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1.
Eur Cell Mater ; 39: 65-76, 2020 01 15.
Article in English | MEDLINE | ID: mdl-31939630

ABSTRACT

Osteoarthritis (OA) is a disease of diarthrodial joints associated with extracellular matrix proteolytic degradation under inflammatory conditions, pain and disability. Currently, there is no therapy to prevent, reverse or modulate the disease course. The present study aimed at evaluating the regenerative potential of Link N (LN) in human OA cartilage in an inflammatory milieu and determining if LN could affect pain-related behaviour in a knee OA mouse injury model. Osteo-chondro OA explants and OA chondrocytes were treated with LN in the presence of interleukin-1ß (IL-1ß) to simulate an osteoarthritic environment. Quantitative von Frey polymerase chain reaction and Western blotting were performed to determine the effect of LN on matrix protein synthesis, catabolic enzymes, cytokines and nerve growth factor expression. Partial medial meniscectomy (PMM) was performed on the knee of C57BL/6 mice and, 12 weeks post-surgery, mice were given a 5 µg intra-articular injection of LN or phosphate-buffered saline. A von Frey test was conducted over 24 h to measure the mechanical allodynia in the hind paw. LN modulated proteoglycan and collagen synthesis in human OA cartilage through inhibition of IL-1ß-induced biological effects. LN also supressed IL-1ß-induced upregulation of cartilage-degrading enzymes and inflammatory molecules in OA chondrocytes. Upon investigation of the canonical signalling pathways IL-1ß and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB), LN resulted to significantly inhibit NF-κB activation in a dose-dependent manner. In addition, LN suppressed mechanical allodynia in an OA PMM mouse model. Results supported the concept that LN administration could provide therapeutic potential in OA.


Subject(s)
Cartilage, Articular/pathology , Interleukin-1beta/pharmacology , Osteoarthritis/pathology , Peptides/pharmacology , Aged , Animals , Behavior, Animal/drug effects , Cartilage, Articular/drug effects , Chondrocytes/drug effects , Chondrocytes/metabolism , Collagen Type II/metabolism , Disease Models, Animal , Gene Expression Regulation/drug effects , Glycosaminoglycans/metabolism , Humans , Hydroxyproline/metabolism , Knee Joint/drug effects , Knee Joint/pathology , Mice, Inbred C57BL , Middle Aged , Pain/pathology , Signal Transduction/drug effects
2.
Clin Genet ; 89(2): 222-7, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26451869

ABSTRACT

Familial hemophagocytic lymphohistiocytosis (F-HLH or FHL) is a potentially fatal immune dysregulation syndrome with a heterogeneous genetic background. Most recently, STXBP2 has been identified as the causative gene of type 5 FHL (FHL5) with a worldwide distribution. In this study, we investigated the prevalence of FHL5 in Korea. About 50 Korean pediatric patients with HLH who lacked pathogenic mutations in PRF1, UNC13D, or in STX11 from the previous series of 72 patients with HLH were analyzed for STXBP2 mutations by conventional sequencing analyses. As a result, we found one patient with two novel mutations of STXBP2: c.184A>G and c.577A>C. c.184A>G (p.Asn62Asp) was located within a highly conserved region of the STXBP2 protein and predicted to be deleterious. c.577A>C in exon 7 resulted in incomplete splicing mutation with exon 7 skipping concurrent with exon 7-retained transcript with p.Lys193Gln substitution. The frequency of FHL5 was ~1% (1/72) in Korean pediatric patients with HLH. This is the first study on FHL5 in Korea, and the data from a nationwide patient cohort provide another piece of genetic profiles of FHL.


Subject(s)
Lymphohistiocytosis, Hemophagocytic/epidemiology , Lymphohistiocytosis, Hemophagocytic/genetics , Munc18 Proteins/genetics , Mutation/genetics , Adolescent , Amino Acid Sequence , Base Sequence , Child , Child, Preschool , Female , Humans , Infant , Male , Molecular Sequence Data , Munc18 Proteins/chemistry , Prevalence , Protein Structure, Tertiary , RNA/genetics , Republic of Korea
3.
Osteoarthritis Cartilage ; 23(12): 2242-2251, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26117175

ABSTRACT

OBJECTIVE: Lumbar facet joint degeneration (FJD) may be an important cause of low back pain (LBP) and sciatica. The goal of this study was to characterize cellular alterations of inflammatory factor expression and neovascularization in human degenerative facet joint capsular (FJC) tissue. These alterations in FJC tissues in pain stimulation were also assessed. DESIGN: FJs were obtained from consented patients undergoing spinal reconstruction surgery and cadaveric donors with no history of back pain. Histological analyses of the FJs were performed. Cytokine antibody array and quantitative real-time polymerase chain reaction (qPCR) were used to determine the production of inflammatory cytokines, and western blotting analyses (WB) were used to assay for cartilage-degrading enzymes and pain mediators. Ex vivo rat dorsal root ganglion (DRG) co-culture with human FJC tissues was also performed. RESULTS: Increased neovascularization, inflammatory cell infiltration, and pain-related axonal-promoting factors were observed in degenerative FJCs surgically obtained from symptomatic subjects. Increased VEGF, (NGF/TrkA), and sensory neuronal distribution were also detected in degenerative FJC tissues from subjects with LBP. qPCR and WB results demonstrated highly upregulated inflammatory cytokines, pain mediators, and cartilage-degrading enzymes in degenerative FJCs. Results from ex vivo co-culture of the DRG and FJC tissue demonstrated that degenerative FJCs increased the expression of inflammatory pain molecules in the sensory neurons. CONCLUSION: Degenerative FJCs possess greatly increased inflammatory and angiogenic features, suggesting that these factors play an important role in the progression of FJD and serve as a link between joint degeneration and neurological stimulation of afferent pain fibers.


Subject(s)
Intervertebral Disc Degeneration/genetics , Joint Capsule/metabolism , Low Back Pain/genetics , Lumbar Vertebrae , Osteoarthritis, Spine/genetics , RNA, Messenger/metabolism , Scoliosis/genetics , Spondylolisthesis/genetics , Zygapophyseal Joint/metabolism , Adult , Aged , Aged, 80 and over , Animals , Blotting, Western , Cadaver , Coculture Techniques , Cytokines/genetics , Cytokines/immunology , Cytokines/metabolism , Female , Ganglia, Spinal , Humans , Immunohistochemistry , Intervertebral Disc Degeneration/immunology , Intervertebral Disc Degeneration/metabolism , Joint Capsule/immunology , Low Back Pain/immunology , Low Back Pain/metabolism , Male , Middle Aged , Nerve Growth Factor/metabolism , Osteoarthritis, Spine/immunology , Osteoarthritis, Spine/metabolism , Rats , Rats, Sprague-Dawley , Real-Time Polymerase Chain Reaction , Receptor, trkA/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Scoliosis/immunology , Scoliosis/metabolism , Spondylolisthesis/immunology , Spondylolisthesis/metabolism , Up-Regulation , Vascular Endothelial Growth Factor A/metabolism , Young Adult , Zygapophyseal Joint/immunology
4.
Eur Cell Mater ; 28: 223-35, 2014 Oct 23.
Article in English | MEDLINE | ID: mdl-25340802

ABSTRACT

Despite extensive research in knee and hip osteoarthritis (OA), the underlying mechanism of temporomandibular joint (TMJ) disorder remains largely unknown. The purpose of this study was to determine whether the constitutive activation of ß-catenin in the middle and deep layers of the articular cartilage can compromise the homeostasis of this tissue in the TMJ. Col2CreERT2 transgenic mice were bred with RosamT/mG reporter mice to determine Cre recombination efficiency. Col2CreERT2 mice were then crossed with ß-cateninflox(ex3)+ mice to generate ß-catenin conditional activation mice, ß-catenin(ex3)Col2ER. TMJ samples were harvested when the mice were 1-, 3- or 6-month-old and evaluated using histology, histomorphometry and immunohistochemistry. ß-catenin(ex3)Col2ER mice were further crossed with Mmp13flox/flox and Adamts5-/- mice to generate (ß-catenin(ex3)/Mmp13)Col2ER and ß-catenin(ex3)Col2ER)/Adamts5-/- double mutant mice to investigate the role of Mmp13 and Adamts5 in the development of TMJ disorder. High levels of Cre-recombination were seen in Col2CreERT2;RosamT/mGmice. Progressive TMJ defects developed in 1-, 3- and 6-month-old ß-catenin(ex3)Col2ER mice, as revealed by histology and histomorphometry. Results further demonstrated that the defects observed in ß-catenin(ex3)Col2ER mice were significantly decelerated after deletion of the Mmp13 or Adamts5 gene in (ß-catenin(ex3)/Mmp13)Col2ER or ß-catenin(ex3)Col2ER/Adamts5-/- double mutant mice. In summary, we found that ß-catenin is a critical gene in the induction of TMJ cartilage degeneration, and over-expressing ß-catenin in TMJ cartilage leads to defects assembling an OA-like phenotype. Deletion of Mmp13 and Adamts5 in ß-catenin(ex3)Col2ER mice ameliorates the development of TMJ defects. This study suggests that Mmp13 and Adamts5 could be potential therapeutic targets for the treatment of TMJ disorders.


Subject(s)
Signal Transduction , Temporomandibular Joint/metabolism , beta Catenin/metabolism , ADAM Proteins/genetics , ADAM Proteins/metabolism , ADAMTS5 Protein , Animals , Apoptosis , Cartilage/metabolism , Cell Proliferation , Matrix Metalloproteinase 13/genetics , Matrix Metalloproteinase 13/metabolism , Mice , Temporomandibular Joint/pathology , beta Catenin/genetics
5.
J Cell Biochem ; 114(4): 735-42, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23060229

ABSTRACT

Osteoarthritis (OA) and degenerative disc disease (DDD) are similar diseases involving the breakdown of cartilage tissue, and a better understanding of the underlying biochemical processes involved in cartilage degeneration may allow for the development of novel biologic therapies aimed at slowing the disease process. Three members of the fibroblast growth factor (FGF) family, FGF-2, FGF-18, and FGF-8, have been implicated as contributing factors in cartilage homeostasis. The role of FGF-2 is controversial in both articular and intervertebral disc (IVD) cartilage as it has been associated with species- and age-dependent anabolic or catabolic events. Recent evidence suggests that FGF-2 selectively activates FGF receptor 1 (FGFR1) to exert catabolic effects in human articular chondrocytes and IVD tissue via upregulation of matrix-degrading enzyme production, inhibition of extracellular matrix (ECM) accumulation and proteoglycan synthesis, and clustering of cells characteristic of arthritic states. FGF-18, on the other hand, most likely exerts anabolic effects in human articular chondrocytes by activating the FGFR3 pathway, inducing ECM formation and chondrogenic cell differentiation, and inhibiting cell proliferation. These changes result in dispersed chondrocytes or disc cells surrounded by abundant matrix. The role of FGF-8 has recently been identified as a catabolic mediator in rat and rabbit articular cartilage, but its precise biological impact on human adult articular cartilage or IVD tissue remains unknown. The available evidence reveals the promise of FGF-2/FGFR1 antagonists, FGF-18/FGFR3 agonists, and FGF-8 antagonists (i.e., anti-FGF-8 antibody) as potential therapies to prevent cartilage degeneration and/or promote cartilage regeneration and repair in the future.


Subject(s)
Cartilage, Articular/metabolism , Fibroblast Growth Factor 2/metabolism , Homeostasis , Intervertebral Disc Degeneration/pathology , Animals , Cartilage, Articular/pathology , Cell Differentiation , Chondrocytes/metabolism , Chondrocytes/pathology , Chondrogenesis , Extracellular Matrix/metabolism , Fibroblast Growth Factor 8/metabolism , Fibroblast Growth Factors/metabolism , Humans , Intervertebral Disc/metabolism , Intervertebral Disc/pathology , Intervertebral Disc Degeneration/metabolism , Phosphorylation , Receptor, Fibroblast Growth Factor, Type 1/metabolism , Signal Transduction
6.
Osteoarthritis Cartilage ; 17(4): 513-7, 2009 Apr.
Article in English | MEDLINE | ID: mdl-18829350

ABSTRACT

OBJECTIVE: An age-related decline in chondrocyte production of osteogenic protein-1 (OP-1) (Bone Morphogenetic Protein-7) may contribute to cartilage loss in osteoarthritis. This study was designed to determine if increased methylation of the OP-1 promoter might serve as a mechanism for the age-related decline in OP-1 expression. METHODS: Human articular chondrocytes were isolated from cartilage obtained after death from tissue donors (ages 19-86 years) without a known history of arthritis. DNA was obtained from isolated chondrocytes in primary culture and analyzed for OP-1 promoter methylation by polymerase chain reaction (PCR) after bisulfite treatment. Cultured cells were treated with the DNA methyltransferase inhibitor 5-azacytidine and OP-1 production was measured in the media by enzyme-linked immunosorbent assay (ELISA). RNA was isolated to measure expression of insulin-like growth factor-1 (IGF-1), the IGF-1 receptor (IGF-1R), aggrecan, and OP-1 by real-time PCR. RESULTS: Methylation of the OP-1 promoter was detected in chondrocytes isolated from tissue obtained from older adults and there was a positive correlation between age and OP-1 methylation status (n=22, R(2)=0.277, P=0.014). Inhibition of methylation in cultured cells with 5-azacytidine increased chondrocyte production of OP-1 protein and increased the expression of the IGF-1, the IGF-1R, aggrecan, and OP-1 genes but not GAPDH. CONCLUSION: Age-related methylation of the OP-1 promoter may contribute to a decrease in OP-1 production in cartilage and a decrease in expression of OP-1 responsive genes such as IGF-1, the IGF-1R, and aggrecan.


Subject(s)
Aging/metabolism , Bone Morphogenetic Protein 7/genetics , Cartilage, Articular/metabolism , DNA Methylation/physiology , Adult , Aged , Aged, 80 and over , Aggrecans/biosynthesis , Aggrecans/genetics , Azacitidine/pharmacology , Bone Morphogenetic Protein 7/biosynthesis , Cartilage, Articular/cytology , Cartilage, Articular/drug effects , Cells, Cultured , Chondrocytes/drug effects , Chondrocytes/metabolism , DNA Methylation/drug effects , Dose-Response Relationship, Drug , Enzyme-Linked Immunosorbent Assay/methods , Humans , Insulin-Like Growth Factor I/biosynthesis , Insulin-Like Growth Factor I/genetics , Middle Aged , Promoter Regions, Genetic , Receptor, IGF Type 1/biosynthesis , Receptor, IGF Type 1/genetics , Young Adult
7.
Bone Marrow Transplant ; 51(9): 1217-22, 2016 Sep.
Article in English | MEDLINE | ID: mdl-27159171

ABSTRACT

Between 2012 and 2015, 42 pediatric patients underwent haploidentical hematopoietic cell transplantation using an αß(+) T-cell-depleted graft with targeted αß cells at 1-5 × 10(5)/kg by add-back; 31 had hematologic malignancy (HM), 8 had non-malignant disease (NM) and 3 had solid tumors. All patients received uniform reduced-intensity conditioning with fludarabine, cyclophosphamide, rabbit anti-thymocyte globulin and low-dose TBI. All 42 patients achieved neutrophil engraftment at a median of 10 days. The cumulative incidences (CIs) of ⩾grade II and ⩾grade III acute GvHD were 31±7.1% (SE) and 12±5.0%, respectively, and 1-year CI of chronic GvHD was 15±5.8%. One patient died of CMV pneumonia, leading to transplant-related mortality (TRM) of 2.6±2.5%. Sixteen patients relapsed and 11 died of disease. At a median follow-up of 19 months (range, 5-43 months), the estimated 2-year event-free survival for NM and HM were 88±11.7 and 50±10.1%, respectively. Our study demonstrated that haploidentical hematopoietic cell transplantation after ex vivo depletion of αß(+) T cells with targeted dose noticeably reduced the graft failure rate and TRM in pediatric patients and could be applied to patients lacking a suitable related or unrelated donor.


Subject(s)
Hematologic Neoplasms/therapy , Lymphocyte Depletion/methods , Transplantation Conditioning/methods , Transplantation, Haploidentical/methods , Adolescent , Antilymphocyte Serum/administration & dosage , Child , Child, Preschool , Cyclophosphamide/administration & dosage , Female , Follow-Up Studies , Graft vs Host Disease/pathology , Humans , Infant , Male , Neoplasms/therapy , Receptors, Antigen, T-Cell, alpha-beta , Survival Analysis , T-Lymphocytes/immunology , T-Lymphocytes/transplantation , Transplantation, Haploidentical/adverse effects , Transplantation, Haploidentical/mortality , Treatment Outcome , Vidarabine/administration & dosage , Vidarabine/analogs & derivatives , Whole-Body Irradiation/methods , Young Adult
8.
Bone Marrow Transplant ; 50(2): 225-31, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25310303

ABSTRACT

We evaluated the feasibility of T-cell-depleted haploidentical hematopoietic SCT (HHCT) in pediatric patients. Between July 2008 and January 2013, 28 patients underwent ex vivo T-cell-depleted HHCT; 9 had hematologic malignancy, 18 had nonmalignant hematologic disease, and 1 had refractory neuroblastoma. Twenty-six patients achieved neutrophil engraftment at a median of 11 days (range, 9-15 days). Two patients failed to achieve primary engraftment and five experienced graft rejection after primary engraftment. These seven patients achieved stable engraftment after a second HHCT. The cumulative incidences (CIs) of⩾grade II and⩾grade III acute GVHD were 33.3% and 14.3%, respectively, and the 1-year CI of extensive chronic GVHD was 11.1%. Four patients died of non-relapse-related causes (two of CMV disease, one of encephalopathy and one of autoimmune hemolytic anemia) and one of leukemia relapse. Non-relapse mortality at 100 days, 1 year and 2 years was 0.0%, 10.7% and 14.3%, respectively. At a median follow-up of 32.8 months (range, 17.0-72.5 months), the 2-year OS was 82.1%. OSs for nonmalignant diseases and malignant diseases were 94.4% and 60.0%, respectively (P=0.019). Thus, HHCT is a realistic alternative for patients with malignant or nonmalignant diseases who lack a suitable donor.


Subject(s)
Hematologic Neoplasms/mortality , Hematologic Neoplasms/therapy , Hematopoietic Stem Cell Transplantation , Lymphocyte Depletion , Acute Disease , Adolescent , Allografts , Child , Child, Preschool , Disease-Free Survival , Female , Graft vs Host Disease/mortality , Graft vs Host Disease/prevention & control , Humans , Incidence , Infant , Male , Survival Rate
9.
Brain Res ; 829(1-2): 174-9, 1999 May 22.
Article in English | MEDLINE | ID: mdl-10350544

ABSTRACT

Previous studies demonstrated that cytokines regulate opioid and opioid receptor gene expression in neuronal and immune cells. The gene sequence analysis of opioid receptors revealed that mu-, delta- and kappa-opioid receptor promoter regions contain potential cytokine response elements (NF-IL6 binding sites). It was postulated that the response elements present in opioid receptor promoter regions may have a role in the cytokine effects on opioid receptor gene expression through cis-trans interaction. The present study investigated whether cytokines have an effect on opioid receptor gene expression by cytokine-induced transcription factor, NF-IL6, using a number of immune cell lines which respond to cytokines. Further investigation was made to determine whether the potential cytokine response element DNA sequences on opioid receptor promoter region have functional significance which may be affected by the DNA context of the opioid receptor promoter in immune cell lines. Tandem repeats of conserved cytokine response elements of IL-6 gene fused to a heteropromoter SV40 were utilized as a positive control and expressed 2-fold increased promoter activity after cytokine stimulation. Transient transfection studies in time courses (24-72 h) and different dose treatments (100-500 U/ml for IL-6 and 50-200 U/ml for IL-1 alpha+beta) were also carried out to investigate the possibility that the upregulated gene expression may be transient or cytokine-dose-dependent. Our data demonstrated that there was no significant cytokine-stimulated opioid receptor gene expression in immune cells tested. In addition, the cytokine response elements (NF-IL6 binding sites) in opioid receptor genes are not functional. These results contradict the previous reports in which cytokines modulated the expression of opioid and opioid receptors in neuronal and immune cells. The possible reasons regarding the different results were discussed.


Subject(s)
Cytokines/pharmacology , Gene Expression Regulation/drug effects , Interleukin-6/metabolism , Nuclear Proteins/metabolism , Promoter Regions, Genetic , Receptors, Opioid/genetics , Transcription Factors/metabolism , Binding Sites , Cell Line , Humans , Tumor Cells, Cultured
10.
J Biotechnol ; 54(2): 95-104, 1997 Apr 25.
Article in English | MEDLINE | ID: mdl-9195753

ABSTRACT

Plasmid pND852 (56 kb) encodes nisin resistance and was isolated from Lactococcus lactis ssp lactis (L. lactis) M138 by conjugation to L. lactis LM0230. It conferred strong resistance to the isometric-headed phage phi 712 and partial resistance to the prolate-headed phage phi c2. A 2.6 kb HpaII fragment encoding phage resistance was cloned into the streptococcal/Bacillus hybrid vector pGB301 to generate pND817. The mechanism of phage resistance encoded by pND817 involved abortive infection and this was illustrated by a reduction in burst size from 166 to 6 at 30 degrees C and from 160 to 90 at 37 degrees C. Partial resistance was therefore retained at 37 degrees C. DNA sequencing revealed that the abortive infection was encoded by a single open reading frame (ORF), designated abiI, encoding a 332 amino acid protein. Neither abiI nor the predicted product showed significant homology to any existing sequence in the GenBank database. Frame shift mutation at the unique EcoRI site within the ORF resulted in loss of the Abi+ phenotype, confirming that the ORF is responsible for the encoded phage resistance.


Subject(s)
Bacterial Proteins/genetics , Bacteriophages/physiology , Cloning, Molecular , DNA, Bacterial/isolation & purification , Lactococcus lactis/genetics , Amino Acid Sequence , Bacterial Proteins/chemistry , Base Sequence , Conjugation, Genetic , DNA, Bacterial/chemistry , Deoxyribonuclease HpaII/metabolism , Frameshift Mutation , Molecular Sequence Data , Open Reading Frames , Plasmids/genetics , Sequence Analysis, DNA , Transformation, Bacterial
11.
Bone Marrow Transplant ; 49(2): 270-5, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24141651

ABSTRACT

Graft failure (GF) is a significant complication after allogeneic hematopoietic stem cell transplantation (HCT) and is associated with a high mortality rate. We performed re-transplantation using haploidentical-related donors to rescue children with early GF. Between 2008 and 2013, 10 patients received re-transplantation from haploidentical family donors. The median age at HCT was 13.5 years and the median time between transplantations was 52.5 days. Conditioning regimen with fludarabine and CY was used in seven patients, and TBI was added in three patients. All 10 patients received T-cell-depleted grafts using CD3 or CD3/CD19 MoAb. The median numbers of CD34(+) and CD3(+) cells were 5.52 × 10(6)/kg and 1.08 × 10(6)/kg, respectively. For GVHD prophylaxis, mycophenolate mofetil (MMF) and tacrolimus or MMF and CYA were used. All 10 patients achieved a sustained neutrophil engraftment and maintained a complete donor chimerism at the time of analysis (median 23 months, range 6-62 months). Nine of 10 patients were alive, and one patient with moyamoya disease with AML died of encephalopathy 7 months post transplant. This study suggests that fludarabine- and CY-based conditioning with T-cell-depleted haploidentical HCT is a feasible option to rescue pediatric patients with primary GF.


Subject(s)
Graft Survival/immunology , Graft vs Host Disease/prevention & control , Hematopoietic Stem Cell Transplantation/adverse effects , Lymphocyte Depletion/adverse effects , Transplantation Conditioning/adverse effects , Adolescent , Child , Child, Preschool , Female , Humans , Infant , Male , Retrospective Studies , Transplantation, Homologous , Young Adult
12.
Bone Marrow Transplant ; 49(9): 1212-6, 2014 Sep.
Article in English | MEDLINE | ID: mdl-25000455

ABSTRACT

The objective of this study was to evaluate the efficacy and safety of micafungin for the prevention of invasive fungal infection (IFI) during the neutropenic phase of allogeneic hematopoietic SCT (allo-HSCT) in children and adolescents. This was a prospective, multicenter, open-label, single-arm study. Micafungin was administered i.v. at a dose of 1 mg/kg/day (max 50 mg) from the beginning of conditioning until neutrophil engraftment. Treatment success was defined as the absence of proven, probable, possible or suspected IFI through to 4 weeks after therapy. From April 2010 to December 2011, 155 patients were enrolled from 11 institutions in Korea, and 147 patients were analyzed. Of the 147 patients, 121 (82.3%) completed the protocol without premature interruption. Of the 132 patients in whom micafungin efficacy could be evaluated, treatment success was achieved in 119 patients (90.2%). There was no proven fungal infection in any patient. The number of patients with probable, possible and suspected IFI was two, two and nine, respectively. Thirty-five patients (23.8%) experienced 109 adverse events (AEs) possibly related to micafungin. No patients experienced grade IV AEs. Two patients (1.4%) discontinued micafungin administration due to adverse effects. None of the deaths were related to the study drug.


Subject(s)
Antifungal Agents/therapeutic use , Echinocandins/therapeutic use , Hematopoietic Stem Cell Transplantation/methods , Lipopeptides/therapeutic use , Neutropenia/microbiology , Adolescent , Adult , Antifungal Agents/adverse effects , Child , Child, Preschool , Echinocandins/adverse effects , Female , Humans , Infant , Infant, Newborn , Lipopeptides/adverse effects , Male , Micafungin , Prospective Studies , Transplantation Conditioning/methods , Treatment Outcome , Young Adult
13.
Int J Lab Hematol ; 35(6): 629-36, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23693053

ABSTRACT

INTRODUCTION: The aim of this study was to characterize clinicopathological features of acute panmyelosis with myelofibrosis (APMF), acute megakaryoblastic leukemia with myelofibrosis (AMKL-MF), primary myelofibrosis (PMF) and myelodysplastic syndrome with myelofibrosis (MDS-MF) in order to provide the keys to the differential diagnosis of bone marrow (BM) fibrosis. METHODS: We compared age, gender, splenomegaly, serum lactate dehydrogenase level, blood cell counts, blast counts in peripheral blood (PB) and BM, megakaryocyte counts, BM cellularity, dysplasia, and the karyotypes of patients with APMF (n = 6), AMKL-MF (n = 7), PMF (n = 44), and MDS-MF (n = 44). RESULTS: APMF showed hyperplasia of all three lineages, increase in megakaryocyte count with dysplasia and frequent abnormal karyotypes. AMKL-MF was associated with elevated BM blast counts, decreased BM megakaryocyte count with rare megakaryocytic dysplasia and chromosome 21 abnormality. PMF patients displayed splenomegaly, rare blasts in PB/BM, and JAK2 V617F mutation. MDS-MF patients showed pancytopenia, dysplasia in all three lineages and recurrent chromosomal abnormalities involving chromosome 5,7,12, and 17. CONCLUSIONS: Although differential diagnosis among APMF, AMKL-MF, PMF, and MDS-MF is very challenging due to the overlapping clinical and morphological features, meticulous investigation of the patient with respect to splenomegaly, blood cell count, PB and BM findings, and karyotype will serve as a guide to correct diagnosis.


Subject(s)
Leukemia, Megakaryoblastic, Acute/diagnosis , Myelodysplastic Syndromes/diagnosis , Primary Myelofibrosis/diagnosis , Adult , Aged , Aged, 80 and over , Bone Marrow/pathology , Child , Child, Preschool , Diagnosis, Differential , Female , Humans , Infant , Karyotyping , Leukemia, Megakaryoblastic, Acute/blood , Leukemia, Megakaryoblastic, Acute/genetics , Leukemia, Megakaryoblastic, Acute/pathology , Male , Middle Aged , Myelodysplastic Syndromes/blood , Myelodysplastic Syndromes/genetics , Myelodysplastic Syndromes/pathology , Primary Myelofibrosis/blood , Primary Myelofibrosis/genetics , Primary Myelofibrosis/pathology , Young Adult
14.
Int J Lab Hematol ; 35(6): 589-600, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23575252

ABSTRACT

INTRODUCTION: ABL1 kinase mutations represent a major mechanism of imatinib resistance in Philadelphia-positive (Ph+) patients. There is a paucity of data on ABL1 kinase mutations in Ph+ patients in Korea. METHODS: We used restriction fragment mass polymorphism (RFMP) analysis to detect ABL1 kinase mutations in blood or bone marrow specimens from 80 Ph+ patients. RESULTS: Fifty-seven patients met the criteria for inadequate molecular response (IMR). ABL1 kinase mutations were found in 2.6% of patients with chronic-phase chronic myelogenous leukemia (CML), 25.0% of accelerated-phase CML, 66.7% of blast-phase CML, and in 58.3% with Ph+ acute lymphoblastic leukemia. Twelve mutations were identified: 7 T315I, 2 E255V, 1 E255K, 1 F359V, and 1 Y253H. The majority of mutation-positive patients showed an unfavorable clinical course and often had an extra Ph or additional chromosomal abnormalities. Mutations were detected in two patients who had very low or absent BCR-ABL1 normalized ratios. CONCLUSION: Mutation analysis should be performed in Ph+ patients exhibiting an IMR to imatinib. RFMP analysis is helpful for revising therapeutic strategies because it can sensitively detect clinically relevant ABL1 kinase mutations with high frequencies.


Subject(s)
Fusion Proteins, bcr-abl/genetics , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/genetics , Mutation , Precursor Cell Lymphoblastic Leukemia-Lymphoma/genetics , Protein Interaction Domains and Motifs/genetics , Adolescent , Adult , Aged , Child , Chromosome Aberrations , Codon , DNA Mutational Analysis , Drug Resistance, Neoplasm/genetics , Female , Fusion Proteins, bcr-abl/chemistry , Humans , Karyotype , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/diagnosis , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy , Male , Middle Aged , Polymorphism, Restriction Fragment Length , Precursor Cell Lymphoblastic Leukemia-Lymphoma/drug therapy , Protein Kinase Inhibitors/administration & dosage , Protein Kinase Inhibitors/therapeutic use , Treatment Outcome , Young Adult
15.
Int J Lab Hematol ; 32(2): 239-47, 2010 Apr.
Article in English | MEDLINE | ID: mdl-19614711

ABSTRACT

Recently, the Histiocyte Society revised the diagnostic criteria for hemophagocytic lymphohistiocytosis (HLH) to include low or absent natural killer (NK) cell activity, according to local laboratory reference. The aim of this study was to establish reference interval for functional NK-cell activity in 63 healthy Korean individuals using a flow-cytometric assay. We used peripheral blood mononuclear cells (PBMCs) as effector cells and Fluorescein isothiocyanate-labeled K562 cells as target cells. NK-cell activity was calculated using the following equation: NK-cell activity (%) = (test lysis - spontaneous lysis) x 100/(maximum lysis - spontaneous lysis). NK-cell activity was analyzed in 13 known HLH patients and 16 suspected non-HLH patients using a flow-cytometric assay. The mean (+/-SD) cytotoxicity of PBMCs from healthy individuals was 20.9 +/- 5.3% and the reference interval was 11.8-31.9%. The mean NK-cell activity of HLH patients (8.3 +/- 8.9%) was significantly lower (P = 0.001) than that of non-HLH patients (20.1 +/- 7.8%). The sequential changes in NK-cell activity in the HLH group corresponded to clinical and laboratory findings following treatment. We successfully developed a functional NK-cell activity test for use in the clinical laboratory and obtained a reference interval of NK-cell activity from healthy donors. This assay, and associated reference interval, was used to analyze 30 clinically relevant specimens and the results were shown to be well correlated.


Subject(s)
Killer Cells, Natural/cytology , Killer Cells, Natural/immunology , Lymphohistiocytosis, Hemophagocytic/diagnosis , Adult , Female , Flow Cytometry , Humans , K562 Cells , Lymphohistiocytosis, Hemophagocytic/immunology , Male , Middle Aged , Reference Standards
16.
Bone Marrow Transplant ; 45(8): 1287-93, 2010 Aug.
Article in English | MEDLINE | ID: mdl-20010866

ABSTRACT

Four hundred and sixty-seven hematopoietic stem cell transplantations (HSCTs) (217 autologous and 250 allogeneic HSCT) were performed in 374 children at four pediatric HSCT centers in Korea from January 2005 to December 2007. Among 467 transplants, veno-occlusive disease (VOD) developed in 72 transplants (15.4%) at a median of 10 days after HSCT. Multivariate analysis showed that BU or TBI-containing regimen (P=0.002), VOD prophylaxis without lipo-prostaglandin E1 (PGE1) (P=0.012), number of previous HSCT (P=0.014), and pretransplant serum ferritin (P=0.018) were independent risk factors for developing VOD. Mean serum ferritin levels were significantly higher in HSCT with VOD (2109.6+/-2842.5 ng/ml) than in HSCT without VOD (1315.9+/-1094.4 ng/ml) (P<0.001). The relative risk of death within 100 days of HSCT in transplants with VOD compared with transplants without VOD was 3.39 (confidence interval: 1.78-6.45). Our results suggest that lipo-PGE1 might have a protective effect against the development of VOD, and pretransplant serum ferritin could act as a risk factor for VOD. A larger prospective study is needed to confirm a possible role of lipo-PGE1 and iron chelation therapy in reducing the incidence of VOD.


Subject(s)
Hematopoietic Stem Cell Transplantation/methods , Hepatic Veno-Occlusive Disease/epidemiology , Alprostadil/therapeutic use , Child , Female , Ferritins/blood , Hematopoietic Stem Cell Transplantation/adverse effects , Hepatic Veno-Occlusive Disease/etiology , Humans , Incidence , Iron Chelating Agents/therapeutic use , Korea , Male , Risk Factors , Survival Rate , Treatment Outcome , Vasodilator Agents
17.
Phys Rev Lett ; 102(22): 227203, 2009 Jun 05.
Article in English | MEDLINE | ID: mdl-19658899

ABSTRACT

We measured the temperature-dependent three-dimensional angle-resolved photoemission spectra of EuO (100) thin film, a typical Heisenberg ferromagnetic semiconductor, to investigate the essential origin of the ferromagnetic transition. We observed sizable energy dispersion and large binding-energy shift of the Eu 4f state below the Curie temperature only near the Gamma and X points, despite the expected Heisenberg-type local magnetism. The band dispersion and temperature dependence of the Eu 4f state indicates that the indirect exchange and superexchange interactions have strong momentum dependence. The observed temperature-dependent energy shift of the 4f state is the essential origin of the magnetism of EuO.

19.
Phys Rev Lett ; 100(17): 176402, 2008 May 02.
Article in English | MEDLINE | ID: mdl-18518313

ABSTRACT

Ce 4d-4f resonant angle-resolved photoemission spectroscopy was carried out to study the electronic structure of strongly correlated Ce 4f electrons in a quasi-two-dimensional nonmagnetic heavy-fermion system CeCoGe1.2Si0.8. For the first time, dispersive coherent peaks of an f state crossing the Fermi level, the so-called Kondo resonance, are directly observed together with the hybridized conduction band. Moreover, the experimental band dispersion is quantitatively in good agreement with a simple hybridization-band picture based on the periodic Anderson model. The obtained physical quantities, i.e., coherent temperature, Kondo temperature, and mass enhancement, are comparable to the results of thermodynamic measurements. These results manifest an itinerant nature of Ce 4f electrons in heavy-fermion systems and clarify their microscopic hybridization mechanism.

20.
Phys Rev Lett ; 96(3): 037406, 2006 Jan 27.
Article in English | MEDLINE | ID: mdl-16486770

ABSTRACT

Optical investigations are presented of the filled skutterudites AFe4Sb12 with divalent cations A=Yb, Ca, Ba. For each of these compounds a very similar pseudogap structure in the optical conductivity develops in the far-infrared spectral region at temperatures below 90 K. Highly accurate local-density approximation electronic band structure calculations can consistently explain the origin of the pseudogap structure generated largely by transition metal 3d states. In particular, a 4f-conduction electron hybridization or strong correlations can be ruled out as origin for the pseudogap.

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