• 대한수혈학회지
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• 제29권3호
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• pp.282-290
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• 2018

배경: CDe 표현형 환자에서 수혈에 의해 항-E 또는 항-E/-c 항체가 생길 수 있다. CDe 표현형 환자에서 항-E 또는 항-E/-c 항체의 생성에 따른 특성의 차이를 조사해 보고자 하였다. 방법: 2014년에 실시된 비예기항체 동정 검사결과를 후향적으로 검토하였다. Rh 표현형과 항체 특이성을 조사하였고, CDe 표현형 환자의 수혈 및 의무 기록을 조사 하였다. 결과: 총 76명의 환자가 포함되었다. 76명의 환자 중 38명(50.0%)이 CDe 표현형이었다. 항-E 항체 양성군은 23명(60.5%)이었고, 항-E/-c 양성군은 9명(23.7%) 이었다. 총 수혈 단위와 혈소판 수혈 단위는 항-E/-c 항체 양성군에서 유의하게 높았다(P=0.028, P=0.01). 분류된 질병군의 분포는 항-E 및 항-E/-c 항체 양성군간에 차이가 없었다. 수혈의 빈도가 4회 이상을 차지하는 비율은 간담도계 질환 환자군에서 85.7%로 가장 높았다. 결론: CDe 표현형 환자에서 항-E 양성군보다 항-E/-c 양성군에서 혈소판 수혈이 의미 있게 높아 적혈구 동종면역에 혈소판의 역할이 있음을 알 수 있었다. 한국인에서 E 항원 면역원성이 가장 높기 때문에 CDe 표현형 환자들에게 E 항원과 c 항원 음성 혈액의 수혈이 요구되는 질환군을 향 후 정의할 필요가 있다.

• Annals of Laboratory Medicine
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• 제38권6호
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• pp.585-590
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• 2018

Background: Although testing to detect weak D antigens using the antihuman globulin reagent is not required for D- patients in many countries, it is routinely performed in Korea. However, weak D testing can be omitted in D- patients with a C-E- phenotype as this indicates complete deletion of the RHD gene, except in rare cases. We designed a new algorithm for weak D testing, which consisted of RhCE phenotyping followed by weak D testing in C+ or E+ samples, and compared it with the current algorithm with respect to time and cost-effectiveness. Methods: In this retrospective study, 74,889 test results from January to July 2017 in a tertiary hospital in Korea were analyzed. Agreement between the current and proposed algorithms was evaluated, and total number of tests, time required for testing, and test costs were compared. With both algorithms, RHD genotyping was conducted for samples that were C+ or E+ and negative for weak D testing. Results: The algorithms showed perfect agreement (agreement=100%; ${\kappa}=1.00$). By applying the proposed algorithm, 29.56% (115/389 tests/yr) of tests could be omitted, time required for testing could be reduced by 36% (8,672/24,084 min/yr), and the test cost could be reduced by 16.53% (536.11/3,241.08 USD/yr). Conclusions: Our algorithm omitting weak D testing in D- patients with C-E- phenotype may be a cost-effective testing strategy in Korea.

• Toxicological Research
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• 제17권
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• pp.145-155
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• 2001

Cytochrome P4502C19 (CYP2C19) is one of human polymorphic xenobiotic-metabolizing enzymes. The enzyme has been reported to catalyze more than 70 substrates, involving more than 100 reactions. These include several classes of therapeutic agents (e.g. anti-microbial. cardiovascular, psycho-active, etc.), sex hormones and insecticides. Associations of the CYP2C19 genotype/phenotype with individual differences in drug efficacy (e.g. diazepam, omeprazole, proguanil) and toxicity (e.g. mephenytoin, barbiturates) have been documented by many investigators. At least 11 allelic variants of CYP2C19 gene were reported to date. Most of the mutant alleles found in the poor metabolizer (PM) led to the production of truncated and/or inactive proteins. Except for the exon 6, single-nucleotide mutations were reported in all nine exons of the gene. Genetic polymorphism of CYP2C19 shows marked interethnic variation with the population frequencies of PM phenotype ranging from 1∼2% up to more than 50%. The prevalence of CYP2C19 PM tends to be higher in Asian and certain Pacific Islanders than other race or ethnic specificity. Genotyping results of CYP2C19 also revealed that there are different proportions of individual mutant alleles among ethnic populations. This may, in part, explains the interethnic difference in the metabolism of certain drugs (i.e. diazepam), though they were from the same CYP2C19 phenotype. Recently, our research group has studied the genotype and phenotype of CYP2C19 and found that the PM frequency (7∼8%) in Thais is lower than other Asian populations. Molecular and clinical impacts of this finding warrant to further investigation.

• 미생물학회지
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• 제46권2호
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• pp.148-151
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• 2010

동물성 식품 유래 장구균의 에리스로마이신 내성 유전자형 및 표현형을 분석하고자 하였다. 경기북부지역의 축산 농가 15곳으로부터 원유 시료 378개를 분양받아 본실험에 사용하였으며 에리스로마이신 내성 장구균 분리에 사용하였다. 총 110균주의 장구균이 분리 되었으며 이중 E. faecalis가 101균주, E. avium이 7균주, E durans가 2균주였다. 에리스로마이신에 대한 내성 비율은 65.45%였으며 $MIC_{50}$은 16 ${\mu}g$/ml, $MIC_{90}$은 64 ${\mu}g$/ml이었다. 분리된 장구균 110균주 모두 erm(B) 유전자를 소유하고 있었으며 75.45%인 83균주가 mef(A)를 소유하고 있음을 확인하였다. 표현형 분석에 따르면 지속성 내성($cMLS_B$)을 나타내는 균주는 95균주(86.36%)였으며 유도내성 ($iMLS_B$)을 보이는 균주는 15균주(13.34%)였다.

• 대한의생명과학회지
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• 제10권2호
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• pp.153-161
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• 2004

Antibiotic resistance is often associated with the production of inner membrane proteins (for example, AcrAB/TolC efflux pump) that are capable to extrude antibiotics, detergents, dyes and organic solvents. In order to evaluate the unknown MarB function of Escherichia coli, especially focused on the function of OmpF porin, several mutants were construted by T4GT7 transduction. MarA plays a major roles in mar (multiple antibiotic resistance) phenotype with AcrAB/TolC efflux pump in E. coli K-12. Futhermore, MarA decreases OmpF porin expression via micF antisense RNA. Expression of acrAB is increased in strains containing mutation in marR, and in those carrying multicopy plasmid expressing marA. MarB protein of E. coli K-12 showed its activity at OmpF porin & TolC protein as target molecule. Some paper reported MarB positively regulates OmpF function. MarA shows mar phenotype, and MarB along with MarA show decreased MIC through OmpF function. By this experiment, MarB could decrease MIC through the OmpF porin & TolC protein as target.

• Journal of Microbiology
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• 제35권3호
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• pp.228-233
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• 1997

The MTF1 gene of Saccharomyces cerevisiae encodes a 43 kDa MITOCHONDRIAL RNA polymerase specificity factor which recognizes mitochondrial promoters to initiate correct transcription. To better understand structure-function of the MTF1 gene as well as the transcription mechanism of mitochondrial RNA polymerase, two cold-sensitive alleles of the MTF1 mutation were isolated by plasmid shuffling method after PCR-based random mutagenesis of the MTF1 gene. The mutation sites were analyzed by nucleotide sequencing. These cs phenotype mtf1 mutants were respiration competent on the nonfermentible glycerol medium at the permissive temperature, but incompetent at 13.deg.C. The cs phenotype allele of the MTF1, yJH147, encoded an L146P replacement. The other cs allele, yJH148, contained K179E and K214M double replacements. Mutations in both alleles were in a region of Mtflp which is located between domains with amino acid sequence similarities to conserved regions 2 and 3 of bacterial s factors.

• Parasites, Hosts and Diseases
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• 제54권1호
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• pp.55-60
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• 2016

The aim of the present study is to determine the characteristics of genotype and phenotype of Echinococcus granulosus derived from wild sheep and to compare them with the strains of E. granulosus sensu stricto (sheep-dog) and E. granulosus camel strain (camel-dog) in Iran. In Khojir National Park, near Tehran, Iran, a fertile hydatid cyst was recently found in the liver of a dead wild sheep (Ovis orientalis). The number of protoscolices (n=6,000) proved enough for an experimental infection in a dog. The characteristics of large and small hooks of metacestode were statistically determined as the sensu stricto strain but not the camel strain (P=0.5). To determine E. granulosus genotype, 20 adult worms of this type were collected from the infected dog. The second internal transcribed spacer (ITS2) of the nuclear ribosomal DNA (rDNA) and cytochrome c oxidase 1 subunit (COX1) of the mitochondrial DNA were amplified from individual adult worm by PCR. Subsequently, the PCR product was sequenced by Sanger method. The lengths of ITS2 and COX1 sequences were 378 and 857 bp, respectively, for all the sequenced samples. The amplified DNA sequences from both ribosomal and mitochondrial genes were highly similar (99% and 98%, respectively) to that of the ovine strain in the GenBank database. The results of the present study indicate that the morpho-molecular features and characteristics of E. granulosus in the Iranian wild sheep are the same as those of the sheep-dog E. granulosus sensu stricto strain.

• Journal of Genetic Medicine
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• 제14권2호
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• pp.71-74
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• 2017

Mutations in the DNA methyltransferase 1 gene (DNMT1) were reported to cause two phenotypes: OMIM 604121 and OMIM 614116. The first phenotype includes autosomal dominant cerebellar ataxia, deafness, and narcolepsy, which were reported to be caused by mutations in exon 21. The second phenotype includes hereditary sensory and autonomic neuropathy type 1E, which was suggested to be caused by mutations in exon 20 and 21. In this article, we report a novel heterozygous missense variant c.898A>C, p.(Lys300Gln) in exon 12 of DNMT1 in a young woman who presented with pure cerebellar ataxia. This report indicates that a mutation in exon 12 may lead to pure cerebellar ataxia. Another possibility is that the patient is currently in an early stage of the disease, and as the disease progresses, she will have more manifestations. To confirm or exclude this possibility, a subsequent follow-up study reporting the disease progression in this patient may be needed. Further reports of cases with the same mutation are needed to confirm the phenotype of this mutation.

• 대한임상검사과학회지
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• 제49권4호
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• pp.401-406
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• 2017

이 연구에서 VITEK 2 시스템을 사용하여 $6{\mu}g/mL$ vancomycin이 첨가된 Enterococcosel (EV6 agar에서 배양한 327개의 검체 중 74개의 분리균(22.6%)으로 확인하였다. E. faecium은 55주(74.3%), E. gallinarum 16주(21.6%), E. casseliflavus 2주(2.7%) 및 E. avium 1주(1.4%)로 확인되었다. E. faecium의 55가지 표현형 중 vanA가 42주(76.4%), vanB가 9주(16.4%), vanC 표현형이 4주(7.3%)로 나타났다. E. gallinarum 16주와 E. casseliflavus 2주 모두 vanC 표현형을 보였으며 E. avium 1주는 vanB 표현형을 나타내었다. EV4에서만 증식된 E. faecium 1주는 VITEK2 시스템을 이용한 항균제 감수성 검사 결과 vancomycin과 teicoplanin에 모두 감수성이었고 vancomycin 내성 표현형 유전자는 PCR에 의해 검출되지 않았다. 총 327 검체를 $6{\mu}g/mL$ vancomycin (EV6 broth)을 첨가 한 Enterococoscosel broth에서 배양하여 120 균주(36.7%)가 분리되었다. 120균주에서 다중 중합 효소 연쇄반응에 의한 반코마이신 내성 유전형 실험을 실시한 결과, vanA가 51주(42.5%), vanA와 vanC가 5주(4.2%), vanC가 18주(15%), 나머지 46주(38.3%)에서는 vancomycin 내성 유전형 유전자는 검출되지 않았다.

• 폴리머
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• 제39권3호
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• pp.412-417
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• 2015

조직공학에 있어서 고분자 지지체의 물성은 세포의 부착, 이동, 성장 및 분화에 영향을 미치는 중요한 요소 중 하나이다. 이 논문에서는 다양한 강성을 가지는 세포 친화적인 알긴산 하이드로젤을 제조하고 골모세포(MC3T3-E1)와 심근세포(H9C2)를 2차원 배양한 후, 각 세포의 부착 및 성장을 연구하였다. 골조직에서 유래한 MC3T3-E1 세포는 하이드로젤의 강성도가 증가함에 따라 성장이 촉진되었지만 근육조직 유래의 H9C2 세포는 오히려 감소하였다. 재생하고자 하는 조직의 종류에 따라 지지체의 기계적인 물성을 변화시켜서 세포의 부착 및 성장을 제어하는 것은 조직공학적으로 조직 및 장기를 개발하는 데 있어서 중요한 역할을 할 것이다.