1.Invasive fungal infection (IFI) in pediatric leukemia: better outcome with ACT.
Blood Research 2017;52(3):151-152
No abstract available.
Leukemia*
2.Insight into the Pathogenesis of Lyme Disease.
Journal of Bacteriology and Virology 2014;44(1):10-22
Lyme disease is the most common vector-borne disease in the United States and Europe, caused by a tick-borne spirochete, Borrelia burgdorferi. Life cycle alternation between arthropod and mammals enhanced B. burgdorferi to adapt to two diverse niches. Although B. burgdorferi infection in these reservoir hosts appears asymptomatic, infection in human can typically cause inflammation in the skin, nervous system, musculoskeletal system and heart. In this review, we discuss the basic molecular characteristics and cell biology of B. burgdorferi and provide an overview of spirochete-induced activation of innate and adaptive immunity, resulting in particular immunopathology. Advancing understanding of the immune evasion mechanisms of B. burgdorferi provides important implications for ongoing research and clinical practice of Lyme disease.
Adaptive Immunity
;
Arthropods
;
Borrelia burgdorferi
;
Europe
;
Heart
;
Humans
;
Immune Evasion
;
Inflammation
;
Life Cycle Stages
;
Lyme Disease*
;
Mammals
;
Musculoskeletal System
;
Nervous System
;
Skin
;
Spirochaetales
;
United States
3.Predicting Delayed Ventilator Weaning after Lung Transplantation: The Role of Body Mass Index.
Sarah SOH ; Jin Ha PARK ; Jeong Min KIM ; Min Jung LEE ; Shin Ok KOH ; Hyo Chae PAIK ; Moo Suk PARK ; Sungwon NA
Korean Journal of Critical Care Medicine 2014;29(4):273-280
BACKGROUND: Weaning from mechanical ventilation is difficult in the intensive care unit (ICU). Many controversial questions remain unanswered concerning the predictors of weaning failure. This study investigates patient characteristics and delayed weaning after lung transplantation. METHODS: This study retrospectively reviewed the medical records of 17 lung transplantation patients from October 2012 to December 2013. Patients able to be weaned from mechanical ventilation within 8 days after surgery were assigned to an early group (n = 9), and the rest of the patients were assigned to the delayed group (n=8). Patients' intraoperative and postoperative characteristics were collected and analyzed, and conventional weaning predictors, including rapid shallow breathing index (RSBI), were also assessed. RESULTS: The results of the early group showed a significantly shorter ICU stay in addition to a shorter hospitalization overall. Notably, the early group had a higher body mass index (BMI) than the delayed group (20.7 vs. 16.9, p = 0.004). In addition, reopening occurred more frequently in the delayed group (1/9 vs. 5/8, p = 0.05). During spontaneous breathing trials, tidal volume (TV) and arterial oxygen tension were significantly higher in the early group compared to the delayed weaning group, but differences in RSBI and respiratory rate (RR) between groups were not statistically significant. CONCLUSIONS: Low BMI might be associated with delayed ventilator weaning in lung transplantation patients. In addition, instead of the traditional weaning predictors of RSBI and RR, TV might be a better predictor for ventilator weaning after lung transplantation.
Body Mass Index*
;
Hospitalization
;
Humans
;
Intensive Care Units
;
Lung Transplantation*
;
Medical Records
;
Oxygen
;
Respiration
;
Respiration, Artificial
;
Respiratory Rate
;
Retrospective Studies
;
Tidal Volume
;
Ventilator Weaning*
;
Weaning
4.Enhanced Viral Replication by Cellular Replicative Senescence.
Ji Ae KIM ; Rak Kyun SEONG ; Ok Sarah SHIN
Immune Network 2016;16(5):286-295
Cellular replicative senescence is a major contributing factor to aging and to the development and progression of aging-associated diseases. In this study, we sought to determine viral replication efficiency of influenza virus (IFV) and Varicella Zoster Virus (VZV) infection in senescent cells. Primary human bronchial epithelial cells (HBE) or human dermal fibroblasts (HDF) were allowed to undergo numbers of passages to induce replicative senescence. Induction of replicative senescence in cells was validated by positive senescence-associated β-galactosidase staining. Increased susceptibility to both IFV and VZV infection was observed in senescent HBE and HDF cells, respectively, resulting in higher numbers of plaque formation, along with the upregulation of major viral antigen expression than that in the non-senescent cells. Interestingly, mRNA fold induction level of virus-induced type I interferon (IFN) was attenuated by senescence, whereas IFN-mediated antiviral effect remained robust and potent in virus-infected senescent cells. Additionally, we show that a longevity-promoting gene, sirtuin 1 (SIRT1), has antiviral role against influenza virus infection. In conclusion, our data indicate that enhanced viral replication by cellular senescence could be due to senescence-mediated reduction of virus-induced type I IFN expression.
Aging
;
Cell Aging*
;
Epithelial Cells
;
Fibroblasts
;
Herpesvirus 3, Human
;
Humans
;
Influenza, Human
;
Interferon Type I
;
Orthomyxoviridae
;
RNA, Messenger
;
Sirtuin 1
;
Up-Regulation
5.Aging and the Immune System: the Impact of Immunosenescence on Viral Infection, Immunity and Vaccine Immunogenicity
Soo Jin OH ; Jae Kyung LEE ; Ok Sarah SHIN
Immune Network 2019;19(6):37-
Immunosenescence is characterized by a progressive deterioration of the immune system associated with aging. Multiple components of both innate and adaptive immune systems experience aging-related changes, such as alterations in the number of circulating monocytic and dendritic cells, reduced phagocytic activities of neutrophils, limited diversity in B/T cell repertoire, T cell exhaustion or inflation, and chronic production of inflammatory cytokines known as inflammaging. The elderly are less likely to benefit from vaccinations as preventative measures against infectious diseases due to the inability of the immune system to mount a successful defense. Therefore, aging is thought to decrease the efficacy and effectiveness of vaccines, suggesting aging-associated decline in the immunogenicity induced by vaccination. In this review, we discuss aging-associated changes in the innate and adaptive immunity and the impact of immunosenescence on viral infection and immunity. We further explore recent advances in strategies to enhance the immunogenicity of vaccines in the elderly. Better understanding of the molecular mechanisms underlying immunosenescence-related immune dysfunction will provide a crucial insight into the development of effective elderly-targeted vaccines and immunotherapies.
Adaptive Immunity
;
Aged
;
Aging
;
Communicable Diseases
;
Cytokines
;
Dendritic Cells
;
Humans
;
Immune System
;
Immunosenescence
;
Immunotherapy
;
Inflation, Economic
;
Neutrophils
;
Vaccination
;
Vaccines
6.Systems Biology-Based Platforms to Accelerate Research of Emerging Infectious Diseases.
Soo Jin OH ; Young Ki CHOI ; Ok Sarah SHIN
Yonsei Medical Journal 2018;59(2):176-186
Emerging infectious diseases (EIDs) pose a major threat to public health and security. Given the dynamic nature and significant impact of EIDs, the most effective way to prevent and protect against them is to develop vaccines in advance. Systems biology approaches provide an integrative way to understand the complex immune response to pathogens. They can lead to a greater understanding of EID pathogenesis and facilitate the evaluation of newly developed vaccine-induced immunity in a timely manner. In recent years, advances in high throughput technologies have enabled researchers to successfully apply systems biology methods to analyze immune responses to a variety of pathogens and vaccines. Despite recent advances, computational and biological challenges impede wider application of systems biology approaches. This review highlights recent advances in the fields of systems immunology and vaccinology, and presents ways that systems biology-based platforms can be applied to accelerate a deeper understanding of the molecular mechanisms of immunity against EIDs.
*Communicable Diseases, Emerging
;
Humans
;
*Immunity
;
Research
;
Systems Biology/*methods
;
Vaccines/*immunology
7.Oligonol promotes anti-aging pathways via modulation of SIRT1-AMPK-Autophagy Pathway.
Seul Ki PARK ; Rak Kyun SEONG ; Ji Ae KIM ; Seok Jun SON ; Younghoon KIM ; Takako YOKOZAWA ; Ok Sarah SHIN
Nutrition Research and Practice 2016;10(1):3-10
BACKGROUND/OBJECTIVES: Oligonol, mainly found in lychee fruit, is an antioxidant polyphenolic compound which has been shown to have anti-inflammatory and anti-cancer properties. The detailed mechanisms by which oligonol may act as an anti-aging molecule have not been determined. MATERIALS/METHODS: In this study, we evaluated the ability of oligonol to modulate sirtuin (SIRT) expression in human lung epithelial (A549) cells. Oligonol was added to A549 cells and reactive oxygen species production, mitochondrial superoxide formation, and p21 protein levels were measured. Signaling pathways activated upon oligonol treatment were also determined by western blotting. Furthermore, the anti-aging effect of oligonol was evaluated ex vivo in mouse splenocytes and in vivo in Caenorhabditis elegans. RESULTS: Oligonol specifically induced the expression of SIRT1, whose activity is linked to gene expression, metabolic control, and healthy aging. In response to influenza virus infection of A549 cells, oligonol treatment significantly up-regulated SIRT1 expression and down-regulated viral hemagglutinin expression. Oligonol treatment also resulted in the activation of autophagy pathways and the phosphorylation of AMP-activated protein kinase (AMPK). Furthermore, oligonol-treated spleen lymphocytes from old mice showed increased cell proliferation, and mRNA levels of SIRT1 in the lungs of old mice were significantly lower than those in the lungs of young mice. Additionally, in vivo lethality assay revealed that oligonol extended the lifespan of C. elegans infected with lethal Vibrio cholerae. CONCLUSIONS: These data demonstrated that oligonol may act as an anti-aging molecule by modulating SIRT1/autophagy/AMPK pathways.
Aging
;
AMP-Activated Protein Kinases
;
Animals
;
Autophagy
;
Blotting, Western
;
Caenorhabditis elegans
;
Cell Proliferation
;
Fruit
;
Gene Expression
;
Hemagglutinins, Viral
;
Humans
;
Litchi
;
Lung
;
Lymphocytes
;
Mice
;
Orthomyxoviridae
;
Phosphorylation
;
Reactive Oxygen Species
;
RNA, Messenger
;
Spleen
;
Superoxides
;
Vibrio cholerae
8.Understanding the Pathogenesis of Zika Virus Infection Using Animal Models.
Keeton K KRAUSE ; Francine AZOUZ ; Ok Sarah SHIN ; Mukesh KUMAR
Immune Network 2017;17(5):287-297
Zika virus (ZIKV) is a member of Flaviviridae family that has emerged as a pathogen of significant public health importance. The rapid expansion of ZIKV in the South and Central America has recently gained medical attention emphasizing the capacity of ZIKV to spread to non-endemic regions. ZIKV infection during pregnancy has been demonstrated to cause microcephaly and other fetal developmental abnormalities. An increased incidence of Guillain-Barre syndrome, an immune mediated neuropathy of the peripheral nervous system, has also been reported in ZIKV-infected patients in French Polynesia and Brazil. No effective therapies currently exist for treating patients infected with ZIKV. Despite the relatively short time interval, an intensive effort by the global scientific community has resulted in development of animal models to study multiple aspects of ZIKV biology. Several animal models have been established to investigate pathogenesis of ZIKV in adults, pregnant mothers, and developing fetuses. Here we review the remarkable progress of newly developed small and large animal models for understanding ZIKV pathogenesis.
Adult
;
Animals*
;
Biology
;
Brazil
;
Central America
;
Fetal Development
;
Fetus
;
Flaviviridae
;
Guillain-Barre Syndrome
;
Humans
;
Incidence
;
Microcephaly
;
Models, Animal*
;
Mothers
;
Peripheral Nervous System
;
Polynesia
;
Pregnancy
;
Public Health
;
Zika Virus Infection*
;
Zika Virus*
9.Predicting Delayed Ventilator Weaning after Lung Transplantation: The Role of Body Mass Index
Sarah SOH ; Jin Ha PARK ; Jeong Min KIM ; Min Jung LEE ; Shin Ok KOH ; Hyo Chae PAIK ; Moo Suk PARK ; Sungwon NA
The Korean Journal of Critical Care Medicine 2014;29(4):273-280
BACKGROUND: Weaning from mechanical ventilation is difficult in the intensive care unit (ICU). Many controversial questions remain unanswered concerning the predictors of weaning failure. This study investigates patient characteristics and delayed weaning after lung transplantation. METHODS: This study retrospectively reviewed the medical records of 17 lung transplantation patients from October 2012 to December 2013. Patients able to be weaned from mechanical ventilation within 8 days after surgery were assigned to an early group (n = 9), and the rest of the patients were assigned to the delayed group (n=8). Patients' intraoperative and postoperative characteristics were collected and analyzed, and conventional weaning predictors, including rapid shallow breathing index (RSBI), were also assessed. RESULTS: The results of the early group showed a significantly shorter ICU stay in addition to a shorter hospitalization overall. Notably, the early group had a higher body mass index (BMI) than the delayed group (20.7 vs. 16.9, p = 0.004). In addition, reopening occurred more frequently in the delayed group (1/9 vs. 5/8, p = 0.05). During spontaneous breathing trials, tidal volume (TV) and arterial oxygen tension were significantly higher in the early group compared to the delayed weaning group, but differences in RSBI and respiratory rate (RR) between groups were not statistically significant. CONCLUSIONS: Low BMI might be associated with delayed ventilator weaning in lung transplantation patients. In addition, instead of the traditional weaning predictors of RSBI and RR, TV might be a better predictor for ventilator weaning after lung transplantation.
Body Mass Index
;
Hospitalization
;
Humans
;
Intensive Care Units
;
Lung Transplantation
;
Medical Records
;
Oxygen
;
Respiration
;
Respiration, Artificial
;
Respiratory Rate
;
Retrospective Studies
;
Tidal Volume
;
Ventilator Weaning
;
Weaning
10.Zika Virus Impairs Host NLRP3-mediated Inflammasome Activation in an NS3-dependent Manner
Eunji GIM ; Do Wan SHIM ; Inhwa HWANG ; Ok Sarah SHIN ; Je Wook YU
Immune Network 2019;19(6):40-
Zika virus (ZIKV) is a mosquito-borne flavivirus associated with severe neurological disorders including Guillain-Barré syndrome and microcephaly. The host innate immune responses against ZIKV infection are essential for protection; however, ZIKV has evolved strategies to evade and antagonize antiviral responses via its nonstructural (NS) proteins. Here, we demonstrated that ZIKV infection unexpectedly inhibits NLRP3-dependent inflammasome activation in bone marrow-derived macrophages and mixed glial cells from mouse brain. ZIKV infection led to increased transcript levels of proinflammatory cytokines such as IL-1β and IL-6 via activating NF-κB signaling. However, ZIKV infection failed to trigger the secretion of active caspase-1 and IL-1β from macrophages and glial cells even in the presence of LPS priming or ATP costimulation. Intriguingly, ZIKV infection significantly attenuated NLRP3-dependent, but not absent in melanoma 2-dependent caspase-1 activation and IL-1β secretion from both cells. ZIKV infection further blocked apoptosis-associated speck-like protein containing a caspase recruitment domain oligomerization in LPS/ATP-stimulated macrophages. Interestingly, expression of ZIKV NS3 protein reduced NLRP3-mediated caspase-1 activation and IL-1β secretion in macrophages, whereas NS1 and NS5 proteins showed no effects. Furthermore, NLRP3 was found to be degraded by the overexpression of ZIKV NS3 in 293T cells. Collectively, these results indicate that ZIKV evades host NLRP3 inflammasome-mediated innate immune responses in macrophages and glial cells; this may facilitate ZIKV's ability to enhance the replication and dissemination in these cells.
Adenosine Triphosphate
;
Animals
;
Brain
;
Caspase 1
;
Cytokines
;
Flavivirus
;
Guillain-Barre Syndrome
;
HEK293 Cells
;
Immunity, Innate
;
Inflammasomes
;
Interleukin-6
;
Macrophages
;
Melanoma
;
Mice
;
Microcephaly
;
Nervous System Diseases
;
Neuroglia
;
Zika Virus