• Translational and Clinical Pharmacology
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• 제25권2호
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• pp.63-66
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• 2017

Allopurinol-induced severe cutaneous adverse reactions (SCARs) such as Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and drug reaction with eosinophilia and systemic symptoms (DRESS) syndrome are reportedly associated with the $HLA-B^{\star}58:01$ genotype. Three patients who developed SCARs after allopurinol administration were subjected to HLA-B genotyping and lymphocyte activation test (LAT) to evaluate genetic risk and to detect the causative agent, respectively. All three patients given allopurinol to treat gout were diagnosed with DRESS syndrome. Symptom onset commenced 7-24 days after drug exposure; the patients took allopurinol (100-200 mg/d) for 2-30 days. HLA-B genotyping was performed using a polymerase chain reaction (PCR)-sequence-based typing (SBT) method. All patients had a single $HLA-B^{\star}58:01$ allele: $HLA-B^{\star}13:02/^{\star}58:01$ (a 63-year-old male), $HLA-B^{\star}48:01/^{\star}58:01$ (a 71-year-old female), and $HLA-B^{\star}44:03/^{\star}58:01$ (a 22-year-old male). Only the last patient yielded a positive LAT result, confirming that allopurinol was the causative agent. These findings suggest that patients with $HLA-B^{\star}58:01$ may develop SCARs upon allopurinol administration. Therefore, HLA-B genotyping could be helpful in preventing serious problems attributable to allopurinol treatment, although PCR-SBT HLA-B genotyping is time consuming. A simple genotyping test is required in practice. LAT may help to identify a causative agent.

• Journal of Medicine and Life Science
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• 제15권1호
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• pp.1-5
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• 2018

Allergy is conditions when a hypersensitivity reaction happens with a certain element, called as an allergen, which is commonly not reactive to ordinary individuals. Allergic diseases involve various organs or systems in the body. The purpose of allergy tests is to make a diagnosis of allergic diseases and to identify the affecting allergens. In vivo tests, more relevant in clinical situation, include skin test, patch test and provocation test. In in vitro tests, there are specific IgE test, histamine releasing assay, and lymphocyte activation test, safer and more objective than in vivo tests. In the view point of clinical practice, skin test, provocation test, total IgE test and specific IgE test were reviewed in depth.

• Toxicological Research
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• 제16권4호
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• pp.317-323
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• 2000

The immunosuppressive effects of thirty nine chemicals chosen by their potential toxicity were evaluated using a three-step testing method. The immunotoxicity test method developed in this study consisted of three simple assays of lymphoproliferation, mixed leukocyte response, and interleukin (IL)-2 production. The first step was mitogen-induced proliferation assay. Ten chemicals showed the inhibitory effects on the mitogen (lipopolysaccharide or concanavalin A)-induced proliferation in dose-dependent manners. The second step was mixed lymphocyte response. This step crosschecked the growth-suppressive effects detected at the first step. All of 10 chemicals, which showed suppression of lymphoproliferation, also exhibited the suppressive effects on the mixed lymphocyte response in the similar range of chemical concentration. The third step was planned to determine whether or not this growth suppression was mediated through an early activation of T-cell, which could be represented with IL-2 production. Six out of 10 chemicals decreased the interleukin-2 production in the similar concentration range used in the step 1 and 2. These results suggest that those 6 chemicals might have their targets on the signal transduction path-way toward the IL-2 production. In the meantime the other 4 chemicals might have their targets after the IL-2 production signal. Taken all together, the three-step test would be simple, fast, and efficient to deter-mine whether or not the chemical has immunosuppressive effects.

• Journal of Ginseng Research
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• 제27권3호
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• pp.115-119
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• 2003

There has been continuing interest in the development of synthetic and natural compounds that modify the immune response particularly for the treatment of AIDS and cancer. During the past fifty years, numerous scientific studies have been published on ginseng. Modem human studies have investigated preventive effect of ginseng on several kinds of cancer, its long term immunological effect on HIV patients, its effect on cell mediated immune functions in healthy volunteers. Similarly non clinical studies on animal model system have studied the chemopreventive action of ginseng on cancer and immunological properties of ginseng. The precise mechanism of action of ginseng, however, not clearly understood. Considering its wide-ranging therapeutic effects, this study is being undertaken to elucidate the general mode of action of ginseng, especially to test our hypothesis that its biological action may be mediated by the immune system.

• Asian-Australasian Journal of Animal Sciences
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• 제18권9호
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• pp.1320-1325
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• 2005

A 2${\times}$3 factorial arrangement of treatments was used to determine the effects of olaquindox and cyadox on immune response of Landrace${\times}$Large-White geld piglets that had been orally given 10$^{10}$ CFU of Escherichia coli (E. coli, O$_{139}$:K$_{88}$). Factors included (1) E. coli inoculation or control, and (2) no antimicrobials, 100 mg/kg olaquindox and 100 mg/kg cyadox in the basal diet respectively. E. coli inoculums were orally administered 7 days after the diets were supplemented with olaquindox and cyadox. The effects of the two antimicrobials were assessed in terms of: (1) average daily gain (ADG), (2) systemic immune response (the number of white blood cells and lymphocytes, leukocyte bactericidal capacity, lymphocyte proliferation response to PHA, immunoglobulin concentrations, and total serous hemolytic complement activity), and (3) intestinal mucosal immunity including the number of intraepithelial lymphocytes (IELs) and immunoglobulin A secreting cells (ASCs) in the intestinal lamina propria. E. coli inoculation reduced ADG (p<0.05) during the period of d 0 to d 14 after the challenge while the antimicrobial supplementations improved ADG (p<0.01) during the experiment. ADG in cyadox-supplemented pigs was higher (p<0.05) than that in olaquindox-supplemented pigs. The antimicrobials decreased IEL and ASC counts in the jejunum and ileum (p<0.01) while E. coli inoculation caused them to increase (p<0.01). Jejunal ASCs in the cyadox-supplemented pigs were lower (p<0.05) than those in the olaquindox-supplemented. E. coli elicited increase (p<0.05) in white blood cell counts, leukocyte bactericidal capacity, lymphocyte proliferation rate, serous IgA concentrations, and serous hemolytic complement activity. The antimicrobials decreased the measured systemic immune parameters, but not significantly (p>0.05). The data suggest that olaquindox and cyadox suppress E. coli-induced immune activation, especially intestinal mucosal immune activation, which may be involved in the observed growth promotion.

• Tuberculosis and Respiratory Diseases
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• 제46권2호
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• pp.175-184
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• 1999

연구배경: 알레르기성 기관지 천식은 가역적인 기도폐색과 기관지의 과민성을 동반하는 기도의 만성적인 호산구성 염증성 질환으로서 기도의 염증발현에 관여하는 세포는 여러가지가 있지만 Th 림프구는 cytokine을 분비하여 염증반응을 조절하는 중요한 역할을 하고 있다. Th 림프구는 cytokine의 분비양상에 따라 Th1 림프구와 Th2 림프구로 나뉘어지며 Th1 림프구는 지연형 과민반응과 결핵균이나 바이러스 감염등에 대한 방어작용 그리고 종양에 대한 숙주반응에 관여하고 Th2 림프구는 즉시형 과민반응과 알레르기성 천식과 같은 알레르기성 질환 그리고 기생충 감염등에 대한 방어작용에 관여한다. Th1 림프구와 Th2 림프구는 서로 길항작용을 하는 것으로 알려지고 있어 대표적인 Th1 림프구 매개 질환인 결핵과 Th2 림프구 매개질환인 알레르기성 기관지 천식은 서로의 발생을 억제할 것으로 추정되며 알레르기성 기관지 천식환자에서는 Th2 림프구의 기능이 항진되어 Th1 림프구의 기능이 억제되고 반대로 Th1 림프구의 기능이 정상인 집단에서는 알레르기성 천식환자에 비해 Th2 림프구의 기능이 저하되어 있을 것으로 추정된다. 방 법: 정상 대조군과 알레르기성 천식환자군, 그리고 내인성 천식환자군에서 투베르쿨린 피부반응의 양상을 실시하여 지연형 과민반응의 양상을 관찰하고 혈청 IgE의 농도와 말초혈액 호산구 수를 조사하였다. 그리고 Th1 림프구에서 주로 생산되는 cytokine인 IFN-$\gamma$와 IL-12, Th2 림프구에서 주로 생산되는 IL-4, IL-5, IL-10의 혈청 농도를 측정하였다. 결 과: 투베르쿨린 피부반응의 양성율은 알레르기성 천식환자군이 내인성 천식환자군에 비해 투베르쿨린 피부반응에 대한 양성율이 유의하게 낮았으며(p<0.05), 투베르쿨린 피부반응의 정도는 내인성 천식환자군에 비하여 알레르기성 천식환자에서 유의하게 감소되어 있었다 (p<0.05). IL-4와 IL-10은 알레르기성 천식환자군에서 다른 두 군에 비하여 통계적으로 유의하지 않았으나 증가되어 있었고 IL-5는 알레르기성 천식환자군에서 다른 두 군에 비하여 유의하게 증가되어 있었다 (p<0.01). IL-12와 IFN-$\gamma$는 알레르기성 천식환자군과 내인성 천식환자군에서 정상 대조군에 비하여 유의하게 감소되어 있었다(p<0.05). 알레르기성 천식환자군에서 말초 혈액 호산구 수와 혈청 IgE 농도는 정상 대조군에 비하여 유의하게 증가하여 있었다(p<0.05). 알레르기성 천식환자에서 말초혈액 호산구 수는 혈청 IgE(r=0.737, p=0.003), IL-5(r=0.352, p=0.038), IL-10(r=0.827, p=0.001)과 서로 유의한 상관관계를 보이면서 증가하고 있었다. 전체적으로 Th2 cytokine인 IL-5와 IL-10의 혈청 농도는 서로 유의한 상관관계를 나타내고 있었고(r=0.340, p=0.046), IL-12와 IFN-$\gamma$ 혈청 농도도 서로 유의한 상관관계를 나타내고 있었다(r=0.593, p=0.001). 결 론: 알레르기성 기관지 천식환자는 정상 대조군에 비하여 Th1 림프구의 기능이 저하되어 있었고 Th2 림프구의 기능은 항진되어 있었으며, 이러한 Th2 림프구의 기능 항진은 말초혈액 호산구 수와 혈청 IgE와 유의한 상관관계를 보이고 있어 Th2 림프구 기능 항진이 알레르기성 기관지 천식의 병인에 중요한 역할을 할 가능성이 있음을 알 수 있다.

• 대한수의학회지
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• 제52권2호
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• pp.89-97
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• 2012

Mycobacterial cell-wall skeleton (CWS) is an immunoactive and biodegradable particulate adjuvant and has been tried to use for immunotherapy. The CWS of Mycobacterium bovis bacillus Calmette-Guerin (BCG-CWS) was studied as an universal vaccine vehicle for antigen conjugation, to develop potentially effective and safe vaccine. Although a variety of biological activities of BCG-CWS have been studied, the effects of BCG-CWS on spleen cells are not fully elucidated. Using MTT assay and trypan blue exclusion test, we found that BCG-CWS significantly enhanced the viability and proliferation of cells. Multiple clusters, indicating proliferation, were observed in BCG-CWS-treated spleen cells and surface marker staining assay revealed that BCG-CWS promoted the proliferation of $CD19^+$ B lymphocyte rather than $CD4^+$ or $CD8^+$ T lymphocyte. In addition, BCG-CWS up-regulated the expression of anti-apoptotic molecules such as bcl-2, bcl-xL. BCG-CWS increased the surface expression of CD25 and CD69 as well as IL-2 production of spleen cells, suggesting increased activation. Furthermore, BCG-CWS enhanced the antigen-specific cell proliferation and interferon-gamma production of spleen cells. Taken together, these results demonstrate the immunostimulatory effects of BCG-CWS on spleen cells via multiple mechanisms, providing valuable information to broaden the use of BCG-CWS in clinical and research settings.

• Molecular & Cellular Toxicology
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• 제1권4호
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• pp.230-236
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• 2005

Formaldehyde is a common environmental contaminant found in tobacco smoke, paint, garments, diesel and exhaust, and medical and industrial products. Formaldehyde has been considered to be potentially carcinogenic, making it a subject of major environmental concern. However, only a little information on the mechanism of immunological sensitization and asthma by this compound has been known. So, we performed with Jurkat cell line, a human T lymphocyte, to assess the induction of DNA damage and to identify the DEGs related to immune response or toxicity by formaldehyde. In this study, we investigated the induction of DNA single strand breaks by formaldehyde using single cell gel electrophoresis assay (comet assay). And we compared gene expression between control and formaldehyde treatment to identify genes that are specifically or predominantly expressed by employing annealing control primer (ACP)-based $GeneFishing^{TM}$ method. The cytotoxicity ($IC_{30}$) of formaldehyde was determined above the 0.65 mM in Jurkat cell in 48 h treatment. Based on the $IC_{30}$ value from cytotoxicity test, we performed the comet assay in this concentration. From these results, 0.65 mM of formaldehyde was not revealed significant DNA damages in the absence of S-9 metabolic activation system. And the one differentially expressed gene (DEG) of formaldehyde was identified to zinc finger protein 292 using $GeneFishing^{TM}$ method. Through further investigation, we will identify more meaningful and useful DEGs on formaldehyde, and then can get the information on the associated mechanism and pathway with immune response or other toxicity by formaldehyde exposure.

• IMMUNE NETWORK
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• 제2권1호
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• pp.41-48
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• 2002

Background: Viral antigens presented on the cell surface in association with MHC class I molecules are recognized by CD8+ T cells. MHC restricted peptides are important in eliciting cellular immune responses. As peptide antigens have a weak immunigenicity, pH-sensitive liposomes were used for peptide delivery to induce effective cytotoxic T lymphocyte (CTL) responses. In the previous study, as the HBx peptides could induce specific CTLs in vitro, we tested whether the HLA-A2/$K^b$ transgenic mice that were immunized by HBx-derived peptides could be protected from a viral challenge. Methods: HBx-peptides encapsulated by pH-sensitive liposomes were prepared. $A2K^b$ transgenic mice were immunized i.m. on days one and seven with the indicated concentrations of liposome-encapsulated peptides. Three weeks later, mice were infected with $1{\times}10^7pfu$/head of recombinant vaccinia virus (rVV)-HBx via i.p. administration. The ovaries were extracted from the mice, and the presence of rVV-HBx in the ovaries was analyzed using human TK-143B cells. IFN-${\gamma}$ secretion by these cells was directly assessed using a peptide-pulsed target cell stimulation assay with either peptide-pulsed antigen presenting cells (APCs), concanavalin A ($2{\mu}g/ml$), or a vehicle. To generate peptide-specific CTLs, splenocytes obtained from the immunized mice were stimulated with $20{\mu}g/ml$ of each peptide and restimulated with peptide-pulsed APC four times. The cytotoxic activity of the CTLs was assessed by standard $^{51}Cr$-release assay and intracellular IFN-${\gamma}$ assay. Results: Immunization of these peptides as a mixture in pH-sensitive liposomes to transgenic mice induced a good protective effect from a viral challenge by inducing the peptide-specific CD8+ T cells. Mice immunized with $50{\mu}g/head$ were much better protected against viral challenge compared to those immunized with $5{\mu}g$/head, whereas the mice immunized with empty liposomes were not protected at all. After in vitro CTL culture by peptide stimulation, however, specific cytotoxicity was much higher in the CTLs from mice immunized with $5{\mu}g/head$ than $50{\mu}g/head$ group. Increase of the number of cells that intracellular IFN-${\gamma}$ secreting cell among CD8+ T cells showed similar result. Conclusion: Mice immunized with XEPs within pH-sensitive liposome were protected against viral challenge. The protective effect depended on the amount of antigen used during immunization. XEP-3-specific CTLs could be induced by peptide stimulation in vitro from splenocytes obtained from immunized mice. The cytotoxic effect of CTLs was measured by $^{51}Cr$-release assay and the percentage of accumulated intracellular IFN-${\gamma}$ secreting cells after in vitro restimulation was measured by flow cytometric analysis. The result of $^{51}Cr$-release cytotoxicity test was well correlated with that of the flow cytometric analysis. Viral protection was effective in immunized group of $50{\mu}g/head$, while in the in vitro restimulation, it showed more spectific response in $5{\mu}g$/head group.

• Tuberculosis and Respiratory Diseases
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• 제41권2호
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• pp.135-143
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• 1994

연구목적 : 혈청 sIL-2R 농도는 T세포의 면역활성화가 관여되는 육아종성질환, 장기이식, 자가면역질환에서, 또한 혈액종양 및 림프세망내 피계종양등에서 증가 한다고 알려져있다. 최근 결핵환자에서도 질병의 활성화 정도에 따라 혈청 및 흉강 삼출액에서 sIL-2R 농도의 증가를 보고하고 있다. 임상에서 결핵성 흉강삼출과 악성 흉강삼출의 감별이 어려운 경우를 경험하게 되는데 흉강삼출액에서 sIL-2R 농도 측정이 이들 질환의 감별에 도움이 될수 있는지 알아보기 위해 늑막조직검사에서 결핵성으로 확인된 12명의 결핵성 흉강삼출액환자와 32명의 비결핵성 흉강 삼출액환자를 대상으로 혈청 및 흉강삼출액에서 sIL-2R 농도를 측정하였다. 방법 : 대상환자의 늑막삼출액을 원심분리하여 얻은 상층액과 동시에 채취한 혈청을 $-70^{\circ}C$에 보관한 후 검사를 시행하였다. 가용성 IL-2수용체 농도 측정은 Cellfree(r) IL-2R test kit(T-cell sciences Inc., Cambridge, MA, USA)를 이용하였다. 측정방법을 간단히 설명하면 IL-2R 분자의 두가지 항원 결정기(epitope)에 대한 단일 항체를 이용한 샌드위치 ELISA 검사로 측정하였다. 결과 : 1) 늑막삼출액의 sIL-2R 농도는 비결핵성 늑막삼출환자군보다 결핵성 늑막삼출환자군에서 높았다(p<0.005). 2) 늑막삼출액에서 감별진단 기준을 sIL-2R 농도 5,000u/ml로 할 경우 결핵성 늑막삼출환자군을 악성 늑막삼출환자군과 비교시 민감도는 84.6%, 특이도는 99.9%였다. 3) 혈청 sIL-2R 농도는 결핵성 늑막삼출환자군에서 세균성 늑막 삼출환자군보다 유의한 증가를 보였으나(p<0.05), 악성 늑막 삼출환자군 및 늑막여출액환자군과는 유의한 차이가 없었다(p>0.05). 4) 결핵성 늑막삼출환자군에서 sIL-2R 농도는 혈청에서보다 늑막삼출액에서 더 높았다(p<0.005). 결론 : 결핵성 늑막삼출에서 늑막삼출액내의 sIL-2R 농도는 감별기준 5,000 u/ml로 사용할 경우 결핵성 늑막삼출과 비결핵성 늑막삼출의 감별진단에 도움이 되리라 생각된다.