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Tryptophan Negatively Regulates IgE-mediated Mast Cell Activation
Prashanta Silwal(실왈 프라산타),Keuna Shin(신근아),Seulgi Choi(최슬기),Uk Namgung(남궁욱),Chan Yong Lee(이찬용),Jun-Young Heo(허준영),Kyu Lim(임규),Jong IL Park(박종일),Ki-Hwan Kim(김기환),Seung-Kiel Park(박승길) 대한체질인류학회 2017 해부·생물인류학 (Anat Biol Anthropol) Vol.30 No.2
비만세포는 알레르기 반응을 일으키는 주된 세포로서 항원 자극에 반응하여 알레르기 유발 물질인 히스타민, 단백질 분해효소, 염증성 지질 물질 및 사이토카인 등을 분비한다. 아미노산인 트립토판은 염증반응을 조절한다. 트립토판 투여는 비만세포가 관여하는 염증성 장염 증상을 완화시킨다. 그러나 트립토판이 비만세포의 알레르기 반응에 미치는 영향에 대한 연구는 없다. 본 저자들은 트립토판이 IgE 매개 알레르기 반응에 미치는 영향을 비만세포 수준에서 그리고 실험동물 생쥐에서 연구하였다. IgE-매개 수동 피부 아나필락시스를 생쥐에서 연구하였다. 또한 IgE-매개 비만세포 활성화 반응 즉, 탈과립 반응, 염증성 지질인 LTB4와 사토카인 (TNF-α와 IL-4) 등의 분비를 측정하였다. 트립토판을 생쥐에 복강 주사하면 IgE 매개 수동 피부 아나필락시스를 억제하였다. 또한 비만세포 수준에서도 트립토판은 IgE 매개 알레르기 반응들, 즉 탈과립 반응과 염증성 지질인 LTB4 및 사이토카인인 TNF-α와 IL4의 분비를 억제하였다. 이러한 결과로부터 트립토판은 IgE 매개 알레르기 반응을 세포 수준 및 실험동물 수준에서 억제함을 알 수 있었다. Mast cells are major immune cells in allergy to secrete allergic mediators by a degranulation process and make and secrete inflammatory lipids and cytokines in response to antigen stimulation. An amino acid tryptophan regulates immune functions. Tryptophan ameliorates inflammatory colitis in which mast cells are engaged. However, its effects on mast cells remain to be solved. We investigated the effect of tryptophan on IgE-mediated allergic responses in the mast cells and mice. IgEmediated passive cutaneous anaphylaxis (PCA) in mice were examined. Also IgE-mediated mast cell activation responses such as degranulation of stored granules and secretion of inflammatory lipid LTB4 and cytokines (TNF-α and IL-4) were measured. Intraperitoneal administration of tryptophan suppressed PCA in mice. Also, in the cellular level tryptophan inhibited IgE-mediated mast cell activation such as IgE-mediated degranulation and the production of LTB4. Also, it inhibited production of inflammatory cytokines TNF-α and IL-4. In summary, tryptophan suppressed IgE-mediated allergic activation in vivo and in vitro. Tryptophan supplementation is beneficial for IgE-mediated allergy.
( Jae Young Kwack ),( Su-bun Jeon ),( Keuna Kim ),( Soo-jeong Lee ),( Yong Soon Kwon ) 대한산부인과학회 2016 Obstetrics & Gynecology Science Vol.59 No.4
A 31-year-old nulliparous woman with severe diffuse uterine adenomyosis, which replaced nearly the whole uterine myometrium, visited our hospital due to severe dysmenorrhea, menorrhagia, and a desire to have a baby. The patient had a history of two spontaneous abortions. Laparotomic adenomyomectomy with transient occlusion of uterine arteries (TOUA) was performed safely and the patient tried in vitro fertilization and achieved a intrauterine twin pregnancy after recovery time of the operation. At 31+6 weeks of gestation, a male neonate baby weighing 1,620 g and a male neonate baby weighing 1,480 g were born by transverse lower segment cesarean delivery. There was no complication after the operation. The babies were discharged after receiving routine neonatal intensive care for neonatal respiratory distress syndrome. Adenomyomectomy with TOUA technique would be an option for conservative surgical treatment in patients with severe diffuse whole uterine adenomyosis. This is the first report of twin pregnancy after diffuse whole uterine adenomyomectomy with TOUA.