• IMMUNE NETWORK
• /
• 제14권1호
• /
• pp.21-29
• /
• 2014

Follicular helper T ($T_{FH}$) cells are recently highlighted as their crucial role for humoral immunity to infection as well as their abnormal control to induce autoimmune disease. During an infection, na$\ddot{i}$ve T cells are differentiating into $T_{FH}$ cells which mediate memory B cells and long-lived plasma cells in germinal center (GC). $T_{FH}$ cells are characterized by their expression of master regulator, Bcl-6, and chemokine receptor, CXCR5, which are essential for the migration of T cells into the B cell follicle. Within the follicle, crosstalk occurs between B cells and $T_{FH}$ cells, leading to class switch recombination and affinity maturation. Various signaling molecules, including cytokines, surface molecules, and transcription factors are involved in $T_{FH}$ cell differentiation. IL-6 and IL-21 cytokine-mediated STAT signaling pathways, including STAT1 and STAT3, are crucial for inducing Bcl-6 expression and $T_{FH}$ cell differentiation. $T_{FH}$ cells express important surface molecules such as ICOS, PD-1, IL-21, BTLA, SAP and CD40L for mediating the interaction between T and B cells. Recently, two types of microRNA (miRNA) were found to be involved in the regulation of $T_{FH}$ cells. The miR-17-92 cluster induces Bcl-6 and $T_{FH}$ cell differentiation, whereas miR-10a negatively regulates Bcl-6 expression in T cells. In addition, follicular regulatory T ($T_{FR}$) cells are studied as thymus-derived $CXCR5^+PD-1^+Foxp3^+\;T_{reg}$ cells that play a significant role in limiting the GC response. Regulation of $T_{FH}$ cell differentiation and the GC reaction via miRNA and $T_{FR}$ cells could be important regulatory mechanisms for maintaining immune tolerance and preventing autoimmune diseases such as systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA). Here, we review recent studies on the various factors that affect $T_{FH}$ cell differentiation, and the role of $T_{FH}$ cells in autoimmune diseases.

• 생명과학회지
• /
• 제24권11호
• /
• pp.1244-1251
• /
• 2014

길경(桔梗, Platycodon grandiflorum)은 도라지의 뿌리로 항염증, 항알러지, 면역 반응, 당뇨, 고지혈증 및 항암 효과 등을 가지고 있는 것으로 알려져 있다. 하지만 길경의 항암 효과에 대한 연구는 미미하며, 길경이 유발하는 autophagy에 대한 연구는 되어 있지 않다. 본 연구에서는 HCT-116 대장암 세포주에서 길경 추출물이 autophagy와 apoptosis를 유발하면서 세포 성장을 억제하는지의 여부를 조사하였다. 길경 추출물은 농도 및 시간의존적으로 세포의 증식을 억제하였으며, 길경 추출물에 의해 나타나는 apoptosis는 caspase의 활성이 부분적으로 관여되어 있음을 알 수 있었다. 또한, 길경 추출물의 처리는 autophagy에 의해 나타나는 공포를 형성하면서 autophagy와 관련되어 있는 여러 단백질의 발현 조절 및 LC3 단백질의 축적이 동반되었다. 길경 추출물에 의해 유도되는 autophay와 apoptosis의 관계를 알아보기 위해서 3-MA나 bafilomycin A1을 처리하여 autophagy를 억제하였을 때 apoptosis가 유의적으로 증가됨을 알 수 있었다. 흥미롭게도 bafilomycin A1을 처리한 결과에서 길경 추출물에 의한 세포성장 억제가 뚜렷하게 회복되는 양상을 보였다. 따라서 본 연구의 결과는 HCT-116 세포에서 길경 추출물에 의해 유도된 autophagy는 세포 보호적인 작용이 아닌 autophagic cell death이며, 길경 추출물이 대장암 세포주에서 암세포의 사멸을 유도하는 효과적인 대안이 될 수 있음을 알 수 있었다.

• Nutrition Research and Practice
• /
• 제6권2호
• /
• pp.97-105
• /
• 2012

$Schizandra$ $chinensis$ Baillon is a traditional folk medicine plant that is used to treat and prevent several inflammatory diseases and cancer in Korea, but the underlying mechanisms involved in its anti-allergic activity are not fully understood. This study was designed to investigate mechanisms of anti-allergic activity of a $Schizandra$ $chinensis$ Baillon water extract (SCWE) in immunoglobulin E (IgE)-antigen complex-stimulated RBL2H3 cells and to assess whether gastric and intestinal digestion affects the anti-allergic properties of SCWE. Oxidative stress is an important consequence of the allergic inflammatory response. The antioxidant activities of SCWE increased in a concentration-dependent manner. RBL-2H3 cells were sensitized with monoclonal anti-dinitrophenol (DNP) specific IgE, treated with SCWE, and challenged with the antigen DNP-human serum albumin. SCWE inhibited ${\beta}$-hexosaminidase release and expression of interleukin (IL)-4, IL-13, and tumor necrosis factor-alpha (TNF-${\alpha}$) mRNA and protein in IgE-antigen complex-stimulated RBL2H3 cells. We found that digested SCWE fully maintained its antioxidant activity and anti-allergic activity against the IgE-antigen complex-induced activation of RBL-2H3 cells. SCWE may be useful for preventing allergic diseases, such as asthma. Thus, SCWE could be used as a natural functional ingredient for allergic diseases in the food and/or pharmaceutical industries.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제18권4호
• /
• pp.253-260
• /
• 2015

Purpose: The aim of the present study was to investigate the clinical features and outcome of eosinophilic gastroenteritis (EGE) in children. Methods: Our study enrolled 24 children who were diagnosed with EGE from 1993 to 2014 at the Department of Pediatrics, Seoul National University Children's Hospital. The patients' clinical manifestations, treatments, and outcomes were reviewed from the medical records. Results: The mean age at diagnosis was 5.3 years. Most patients had gastrointestinal symptoms including diarrhea (54.2%) and abdominal pain (45.8%). Peripheral eosinophilia was present in 91.7% of the patients. Thirteen patients (54.2%) showed anemia, and 15 patients (62.5%) had hypoalbuminemia. EGE was classified as mucosal, subserosal, or muscular in 75.0%, 20.8%, and 4.2% of cases, respectively. Three patients showed gastroduodenal ulcers upon endoscopic analysis. A history of allergy was reported in 13 patients, including atopic dermatitis, allergic rhinitis, and asthma. Five patients (20.8%) improved with food restrictions. Among the 19 patients treated with steroids, 11 (57.9%) discontinued steroid treatment without subsequent relapse, 4 (21.1%) relapsed after ceasing steroid treatment, and 4 (21.1%) showed no response to steroids. Two patients who were resistant to steroids underwent therapeutic surgery. The presence of gastroduodenal ulcers was significantly associated with relapse and steroid resistance. Conclusion: A high suspicion of EGE is warranted when children have nonspecific gastrointestinal symptoms and peripheral eosinophilia. Most patients improved with food restrictions or steroid treatment, although one-third of patients showed a relapse or steroid resistance.

• 한국식품과학회지
• /
• 제40권5호
• /
• pp.568-573
• /
• 2008

난백의 알레르겐을 감소시키기 위해서 여러 가지 처리를 실시하고 처리난백의 알레르기성의 변화를 평가하고자 passive cutaneous anaphylaxis(PCA) test, immunoblot, 생쥐모델에 의한 알레르기 유발시험을 실시하였다. PCA test결과 열처리($121^{\circ}C$, 30 min)한 난백은 처리하지 않은 난백에 비하여 그 항원성이 1/8 정도로 감소되었으며, NaOH처리군은 0.3%와 1%에서 각각 1/4, 1/8로 항원성의 감소를 보였다. 특히, NaOH처리 후 열처리(70oC, 15 min)를 추가적으로 복합처리한 난백의 경우, NaOH 0.3%(w/v)에서는 1/8 정도로, NaOH 1%(w/v)에서는 1/32 정도로 강력하게 항원성이 감소되었다. 계란 알레르기 환자의 IgE 항체를 이용하여 immunoblot을 실시한 결과 121oC로 열처리한 시료에서 난백의 주요 단백질 band가 흐려지는 것으로 나타났고 NaOH와 열로 복합처리한 난백의 경우에도 NaOH 0.1%(w/v) 이상에서 band들이 대부분 소실되는 것으로 나타났다. 생쥐모델에 의한 시험을 실시한 결과, 난백으로 유도한 전신알레르기 증상의 평균점수는 1.85이었으나 복합처리한 난백의 경우 그 점수가 0.20로 현격하게 감소되었다. 결론적으로, 상기 3종의 시험에서 공통적으로 가장 효과적인 난백의 알레르기성 저감화 방법은 복합처리(NaOH(1%, w/v) 및 열($70^{\circ}C$, 15min))임이 확인되었다.

• Advances in Traditional Medicine
• /
• 제9권2호
• /
• pp.115-127
• /
• 2009

Samsoeum (SSE) is used in traditional oriental medicine for various medicinal purposes. However, the exact mechanism that accounts for the anti-allergy and anti-inflammatory effects of the SSE is still not fully understood. The aim of the present study is to elucidate whether and how SSE modulates the allergic reactions in vivo, and inflammatory reaction in vitro. In this study, we showed that SSE significantly decreased compound 48/80-induced systemic anaphylaxis, ear-swelling response, histamine release from preparation of rat peritoneal mast cells and anti-dinitropheny IgE-induced passive cutaneous reaction. Also, SSE inhibited the expression of inflammatory cytokine and cyclooxygenase-2 in PMA plus A23187-stimulated human mast cells (HMC-1). In addition, we showed that anti-inflammatory mechanism of SSE is through suppression of nuclear factor-${\kappa}B$ activation and $I{\kappa}B-{\alpha}$ phosphorylation/degradation in HMC-1. These results provided new insight into the pharmacological actions of SSE as a potential molecule for therapy of inflammatory allergic diseases.

• 한방안이비인후피부과학회지
• /
• 제15권2호
• /
• pp.169-182
• /
• 2002

Background: Allergic rhinitis(AR) is a heterogeneous disorder that despite its high prevalence is often undiagnosed. It is characterized by one or more symptoms including sneezing, itching, nasal congestion, and rhinorrhea. And it is frequently accompanied by symptoms involving the eyes, ears, and throat, including postnasal drainage. There are many different causes of rhinitis in children and adults. Approximately 50$\%$ of all cases of rhinitis are caused by allergy. In the case of rhinitis caused by allergens, symptoms arise as a result of inflammation induced by a gamma globulin E-mediated immune response to specific allergens such as pollens, molds, animal dander, and dust mites. The immune response involves the release of inflammatory mediators and the activation and recruitment of cells to the nasal mucosa. AR is similar to 鼻？, hypersensitive rhinitis in Oriental Medicine. I think hypersensitive rhinitis is including of AR, vasomotor rhinitis and non-allergic rhinitis related with eosinophil increased and so on. Purpose: To perform a clinical analysis of hypersensitive rhinitis including allergic rhinitis and estimate the efficacy of Oriental Medical treatment. Objective: We studied 96 patients who had visited our hospital with complaints of nasal symptoms from March 2000 to February 2002; they had the signs more than 2 - nasal obstruction, watery discharge, sneezing and eye or nasal itching. Parameters Observed & Methods: We treated them with acupuncture & herb-medication. Sometime they used aroma oil or external medicine. 1) the distribution of sex & age groups 2) the clinical type based on duration & the severity of symptom 3) the breakdown of complication & pasl history of Otolaryngologic or allergic disease 4) the clinical assessment and classification of rhinitis(sneezers and runners & blockers) 5) the associated symptoms and signs 6) the classification of Byeonjeung 7) the classification of prescriptions and 8) the efficacy of treatment. Result: 1. In the clinical type of based on duration, the intermittent type was 42.7$\%$ and the persistent was 57.3$\%$. 2. We observed the severity of symptoms based on the quality of life. The mild type was 24.0$\%$ and the moderate-severe was 76.0$\%$. 3. In the clinical assessment and classification of rhinitis, the sneezers and runners type was 69.8$\%$ and the blockers was 30.2$\%$. 4. The most common family history with otolaryngologic or allergic disease were allergic rhinitis(17.7$\%$), urticaria, paranasal sinusitis and T.B.(3.1$\%$). 5. The most common past history with otolaryngologic or allergic disease were paranasal sinusitis(14.6$\%$), atopic dermatitis and asthma(8.3$\%$). It was 31.3$\%$ they had a family history and 44.8$\%$, past history. 6. The most common complication was paranasal sinusitis(15.6$\%$). In decreasing order the others were otitis media with effusion(9.4$\%$), GERD and headache(6.3$\%$), asthma, bronchitis, nasal bleeding and allergic dermatitis(5.2$\%$). 7. Classification through Byeonjeung : ⅰ) 39 cases(34.9$\%$) were classified as showing Deficiency syndrome. The insuffficiency of Qi was 17.7$\%$, deficiency of Kidney-Yang, 12.5$\%$ and Lung-Cold, 10.4$\%$. ⅱ) 57 cases(59.4$\%$) were classified as showing Excess syndrome. The Fever of YangMing-meridian was 35.4$\%$, Lung-Fever, 24.0$\%$. 8. The efficacy of treatments showed: an improvement in 22cases(22.9$\%$); an improvement partly in 24 cases(25.0$\%$); no real improvement or changes in 16 cases(16.7$\%$); and couldn't check the results 18cases(18.6$\%$). Conclusion: We suggest that this study could be utilized as a standard of clinical Oriental Medical treatment when we treat hypersensitive rhinitis including allergic rhinitis.

• Tuberculosis and Respiratory Diseases
• /
• 제54권4호
• /
• pp.386-394
• /
• 2003

연구배경 : 만성폐쇄성폐질환과 기관지 천식은 만성 기도 염증과 기류 장애를 특징으로 하고 있으며, 일부에서는 합병되어 나타나기도 한다고 알려져 있으나 그 정도에 대한 연구는 미미한 실정이다. 저자는 두 질환의 병태 생리의 차이와 합병 정도를 평가하기 위하여 본 연구를 시행하였다. 방 법 : 만성폐쇄성폐질환과 기관지 천식의 진단은 미국 흉부학회의 지침서 기준에 의하였고, 대상 환자들에게는 폐기능 검사, 최대호기유속 측정, 속효성 ${\beta}_2$-항진제에 대한 기관지 반응성, methacholine 유발 반응 검사, 객담내 호산구치 및 ECP, 혈청내 총 IgE치, 알레르기 피부반응 검사 등을 시행하였다. 결 과 : 대상 환자 59명중 남자가 49명, 평균 연령은 66.46세, 흡연자가 42명이었다. 속효성 ${\beta}_2$-항진제에 대한 양성 반응을 보인 경우는 37.3%였으며, 최대 호기유속 측정상 일중 변이성을 보인 경우는 47.5%이었고, 두 가지 검사에 모두 양성을 보인 경우는 27.1%이었다. 만성폐쇄성폐질환과 기관지 천식이 합병된 환자의 유도객담은 호산구와 ECP농도의 유의한 상승을 보였다. 그러나 기관지 천식이 합병되지 않은 만성폐쇄성폐질환 환자의 유도 객담에서는 중성구의 유의한 상승을 관찰할 수 있었다. 또한 중증의 만성폐쇄성폐질환 환자에서 최대호기유속의 변화율은 현저히 감소하였지만 천식의 합병과 만성폐쇄성폐질환의 중증도간에는 상관관계를 보이지 않았다. 결 론 : 이상의 결과를 요약하면 중등도와 중증의 환기장애를 동반한 만성폐쇄성폐질환 환자의 약 27% 정도에서 기관지 천식이 동반되었으나, 환기장애의 중증도와 기관지 천식의 합병률 간에는 유의한 차이가 없었다.

• 생명과학회지
• /
• 제29권2호
• /
• pp.215-222
• /
• 2019

노화, 상해, 유전병 및 산화 스트레스와 같은 다양한 원인으로 인해 근육 위축을 유발한다. 그 동안의 연구에 의하면 열처리 사균체 엔테로코커스 패칼리스(EF-2001)는 항알레르기, 항염증 및 항종양 효과를 보였다. 그러나 항산화 및 항근위축에 대한 효과는 잘 알려져 있지 않고 있다. 본 연구에서는 EF-2001이 근육 위축에 미치는 영향을 연구 하였다. 산화 스트레스에 의한 EF-2001의 세포손상 보호 효과를 확인하기 위해 C2C12 근섬유 아세포는 H2O2로 처리되어, 산화 스트레스를 유도하여 세포 손상을 유발하였다. 그러나 EF-2001 처리로 인해 근세포 손상이 감소됨을 확인 하였다. 우리는 산화스트레스에 의한 EF-2001의 근세포손상의 감소 효과에 대한 메커니즘을 확인하였다. EF-2001는 산화스트레스로 유도된 근세포내의 HSP70 및 SOD1 단백질의 발현을 감소시켰다. 또한, 근세포내에 Atrogin-1/MAFbx 및 MuRF1의 mRNA 수준은 산화 스트레스 조건 하에서 증가하였으나, EF-2001에 의해 감소하였다. 더나아가 근감소를 유도한 좌골신경 절제 모델동물을 통한 근육량을 확인하기 위해 마이크로 CT를 활용해 2차원과 3차원으로 분석하였다. 근육량은 좌골 신경 절제 후에 감소하였고, EF-2001의 경구 투여에 의해 근육량이 회복되었다. 본 결과는 열처리 사균체 엔테로코커스 패칼리스인 EF-2001이 노인들에게 자주 발생하는 근감소증의 예방 및 개선할 수 있는 기능성 식품으로 다양한 분야에서 유용하게 활용 될 수 있음을 시사한다.