• The Korean Journal of Physiology and Pharmacology
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• 제5권4호
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• pp.315-321
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• 2001

This study was aimed to evaluate the effects of quercetin and desferrioxamine on the development of the reflux esophagitis induced surgically, on gastric secretion and on lipid peroxidation which is a marker of oxidative stress. Omeprazole was used as a positive control drug. Omeprazole significantly and dose-dependently prevented the development of reflux esophagitis, but quercetin or desferrioxamine prevented only at high dose. Omeprazole significantly and dose-dependently inhibited the gastric acid secretion (gastric volume, pH and acid output), but quercetin or desferrioxamine did not inhibit. Malonyldialdehyde content, the end product of lipid peroxidation, increased significantly after the induction of reflux esophagitis. Omeprazole prevented lipid peroxidation. Quercetin and desferrioxamine inhibited the lipid peroxidation independent of their actions on gastric secretion. This result indicates that omeprazole confirmed preventing effect of rat reflux esophagitis, but quercetin and desferrioxamine inhibited esophagitis by reduction of lipid peroxidation irrespective of gastric acid secretion.

• 한국식품영양과학회지
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• 제41권11호
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• pp.1528-1533
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• 2012

본 연구에서는 한의학 이론에 근거한 법제(포제)의 가공처리과정을 거친 생강과 일반생강의 위손상 억제효과를 알아보고자 하였다. Sprague-Dawley계 수컷 흰쥐에 HCl-ethanol로 급성위염을 유도하고, 이에 대한 위손상 억제효과를 검토하였다. 생강과 법제생강을 70% ethanol로 열수 추출 및 농축하여 실험에 사용하였고, 생강과 법제생강 투여군 모두 유의적인 위손상 억제효과가 있는 것으로 나타났다(p<0.05). 생강 저농도와 법제생강 저농도의 위손상 억제율은 40.2%, 64.9%, 생강 고농도와 법제생강 고농도의 위손상 억제율은 68.4%, 99.6%로 법제생강 투여군이 생강 투여군보다 위손상 억제효과가 증가되었다. 특히 법제생강 고농도의 위손상 억제율은 대조약물인 cimetidine의 74.9%보다 높은 99.6%를 나타내었다. 위액분비량은 생강과 법제생강을 투여한 군 모두 유의적으로 감소하였고, 법제생강 투여군의 위액분비량(0.32 mL, 2.69 mL)이 생강 투여군(2.66 mL, 3.23 mL)보다 유의적으로 감소되었다(p<0.05). 위액 pH는 법제생강 고농도가 유의성 있게 증가하였고, 유리산도는 cimetidine과 법제생강 고농도에서 유의성 있게 감소되었다(p<0.05). 생강과 법제생강의 투여 용량의 증가에 따라 위손상 억제효과가 증가하였으며, 특히 법제생강고농도는 대조약물인 cimetidine보다도 높은 위손상 억제효과를 나타내었다. 이상의 결과로 생강은 위손상 억제효과가 있음을 확인하였고, 법제의 가공과정에 의해 생강의 위손상 억제효과가 더 증가되었음을 확인할 수 있었다.

• 대한기관식도과학회지
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• 제9권1호
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• pp.67-74
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• 2003

Larygopharyngeal reflux(LPR) is one form of the Gastroesophageal Reflux Diseases(GERD). It is known to cause various kinds of otolaryngologic symptoms such as hoarseness, globus sensation in throat, chronic throat clearing, and chronic cough, Disease entities diagnosed by otolaryngologists as posterior laryngitis, globus pharyngeus and reflux laryngitis should be suspected as LPR-related diseases. The nizatidine(AXID), as a Histamine H2-receptor antagonist, reduces gastric acid secretion and improves gastric motility function. Objectives : The effect of nizatidine using 150mg b.i.d was evaluated for symptom relief and improvement of laryngoscopic findings in patients with LPR. Materials and Methods : In 30 multicenter, observational trial performed nationalwidely in Korea. 308 patients with LPR symptom were observed to evaluate their symptoms and larygnoscopic findings after 4weeks, 8weeks, 12weeks of treatment with nizatidine. Results : The symptoms of LPR including globus sensation, chronic throat clearing and hoarseness, are reduced significantly after 4 weeks, 8weeks, and 12weeks of treatment(p<0.05). The laryngoscopic findings including diffuse erythema, edema and granulation are improved after nizatidine treatment(p<0.05). and the efficacy of nizatidine on LPR-related sympoms after 4 weeks is 88.6%, and those of after 8 weeks and 12weeks were 92.6%, and 99.1% in ITT(Intent To Treatment) group(p<0.05). And PPA(Per Protocol Analysis)group showed 93.7%, 97.3%, and 99.1% of efficacy after 4, 8, and 12 weeks of nizatidine treatment(p<0.05). Conclusion : These results indicate that in patient with LPR, nizatidine 150mg b.i.d treatment very effectively reduces LPR symptoms and improves laryngoscopic findings as well as reduces gastric acid secretion and improves gastric motility function.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6645-6650
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• 2015

Background: Gastric cancer (GC) is the third most common cancer regarding mortality in the world. The cag pathogenicity island (PAI) of Helicobacter pylori which contains genes associated with a more aggressive phenotype may involve in the pathogenesis of gastrointestinal disease. We here aimed to examine the associations of cagH, cagL, orf17, and cagG genotypes of H. pylori cag PAI with severe gastrointestinal disease. Materials and Methods: A total of 242 H. pylori strains were genotyped. Histopathological examination and classification of subjects were performed. Results: The frequencies of the cagH, cagL, cagG, and orf17 genotypes were 40/54 (74.1%), 53/54 (98.1%), 38/54 (70.4%), and 43/54 (79.6%), respectively, in patients with peptidic ulceration (PU),while in the control group, the frequencies were 87/147 (59.6%) for cagH, 121/146 (82.9%) for cagL, 109/146 (74.7%) for cagG, and 89/146 (61.0%) for orf17. The results of simple logistic regression analysis showed that the cagL and orf17 genotypes were significantly associated with an increased risk of PU not GC; the ORs (95% CI) were 10.950 (1.446-82.935), and 2.504 (1.193-5.253), respectively. No significant association was found between the cagH and cagG genotypes and the risk of both the PU and the GC in Iran (P>0.05). Finally, multiple logistic regression analysis showed that the cagL genotype was independently and significantly associated with the age-and sex-adjusted risk for PU; the OR (95% CI) was 9.557 (1.219-17.185). Conclusions: We conclude that the orf17 and especially cagL genotypes of H. pylori cag PAI could be factors for risk prediction of PU, but not GC in Iran.

• Archives of Pharmacal Research
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• 제28권8호
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• pp.988-994
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• 2005

The purpose of the present study was to prepare multivesicular liposomes with a high drug loading capacity and to investigate its potential applicability in the oral delivery of a peptide, human epidermal growth factor (rhEGF). The multivesicular liposomes containing rhEGF was prepared by a two-step water-in-oil-in-water double emulsification process. The loading efficiency was increased as rhEGF concentration increased from 1 to 5mg/mL, reaching approximately $60\%$ at 5 mg/mL. Approximately $47\%$ and $35\%$ of rhEGF was released from the multivesicular liposomes within 6 h in simulated intra-gastric fluid (pH 1.2) and intra-intestinal fluid (pH 7.4), respectively. rhEGF-loaded multivesicular liposomes markedly suppressed the enzymatic degradation of the peptide in an incubation with the Caco-2 cell homogenate. However, the transport of rhEGF from the multivesicular liposomes to the basolateral side of Caco­2 cells was two times lower than that of the rhEGF in aqueous solution. The gastric ulcer healing effect of rhEGF-loaded multivesicular liposomes was significantly enhanced compared with that of rhEGF in aqueous solution; the healing effect of the liposomes was comparable to that of the cimetidine in rats. Collectively, these results indicate that rhEGF-loaded multivesicular liposomes may be used as a new strategy for the development of an oral delivery system in the treatment of peptic ulcer diseases.

• Journal of Gastric Cancer
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• 제23권3호
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• pp.476-486
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• 2023

Purpose: The optimal tumor mutational burden (TMB) value for predicting treatment response to programmed cell death-1 (PD-1) checkpoint inhibitors in advanced gastric cancer (AGC) remains unclear. We aimed to investigate the optimal TMB cutoff value that could predict the efficacy of PD-1 checkpoint inhibitors in AGC. Materials and Methods: Patients with AGC who received pembrolizumab or nivolumab between October 1, 2020, and July 27, 2021, at Samsung Medical Center in Korea were retrospectively analyzed. The TMB levels were measured using a next-generation sequencing assay. Based on receiver operating characteristic curve analysis, the TMB cutoff value was determined. Results: A total 53 patients were analyzed. The TMB cutoff value for predicting the overall response rate (ORR) to PD-1 checkpoint inhibitors was defined as 13.31 mutations per megabase (mt/Mb) with 56% sensitivity and 95% specificity. Based on this definition, 7 (13.2%) patients were TMB-high (TMB-H). The ORR differed between the TMB-low (TMB-L) and TMB-H (8.7% vs. 71.4%, P=0.001). The progression-free survival and overall survival (OS) for 53 patients were 1.93 (95% confidence interval [CI], 1.600-2.268) and 4.26 months (95% CI, 2.992-5.532). The median OS was longer in the TMB-H (20.8 months; 95% CI, 2.292-39.281) than in the TMB-L (3.31 months; 95% CI, 1.604-5.019; P=0.049). Conclusions: The TMB cutoff value for predicting treatment response in AGC patients who received PD-1 checkpoint inhibitor monotherapy as salvage treatment was 13.31 mt/Mb. When applying the programmed death ligand-1 status to TMB-H, patients who would benefit from PD-1 checkpoint inhibitors can be selected.

• 한국식품영양과학회지
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• 제45권4호
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• pp.577-584
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• 2016

다양한 환경에서 분리된 시가독소 생산성 대장균(Shiga toxin-producing E. coli, STEC, n=18)을 초산혼합용액(AAS;400 mM, pH 3.2, $30^{\circ}C$)에 노출한 후 산 저항성을 측정하였다. 또한, 선정된 4종류의 non-O157:H7 STEC균을 사과주스, 파인애플주스, 오렌지주스, 딸기주스(pH 3.8)에 정봉하여 $4^{\circ}C$와 $20^{\circ}C$에서 24시간 산 적응시킨 후 위합성용액(SGF, pH 1.5)에서 2시간 동안 생존능력을 평가하였다. Non-O157:H7 STEC를 AAS에 노출했을 때 O111 혈청형의 STEC는 평균 0.12 log CFU/mL 감소하여 다른 혈청형에 비하여 가장 강한 산 저항성을 나타냈고 O157:H7 STEC와 유의적 차이가 없었으며(P>0.05), O26 혈청형의 STEC는 가장 민감한 것으로 나타났다. 반면, AAS에 glutamic acid를 첨가하였을 경우 모든 STEC는 혈청형과 관계없이 초산에 매우 강한 저항성을 나타내었다(P>0.05). SGF에서 생존능력을 측정한 결과, 06E0218(O157:H7)은 다른 non-O157:H7 STEC 균들보다 생존능력이 낮았고 03-4669(O145:NM)가 가장 강한 생존능력을 나타내었다. 한편, 과일주스 중에서는 파인애플주스에 산 적응된 STEC가 SGF에 가장 강한 생존능력을 나타내었다. $4^{\circ}C$의 과일주스에 STEC를 산 적응시켰을 경우 $20^{\circ}C$보다 SGF에 대한 생존능력이 현저하게 높았다(P<0.05). 따라서 과일주스에 의한 non-O157:H7 STEC의 산 적응력 증가는 위장관 내 생존율 및 식중독 발생을 높일 수 있으므로 이에 대한 적절한 연구와 안전관리 옵션을 제공할 필요가 있을 것으로 판단된다.

• Journal of Gastric Cancer
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• 제8권4호
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• pp.176-181
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• 2008

목적: 지방세포에서 분비되는 렙틴은 식이 조절과 에너지 소비를 통해 체질량의 항상성을 유지할 뿐만 아니라 세포증식을 조절하여 종양의 진행에서도 중요한 역할을 한다. 위암에서 렙틴과 그 수용체가 높게 발현된다고 보고되고 있으나 조직내 발현과 혈장내 렙틴 레벨과의 상관관계에 대해서는 많이 알려져 있지 않다. 본 연구에서는 위암 환자에서 혈청 렙틴 레벨을 측정하고 조직내 렙틴과 렙틴수용체의 발현과의 상관 관계를 알아보고자 하였다. 대상 및 방법: 본원에서 2005년 10월부터 2007년3월까지 위암으로 근치적 위절제술을 시행 받은 사람 중에서 파라핀 포매 보관상태가 양호한 72명을 대상으로 하였다. 면역측정법을 이용하여 혈청 렙틴 레벨을 측정하였고 위암 조직내 렙틴과 렙틴 수용체의 발현상태는 면역조직화학 염색을 시행하여 확인하였으며 임상병리학적 특성과의 연관성을 분석하였다. 결과: 체질량지수가 높은 환자의 혈청내 렙틴 레벨이 높았으며(P=0.01), 렙틴의 혈청 레벨은 Helicobacter pylon (H. pylori) 감염군에서 감소하였다(P=0.008). 위벽 침윤도와 병기가 증가할수록 렙틴 발현율이 높았으며(P=0.014), 렙틴 수용체의 발현은 장형 71.4%, 미만형 28.6%로 장형인 경우에 높았다(P=0.033) 결론: 위암에서 혈청 렙틴과 조직내 렙틴 발현은 상관관계가 없었고 렙틴의 조직내 발현은 병기와 연관이 있었으나 그 작용 기전을 규명하기 위해서는 앞으로 후속적인 연구가 필요할 것으로 생각된다.

• Journal of Oral Medicine and Pain
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• 제33권3호
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• pp.241-246
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• 2008

편평태선은 피부와 점막에 발생하는 흔한 만성 염증성 질환으로 정확한 원인은 잘 알려져 있지 않으나 종종 감염과 관련 되어있다. 다양한 박테리아 중 Helicobacter pylori(H. pylori)는 위염, 위 십이지장 궤양 그리고 위암과 관련되어 있다. 위궤양과 구강 궤양들의 조직학적 특징의 유사성을 고려할 때 H. pylori는 구강 점막궤양의 발생과 관련 있음을 추론할 수 있다. 따라서 미란성 구강편평태선의 발생에 H. pylori가 관련 있는지를 조사하기위해 이 연구를 수행하였다. 미란성 구강편평태선을 가진 환자의 타액을 중합효소연쇄반응에 의해 분석한 결과 21명의 환자 중 16명(76.2%)에서 H. pylori가 검출되었고, 대조군은 44명 중 11명(25%)에서 H. pylori가 검출되어 통계적 유의성을 나타내었다(P>0.001). 이상의 결과를 종합해 볼 때 타액내 H. pylori는 미란성 구강편평태선의 발생에 원인이 될 수 있음을 추론할 수 있었다.

• Macromolecular Research
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• 제13권4호
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• pp.327-333
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• 2005

pH-sensitive hydrogels were studied as a drug carrier for the protection of insulin from the acidic environment of the stomach before releasing it in the small intestine. In this study, hydrogels based on poly(ethylene oxide) (PEO) networks grafted with methacrylic acid (MAA) or acrylic acid (AAc) were prepared via a two-step process. PEO hydrogels were prepared by ${\gamma}-ray $ irradiation (radiation dose: 50 kGy, dose rate: 7.66 kGy/h), grafted by either MAA or AAc monomers onto the PEO hydrogels and finally underwent irradiation (radiation dose: 520 kGy, dose rate: 2.15 kGy/h). These grafted hydrogels showed a pH-sensitive swelling behavior. The grafted hydrogels were used as a carrier for the drug delivery systems for the controlled release of insulin. Drug-loaded hydrogels were placed in simulated gastric fluid (SGF, pH 1.2) for 2 hr and then in simulated intestinal fluid (SIF, pH 6.8). The in vitro drug release behaviors of these hydrogels were examined by quantification analysis with a UV-Vis spectrophotometer.