1.Revealing Weapon Impacts on Clothes Using Reaction Reagents for Amino Acids.
Hyo Su LIM ; Ye Eun SONG ; Eun Bi LEE ; Sang Yoon LEE ; Young Il SEO ; Jin Pyo KIM ; Nam Kyu PARK
Korean Journal of Legal Medicine 2017;41(1):12-19
If we analogize any external physical force applied to victims of crimes involving violence, it would be possible to not only presume the mutual action between victims and suspects but also deduce more facts related to the cases. Therefore, in this study, defining the phenomenon of amino acid compounds in sweat spreading into clothes as impact marks, experiments using ninhydrin, 1,8-dizafluoren-9-one (DFO), 1,2-indanedione-zinc (1,2-IND-Zn) were conducted to determine developmental variations through change over time, which was not performed in previous studies. A 5-week period was set up including first damage as a variation factor, and materials in each action were developed using certain reagents. The level of specimen development depending on the change over time was identified. Thus, no changes were observed at each initial level of development.
Amino Acids*
;
Clothing*
;
Crime
;
Indicators and Reagents*
;
Ninhydrin
;
Sweat
;
Violence
;
Weapons*
2.Daratumumab-Induced Interference in Flow-Cytometry Crossmatch and Resolving It by DTT Treatment
Jong Kwon LEE ; In Hwa JEONG ; Noorie KANG ; Mijeong JEONG ; Hyo-Bi SONG ; Jun Woo PARK ; Eun-Suk KANG
Korean Journal of Blood Transfusion 2023;34(3):171-181
Background:
Daratumumab is a human monoclonal antibody targeting CD38 used widely in various related conditions. Caution is advised when interpreting the pretransfusion tests in daratumumab-treated patients because they may show nonspecific reactions with red blood cells. This paper provides experimental evidence for the false-positive interference phenomena induced by daratumumab in in-vitro and ex-vivo experiments and experimental support for resolving it using dithiothreitol (DTT).
Methods:
Fifteen crossmatching pairs, four cardiac amyloidosis (CA) patients treated with daratumumab, and three healthy individuals were included. The flow cytometry crossmatch (FCMXM) was conducted with negatively selected T and B cells. After spiking the sera with 500 μg/mL daratumumab, the T and B cells were treated with DTT. The prospective FCMXM was conducted with the sera of CA patients treated with daratumumab. The CD38 expression levels in T, B, and NK cells were measured without and with a DTT or pronase treatment.
Results:
Five hundred μg/mL of daratumumab spiking was sufficient to elicit a false positive effect in T cell FCMXM. In particular, the administration of 0.1 M DTT efficiently resolved the induced false positivity in flow cytometry. Moreover, DTT caused a decrease in the CD38 expression levels in T, B, and NK cells.
Conclusion
A typical therapeutic dose of daratumumab causes false-positive FCMXM, which was effectively addressed by a DTT treatment. Therefore, information about the patient’s medical condition and the use of immunotherapeutics, such as daratumumab, is needed, given its impact on diverse CD38-expressing cells.