SUNERGOS1, a Lotus japonicus gene required for proper accommodation of rhizobial infection

Here, I characterize a symbiotic mutant of Lotus japonicus, called sunergos1 (suner1), which originated from a har1-1 suppressor screen. I have shown that suner1 supports epidermal infection by rhizobia and initiates nodule primordia organogenesis as in wild-type. However, the infection process is temporarily stalled, such that infection threads fail to ramify within the root cortex and timely release of bacteria inside the nodule primordia cells does not occur. This symbiotic defect is ephemeral and with additional time, functional nodules are formed. Using a combined approach involving map-based cloning and next-generation sequencing, I have shown that the suner1 phenotype is determined by a recessive mutant allele, with the corresponding wild-type SUNER1 locus encoding a predicted subunit A of a DNA topoisomerase VI. The data obtained suggest that the SUNER1 topoisomerase VI mediates endoreduplication of nodule primordia cells and that this is essential for normal differentiation of functional, nitrogen-fixing nodules

Korean Patients with Superwarfarin Intoxication and Their Outcome

This observational study aimed at evaluating recent superwarfarin intoxication of Korean patients. Ten patients were diagnosed as or highly suspicious for superwarfarin intoxication. Case report forms described by attending hematologists of the patients were collected and analyzed. Bleeding symptoms were varied among the patients. Patients uniformly showed prolonged prothrombin time (PT) and activated thromboplastin time (aPTT) with decreased activity of vitamin K dependent coagulation factors. Positive serum brodifacoum test results in 4 of 5 requested patients contributed to confirmatory diagnosis. Psychiatric interview revealed an attempted ingestion in one patient. High dose vitamin K1 therapy promptly corrected prolonged PT and aPTT, but hasty discontinuation caused repeated bleeding diathesis in 6 patients. Route of intoxication was unknown or not definite among 8 of 10 patients. Three patients had a possibility of environmental exposure considering their occupations: there might be intoxication by transdermal absorption or inhalation. Therefore, high dose and prolonged use of vitamin K1 therapy is necessary for effective detoxification. Further detailed investigation on environmental exposure and efforts to improve availability of the blood level test in clinic are requested

Korean Guidelines for the Prevention of Venous Thromboembolism

This guideline focuses on the primary prevention of venous thromboembolism (VTE) in Korea. The guidelines should be individualized and aim at patients scheduled for major surgery, as well as patients with a history of trauma, high-risk pregnancy, cancer, or other severe medical illnesses. Currently, no nation-wide data on the incidence of VTE exist, and randomized controlled trials aiming at the prevention of VTE in Korea have yielded few results. Therefore, these guidelines were based on the second edition of the Japanese Guidelines for the Prevention of VTE and the eighth edition of the American College of Chest Physicians (ACCP) Evidenced-Based Clinical Practice Guidelines. These guidelines establish low-, moderate-, and high-risk groups, and recommend appropriate thromboprophylaxis for each group