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The Distribution Pattern of Lymphocyte Subsets according to the Level of Serum Albumin in Preoperative Patients with Gastric Cancer (위암 환자에서 수술 전 혈청 알부민수치에 따른 림프구아형의 분포양상)

  • Choi, Sang-Kyung;Son, Sun-Hyang;Lee, Sung-Hyen;Park, Soon-Tae;Ha, Woo-Song;Hong, Soon-Chan;Lee, Young-Joon;Jung, Eun-Jung;Jeong, Chi-Young;Joo, Young-Tae;Sung, Jung-Youp
    • Journal of Gastric Cancer
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    • v.5 no.2
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    • pp.106-112
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    • 2005
  • Purpose: Considering that nutritional state correlates to immunity, we performed this study to evaluate the correlation by assessing the numerical changes of the levels of serum albumin and lymphocyte subsets. Materials and Methods: The study was performed on patients who were diagnosed as having gastric cancer and who underwent curative surgery from August 1998 to August 2004 in the Gyeongsang National University Hospital and whose peripheral blood lymphocyte subsets were tested prior to surgery. The study population was a total of 150 cases. Results: The change in the lymphocyte subsets in relation to the change in the level of serum albumin in all patients with gastric cancer was determined, and was compared to disease stages. When patients were classified by using the level of serum albumin with 3.2 mg/dl as the cut-off point (low group: serum albumin <3.2 mg/dl, normal group = serum albumin $\geq$ 3.2 mg/dl), the number of peripheral blood lymphocytes, CD3+ cells, CD4+ cells, CD8+ cells, and CD16+ 56 cells were, significantly lower in the group with the level of serum albumin below 3.2 mg/dl (low group) than it was in the group with a serum albumin level above 3.2 mg/dl (normal group) (P<0.05). In stage I (n=59), CD16+56 cells were significantly lower in the low group. In stage II (n=29), the number of CD16+56 cells was lower and the ratio of CD4+/CD8+ was higher in the low group than in the normal group significantly. In stage IV (n=33), except for CD19+ cells, the number of all lymphocyte subsets was significantly lower and the ratio of CD4+/CD8+ was significantly higher in the low group. Conclusion: The group with a low level of serum albumin had a low absolute number of lymphocyte subsets. Based on this, we reconfirmed that the nutritional state is closely related with the immune state in patients with gastric cancer.

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Determination of Bioconcentration Factor of Heavy Metal (loid)s in Rice Grown on Soils Vulnerable to Heavy Metal (loid)s Contamination

  • Lee, Seul;Kang, Dae-Won;Yoo, Ji-Hyock;Park, Sang-Won;Oh, Kyeong-Seok;Lee, Jin-Ho;Cho, Il Kyu;Moon, Byeong-Churl;Kim, Won-Il
    • Korean Journal of Soil Science and Fertilizer
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    • v.50 no.2
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    • pp.106-114
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    • 2017
  • There is an increasing concern over heavy metal(loid) contamination of soil in agricultural areas including paddy soils. This study was conducted to determine the bioconcentration factor (BCF) for heavy metal(loid)s to brown rice grown in paddy soils vulnerable to heavy metal(loid)s contamination, for the quantitative health risk assessment to the residents living nearby the metal contaminated regions. The samples were collected from 98 sites nationwide in the year 2015. The mean and range BCF values of As, Cd, Cu, Ni, Pb, and Zn in brown rice were 0.027 (0.001 ~ 0.224), 0.143 (0.001 ~ 2.434), 0.165 (0.039 ~ 0.819), 0.028 (0.005 ~ 0.187), 0.006 (0.001 ~ 0.048), and 0.355 (0.113 ~ 1.263), respectively, with Zn showing the highest. Even though the relationship between heavy metal(loid) contents in the vulnerable soils and metal contents in brown rice collected at the same fields was not significantly correlated, the relationship between log contents of heavy metal(loid)s in the vulnerable soils and BCF of brown rice wes significantly correlated with As, Cd, Cu, and Zn in rice. In conclusion, soil environmental risk assessment for crop uptake should consider the bioconcentration factor calculated using both the initial and vulnerable heavy metal(loid) contents in the required soil and the crop cultivated in the same fields.

Contrasting Prognostic Effects of Tumor-Infiltrating Lymphocyte Density in Cardia and Non-cardia Gastric Adenocarcinomas

  • Kim, Hyoung-Il;Kim, Sang Yong;Yu, Jae Eun;Shin, Su-Jin;Roh, Yun Ho;Cheong, Jae-Ho;Hyung, Woo Jin;Noh, Sung Hoon;Park, Chung-Gyu;Lee, Hyuk-Joon
    • Journal of Gastric Cancer
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    • v.20 no.2
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    • pp.190-201
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    • 2020
  • Purpose: This study sought to investigate the prognostic significance of tumor-infiltrating lymphocytes (TILs) in relation to tumor location within the stomach. Materials and Methods: The densities and prognostic significance of TIL subsets were evaluated in 542 gastric cancer patients who underwent gastrectomy. Immunohistochemical staining for CD3, CD4, CD8, forkhead/winged helix transcription factor (Foxp3), and granzyme B was performed. Results: Cardia cancer was associated with significantly lower densities of CD8 T-cells and higher densities of Foxp3 and granzyme B T-cells than non-cardia tumors. Multivariate analysis showed that advanced age (hazard ratio [HR], 1.023; 95% confidence interval [CI], 1.006-1.040), advanced T classification (HR, 2.029; 95% CI, 1.106-3.721), lymph node metastasis (HR, 3.319; 95% CI, 1.947-5.658), low CD3 expression (HR, 0.997; 95% CI, 0.994-0.999), and a high Foxp3/CD4 ratio (HR, 1.007; 95% CI, 1.001-1.012) were independent predictors of poor overall survival in cardia cancer patients. In non-cardia cancer patients, total gastrectomy (HR, 2.147; 95% CI, 1.507-3.059), advanced T classification (HR, 2.158; 95% CI, 1.425-3.266), lymph node metastasis (HR, 1.854; 95% CI, 1.250-2.750), and a low Foxp3/CD4 ratio (HR, 0.978; 95% CI, 0.959-0.997) were poor prognostic factors for survival. Conclusions: The densities and prognostic effects of TILs differed in relation to the location of tumors within the stomach. The contrasting prognostic effects of Foxp3/CD4 ratio in cardia and non-cardia gastric cancer patients suggests that clinicians ought to consider tumor location when determining treatment strategies.

Immunocytochemical Characteristics of the Short-term Cultured Mesothelial Cells (단기배양한 중피세포의 면역세포화학적 연구)

  • Jeon, Ho-Jong;Lee, Mi-Ja;Lee, Mi-Sook;Jeong, Yu-Kyung;Lee, Young-Mi;Choi, Hyung-Ho
    • The Korean Journal of Cytopathology
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    • v.6 no.2
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    • pp.106-115
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    • 1995
  • Reactive humsn mesothelial cells were examined by immunocytochemical stain with intermediate filaments (cytokeratin [CK1, CK7, CK8, CK18, CD19), vimentin, desmin, actin), epithelial membrane antigen, carcinoembryonic antigen (CEA), MHC class II antigen (HLA-DR), LeuM-1 (CD15), $\alpha1-antitrypsin$(ACT), $\alpha1-antichymotrypsin$ (ACHT), CD68(KP-1) and FcyRIII(CD16). The mesothelial cells were isolated from patients with liver cirrhosis and pleural effusion, and short-term cultured in RPMI 1640 media containing 10% heat inactivated fetal calf serum and 1% identical supernatant fluid of the patients' transudates. The results obtained are as follows 1. The cultured-reactive mesothelial cells were positive for the protein of cytoskeleton such as cytokeratin and vimentin, but negative for desmin and actin. The resting mesothelial cells showed positive reactions for cylokeratin, but negative for vimentin, desmin and actin. 2. The primary antibodies to the cytokeratin were strongly reactive for CK1, CK8 and CK18 but negative for CK7 and CK19 in both reactive and resting mesothelial cells. 3. Resting mesothelial cells showed negative reactions for CEA, but strong positive reactions in cultured-reactive mesothelial cells. 4. The markers for the monocytes/histiocytes(CD11b, CD14, CD16, CD68, Iysozyme and $\alpha1-antitrypsin$ and $\alpha1-antichymotrypsin$) were nonreactive in resting mesothelial cells, but lysozyme and $\alpha1-antitrypsin$ were weakly reactive in reactive and proliferative mesothelial cells. 5. MHC Class II molecule(HLA-DR antigen) was negative in both resting and reactive mesothelial cells. These results suggest that the short-term cultured, reactive mesothelial cells show a newly aberrant expression of the vimentin and calcine-embryonic antigen. The reason of the aberrant expression of the intermediate filament and oncofetal antigen in reactive and proliferative mesothelial cells should be further evaluated.

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The Detection of ICD p24 Antigen Predicts Bad Prognosis in HIV-1 Infected Patients (인면역결핍바이러스 감염자에서 ICD-p24 항원 탐지가 CD4+T 세포수 및 예후에 미치는 영향)

  • Cho, Young-Keol;Lee, Hee-Jung
    • The Journal of Korean Society of Virology
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    • v.26 no.2
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    • pp.259-267
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    • 1996
  • In order to evaluate the effect of viral load on the prognosis of human immunodeficiency virus-1 (HIV-1)-infected individuals, immune complex dissociated (ICD) serum p24 antigen (p24) by acid treatment was retrospectively measured for 50 HIV-infected patients for 60 months. Among them, 27 patients were p24 positive (p24+) above 25pg/ml for $40.4{\pm}12$ months and 23 patients were negative (p24-). Follow-up periods from HIV diagnosis were $63.0{\pm}19$ months (range; 40-112) for the p24+ and $68.4{\pm}19$ months (range; 38-106) for the p24-, respectively (P>0.05)Mean CD4+T cell counts in the p24+ group decreased from $473{\pm}$277/ul (median;373) to $157{\pm}150/ul$ (median; 111) for $60{\pm}16$ months (5.3/month P280/ul (median; 476) to $432{\pm}285/ul$ (median;382) for $63{\pm}19$ months (2.5/month, P<0.01). From CD4+T cell count >200/ul, the patient who progressed to AIDS of <200/ul were 13 of 23 (56%) in the p24+ and 4 of 22 (18%) in p24-, respectively (p<0.01). And the number of death in two groups were 6 (22%) and 1 (4%), respectively (p<0.01). Presumed survival in two groups were about 12 and 24.5 years. These data suggest that viral load itself be very important for the prognosis of HIV-infected patients.

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Effect of Korean Red Ginseng intake on the survival duration of human immunodeficiency virus type 1 patients

  • Cho, Young-Keol;Kim, Jung-Eun
    • Journal of Ginseng Research
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    • v.41 no.2
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    • pp.222-226
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    • 2017
  • Background: Long-term ginseng intake can increase longevity in healthy individuals. Here, we examined if long-term treatment with Panax ginseng Meyer (Korean Red Ginseng, KRG) can also enhance survival duration (SD) in patients with human immunodeficiency virus type 1 (HIV-1) infection. Methods: We retrospectively analyzed 252 HIV-1 patients diagnosed from 1986 to 2013 prior to the initiation of antiretroviral therapy. Overall, 162 patients were treated with KRG ($3,947{\pm}4,943g$) for $86{\pm}63$ mo. The effects of KRG on SD were analyzed according to the KRG intake level and the length of the follow-up period. Results: There were significant correlations between the total amount of KRG and SD in the KRG intake group (r = 0.64, p < 0.0001) as well as between total amount of KRG and mean annual decrease in $CD4^+$ T-cell count in all 252 patients (r = -0.17, p < 0.01). The annual decrease in $CD4^+$ T-cell count (change in $cells/{\mu}L$) was significantly slower in KRG-treated patients than in patients receiving no KRG ($48{\pm}40$ vs. $106{\pm}162$; p < 0.001). The SD (in months) was also significantly longer in the KRG group than in the no-KRG group ($101{\pm}64$ vs. $59{\pm}40$, p < 0.01). Conclusion: KRG prolongs survival in HIV-1 patients, possibly by slowing the decrease in $CD4^+$ T-cell count.

Inclusion body myositis accompanied with T-cell large granular lymphocyte leukemia

  • Dong-Young Jeong;Seung-Hee Lee;Jungmin So;Ji Yon Kim;Young Chul, Kim;Miyoung Kim;Eun-Ji Choi;Eun-Jae Lee;Hyung Jun Park;Young-Min Lim;Hyunjin Kim
    • Annals of Clinical Neurophysiology
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    • v.25 no.2
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    • pp.106-109
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    • 2023
  • Inclusion body myositis (IBM) is a late-onset myopathy that manifests as distinct muscle weakness in the quadriceps, finger flexors, and ankle dorsiflexors. T-cell large granular lymphocyte (T-LGL) leukemia is a late-onset clonal disorder of CD8+ cytotoxic T-cells that is often accompanied by autoimmune diseases. To date, the association between IBM and T-LGL leukemia has been infrequently reported. Here, we report a case of a patient with T-LGL leukemia who developed IBM, along with in-depth laboratory, electrophysiological, and pathologic findings.

Pollutant Content of the Sediments in the Drain Channel of Paved Catchments in Coastal Areas (연안역 불투수지역 배수구 퇴적물의 오염특성에 관한 연구)

  • Kim, Yeon-Seok;Park, Ki-Soo;Kim, Young-Chul
    • Journal of Wetlands Research
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    • v.13 no.3
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    • pp.523-534
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    • 2011
  • In this study, the particle size distribution and pollutants content of sediments collected from different sites in the coastal area of Chungnam province were analyzed. The sediment samples were collected from different parking lots near beaches, harbors, museum and bridges. The particle size distribution analysis showed that the particle is generally $106-500{\mu}m$ and the effective size $D_{10}$ ranges from 40 to $60{\mu}m$ while the $D_{50}$ and $D_{60}$ ranges from 200 to $810{\mu}m$ and 235 to $1005{\mu}m$, respectively. For particle size $D_{10}$, there was no significant difference in all sites. However, for $D_{50}$ and $D_{60}$, the range is large. Sediment analysis implicates that as the particle size decreases, the pollutant content increases. This is because smaller particles have higher specific surface area resulting to have more adsorption capacity. Particles from tires, emission gas from vehicles and dust particles belongs to smaller particles. For particle sizes less than $63{\mu}m$, the analysis showed that as the particles become coarser, the concentration of VS, $COD_{cr}$, TN, and TP is at least 2 to 14 times higher. Cu and Pb were detected in all sites and shows a higher concentration with smaller particle size. Cu concentration are almost the same for all sites but in the case of Pb, the sediments from Sinjindo has higher concentration of up to 2 to 3 times as compared to those collected from the other sites. In the Beach site as well as in the Seocheon Ocean Museum, Cd was contained only in fine particles. However, in Daechon Harbor and Sinjindo Bridge sites, Cd was detected in all the sediment particle size.

Oral Administration of Phosphorylated Dextran Regulates Immune Response in Ovalbumin-Immunized Mice

  • Nagasawa, Chiho;Nishimura-Uemura, Junko;Tohno, Masanori;Shimosato, Takeshi;Kawai, Yasushi;Ikegami, Shuji;Oda, Munehiro;Saito, Tadao;Kitazawa, Haruki
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.1
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    • pp.106-115
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    • 2010
  • Phosphorylated dextran (P-Dex) is an acidic polysaccharide that functions as an immune adjuvant. P-Dex is known to regulate immune response by maintaining a balance between Th1 and Th2 cells in vitro, and thus may also be important in the control of allergic reactions. In the current study, we report the optimum conditions required for the efficient phosphorylation of dextran without toxicity. We found that when dextran was heated at 160${^{\circ}C}$ for 24 h in phosphate buffer (pH 5.0), the resulting P-Dex demonstrated the highest phosphorus content (6.8%). We also report that P-Dex enhances mitogenic activity in mouse splenocytes and induces expression of CD69 and CD86 on the surface of B cells and dendritic cells (DC) in vitro. Oral administration of P-Dex to ovalubmin (OVA)-immunized mice was found to reduce antigen-induced cell proliferation and suppress the expression of CD86 on Th2-inducing DC via exogenous OVA stimulation. P-Dex was also found to increase IL-10 expression in the splenocytes of treated mice. These findings suggest that oral administration of P-Dex increases immunological tolerance and improves the specificity of immunological response to specific antigens.

A Comparative Study on the Pharmaceutical Properties of Rectal Suppository containing Omeprazole Complexes (오메프라졸복합체 함유 직장좌제의 특성비교)

  • Hwang, Sung-Joo;Park, Sung-Bae;Rhee, Gye-Ju
    • Journal of Pharmaceutical Investigation
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    • v.25 no.3
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    • pp.227-237
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    • 1995
  • Omeprazole(OMP) complexes such as inclusion complexes of OMP with $hydroxypropyl-{\beta}-cyclodextrin$(HPCD) and ${\beta}-cyclodextrin({\beta}-CD)$, OMP-cholestyramine(CHL) and OMP-ethylenediamine(OMP-ED) were prepared, respectively. The partition coefficients in Witepsol H-15 /pH 7.4 phosphate buffer solution of OMP complexes$(OMP-HPCD;\;3.69{\pm}0.26,\;OMP-{\beta}-CD;\;4.08{\pm}0.21,\;OMP-CHL;\;4.36{\pm}0.25\;and\;omeprazole\;sodium(OMP-Na);\;3.64{\pm}0.37)$ were higher than that of OMP $(2.66{\pm}0.47)$. OMP was not completely dissolved until even 3 hrs, but all the OMP complexes studied were released about 100% in 20 min. The rectal suppositories containing OMP or each above OMP complex were prepared using Witepsol H-15 base, and their dissolution and stability were examined, and pharmacokinetic study were investigated after their rectal administrations to the rabbits. While the suppository containing OMP was released only less than 60% in 150 min, $OMP-{\beta}-CD$, OMP-CHL, OMP-Na and OMP-ED suppositories were all released about 65% in 20 min. Especially, OMP-HPCD suppository released OMP about 70% in 10 min. All the additives such as sodium laurylsulfate, eglumine, arginine and PVP increased drug release from OMP-HPCD suppository to some extent. The decomposition rate constants of OMP in the suppositories were $9.117{\times}10^{-3}\;day^{-l}$ for OMP suppository, $2.121{\times}10^{-2}$ for OMP-HPCD, $1.607{\times}10^{-2}$ for $OMP-{\beta}-CD$, $9.26{\times}10^{-3}$ for OMP-Na, $6.769{\times}10^{-3}$ for OMP-CHL and $5.58{\times}10^{-3}\;day^{-l}$ for OMP-ED suppository, respectively. Additives such as arginine, eglumine and ED had some stabilizing effect for OMP-HPCD, OMP-CHL and OMP-Na suppositories, respectively. After 6 month-storage at $30^{\circ}C$, 75% RH, OMP-CHL suppository was most stable. The values of Tmax for OMP-HPCD and OMP-Na suppositories were $11.7{\pm}2.36\;and\;11.4{\pm}2.56\;min$, respectively. The values of Cmax for OMP-HPCD and OMP-CHL suppository were $2.31\;{\mu}g/ml\;(p<0.01)\;and\;1.89\;{\mu}g/ml\;p<0.01)$, respectively. The values of AUC for OMP and $OMP-{\beta}-CD$ suppository were $61.9{\pm}25.79\;and\;68.6{\pm}29.48\;{\mu}g\;{\cdot}\;min/ml$, and the corresponding values for OMP-HPCD and OMP-CHL were $106.1{\pm}43.16\;(p<0.05)\;and\;127.3{\pm}42.52\;{\mu}g\;{\cdot}\;min/ml(p<0.01)$, respectively. The above results indicate the OMP-HPCD and OMP-CHL suppositories have the excellent bioavailabilties in vivo study.

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