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SummaryWnt proteins regulate adult tissue homeostasis and repair by driving stem cell self-renewal and differentiation. High-performance Wnt preparations have enormous therapeutic potential, especially alongside various stem cell technologies. Currently, most of these Wnt preparations contain FBS or the detergent CHAPS to maintain Wnt solubility and activity. Recently, afamin was identified as a serum factor that solubilizes Wnt3a in conditioned media (CM), obviating the requirement for animal sera. Here, we report serum albumin (SA) is required for afamin-mediated solubilization of Wnt3a in CM. Moreover, SA-mediated solubilization of purified Wnt3a in tubes does not require afamin. This means conventional CHAPS-Wnt3a preparations can be modified into SA-purified Wnt3a (SA-pWnt3a) preparations by exchanging CHAPS for SA through dialysis. SA-pWnt3a preparations effectively promote the growth of human stem cell organoids. These data suggest SA as a physiological factor for maintaining Wnt3a activity in therapeutic applications.

In the medium energy beam transport (MEBT) line system of the RAON which consists of several quadrupole magnets, three normal-conducting re-bunchers, and several diagnostic devices, a quarter wave resonator type re-buncher was chosen for minimizing longitudinal emittance growth and manipulating a longitudinal phase ellipse into the longitudinal acceptance of the low energy linac. The re-buncher has a resonant frequency of 81.25 MHz, geometrical beta ( β g ) of 0.049, and physical length of 24 cm. Based on the result of numerical calculations of electromagnetic field using CST-MWS and mechanical analysis of the heat distribution and deformation, an internal structure of the re-buncher was optimized to increase the effective voltage and to reduce power losses in the wall. The criteria of the multipacting effect was estimated and it was confirmed by the experiment. The position and specification of cooling channels are designed to recover a heat load up to 15 kW with reasonable margin of 25%. The coaxial and loop type RF power coupler are positioned on the high magnetic field region and two slug tuners are installed perpendicularly to the beam axis. The frequency sensitivity as a function of the tuner depth and cooling water temperature is measured and the frequency shift is in all cases within the provided tuner range. The test with a high power of 10 kW and the continuous wave is performed and the reflection power is observed less than 450 W.

Background Drug hypersensitivity reactions (DHRs) constitute a large portion of adverse drug reactions (ADRs), but studies for DHR incidence based on national data are scarce. Objective This study aimed to estimate the incidence and patterns of DHRs in a Korean population and the associated utilization of medical resources using the national claims data. Setting The retrospective cohort study performed using the national insurance claim database of the Health Insurance Review and Assessment (HIRA) in Korea. Methods The International Classification of Disease 10th revision code was used to identify DHRs with 20 drug induced DHR codes. The claim data with a diagnosis of DHR in the 2009-2014 periods were analyzed. Main outcome and measure The annual incidence and the 6-year incidence rates were calculated. Incidence rate coefficients were analyzed by sex, age, and year. DHRs following with visits of emergency department (ED) or intensive care unit (ICU) were assessed for utilization of medical resources and risk of ER or ICU visits by sex and age Results A total of 535,049 patients with 1,083,507 claims were assessed in the HIRA database for 6 years. DHR incidence was high in the elderly. The risk of ED and ICU visit with DHR was also higher in the elderly than in the young [highest relative risk, RR of ED 2.59 (1.65–4.07), ICU 5.04 (2.50–10.18)]. DHRs related to blood were high in the young age. Conclusion Incidence of DHRs in the real-world clinical practice was higher in the elderly and female. Clinical consequence was more severe in the elderly.