량을 증가하기 위해 사용되는 산란판(spoiler)을 사용하게 되는데 산란판을 사용할 때의 표면선량은 환자와의 거리에 따라 달라지고, 두께에 따라 달라지게 된다. 이에 본 논문에서는 산란판의 두께에 따른 표면선량의 변화를 알아보았다. 아크릴로 된 산란판을 0.5 cm부터 3.0 cm 까지 0.5 cm 간격으로 제작하여 각각 측정한 결과 2.0 cm를 기준으로 두께에 따라 약 0.5% 정도의 표면선량의 증가를 관찰 할 수 있었다. 이를 토대로 임상에 직접 적용하기에는 제한적일 수 있으나 임상실험과 치료받은 환자의 예후 등을 조사하여 임상에 적용한다면 각기 다른 표면선량을 요구하는 환자들에게 산란판의 두께변화 만으로도 적절한 표면선량을 부여하는 방법이 될 것으로 생각된다.

The role of nuclear factor I-C in tooth and bone development

  • Roh, Song Yi;Park, Joo-Cheol
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제43권2호
    • /
    • pp.63-69
    • /
    • 2017
  • Nuclear factor I-C (NFI-C) plays a pivotal role in various cellular processes such as odontoblast and osteoblast differentiation. Nfic-deficient mice showed abnormal tooth and bone formation. The transplantation of Nfic-expressing mouse bone marrow stromal cells rescued the impaired bone formation in $Nfic^{-/-}$ mice. Studies suggest that NFI-C regulate osteogenesis and dentinogenesis in concert with several factors including transforming growth factor-${\beta}1$, $Kr{\ddot{u}}ppel$-like factor 4, and ${\beta}$-catenin. This review will focus on the function of NFI-C during tooth and bone formation and on the relevant pathways that involve NFI-C.

골수이식 환자의 영양지원 실태에 관한 연구 (A Study on the Status of Nutrition Support in Bone Marrow Transplantation Patients)

  • 김정남;임현숙;송승은
    • 대한영양사협회학술지
    • /
    • 제4권1호
    • /
    • pp.65-75
    • /
    • 1998
  • Recently, the number of patients who received Bone Marrow Transplantation(BMT) has been increased dramatically and the diseases for which BMT if efficacious are increasing. Adequate nutritional card for BMT patients is crucial for the success of BMT because nutritional deficiency could provoke deteriorative effects. However, little is known about nutritional status among BMT patients in Korea. This study was conducted to assess oral and parenteral intake of BMT patients and compare the change of nutritional status before and after BMT. Twenty-two BMT patients who were admitted to the Severance hospital from December in 1995 to September in 1997 participated in the study. Total calorie requirements were calculated for each patients individually and nutritional support for each patients consisted of oral and parenteral feeding. To assess oral intake of BMT patients, each patients recorded the amount of food they have eaten from 6 days before BMT to 28 days after BMT. The medical records of each patients were used to assess parenteral intake. To compare the nutritional status before and after BMT, the results of anthropometric and biochemical test from 14 days before BMT to 28 days after BMT were used. At the time of admission, the patients were in allowable nutritional status and their total calorie intake was 93% of total calorie requirement. When the preparative regimen for BMT was started, the patients' oral intake was dramatically decreased below 400kcal/day. Even though their oral intake was increased after BMT, their oral intake at the 4th week after BMT was only 752kcal/d, which is only 35.8% of total calorie requirement. The patients' mean oral intake during BMT period (from 6 days before BMT to 28 days after BMT) was only 439kcal/d. Although Total Parenteral Nutrition(TPN) was added when the preparative regimen was started, the patients' mean total caloric intake during BMT period was 111% of basal energy expenditure and 83% of total calorie requirement. The mean total protein intake was only 58% of total protein requirement. In the comparison of nutritional status between pretransplant phase and posttransplant phase in BMT patients, their body weight and serum albumin level were significantly decreased(p<0.001). These results show inadequacies in nutritional intake among BMT patients, and indicate the need of TPN during BMT period.

  • PDF