京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第20667号 / 医博第4277号 / 新制||医||1024(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 三森 経世, 教授 妹尾 浩, 教授 竹内 理 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 0048 / 新制・課程博士 / 博士(医学) / 甲第21630号 / 医博第4436号 / 新制||医||1033(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 古川 壽亮, 教授 髙橋 良輔, 教授 妻木 範行 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

This bachelor thesis is a literature study presenting detected glycan structures of serum IgG, in literature, from rheumatoid arthritis (RA) patients and healthy individuals. It is a systematic literature study. The study involved searching theoretical information about glycosylation, glycans and their functions, the structure of immunoglobulin G (IgG) glycosylation and its functions in the immune defense, rheumatoid arthritis, methods for IgG glycopeptide enrichment, quantification and characterization methods (capillary electrophoresis and mass spectrometry). The method used for the literature study involved searches in databases with keywords, manual research and quality control of the sources. In the result, two different research articles about abnormal IgG glycosylation in RA compared with healthy controls, are presented and compared. The methodology the researchers used are briefly described supported by the theoretical background. It can be stated that identification and detection of abnormal glycan structures of IgG from RA patients have potential to be used as biomarkers. The glycoproteomics field is emerging for sensitive and high throughput quantification and identification methods combined with enrichment methods for efficient analysis. Matrix assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF-MS) has shown good potential for characterization of glycan structures and has been widely used in clinical diagnostics. / Detta examensarbete är en litteraturstudie som presenterar detekterade glykanstrukturer för immunoglobulin G (IgG) från serum, vilka har publicerats i litteraturen, och som kommer från patienter med reumatisk artrit (RA) och friska individer. Det är en systematisk litteraturstudie. Studien behandlade ett sökningsarbete för teoretisk information om, glykosylering, glykaner, och dess funktioner, den strukturella uppbyggnaden av IgG och dess funktioner i immunförsvaret, RA, olika anrikningsmetoder för IgG och kvantifierings - och identifieringsmetoder (kapillär elektrofores, CE och masspektrometri, MS). Metoden involverade sökningar i databaser samt manuella sökningar följt av en kvalitetskontroll. I resultatet presenteras och jämförs två olika forskningsartiklar som handlar om förändrad glykolsylering av IgG hos RA-patienter jämfört med friska individer. Metodologin som forskarna använt beskrivs ytligt, med stöd av grundligare information i den teoretiska bakgrunden. Det kan konstateras att identifiering och detektion av ovanliga glykanstrukturer för IgG hos RA patienter har potential att användas som biomarkörer för sjukdomen. Området glykoproteomik är i behov av känsliga och robusta kvantifierings - och identifieringsmetoder som klarar av höga genomströmningar, vilka kan kombineras med anrikningsmetoder för att uppnå god analyseffektivitet. Matrix assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF-MS) har visat god potential för att karaktärisera glykanstrukturer och användas inom klinisk diagnostik.

No description available.

Thesis (Ph.D.)--Boston University / PLEASE NOTE: Boston University Libraries did not receive an Authorization To Manage form for this thesis or dissertation. It is therefore not openly accessible, though it may be available by request. If you are the author or principal advisor of this work and would like to request open access for it, please contact us at open-help@bu.edu. Thank you. / The purposes of this study were to describe the relationship of sociodemographic and biomedical characteristics to health perceptions among individuals with rheumatoid arthritis (RA) and to identify which functional measures are associated with one's health perceptions. Data were extracted on 395 individuals with classical or definite RA for a secondary data analysis. These data had been collected between 1978 and 1982 using the Arthritis Impact Measurement Scales (AIMS), a reliable and valid self-administered questionnaire on health status. Sociodemographic information included age, sex, current marital status, occupation, income, and engagement in a productive role. Biomedical data included a respondent's disease duration, disease severity, and comorbid conditions. A dependent variable which classified health perceptions (HP) was constructed from two AIMS questions concerning self-assessed current health and belief in the ability to resist illness. Using subjects' sociodemographic characteristics and biomedical indicators as determinants of health perception classifications (HPC), repondents were grouped into nodes through a recursive partitioning technique (CART). Income, disease activity, current marital status, age, and comorbidity were identified by CART as important and interactive determinants of HPC. In the second phase of analysis, differences in function between HP groups on the nine AIMS scales were explored using subjects' self-assigned HP groups, while controlling for sociodemographic and biomedical characteristics and their potential interactive effects as they had been identified by the CART algorithm. Analysis of these differences demonstrated that the explanatory sociodemographic and biomedical variables used in this study both explained and masked significant differences between HP groups on certain functional measures. Finally, the analysis determined which functional measures were most associated with self-assigned HP using a stepwise logistic regression model. Anxiety, physical activity and household activity formed an overall explanatory model of HP. Physical activity and depression were associated with current health perceptions. Perceived resistance to illness was related to subjects' levels of anxiety and household activity. / 2031-01-01

付記する学位プログラム名: 霊長類学・ワイルドライフサイエンス・リーディング大学院 / 京都大学 / 新制・課程博士 / 博士(医学) / 甲第24837号 / 医博第5005号 / 新制||医||1068(附属図書館) / 京都大学大学院医学研究科医学専攻 / (主査)教授 伊藤, 能永, 教授 生田, 宏一, 教授 上野, 英樹 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

No description available.

No description available.

No description available.

No description available.