• 수면정신생리
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• 제4권1호
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• pp.89-95
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• 1997

The authors studied 5 cases of idiopathic CNS hypersomnia who visited Division of Sleep Studies, Seoul National University Hospital in 1995. Detailed medical history was taken and nocturnal polysomnography(NPSG), multiple sleep latency test(MSLT) and human leukocyte antigen(HLA) typing were performed. Neither cataplexy nor hypnagogic hallucination was reported in all cases and in NPSGs, there were tendencies of increased sleep period time and decreased slow wave sleep time. In MSLT, all the subjects showed average sleep latencies less than 8 minutes without sleep-onset rapid eye movement period(SOREMP). In HLA typing, some correlation between idiopathic CNS hypersomnia and HLA DR4 was observed. In contrast to previous reports, overall treatment response with methylphenidate was remarkable. Therefore, the authors suggest that patients suspected of idiopathic CNS hypersomnia be actively evaluated and treated with rather optimistic perspective.

• 대한임상검사과학회지
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• 제40권2호
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• pp.94-97
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• 2008

The human leukocyte antigen (HLA) is the name of the major histocompatibility complex (MCH) in humans. The superlocus contains a large number of genes related to immune system function in humans. This group of genes resides on chromosome 6. and encode cell surface antigen-presenting proteins and many other genes. HLA class I antigen (A, B & C) present peptides from inside the cell. These peptides are produced from digested proteins that are broken down in the lysozymes. Most expressed HLA loci exhibit a remarkable degree of allelic polymorphism, which derives from sequence differences predominantly localized to discrete hypervariable regions of the amino terminal domain of the molecule. In this sutdy, the HLA-A genotypes were determined in twenty students unrelated koreans using the PCR-SSP (Polymerase Chain Reaction-Sequence Specific Primer) technique. Several specific primer pairs in assigning the HLA-A gene were used (A*0201, A*33, A*2401). The results of PCR-SSP, the HLA-A*0201 primer was detected eleven (55%), the HLA-A*33 were detected seven (35%) and the HLA-A*2401 were detected seven (35%). This study shows that the PCR-SSP technique is relatively simple, fast and a practical tool for the determination of the HLA-A genotypes.

• IMMUNE NETWORK
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• 제11권6호
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• pp.324-335
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• 2011

The human leukocyte antigen (HLA), the major histocompatibility complex (MHC) in humans has been known to reside on chromosome 6 and encodes cell-surface antigen-presenting proteins and many other proteins related to immune system function. The HLA is highly polymorphic and the most genetically variable coding loci in humans. In addition to a critical role in transplantation medicine, HLA and disease associations have been widely studied across the populations worldwide and are found to be important in prediction of disease susceptibility, resistance and of evolutionary maintenance of genetic diversity. Because recently developed molecular based HLA typing has several advantages like improved specimen stability and increased resolution of HLA types, the association between HLA alleles and a given disease could be more accurately quantified. Here, in this review, we have collected HLA association data on some autoimmune diseases, infectious diseases, cancers, drug responsiveness and other diseases with unknown etiology in Koreans and attempt to summarize some remarkable HLA alleles related with specific diseases.

• Clinical and Experimental Vaccine Research
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• 제12권4호
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• pp.328-336
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• 2023

Purpose: Human peripheral blood mononuclear cell (PBMC)-based in vitro systems can be of great value in the development and assessment of vaccines but require the right medium for optimal performance of the different cell types present. Here, we compare three commonly used media for their capacity to support innate and adaptive immune responses evoked in PBMCs by Toll-like receptor (TLR) ligands and whole inactivated virus (WIV) influenza vaccine. Materials and Methods: Human PBMCs were cultured for different periods of time in Roswell Park Memorial Institute (RPMI), Dulbecco's minimal essential medium (DMEM), or Iscove's modified DMEM (IMDM) supplemented with 10% fetal calf serum. The viability of the cells was monitored and their responses to TLR ligands and WIV were assessed. Results: With increasing days of incubation, the viability of PBMCs cultured in RPMI or IMDM was slightly higher than that of cells cultured in DMEM. Upon exposure of the PBMCs to TLR ligands and WIV, RPMI was superior to the other two media in terms of supporting the expression of genes related to innate immunity, such as the TLR adaptor protein gene MyD88 (myeloid differentiation factor 88), the interferon (IFN)-stimulated genes MxA (myxovirus resistance protein 1) and ISG56 (interferon-stimulated gene 56), and the leukocyte recruitment chemokine gene MCP1 (monocyte chemoattractant protein-1). RPMI also performed best with regard to the activation of antigen-presenting cells. As for adaptive immunity, when stimulated with WIV, PBMCs cultured in RPMI or IMDM contained higher numbers of IFNγ-producing T cells and secreted more immunoglobulin G than PBMCs cultured in DMEM. Conclusion: Taken together, among the different media assessed, RPMI was identified as the optimal medium for a human PBMC-based in vitro vaccine evaluation system.

• International Journal of Stem Cells
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• 제17권1호
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• pp.59-69
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• 2024

Human pluripotent stem cells (hPSCs) such as human embryonic stem cells (hESCs), induced pluripotent stem cells, and somatic cell nuclear transfer (SCNT)-hESCs can permanently self-renew while maintaining their capacity to differentiate into any type of somatic cells, thereby serving as an important cell source for cell therapy. However, there are persistent challenges in the application of hPSCs in clinical trials, where one of the most significant is graft rejection by the patient immune system in response to human leukocyte antigen (HLA) mismatch when transplants are obtained from an allogeneic (non-self) cell source. Homozygous SCNT-hESCs (homo-SCNT-hESCs) were used to simplify the clinical application and to reduce HLA mismatch. Here, we present a xeno-free protocol that confirms the efficient generation of neural precursor cells in hPSCs and also the differentiation of dopaminergic neurons. Additionally, there was no difference when comparing the HLA expression patterns of hESC, homo-SCNT-hESCs and hetero-SCNT-hESCs. We propose that there are no differences in the differentiation capacity and HLA expression among hPSCs that can be cultured in vitro. Thus, it is expected that homo-SCNT-hESCs will possess a wider range of applications when transplanted with neural precursor cells in the context of clinical trials.

• 생물정신의학
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• 제1권1호
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• pp.79-87
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• 1994

For the purpose of evaluating the human leukocyte antigen(HLA) disease-association with bipolar disorder, HLA class I and class II allelic frequencies were assessed in 37 bipolar patients and were compared to the data from normal population. HLA class 1 typing was performed with microlymphocytotoxicity method while class II(DRB1) genotyping with reverse dot blot hybridization and sandwich method. Statistical analysis consisted of relative risk, Haldane's modified relative risk, Fisher's exact test and Bonferoni's corrected P. The results were as follows : 1) Bipolar patients showed increased allelic frequency of HLA A3 which has statistical significance. 2) Allelic frequencies of HLA B7, B14 and B54 were higher, while those of B51 and B55 were lower in bipolar patients, but they were not statistically significant. 3) Both of increased frequencies of DR2 in bipolar patients and DR15 in normal controls had statistical significance. The results of the present study suggested that some of HLA allelic types might be associated with bipolar disorder. To clarify the genetic influence of HLA to bipolar disorder, we should do consecutive study of bipolar disorder with new information about HLA system including alleles.

• 한국발생생물학회지:발생과생식
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• 제5권2호
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• pp.93-100
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• 2001

태아가 모체의 면역 거부 반응으로부터 회피될 수 있는 기전에 관한 연구는 반세기를 지내왔지만 아직까지 규명되지 못하고 있다. 태아모체간 계면에서의 면역학적 기전이상은 자연 유산 및 습관성 유산, 태아발육제한, 임신성 고혈압 질환, 보조 생식술 후 착상실패, 태아 사망 등 각종 임신 합병증들의 병인으로 작용하므로 이 기전 규명은 매우 중요하다. 본 종설에서는 현재까지 이 면역학적 기전에 관해 밝혀진 내용들이 그 중요성의 정도순으로 기술되었다. 그 기전 이해에 관해서는 1) 융모외 세포영양모세포(extravillous cytotrophoblasts)가 표현하는 인백혈구 항원(HLA-C, E, G)과 자연살세포 수용체(NK cell receptor)들과 상호 관계가 그 핵심으로 2) 면역 조정(immunomodulation)과 3) 선천면역(innate immunity)이 주된 기전이고 4) 보체(complement) 등 인백혈구 항원계(HLA system)이외의 인자들이 관여함 등으로 요약될 수 있고 이러한 무수한 기전들의 종합적인 면역 조정 결과가 해당 임신의 예후를 결정하게 될 것이다. 향후, 각 기전에 대한 연구들, 특히 융모외 세포영양모세포(extravillous cytotrophoblasts)의 인백혈구 항원(HLA antigens)과 그 수용체(receptor)들의 조절기전, 사이토카인(cytokine), 보체(complement) 등의 역할에 관한 더욱 많은 연구가 진척되어야할 것이다.

• 대한임상검사과학회지
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• 제56권3호
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• pp.236-247
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• 2024

Human leukocyte antigen (HLA) 시스템은 주조직 적합성 복합체(major histocompatibility complex, MHC)의 일부분으로, 자가 세포와 비자가 세포 및 항원을 구분하여 면역 반응에서 중요한 역할을 한다. HLA allele의 다양한 변이는 질병감수성과 면역 반응에 영향을 미치며, 이는 각기 다른 인구 집단에서 차이가 난다. 특히, HLA-A와 HLA-DRB1 allele은 다양한 면역 관련 질환과 연관되어 있어, 이러한 유전자의 빈도와 haplotype의 연관성을 이해하는 것이 유전학적 및 면역학적 연구에서 매우 중요하다. 한국인에서 이러한 특성의 분포를 조사하기 위해, 서울중앙혈액원에 헌혈한 자원자들의 혈액에서 peripheral blood mononuclear cell을 분리하고, 790명의 샘플에 대해 HLA 유전자형 분석을 수행하였다. 연구 결과, HLA-A와 HLA-DRB1 allele은 한국인 집단에서 널리 분포하고 있으며, HLA-A^*24:02 (21.7%)와 HLA-DRB1^*09:01 (9.9%)이 가장 빈번하게 나타났다. 특정 HLA-A와 HLA-DRB1 allele 간의 중요한 haplotype 연관성이 카이제곱 검정을 통해 확인되었으며, 이는 특정 유전자 조합이 질병 발병에 영향을 미칠 수 있음을 시사한다. 이러한 통찰은 질병에 대한 예측 및 예방전략 개발에 기여할 수 있다. 한국인 집단의 독특한 유전적 특성은 이 그룹에서 HLA allele과 haplotype 분포를 연구하는 것이 질병 감수성을 이해하는 중요한 지표임을 강조한다.