• 제목/요약/키워드: Natural killer (NK) cell

검색결과 231건 처리시간 0.026초

Immunomodulatory Effect of a New Herbal Preparation (HemoHIM) in Cyclophosphamide-treated Mice

  • Park, Hae-Ran;Jo, Sung-Kee;Jung, U-Hee;Kim, Sung-Ho;Yee, Sung-Tae
    • Preventive Nutrition and Food Science
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    • 제11권1호
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    • pp.54-60
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    • 2006
  • The immunomodulatory effect of a new herbal preparation, HemoHIM, on the recovery from leukopenia induced by cyclophosphamide treatment was investigated. The HemoHIM was made up with an addition of the ethanol-insoluble fraction to the total water extract of Angelica Radix, Cnidii Rhizoma and Paeonia Radix. Daily oral administration of 100 mg/kg BW or 500 mg/kg BW HemoHIM accelerated the recovery from cyclophosphamide-induced leukopenia. HemoHIM increased the number of leukocytes and lymphocytes in the peripheral blood when compared with the cyclophosphamide-treated control. Moreover, the suppressed natural killer (NK) cell activity and interferon $(IFN)-{\gamma}$ secretion in the cyclophosphamide-treated mice were restored by the administration of HemoHIM. HemoHIM significantly reduced the abnormally heightened ratio of interleukin $(IL)-4/IFN-{\gamma}$ and immunoglobulin (Ig)E/IgG2a in the cyclophosphamide-treated mice. These results suggest that HemoHIM accelerates the recovery from leukopenia and alleviates the imbalanced T helper (Th)l/Th2 responses in the cyclophosphamide-treated mice. Additionally, HemoHIM was found to stimulate normal splenocytes to secrete not only Thl type cytokines such as $IFN-{\gamma}$ and IL-2, but also Th2 type cytokine IL-4. In conclusion, our results show that HemoHIM certainly has an influence on the balanced recovery of immune cells and the activation of their activities in the cyclophosphamide-treated mice.

감잎에서 분리한 다당의 면역자극 활성 (Immuno-stimulating Activities of Polysaccharide Fractions Isolated from Persimmon Leaves)

  • 신영아;박혜령;홍희도;신광순
    • 한국식품영양학회지
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    • 제25권4호
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    • pp.941-950
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    • 2012
  • In order to develop new physiologically active polysaccharides from persimmon leaves, two different crude polysaccharides were prepared using hot water (PLW-0) and pectinase digestion (PLE-0) and their immuno-stimulating activities were estimated. PLW-0 and PLE-0 showed similar sugar compositions with 15 different sugars, including rarely observed sugars in general polysaccharides such as 2-O-methyl-fucose, 2-O-methyl-xylose, apiose, aceric acid, 3-deoxy-D-manno-2-octulosonic acid, and 3-deoxy-D-lyxo-2-heptulosaric acid, but the uronic acid content of PLE-0 was lower than that of PLW-0 caused by pectinase treatment. Both PLW-0 and PLE-0 showed potent anti-complementary activity in a dose-dependent manner which was similar to a known immuno-stimulating polysaccharide, PSK, from Coriolus versicolor. The activity of PLE-0 at a low concentration ($100{\mu}g/m{\ell}$) was higher than that of PLW-0. In an in vitro cytotoxicity analysis, PLW-0 and PLE-0 (up to $1,000{\mu}g/m{\ell}$) did not affect the growth of peritoneal macrophages and Colon 26-M3.1 carcinoma cells. In contrast, they enhanced lymphocyte proliferation activity. Peritoneal macrophages stimulated with PLW-0 and PLE-0 produced various cytokines, such as IL-6 and IL-12. However, PLE-0 was more effective on the cytokine production. Intravenous administration of PLW-0 and PLE-0 significantly augmented natural killer (NK) cell cytotoxicity against Yac-1 tumor cells 3 days after the treatment of polysaccharide fractions. But NK cells obtained from the PLE-treated group showed higher tumoricidal activity even at a low dose of $40{\mu}g$/mouse. In experimental lung metastasis of Colon 26-M3.1 carcinoma cells, prophylactic administration of PLW-0 and PLE-0 significantly inhibited lung metastasis in a dose-dependent manner and PLE-0 was more effective on the inhibition of cancer metasasis. The results lead us to conclude that the pectinase-treated process is indispensable to preparing polysaccharides with higher immune-stimulating activity from persimmon leaves.

정맥주입용(靜脈注入用) 산양산삼(山養山蔘) 증류약침(蒸溜藥鍼)의 급성(急性).아급성(亞急性) 독성실험(毒性實驗) 및 Sarcoma-180 항암효과(抗癌效果)에 관(關)한 실험적(實驗的) 연구(硏究) (The Study on Acute and Subacute Toxicity and Anti-Cancer Effects of cultivated wild ginseng Herbal acupuncture)

  • 권기록;조아라;이선구
    • 대한약침학회지
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    • 제6권2호
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    • pp.7-27
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    • 2003
  • Objective : The purpose of this study was to investigate acute and subacute toxicity and sarcoma-180 anti-cancer effects of herbal acupuncture with cultivated wild ginseng (distilled) in mice and rats. Method : Balb/c mice were injected intravenous with cultivated wild ginseng herbal acupuncture for $LD_{50}$ and acute toxicity test. Sprague-Dawley rats were injected intravenous with cultivated wild ginseng herbal acupuncture for subacute toxicity test. The cultivated wild ginseng herbal-acupuncture was injected at the tail vein of mice. Results : 1. In acute $LD_{50}$ toxicity test, there was no mortality thus unable to attain the value. 2. Examining the toxic response in the acute toxicity test, there was no sign of toxication. 3. In acute toxic test, running biochemical serum test couldn't yield any differences between the control and experiment groups. 4. In subacute toxicity test, there was no sign of toxication in the experimental groups and didn't show any changes in weight compared to the normal group. 5. In subacute toxicity test, biochemical serum test showed significant increase of Total albumin, Albumin, and Glucose in the experimental group I compared with the control group. Significant decrease of GOT, ALP, GPT, and Triglyceride were shown. In experiment group II, only Glucose showed significant increase compared with the control group. 6. Measuring survival rate for anti-cancer effects of Sarcoma-180 cancer cell line, all the experimental groups showed significant increase in survival rate. 7. Measuring NK cell activity rate, no significant difference was shown throughout the groups. 8. Measuring Interleukin-2 productivity rate, all the experimental groups didn't show significant difference. 9. For manifestation of cytokine mRNA, significant decrease of interleukin-10 was witnessed in the experimental group compared to the control group. Conclusion : According to the results, we can conclude cultivated wild ginseng herbal acupuncture caused negligible toxicity, and had anti-tumor effects in mice.

항암 면역요법제 인터루킨-2의 면역과민반응 평가연구 (Potential Hypersensitivity of Recombinant Mouse IL-2 as a Immunotherapeutic Agent of Cancer in Tumor-bearing BALB/c Mice)

  • 조영주;엄준호;길정현;박재현;이종권;오혜영;박귀례;김형수
    • 약학회지
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    • 제48권6호
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    • pp.335-344
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    • 2004
  • Interleukin-2 (IL-2), a glycoprotein mainly secreted by CD4+ T helper Iymphocytes, has been developed to use recombinant cytokine to augment the immune response against cancer since IL-2 not only stimulates T Iymphocytes but also enhances natural killer (NK) cell activity. In order to evaluate the immunological safety of recombinant mouse IL-2 (rmIL-2) in cancer therapy, renal cell carcinoma was established in the flank by s.c. injection of renca cell line. Tumor-bearing BALB/c mice were treated with I.p. injections with $2{\times}10^5$ Lu rmIL-2. Even though the tumor size was diminished, there were not significant recovery of body and relative lymphoid organ weights including thymic atrophy in rmIL-2 immunotherapy. Distribution ratios of T cell subsets in thymus were analysed using flow cytometry. Without regard to dosage of rmIL-2, the ratio of CD3+CD4-CD8- T cells was increased in accordance with survival of solid tumor but that of CD4+CD8+ T cells was decreased dramatically. Emergence of autoantibodies (ANA, anti-dsDNA, and anti-histone) in blood was measured after rmIL-2 treatment. The results showed that the levels of ANA and anti-dsDNA did not significantly changed, but the level of anti-histone was increased significantly owing to rmIL-2 therapy. These results indicate rmIL-2 immunotherapy is to induce the autoimmune potential, and the anti-histone measurement as a biomarker of autoimmunity is useful in cancer immunotherapy.

황기(黃芪)의 재배 년수에 따른 면역 및 항산화 활성 연구 (Studies on Immunomodulatory and Antioxidant Activities of Astragali membranacei Radix according to the Cultivated Years)

  • 정철
    • 대한한방피부미용학회지
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    • 제1권1호
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    • pp.53-90
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    • 2005
  • Purpose: Contents of astragaloside I, II and IV, cytotoxicity, anticancer activity, immunomodulatory activity and antioxidant capacity were to be compared as a function of the cultivated years as one, three, five and seven years. Method: Major components of Astragali membranacei Radix were separated as astragaloside I, astragaloside II, astragaloside IV by HPLC analysis. Cytotoxicity and anticancer activities were measured by MTT and SRB assay. For immunomodulatory activity, the secretion of IL -6 and $TNF-{\alpha}$, NK cell activation and macrophage activation were observed as well as kinetics of responding to human T cells by a microphysiometer. In vitro antioxidant activities were measured by several radical scavenging activities of superoxide anion radican, DPPH, LDL and linoleic acid. For in vivo activity, the activation of SOD, GSH-px, catalase, ALDH and ADH was measured as well the relative weight of liver. Result : 1. For HPLC analysis, the contents of all of astragaloside I, astragaloside II, astragaloside IV were in order of three, five, one and seven years. 2. The cytotoxicity of normal human lung cell line, HEL299 showed lower than 18% in adding 0.25 mg/ml, and 28.9% in adding 1.0 mg/ml of water extract of seven year root. For methanol extracts, three year root showed highest cytotoxicity as 35.2 % and there was no difference between the cultivated years. 3. For anticancer activities, methanol extracts of one and three year roots showed relatively high inhibition of human stomach cancer cells, AGS, breast cancer cells, MCF-7, lung cancer cells, A549 and liver cancer cell, Hep3B as well as high selectivities. 4. The water extract of seven year root could yield high secretion of IL-6 from both human Band T cells while the methanol extracts of three and five year roots secreted high amounts of IL-6 and $TNF-{\alpha}$ from both Band T cells. 5. As a result of in vitro antioxidant activities, both water and methanol extracts from five and seven year roots showed high activities for superoxide anion radical scavenging activity, inhibiting linoleic acid peroxide and contents of total phenols. 6. For in vivo tests, Mn-SOD and GSH-px activities and weight of liver were better in adding seven year root. For ALDH activity one year root was better and for ADH activity five year root. Overall speaking, seven year root showed relatively better antioxidant activities. Conclusion:There was difference of the contents of astragaloside I, astragaloside II, astragaloside IV according to cultivation year. Methanol extract showed better activities of anticancer and immune activation rather than water extract Interestingly enough, for methanol extracts, overall activities were improved as the cultivation year increased. There might be further investigation required for the clinical uses of the results as several biological activities varied according to the cultivated year of Astragali membranacei Radix.

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한외거르기(Ultrafiltration)에 의하여 분리된 백수오 고분자 분획물의 면역증진 활성 (Immuno-stimulatory Activities of a High Molecular Weight Fraction from Cynanchum wilfordii Radix Obtained by Ultrafiltration)

  • 장미;임태규;홍희도;이영경;김경탁;이은정;이정훈;이윤지;김연복;조장원
    • 한국식품과학회지
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    • 제48권3호
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    • pp.268-274
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    • 2016
  • 백수오의 국내 재배활성화와 함께 농가소득을 높이기 위한 기능성 식품소재로서의 우수성을 산업적으로 응용하고자 백수오 추출물의 면역증진 활성을 평가하였다. 낮은 온도에서 액체상태의 추출물을 효과적으로 농축하고 정제하기 위하여 비열처리 공정인 한외거르기를 통해 분자량(MWCO)이 30 kDa인 여과막을 이용하여 고분자 분획물(CWUF>30) 및 저분자 분획물(CWUF<30)을 얻었으며 이를 큰포식세포 활성화를 통한 면역 증진 효과를 알아보기 위해 RAW 264.7 세포를 이용하여 면역활성의 지표가 되는 산화질소(II) 생성량 및 사이토카인인 TNF-${\alpha}$, 인터루킨-6의 생성량을 측정한 결과, 정상대조군(CON)에 비해 CWUF>30을 처리하였을 때 농도 의존적으로 유의하게 증가하였다. 세포실험을 통해 면역증강활성이 높은 CWUF>30은 정상동물모델에서 면역기관인 비장 및 흉선의 무게를 증가시켰고 비장세포 유래 림프구 증식도 유의하게 증가시켰다. 이는 CWUF>30의 투여가 비장세포를 증식시키는 mitogen 활성이 있음을 보여주며 외부의 항원에 노출 시 항원에 대한 면역반응을 유도하는 면역세포의 수를 증가시켜 항원에 대한 효과적인 방어에 도움을 줄 것으로 보여진다. 또한 CWUF>30을 투여한 마우스 비장세포(splenocyte)의 Yac-1 세포 살해 정도를 측정한 결과, 200 mg/kg BW의 농도로 CWUF>30을 투여한 마우스의 비장세포는 정상대조군(CON)에 비하여 effector 세포와 target 세포의 비율이 10:1에서 유의적으로 증가하였으며 이는 양성대조군(PC)과 유사한 높은 활성을 보이는 것을 확인 할 수 있었다. 이와 같은 결과를 통해 백수오 고분자 분획물(CWUF>30)이 강력한 면역활성 증진효능을 갖고 있으며 각종 바이러스 등 외부 항원들에 대응하여 초기 면역세포를 자극하고 면역매개물질을 생성함으로써 인체의 비특이적 면역반응을 증가시키는데 중요한 역할을 할 수 있을 것으로 기대된다.

은화사간탕(銀花瀉肝湯)과 은화사간탕가녹용(銀花瀉肝湯加鹿茸)의 항암효과(抗癌效果)와 면역반응(免疫反應)에 관(關)한 연구(硏究) (Experimental studies on antitumor effects and immune responses of Eunwhasagantang and Eunwhasagantangganokyong)

  • 김진성;류봉하;박동원;류기원
    • 대한한방종양학회지
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    • 제3권1호
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    • pp.1-27
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    • 1997
  • This study was performed to investigate the effects of Eunwhasagantang and Eunwhasagantangganokyong on the viability of tumor cells in vitro(MTT assay), on antitumor effects after Sarcoma-180 cells transplantation into the peritoneal cavity or left groin, and on decreased immune responses in mice induced by methotrexate. The extracts of its herbal medicines were orally administered for 14 or 21 days. To evaluate the effects of the Eunwhasagantang and Eunwhasagantangganokyong many items such as 50% inhibitory concentration($IC_{50}$), mean survival days, tumor and body weight for antitumor effects, and delayed type hypersensitivity, hemagglutinin titer, hemolysin titer, rosette forming cells, natural killer cell activity, lymphocyte transformation, productivity of interleukin-2 and phagocytic activity for immune responses were measured in ICR mice. The results were obtained as follows; 1. $IC_{50}$ of Eunwhasagantang treated group was 0.000204mg/ml on SNU-396 and that of Eunwhasagantangganokyong treated group was 0.000103mg/ml on SNU-1, those results indicate that the medicine has high antitumor activity. 2. Mean survival times in Eunwhasagantang and Eunwhasagantangganokyong treated groups were slightly increased with no significance, as compared with the control group. 3. Tumor weight in Eunwhasagantang and Eunwhasagantangganokyong treated group was depressed, as compared with the control group(p<0.01). 4. Body weight in Eunwhasagantang and Eunwhasagantangganokyong treated group was significantly increased, as compared with the control group(p<0.05). 5. Delayed type hypersensitivity in Eunwhasagantang and Eunwhasagantang-ganokyong treated group was slightly decreased with no significance, as compared with the control group. 6. Hemagglutinin titer in Eunwhasagantang and Eunwhasagantangganokyong treated group was slightly increased with no significance, as compared with the control group. 7. Hemolysin titer only in Eunwhasagantang treated group was significantly increased, as compared with the control group(p<0.01). 8. Rosette forming cells only in Eunwhasagantangganokyong treated group was slightly increased with no significance, as compared with the control group. 9. In the NK cell activity, the ratio of effector cells and target cells of the Eunwhasagantang treated group was significantly increased(p<0.01) in case which the ratio was 100: 1, and that of the Eunwhasagantangganokyong treated group was significantly increased(P<.01, p<0.05) in case which the ratio was 100:1, 50:1, as compared with the control group. 10. Lymphocyte trasnformation in Eunwhasagantang and Eunwhasagantangganokyong treated group was significantly increased, as compared with the control group(p<0.01). 11. Interleukin-2 in Eunwhasagantang and Eunwhasagantangganokyong treated group was significantly increased, as compared with the control group(p<0.05, p<0.01). 12. Phagocytic activity in Eunwhasagantang and Eunwhasagantangganokyong treated group was significantly increased, as compared with the control group(p<0.05). According to the above results, it could be suggested that Eunwhasagantang and Eunwhasagantangganokyong have prominent antitumor effects, and enhance both cellular and humoral immunity.

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황정(黃精)으로부터 유래한 조다당류의 선천면역 활성에 의한 유방암 세포주 전이 억제 효과 (Antimetastatic Effects of Crude Polysaccharide Isolated from Polygonati Rhizoma on 4T1 Breast Cancer Cells by Activation of Innate Immune System)

  • 지해리;황덕상;이창훈;장준복;이진무
    • 대한한방부인과학회지
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    • 제32권4호
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    • pp.1-13
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    • 2019
  • Objective: This study is aimed to investigate the anti-tumor metastasis by innate immunomodulating effects of crude polysaccharide isolated from Polygonati Rhizoma (CP-PR) on 4T1 breast cancer cells. Methods: CP-PR was isolated from Polygonati Rhizoma. Antimetastatic experiments were conducted in vivo mouse model by using 4T1 breast cancer cells. The cell viability of CP-PR was tested with normal spleen and 4T1 breast cancer cells. To observe the activation of macrophages with/without 4T1 breast cancer cells, production of tumor necrosis factor-${\alpha}$ ($TNF-{\alpha}$), interleukin-6 (IL-6), IL-10 and IL-12 were measured with enzyme-linked immunosorbent assay (ELISA), respectively. In addition, the lysis of YAC-1 cells and the production of granzymes were measured to observe the activation of natural killer (NK) cell. Results: Intravenous administration of CP-PR significantly inhibited metastasis of 4T1 breast cancer cells. In an in vitro cytotoxicity analysis, CP-PR affected the growth of normal spleen and 4T1 breast cancer cells above specific concentration. The production of $TNF-{\alpha}$, IL-6, IL-10 and IL-12 were significantly increased in macrophages with CP-PR. As compared with control, CP-PR showed significantly higher production of $TNF-{\alpha}$, IL-10 and IL-12 in macrophages co-cultured with 4T1 breast cancer cells. The lysis of YAC-1 cells and the production of granzymes were significantly up regulated by CP-PR. Conclusion: CP-PR appears to have considerable activity on the anti-metastasis by activation of innate immune system.

돈태반 효소 가수분해물의 cyclophosphamide에 의한 면역 저하 동물 모델에 미치는 면역 증진 효과 (Immunostimulatory effects of enzymatic porcine placental hydrolyzate against cyclophosphamide-induced immunosuppressed model)

  • 김건남;김민주;윤선명;권민주;신동엽;이학용;박영미
    • 한국식품과학회지
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    • 제54권2호
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    • pp.155-162
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    • 2022
  • 본 연구는 돈태반 효소 가수분해물의 면역증진 효과를 확인하고자 Cy를 이용한 면역 저하 모델에서 농도별 돈태반 효소 가수분해물을 투여한 실험군의 주간 체중과 조직 중량, 혈중 면역세포(백혈구, 과립구, 림프구, 중간구) 함량, 혈중 cytokine 및 immunoglobulin 함량, 자연살해세포 활성, 비장 조직 분석을 수행하였다. 체중은 대조군과 비교하여 돈태반 효소 가수분해물을 투여한 실험군 중 중농도 투여군(1.03 mg/kg BW, total nitrogen)과 고농도 투여군(2.07 mg/kg BW, total nitrogen)에서 다소 증가하는 경향을 보였고, 조직 중량은 돈태반 효소 가수분해물을 투여한 실험군이 Cy만을 단독 투여한 대조군에 비해 다소 높았으며, 이 중 고농도 투여군은 비장과 흉선 조직 중량 모두에서 대조군보다 유의적으로 높게 조사되었다. 각 실험군별 비장 조직을 이용한 자연살해세포 활성 분석 결과 정상군에 비해 대조군은 유의하게 감소하였으나 돈태반 효소 가수분해물을 고농도로 투여한 실험군과 양성대조군은 대조군에 비해 증가하는 경향을 보여 정상군과 유사한 수준을 보였다. 일반 혈액학적 분석(CBC analysis)에서 돈태반 효소 가수분해물을 투여한 실험군은 대조군에 비해 백혈구와 과립구, 림프구 및 중간구에서 모두 높은 함량을 보이는 것으로 나타났는데, 특히 고농도 투여군은 백혈구의 경우 양성 대조군인 HemoHIM 투여군과 유사한 수준으로, 과립구와 중간구의 경우 양성대조군보다 더 높은 함량을 보이는 것으로 조사되었다. 혈중 cytokine과 immunoglobulin의 함량을 분석한 결과 돈태반효소 가수분해물을 투여한 실험군에서 혈중 TNF-α와 IL-1β, IL-2, IL-12 및 IgG의 함량을 대조군과 비교하여 유의하게 증가시키거나 증가시키는 경향을 보였다. 또한 조직학적 분석에서 비장조직은 대조군에서 관찰되던 백색수질의 붕괴와 적색수질에서의 세포 응축현상은 돈태반 효소 가수분해물을 투여한 실험군에서 점차 호전되는 경향을 보였다. 이러한 결과를 바탕으로 돈태반효소 가수분해물은 Cy로 인한 세포와 조직 손상을 감소시키고 혈중 면역 관련 인자들의 함량을 증가시켜 면역력을 증진시키는데 긍정적인 영향을 미치는 것으로 판단되며, 추후 이를 활용한 건강 기능성 개발 및 의약품 개발에 따른 활용가치가 매우 높을 것으로 생각된다.

소아의 전염성 단핵구증에서 사이토카인과 세포자멸사 연관 유전자의 발현의 변화 (Changes in the expression of cytokines and apoptosis-related genes in children with infectious mononucleosis)

  • 조대선;한지혜;김선영;김민선;이호근;이대열;황평한
    • Clinical and Experimental Pediatrics
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    • 제52권12호
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    • pp.1348-1357
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    • 2009
  • 목 적:소아 전염성 단핵구증 환자의 임상적 특성과 EBV 감염과 관련된 사이토카인과 세포자멸사 연관 유전자의 발현에 대해 알아보고자 본 연구를 시행하였다. 방 법:2006년 3월부터 2007년 2월까지 전북대학교병원에 입원한 전형적인 임상 증상을 보이면서 혈청학적 검사로 전염성 단핵구증으로 확진된 15명을 대상으로 임상적 특성을 조사하고, 진단 당시, 발병 1주 후, 3주 후에 각각 말초혈액에서의 T세포 세군, 사이토카인, EBV DNA, 세포자멸사 연관 유전자 발현을 측정하여 건강한 대조군 10명과 비교하였다. 결 과:환자의 평균 연령은 $5.7{\pm}3.4$세(3-9세)였으며, 남녀비는 1.5:1이었다. 발열(100%)과 인두통(73%), 무기력과 권태감(53%)이 흔한 임상 증상이었고, 인두염 및 편도염(100%), 경부 림프절 비대(87%)와 간비종대(53%)가 흔하게 나타났다. 환자의 말초혈액에서 CD3+ T세포와 CD8+ suppressor T세포, CD56+ NK세포가 대조군에 비하여 증가하였다(P<0.01). 환자의 혈청 IL-2, 6, $INF-{\gamma}$가 증상 초기에 대조군에 비하여 증가하였다(P<0.01). 환자의 말초혈액 단핵구내 EBV DNA 양은 평균 $10^{2.38}copies/{\mu}g$이었으며 진단 당시 최고치를 보이다가 회복기에는 정상화되는 양상이었다. 환자의 말초혈액 단핵구의 세포자멸사 연관 유전자 발현은 Bcl-2는 증상 초기에 증가하다가 감소하였고 Bax는 회복기에 약간 증가하였으며, Fas는 거의 변화가 없었으나 FasL은 발병 1주 후에 현저히 증가하였다가 회복기에 감소하였다. 결 론:본 연구를 통해 급성 전염성 단핵구증 소아 환자에서 다양한 임상 증상과 말초혈액에서 T세포 세군의 변화 및 세포자멸사 연관 유전자 발현의 변화를 확인하였다. 앞으로 분자 생물학적 관점에서의 병인 및 치료 방법에 대한 더 많은 연구가 필요할 것으로 사료된다.