• 제목/요약/키워드: IgG4-RD

검색결과 21건 처리시간 0.026초

Clinical and Radiological Features of Diffuse Lacrimal Gland Enlargement: Comparisons among Various Etiologies in 91 Biopsy-Confirmed Patients

  • Sae Rom Chung;Gye Jung Kim;Young Jun Choi;Kyung-Ja Cho;Chong Hyun Suh;Soo Chin Kim;Jung Hwan Baek;Jeong Hyun Lee;Min Kyu Yang;Ho-Seok Sa
    • Korean Journal of Radiology
    • /
    • 제23권10호
    • /
    • pp.976-985
    • /
    • 2022
  • Objective: To compare the clinical and radiological features of various etiologies of chronic diffuse lacrimal gland enlargement. Materials and Methods: We retrospectively reviewed 91 consecutive patients who underwent surgical biopsy for chronic diffuse lacrimal gland enlargement and were diagnosed with non-specific dacryoadenitis (DA) (n = 42), immunoglobulin G4-related dacryoadenitis (IgG4-RD) (n = 33), and lymphoma (n = 16). Data on patient demographics, clinical presentation, and CT imaging findings (n = 73) and MRI (n = 43) were collected. The following radiologic features of lacrimal gland enlargement were evaluated: size, unilaterality, wedge sign, angle with the orbital wall, heterogeneity, signal intensity, degree of enhancement, patterns of dynamic contrast-enhanced, and apparent diffusion coefficient value. Radiological features outside the lacrimal glands, such as extra-lacrimal orbital involvement and extra-orbital head and neck involvement, were also evaluated. The clinical and radiological findings were compared among the three diseases. Results: Compared to the DA and IgG4-RD groups, the lymphoma group was significantly older (mean 59.9 vs. 46.0 and 49.4 years, respectively; p = 0.001) and had a higher frequency of unilateral involvement (62.5% vs. 31.0% and 15.2%, respectively; p = 0.004). Compared to the IgG4-RD and lymphoma groups, the DA group had significantly smaller lacrimal glands (2.3 vs. 2.8 and 3.3 cm, respectively; p < 0.001) and a lower proportion of cases with a wedge sign (54.8% vs. 84.8% and 87.5%, respectively; p = 0.005). The IgG4-RD group showed more frequent involvement of the extra-orbital head and neck structures, including the infraorbital nerve (36.4%), paranasal sinus (72.7%), and salivary gland (58.6%) compared to the DA and lymphoma groups (4.8%-28.6%) (all p < 0.005). Conclusion: Patient age, unilaterality, lacrimal gland size, wedge sign, and extra-orbital head and neck involvement differed significantly different between lymphoma, DA, and IgG4-RD. Our results will be useful for the differential diagnosis and proper management of chronic lacrimal gland enlargement.

복합 살모넬라 타이피무리움 고스트 백신의 마우스 구강 투여에 의한 면역 응답 (Immune Responses of BALB/c Mice Administrated via Oral Route to a Combined Salmonella Typhimurium Ghost Vaccine)

  • 김판길;하연조;이수만;김삼웅;갈상완
    • 생명과학회지
    • /
    • 제25권11호
    • /
    • pp.1197-1203
    • /
    • 2015
  • 살모넬라 타이피무리움 JOL389와 χ3339는 마우스에 강한 독력을 가진 균주들이며, χ8554는 χ3339로부터 유도되었다. 고스트 카세트를 운반하는 플라스미드 pMMP184가 제조된 후에, BALB/c 마우스의 구강 경로를 경유하여 투여되었다. 총 IgG의 함량 변화는 χ8554 고스트 세포의 부스팅으로 발현 함량이 낮게 나타났지만, 3차 접종의 2주 경과 후, 6주차에서 증가되는 양상을 보였다. 그러나, 혼합 백신 그룹인 JOL389/χ8554 그룹에서는 총 IgG의 함량이 일차 접종 후 2주차부터 상승되는 경향을 보였고, 추가접종이 진행되므로써 많은 상승 폭을 나타내었다. 총 IgG의 함량은 백신 접종 후 10주차에서 χ8554그룹에 비교하여 JOL389/χ8554은 8배 이상 높은 것으로 관찰되었다. IgG1, IgG2a, 분비IgA의 함량은 백신화 후 4주차에서 상승되었다. 독력 살모넬라 타이피무리움 χ3339로 도전실험결과, χ8554 [pMMP184]과 χ8554 [pMMP184]/JOL389은 대조구에 비교하여 50% 이상의 보호효과가 관찰되었다. 이들 결과는 χ8554 [pMMP184]/JOL389은 χ8554 [pMMP184]보다 더 높은 면역 응답을 유도하는 것이 가능한 것으로 추정된다.

Rapidly resolved IgG4-related retroperitoneal fibrosis after steroid pulse therapy

  • Jeung, Soomin;Kim, Hyosang;Seo, Yuri;Yoon, Hee-Young;Lee, Nah Kyum;Park, Shinhee;Seo, Bomi;Park, Su-Yeon;Park, Su-Kil
    • Journal of Yeungnam Medical Science
    • /
    • 제33권1호
    • /
    • pp.40-43
    • /
    • 2016
  • Retroperitoneal fibrosis (RF) is a disorder characterized by the presence of a retroperitoneal mass and concurrent systemic inflammation. Some cases of RF are recognized as belonging to the spectrum of immunoglobulin G4-related disease (IgG4-RD). Glucocorticoids are highly effective for treatment of retroperitoneal fibrosis, although the optimal dose and duration of therapy have not been established. An initial dose of prednisone (40-60 mg) daily is usually administered with a tapering scheme. We report on a 55-year-old man diagnosed with IgG4-related RF and successfully treated with a 3-day course of daily 250 mg (4 mg/kg) intravenous methylprednisolone, which resulted in the prompt resolution of urinary obstruction and systemic symptoms.

수은에 의한 마우스의 면역반응 조절장애 ($HgCl_2$ Dysregulates the Immune Response of Balb/c Mice)

  • 기노석;고대하;김종서;이정상;김남송;이황호
    • Journal of Preventive Medicine and Public Health
    • /
    • 제27권1호
    • /
    • pp.11-24
    • /
    • 1994
  • 수은($HgCl_2$)이 마우스의 면역계에 미치는 영향을 밝히고자 Balb/c 마우스를 대상으로 시험관내 및 생체내 단계적 시험을 실시하였다. Lipopolysaccharide, pokeweed mitogen 및 phytohemagglutinin 등의 미토겐(mitogen)에 대한 비장세포의 반응성은수은농도에 의존적으로 억제되었다. 수은에 의한 비장세포의 증식반응억제는 배양기간 중 수은 노출시기에 관계 없었으며 수은 전처치에 의해서도 그 증식반응은 억제되었다. 그러나 수은은 pokeweed mitogen으로 유도한 비장세포의 항체생산은 항진시켰다. 실험동물을 음용에 의하여 수은에 3주간 노출시켰을 때 투여기간 중 체중의 증가는 현저히 둔화되었으나, 흉선 및 비장의 무게, 신장, 골수, 비장 및 슬와 림프절의 병리학적 변화는 유발되지 않았다. 그러나 혈청 면역 글로불린(immunoglobulin) 농도는 현저히 증가되었다. 증가된 혈청 $IgG_1$및 IgE농도는interleukin-4 (IL-4)에 대한 항체투여로 현저히 감소되었다. 수은투여 마우스의 면양적혈구(SRBC)에 대한 항체반응을 측정한 결과 면양적혈구에 대한 총응집소가에는 대조군의 그것과 차이가 없었으나 혈청 IgM 및 IgG농도는 오히려 대조군의 그것보다 현저히 높았다. 이상의 성적들은 수은의 면역계에 대한 독작용은 그 측정방법에 따라 다를 수 있으며, 수은노출에 따른 림프조직의 병변이 발생하기 전에 면역계의 기능적 변화가 일어나고, 수은에 의한 혈청 면역 글로불린 농도의 증가는 특정항원에 대한 항체반응과는 무관할 수 있는 등 수은이 면역반응에 이상을 초래함을 시사한다.

  • PDF

콜라겐 유도 관절염에서 콜라겐 항원 특이 $V{\beta}3$+CD4+T 세포의 선택적 증식 (Selective Expansion of TCR $V{\beta}3$+CD4+T Cells in Collagen-induced Arthritis in DBA/1 Mice)

  • 이재선;조미라;이정은;민소연;윤종현;김완욱;민준기;박성환;김호연
    • IMMUNE NETWORK
    • /
    • 제5권2호
    • /
    • pp.78-88
    • /
    • 2005
  • Background: Collagen-induced arthritis (CIA) in mice is animal model of autoimmune disease known as rheumatic arthritis in human. We investigated CII-specific CD4+ T cell receptor usage in CIA mice. Methods: In CIA model, draining lymph node (dLN) CD4+ T cells and splenocytes at $3^{rd},\;5^{th},\;8^{th}$ week, we investigated CII-specific T cell proliferation, production of IL-17, IFN-${\gamma}$, TNF-${\alpha}$, IL-4 and IL-10. And we also performed anti-CII IgG Ab measurements in serum level, TCRV ${\beta}$ usage and T cell clonality with RT-PCR-SSCP analysis. Also, we performed proliferative response against CII when CII-specific T cell subset is deleted. Results: CIA mice showed more increase in the serum level of anti-CII IgG than normal mice after induction of arthritis. And the level of anti-CII IgG2a in CIA mice was increased after $3^{rd}$ week after primary immunization, while anti-CII IgG1 was decreased. Draining LN CD4+ T cells have proliferated against CII stimulation at $3^{rd}$ week after $1^{st}$immunization. CD4+T cells derived from dLN of CIA mice produced proinflammatory cytokine IFN-${\gamma}$, IL-17 etc. Draining LN CD4 T cells of CIA presented higher proportion of CD4+V ${\beta}3$+subset compared to those of normal mice at $3^{rd}$ week after $1^{st}$ immunization, and they were increased in proportion by CII stimulation. Draining LN CD4+ T cells without TCRV ${\beta}3+/V{\beta}8.1/8.2+/V{\beta}$10b+cells were not responsive against CII stimulation. But, CII-reactive response of TCRV ${\beta}3-/V{\beta}8.1/8.2-/V{\beta}$10b- T cells was recovered when $V{\beta}3+$ T cells were added in culture. Conclusion: Our results indicate that CD4+$V{\beta}3+$ T cells are selectively expanded in dLN of CIA mice, and their recovery upon CII re-stimulation in vitro, as well as the production Th1-type cytokines, may play pivotal role in CIA pathogenesis.

Effect of dietary supplementation of garlic powder and phenyl acetic acid on productive performance, blood haematology, immunity and antioxidant status of broiler chickens

  • Ismail, I.E.;Alagawany, M.;Taha, A.E.;Puvaca, N.;Laudadio, V.;Tufarelli, V.
    • Animal Bioscience
    • /
    • 제34권3_spc호
    • /
    • pp.363-370
    • /
    • 2021
  • Objective: The effect of garlic powder (GP) and phenyl acetic (PA) acid throughout the fattening period of broiler chickens on performance, blood parameters, immune, and antioxidant parameters as well as carcass traits was evaluated. Methods: A total of 210 day-old Cobb broiler chicks were randomly distributed into seven dietary treatments having five replications with six chicks per replicate. The first group (control) fed a basal diet without supplements, whereas the 2nd, 3rd, and 4th group were fed basal diet plus 0.25, 0.50, and 0.75 g GP/kg diet, respectively and the group 5th, 6th, and 7th were fed on the basal diet plus 0.25, 0.50, and 0.75 g PA/kg diet. Results: Broiler body weight and gain at 21 and 42 days were increased (p<0.05) with diets supplemented with GP and PA. Red blood cells and hemoglobin were improved in chickens fed diets enriched with GP. Broiler chickens received diets containing either GP or PA recorded the higher values (p<0.05) of total protein, globulin, high-density lipoprotein, immunoglobulin M (IgM), and IgG, superoxide dismutase and total antioxidant capacity; while, blood total cholesterol, low-density lipoprotein, aspartate-aminotransferase, and malondialdehyde were lowered (p<0.05) compared to control-diet. Liver and immune-related organs weight were improved (p<0.05) in broilers fed diet supplemented with GP and PA. Conclusion: Feeding of GP or PA in diet had positive effects on performance traits and immunological, antioxidant and physiological status of broilers. Thus, the use of tested feed additives as an eco-friendly alternative to antibiotics produced a positive effect on animal health.

생약제제(미라클®)첨가가 이유 자돈의 성장률, 영양소 이용율, 분내 미생물균총 및 면역기능에 미치는 영향 (Effects of Herbal Product (Miracle®) on the Performance, Nutrient Digestibility, Fecal Microflora and Immunoresponse in Weanling Pigs)

  • 석종찬;임희석;백인기
    • Journal of Animal Science and Technology
    • /
    • 제45권5호
    • /
    • pp.767-776
    • /
    • 2003
  • 자돈사료 내 생약제제(Miracle$^{\circledR}$) 첨가가 생산성, 영양소 소화율, 분 내 미생물균총 그리고 혈액 성상에 대해 미치는 영향을 검정하기 위해 총 5주간의 사양실험을 실시하였다. 48두의 3원 교잡종(Y${\times}$L${\times}$D) 이유자돈(평균 개시 체중 7.84kg${\pm}$0.17, 28일령)을 4처리 4반복, 반복 당 3두씩 배치하였고, 처리구들은 대조구(T1), CTC 100ppm(T2), Miracle$^{\circledR}$ 0.15%(T3) 그리고 CTC 100ppm + Miracle$^{\circledR}$ 0.15%(T4)로 하였다. 생약제제 첨가(T3)구에서 증체량, 사료 섭취 및 사료 효율을 개선하는 경향이 있었지만, 처리구간 유의적 차이는 없었다. 영양소 소화율은 처리구들 간에 유의적 차이가 있었는데(P〈0.05), T3 급여구에서 건물, 조단백질, NFE, P 그리고 아미노산 소화율이 가장 낮게 나타났다. 혈청 내 콜레스테롤 수준은 T3 처리구에서 가장 낮았는데 항생제 처리구(T2)보다 유의하게(P〈0.05) 낮았고 타 처리구들에 비해서는 낮았지만 유의차는 없었다. T3 처리구는 Triglyceride와 HDL 수준에서도 다른 처리구들 보다 낮았으나 유의적 차이는 없었다. 혈청 IgG의 수준은 T4에서 가장 높았으며(P〈0.05) 다음으로 T1, T2 그리고 T3 순이었다. 혈청 내 AST 수준은 T1에서 가장 낮았다. 혈청 총 단백질, albumin 그리고 ALT의 수준은 처리구간 유의적 차이는 없었다. 분 내 Lactobacillus, Cl. perfringens 그리고 E. coli의 수 CFU는 처리구들 간에 차이는 없었으나 3주와 5주에서 T2 (CTC 100ppm) 처리구의 Cl. perfringens가 낮은 경향이 있었다. 결론적으로 생약제제 MiracleⓇ은 이유자돈의 생산성에는 유의한 영향을 미치지 못하였으며 소화율, 혈청 IgG 및 콜레스테롤 수준은 낮추고 AST 수준은 높였다. 항생제(CTC)와 생약제제 Miracle$^{\circledR}$의 혼합 사용은 단일 사용에 비교해서 상승 효과가 없었다.

단일항체를 이용한 한국형출혈열의 병인성 연구 (Study on the Pathogenesis of Hantaan Virus with Monoclonal Antibodies)

  • 김금용;김태규;유문간;임병욱
    • 대한미생물학회지
    • /
    • 제22권1호
    • /
    • pp.1-8
    • /
    • 1987
  • Hantaan virus(HV) 76-118 strain was inoculated into suckling ICR mice by intra-nasal route with an inoculum of $10LD_{50}$. Mortality was 65% at the 3rd week after inoculation, but declined to 35% at the 4th week. Infectivity was determined by the measuring immuno-fluorescent antibody in sera. The peak of infectivity was 80% at the 4'th week after inoculation. Viremia was reached peak level of $1.7{\times}10^4\;PFU/ml$ by day 10. Immunofluorescent antibody and neutralizing antibody appeared by 2 weeks and 15-17 days respectively, but achieved similar titer by 35 days. By using a monoclonal antibody to HV 76-118, viral antigens were initially detected in inguinal and axillary lymph node by 2 days. Viral antigens in bone marrow and lung were delayed much more than in those of lymph node. These were similar with those of intra-peritoneal and intra-muscular route. Immune complex against IgG, IgM and C3 appeared by 16 days, 14 days, and 18 days respectively. The pattern of immunofluorescence in the basement membrane of glomeruli was diffuse membranous. Spotted pattern was also observed in the tissue stained with anti-mouse C3 antibody. By 20 days, control tissue was also shown immune complex in the glomeruli.

  • PDF

Nutrient Utilization, Body Composition and Lactation Performance of First Lactation Bali Cows (Bos sondaicus) on Grass-Legume Based Diets

  • Sukarini, I.A.M.;Sastradipradja, D.;Sutardi, T.;Mahardika, IG.;Budiarta, IG.A.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제13권12호
    • /
    • pp.1681-1690
    • /
    • 2000
  • A study on energy and protein utilization, and milk production of Bali cows on grass-legume diets was carried out using 12 first lactation cows (initial BW $263.79{\pm}21.66kg$) during a period of 16 weeks starting immediately post calving. The animals were randomly allotted into 4 dietary treatment groups R1, R2, R3 and R4, receiving from the last 2 months of pregnancy onwards, graded improved rations based on a mixture of locally available grass and legume feed ad libitum. R1 contained on a DM basis 70% elephant grass (PP, Penisetum purpureum) plus 30% Gliricidia sepia leaves (GS), R2 was 30% PP plus 55% GS supplemented with 15% Hibiscus tilliactus leaves (HT, defaunating effect), R3 and R4 were 22.5% PP+41.25% GS+11.25% HT+25% concentrate, where R3 was not and R4 supplemented with zinc di-acetate. TDN, CP and zinc contents of the diets were 58.2%, 12.05% and 18.3 mg/kg respectively for R1, 65.05%, 16.9% and 25.6 mg/kg respectively for R2, 66.03%, 16.71% and 29.02 mg/kg respectively for R3 and 66.03%, 16.71% and 60.47 mg/kg respectively for R4. Milk production and body weight were monitored throughout the experimental period. In vivo body composition by the urea space technique validated by the body density method and supported by carcass data was estimated at the start and termination of the experiment. Nutrient balance and rumen performance characteristics were measured during a balance trial of 7 days during the 3rd and 4th week of the lactation period. Results indicated that quality of ration caused improvement of ruminal total VFA concentration, increments being 52 to 65% for R2, R3 and R4 above R1, with increments of acetate being less (31 to 48%) and propionate being proportionally more in comparison to total VFA increments. Similarly, ammonia concentrations increased to 5.24 to 7.07 mM, equivalent to 7.34 to 9.90 mg $NH_3-N/100ml$ rumen fluid. Results also indicated that feed quality did not affect DE and ME intakes, and heat production (HP), but increased GE, UE, energy in milk and total retained energy (RE total) in body tissues and milk. Intake-, digestible- and catabolized-protein, and retained-protein in body tissues and milk (Rprot) were all elevated increasing the quality of ration. Similar results were obtained for milk yield and components with mean values reaching 2.085 kg/d (R4) versus 0.92 kg/d (R1) for milk yield, and 170.22 g/d (R4) vs 71.69 g/d (R1), 105.74 g/d (R4) vs 45.35 g/d (R1), 101.34 g/d (R4) vs 46.36 g/d (R1) for milk-fat, -protein, and -lactose, respectively. Relatively high yields of milk production was maintained longer for R4 as compared to the other treatment groups. There were no significant effects on body mass and components due to lactation. From the relationship $RE_{total}$ (MJ/d)=12.79-0.373 ME (MJ/d); (r=0.73), it was found that $ME_{m}=0.53MJ/kgW^{0.75}.d$. Requirement of energy to support the production of milk, ranging from 0.5 to 3.0 kg/d, follows the equation: Milk Prod. ($Q_{mp}$, kg/d)=[-2.48+4.31 ME($MJ/kg^{0.75}.d$)]; (r=0.6) or $Q_{mp}$=-3.4+[0.08($ME-RE_{body\;tissue}$)]MJ/d]; (r=0.94). The requirement for protein intake for maintenance ($IP_m$) equals $6.19 g/kg^{0.75}.d$ derived from the relationship RP=-47.4+0.12 IP; (r=0.74, n=9). Equation for protein requirement for lactation is $Q_{nl}$=[($Q_{mp}$)(% protein in milk)($I_{mp}$)]/100, where $Q_{nl}$ is g protein required for lactation, $Q_{mp}$ is daily milk yield, Bali cow's milk-protein content av. 5.04%, and $I_{mp}$ is metabolic increment for milk production ($ME_{lakt}/ME_{m}=1.46$).

폐흡충(肺吸蟲)의 조(粗)항원과 정제(精製)항원에 의한 폐흡충(肺吸蟲)감염 고양이혈청의 면역효소반응(免疫酵素反應) (ELISA of paragonimiasis in cat by crude and purified antigens of Paragonimus westermani)

  • 이옥란;장재경
    • Parasites, Hosts and Diseases
    • /
    • 제24권2호
    • /
    • pp.187-193
    • /
    • 1986
  • Enzyme-linked immunosorbent assay(ELISA) using crude and affinity-purified antigens of adult worms of Paragonimus westermani was performed for infected cat sera with different worm burden, from preinfection to 18th week after infection. Crude antigen was used with supernatant of homogenated worms by freezing-thawing method, and the supernate was centrifuged for 1 hour at 10,000 rpm at $4^{\circ}C$. Affinity-purified antigen(antibody-bound antigen) was prepared from fractions(bound and unbound) of crude antigen by affinity chromatography on CNBr-activated sepharose 4B, and IgG as a ligand was prepared from paragonimiasis cat serum(6 months infected) obtained by ammonium sulfate ($40%{\sim}45%$ saturated) precipitation method. By SDS-PAGE, crude antigen showed 22 polypeptide fractions while purified antigen showed 4 fractions: 36, 400, 34, 700, 27, 600 and 11, 500 in molecular weights. All cats were divided into five groups($G_1-G_5$) by different worm burdens. The mean of recovered worms(${\pm}SD$) and the number of cats in each group are as follows: $G_1$, 2 worms(0) and 4 cats; $G_2$, 4.75 (${\pm}0.66$) and eight; $G_3$, 10.75(${\pm}1.92$) and four; $G_4$, 23.20(${\pm}3.43$) and five; $G_5$, 48(${\pm}12.63$) and five cats. The results were summarized as follows: 1. The antibody levels(OD value) increased by worm burden in $G_1$ to $G_4$ generally. However, individual antibody levels were not exactly related with worm burden in all groups, especially there was a wide difference in $G_4$ and $G_5$. These results suggested that the worm burden in $G_4$ (about $20{\sim}30$ worms) is enough to produce antibody maximum in cats of $2{\sim}3kg$ weight. 2. The antibody levels increased significantly(p<0.05) compared to control sera at the 3rd week in $G_1$ and $G_2$, at the 2nd week in $G_3$, and at the 1st week in $G_4$ and $G_5$. Especially in the 4th week, OD value increased more in $G_1$(p<0.01) and in $G_2$ to $G_5$(p<0.001). In the pattern of antibody levels by ELISA in each group, OD in $G_1$ increased to the 18th week continuously, in $G_2$ OD was maintained same after the 16th week, but in $G_3$ it decreased after the 16th week, and it was maintained same in $G_4$ and $G_5$ after the 14th week. 3. The antibody levels by ELISA with the affinity-purified antigen were higher than those with crude antigen in all groups generally. Especially, the difference of OD values between two antigens was larger from the 4th to the 10th week. In $G_1$ and $G_2$ OD with purified antigen was higher than that with crude one to the 18th week. It was also higher in $G_3$ than that with crude antigen to the 16th week and OD of $G_4$ and $G_5$ were higher before the 14th week than that with crude antigen, however became lower at the 16th week. Consequently, the antibody level in ELISA with affinity-purified antigen was more sensitive at the early weeks after infection and in light infection groups than that with crude antigen.

  • PDF