• Journal of Gastric Cancer
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• 제9권3호
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• pp.78-87
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• 2009

위암 발생률이 높은 우리나라에서는 위암이 발생할 가능성이 높은 고위험군에서 위암 발생 여부를 알 수 있는 생물학적 인자(biological marker)의 개발이 매우 중요한데 가장 많이 연구되는 인자로 혈청 펩시노겐(Pepsinogen)이 있다. 이에 소화기질환을 가지고 있는 환자군과 건강검진센터 수진자를 대상으로 한두 가지 연구에서 혈청 펩시노겐 검사에 영향을 주는 인자를 알아보고 위축성 위염이나 위암 진단에 있어 혈청 펩시노겐 검사의 역할을 알아보았다. 혈청 펩시노겐 검사에 영향을 주는 인자로는 H. pylori 감염이 가장 컸고, 다음으로 성별, 연령이 있었다. 이를 고려한 결과 한국인에서의 내시경적 위축성 위염 진단에 있어서 PG I/II ratio 기준은 H. pylori 감염 여부에 따라 달랐는데 H. pylori 감염이 없는 경우는 PG I/II ratio 6이, H. pylori 감염이 있는 경우는 국제적 기준인 PG I/II ratio 3이 예민도와 민감도에서 우수했다. 또한 한국인에서의 위암이나 위축성 위염 진단에 있어 PG I이나 PG II는 별로 유용하지 않은 반면 PG I/II ratio는 비교적 유용함을 알 수 있었고, 특히 H. pylori 감염이 있는 경우 PG I/II ratio $\leq3$ 이하가 위암 발생위험도 예측에 도움이 되었다. 결과적으로 혈청 펩시노겐을 위암이나 위축성 위염 진단 biomarker로 사용할 때는 기존의 국제적인 기준도 중요하지만 각 나라의 현실에 맞는 기준치 적용을 위해 validation study를 시행하고 사용하는 것이 바람직한 것으로 보인다.

• Parasites, Hosts and Diseases
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• 제31권1호
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• pp.13-20
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• 1993

간흡충에 감염되었을 때 나타나는 조직병리학적 소견의 변화로는 담관 직경이 확장되고 담관벽이 비후되며, 담관 상피층에 선종성 증식과 배세포 화생이 관찰되었다. 치료 후에는 이러한 변화 중에서 화생이 소실되나 선종성 증식은 상당히 완화되어 잔존하고 담관벽의 비후는 지속된다. 이러한 형태학적인 변화는 선종성인 특징이 있어 어떠한 분비기능이 예상되었다. 이 연구에서는 특히 소장의 분비물이 담관 점막층에서 분비되는가를 확인하고자 하였다. 간흡충 피낭유충을 300개씩 8마리의 토끼에 감염시킨 후, 14주에 프라지관텔로 치료하여 구층 후 6개월 및 1년에 간을 적출하고, 파라핀 포매하여 절편을 만들어 분비물에 대하여 면역조직화학법을 시행하였다. Gastrln과 secretin은 정상토기의 간내 담관 및 감염된 담관에서 나타나지 않았다. Serotonin은 비감염 간 내 담관에서는 관찰되지 않았으나, 감염 대조군의 담관상퍼층에서 몇 개의 양성 세포가 관찰되었다. 그러나 치료 후 6개월에는 관찰되지 않았다. 또한 휜쥐에 100개씩 간흡충 피낭유충을 감염시키고 증식된 상피 층에서 소장 미소응모막 효소의 활성을 관찰한 바, alkalinephosphatase의 활성이 감염군에서 대조군과 같은 정도로 관찰되 었으나 sucrose, trehalase, lactate, leucine annnopeptidase의 활성은 나타나지 않았다. 이 결과를 통하여 간흡충 감염시에 증식된 담관상피에 소수의 serotonin 분비세포가 있음을 관찰하였고 다른 소장의 분비기능은 생기지 않음을 확인하였다. 이 serotonin을 포함한 세포는 비만세포로 추정된다.

• 한국식품저장유통학회지
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• 제24권7호
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• pp.1017-1024
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• 2017

본 연구에서는 까마귀쪽나무열매추출물(LJF-HE)의 흰쥐모델에서 인도메타신으로 유발되어지는 위염에 대한 억제효과를 확인하고자 하였다. 까마귀쪽나무열매추출물 투여그룹(LJF-HE-L, LJF-HE-M, LJF-HE-H)에서 염증길이와 위액량이 control 그룹에 비하여 통계적으로 유의하게 감소한 결과를 얻었다. 또한 위액량의 유의적인 감소효과로 위산분비가 억제되어 공격인자 작용이 약해지는 원인과 펩신의 활성도를 낮추는 원인으로 인하여 위염발생을 억제하는 것으로 판단되어진다. 까마귀쪽나무열매추출물(LJF-HE)의 위산 분비 억제 기능은 gastrin 및 histamine에 의해 발현되는 CCK-2r와 H2r 유전자의 발현을 억제하여, gastrin 및 histamine에 의한 위산 생성 단계를 조절하여, proton pump인 H+/K+ ATPase 유전자 발현을 억제시키며, 그 결과로 인하여 위산 분비를 억제하는 것으로 판단되어진다. 그리고 까마귀쪽나무열매추출물은 점액을 증가시켜 위 점막을 보호하는 PGE2의 함량을 높여, 위 점막 보호 기능을 나타내고 있으며, 더불어 염증성 cytokine인 TNF-${\alpha}$와 IL-$1{\beta}$의 생성을 낮춰주어 염증 매개반응을 저해하는 것으로 판단되어진다. 이와 같은 결과를 종합하면 까마귀쪽나무열매추출물(LJF-HE)이 인도메타신으로 유발되어지는 위염에 대한 억제효과가 있는 것으로 판단되었다.

• 대한한의학회지
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• 제19권1호
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• pp.179-204
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• 1998

The purpose of this research was to investigate the efficacy of Goiwhasan extract powder on the gastric injuries, antiulcer, gastrointestinal tract and blood hemostasis. Animals were used through this studies mice and rats. All animals were divided into 3 groups, contol group(no treatment), sample Ⅰ group(375mg/kg administration), sample Ⅱ group(750mg/kg administration). The gastric injuries and ulcer have been made by using pyloric ligation, indomethacin, HCI-ethanol, acetic acid and then The histological observation was followed. In the gastrointestinal tract, gastric juice secretion, gastric acidity, pepsin output, blood gastrin and secretin level, transport potentials in the small and large intestine were checked. And studies on blood hemostasis were performed on normal hemostatic activities and plasma prothrombin time, plasma recalcification time, plasma fibrinogen levels in the hypoprothrombinemic mice induced by warfarin. The results were as follows: 1. The antigastric ulcer effects on the pyloric ligation, indomethacin, HCl-ethanol, acetic acid induced gastric injuries were shown in Sample Ⅱ group(p<0.05). 2. Through the morphologic examination on the acetic acid induced ulcer, Sample Ⅰ group showed mild regeneration of epithelium and slight decrease of periulcer edema then that of Control group, while Sample Ⅱ group showed more retraction of round ulcer site, remarkable loss of swelling and edema then that of Control group, and revealing the regenerated epithelium in the surrounding ulcer site. Thus it was noted that both Sample groups have antigastriculcer effects on the experimentally induced gastric ulcer. 3. The inhibitory effects on gastric juice were noted in both Sample Ⅰ group(p<0.05) and Sample Ⅱ group(p<0.01). However, only Sample Ⅱ group showed the inhibitory effects on total acidity and pepsin output(p<0.05). 4. The significant inhibition of blood gastrin level showed at 30 min.(P<0.05) and 90 min.(P<0.05) after starting medication in only Sample Ⅱ group, but significance of blood secretin level in both groups was not recognized. 5. Any significant changes in barium sulfate transport in the small intestine of mice was not recognized in both groups, but the significantly inhibitory effect in large intestine was recognized in both Sample Ⅰ group(p<0.05) and Sample Ⅱ group(p<0.001). 6. In hemostatic effect on both normal mice and hypoprothrombinemic mice induced by warfarin, the significantly shortening effect on coagulation time was seen in only Sample Ⅱ group(p<0.01). 7. On plasma prothrombin time in hypoprothrombinemic rat induced by warfarin, Sample Ⅱ group have shortened the prothrombin time significantly(p<0.001). 8. On plasma reclcification time in hypoprothrombinemic rat induced by warfarin, the recalcification time have been shortened significantly in both Sample Ⅰ group(p<0.05) and Sample Ⅱ group(p<0.01). 9. On plasma fibrinogen levels in hypoprothrombinemic rat induced by warfarin, the fibrinogen contents in Sample Ⅱ have been decreased significantly(p<0.01). Overall the above results suggest that Goiwhasan has an therapeutic efficacy on antigastric ulcer and blood hemostasis. Further studies would be needed on the interaction of its herbal medicine and its mechanism in the future.

• Experimental and Molecular Medicine
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• 제50권12호
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• pp.1.1-1.14
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• 2018

DNA methylation is a regulatory mechanism in epigenetics that is frequently altered during human carcinogenesis. To detect critical methylation events associated with gastric cancer (GC), we compared three DNA methylomes from gastric mucosa (GM), intestinal metaplasia (IM), and gastric tumor (GT) cells that were microscopically dissected from an intestinal-type early gastric cancer (EGC) using methylated DNA binding domain sequencing (MBD-seq) and reduced representation bisulfite sequencing (RRBS) analysis. In this study, we focused on differentially methylated promoters (DMPs) that could be directly associated with gene expression. We detected 2,761 and 677 DMPs between the GT and GM by MBD-seq and RRBS, respectively, and for a total of 3,035 DMPs. Then, 514 (17%) of all DMPs were detected in the IM genome, which is a precancer of GC, supporting that some DMPs might represent an early event in gastric carcinogenesis. A pathway analysis of all DMPs demonstrated that 59 G protein-coupled receptor (GPCR) genes linked to the hypermethylated DMPs were significantly enriched in a neuroactive ligand-receptor interaction pathway. Furthermore, among the 59 GPCRs, six GI hormone receptor genes (NPY1R, PPYR1, PTGDR, PTGER2, PTGER3, and SSTR2) that play an inhibitory role in the secretion of gastrin or gastric acid were selected and validated as potential biomarkers for the diagnosis or prognosis of GC patients in two cohorts. These data suggest that the loss of function of gastrointestinal (GI) hormone receptors by promoter methylation may lead to gastric carcinogenesis because gastrin and gastric acid have been known to play a role in cell differentiation and carcinogenesis in the GI tract.

• 대한한의학회지
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• 제40권2호
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• pp.17-34
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• 2019

Objectives: This study was carried out to observe and compare the effects of Pinellia ternata, Zingiber officinale and Sobanhatang on the reflux esophagitis induced by gastric fundus and pylorus ligation in mice with esomeprazole. Methods: Antioxidant effects were measured by DPPH radical scavenging activity at four different concentration of 0.125, 0.25, 0.5 and $1.0mg/102{\mu}{\ell}$. Zingiber officinale water extract(ZE), Pinellia ternata water extract(PE) and Sobanhatang water extract(SBE) and esomeprazole were treated orally for 14 days before gatric fundus and pylorus ligation. In the histochemistry, changes in suface mucous cells, muscle tissue and connective tissue in gastro esophageal junction(GEJ) and mast cell on the esophageal mucosa were observed. The change of Hemo oxygenase(HO)-1, ghrelin, gastrin and substance P in gastric body tissue were measured by immunohistochemistry. Results: DPPH radical scavenging activity exhibited concentration dependently increases in ZE, PE, SBE. ZE was significantly higher at all concentrations than PE. The gastric surface mucous cells were more in the treated group than in the reflux esophagitis elicited group(GE) in the order of PE, SBE, ZE and esomeprazole treateded group(PT, SBT, ZT, ET). Lower esophageal sphincter muscle damage and intercellular space in the GEJ were less in the treated group than GE. In the esophageal mucosa, the mast cell distribution and the migration of inflammatory cells were lower in the treateded troup than GE in order to ZT, SBT, PT and ET. The antioxidative enzyme, HO-1 was more in the order of ZT, SBT, control group, PT, ET than in GE. ZT was significantly higher than the other groups and SBT was significantly higher than ET. Ghrelin was found to be higher in ZT, ET, SBT and PT than in GE, and ZT was significantly higher than all other groups except ET. Gastrin showed the highest positivity in GE, and was lower in the order of ET, ZT, SBT, PT, and control group. Substance P was the highest in GE, and was lower in the order of ET, ZT, SBT, PT and control group, and PT were significantly lower than ET. Conclusion: ZT, PT and SBT showed superior antioxidative, anti-inflammatory and mucosal protective effects on mouse reflux esophagitis as compared with ET. In particular, ZE was more effective in antioxidant and gastric motility enhancement, while PE was more effective in mucosal protection and anti-inflammatory effects. Sobanhatang is expected to be effective treatment because it has advantages of both drugs and reduces toxicity.

• 대한본초학회지
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• 제34권6호
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• pp.45-55
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• 2019

Objective : Diabetic gastroparesis is a complication that is defined as delayed gastric emptying and upper gastrointestinal symptoms and often occurs in long-standing diabetic patients. Bojungikgi-tang (BJT) is a traditional oriental herbal formula that has long been used for the treatment of digestive disorders. The purpose of this study was to investigate the effects of BJT on streptozotocin (STZ)-induced diabetic gastroparesis rat model. Methods : Sprague-Dawley (SD) male rats (250-270g) were divided into 13 groups including normal group, STZ-induced diabetic control group, BJT diet (7 various concentrations), and insulin-, glibenclamide-, metformin-treated group were used for the experiments for the comparison. Diabetic gastroparesis was induced by intraperitoneal injection of STZ. The water intake, food intake, body weights and fasting blood glucose levels were measured. After 4 weeks the animals were sacrificed and gastrin, leptin, insulin, hemoglobin A1C (HbA1c), lactate, lactate dehydrogenase (LDH), bilirubin, creatinine, albumin and lipid levels were evaluated. Results : Intraperitoneal injection of BJT for 4 weeks resulted in increased levels of gastrin in blood and decreased leptin and lactate concentration in STZ-induced diabetic gastroparesis rat model. BJT did not affect insulin, fasting glucose, HbA1c, and lipid levels in STZ-induced diabetic gastroparesis rat model. Conclusion : These results indicated that BJT would have protect effect on diabetic gastroparesis through the improvement effect of gastric motility and fatigue syndrome in STZ-induced diabetic rats. This study shows that BJT might be effective for treatment of diabetes and its complications such as gastroparesis.

• Journal of Digestive Cancer Research
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• 제5권2호
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• pp.86-90
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• 2017

Background: The aim of this study was to investigate clinicopathologic features of type 3 gastric neuroendocrine neoplasm (NEN) by treatment modality. Methods: The Korean Society of Gastrointestinal Cancer conducted the Korean Gastroenteropancreatic Neuroendocrine Tumor Registry, a retrospective registry database of gastroenteropancreatic neuroendocrine tumors from 16 hospitals in Korea. The normal serum gastrin level range was defined as <100 pg/mL, and gastric NEN patients with normal gastrin level were selected for analysis. Results: Among 358 patients with gastric NEN, 21 (5.9%) patients were classified with type 3 gastric NEN. The median age was 53 years (range 30-74). According to the WHO 2010 classification, 13 (61.9%) patients had grade 1, and 8 (38.1%) patients had grade 2 or 3. Endoscopic treatment was performed in 14 (66.7%) patients, and surgery was performed in 7 (33.3%) patients. The tumor size was smaller in the endoscopic treatment group than in the surgery group (0.6 cm vs 1.3 cm, p=0.006). After treatment, there was one recurrence in the surgery group. Conclusion: In small size Type 3 gastric NEN, endoscopic treatment was associated with a good prognosis, compared to surgery. Thus, endoscopic treatment can be used an alternative modality in selected cases of type 3 gastric NEN.

• Animal cells and systems
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• 제3권2호
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• pp.193-197
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• 1999

A peroxidase-antiperoxidase method was used to detect the cells showing immunoreactivities to six hormone antibodies in the alimentary tracts of six frog species, Rana nigromaculata, R. rugosa, R. amurensis coreana, R. catesbeiana, Bombina orientalis, and Hyla arborea japonica, inhabiting Korea. The cells immunoreactive to gastrin and cholecystokinin-8 were observed in the pylorus of the stomachs and in the small intestines of all frog species examined. In contrast, these somatostatin-immunoreactive cells were identified in the esophagus and the whole gastrointestinal tracts, but were absent from the large intestines in R. rugosa, R. catesbeiana, B. orientalis and H. arborea japonica. The pancreatic polypeptide (PP)-immunoreactive cells represented their distribution limited to the small intestines of R. amurensis coreana and H. arborea japonica, and they were additionally identified in the pylorus of the stomachs in the other four species. Serotonin- and glucagon- Immunoreactive cells revealed different regional distributions in which the former were observed throughout the whole alimentary tracts in all frog species investigated, whereas the latter were not found in these regions at all. Endocrine cells were relatively abundant in the pyloric portion of the stomach compared to other organs. The present study showed that all endocrine cells except for PP had a similar distribution in the alimentary tracts of all frog species used.

• 대한수의학회지
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• 제32권3호
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• pp.333-339
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• 1992

The regional distribution and relative frequency of occurrence of endocrine cells in nine segments of the gastrointestinal(GI) tract of snakehead(Ophicephalus argus) were investigated by immunohistochemical methods using specific antisera against 5- hydroxyptrytamine(5-HT), somatostatin, gastrin/cholecystokinin(GAS/CCK), glucagon, bovine chromogranin, porcine chromogranin and insulin. Four types of immunoreactive cells for 5-HT, somatostatin, GAS/CCK and glucagon were observed in the GI tract. These cells were generally appeared in the mucosal epithelia or located at the interface of the mucosal epithelial layer and intestinal glandular region. 5-HT-immunoreactive(IR) cells were found in segment II, III, IV, V and VI, and the most numerous in segment IV. Somatostatin-IR cells were found in segment II, III, IV and V, and the most numerous in segment III. GAS/CCK-IR cells in segment VI, VII and glucagon-IR cells in segment III, IV, V were detected but a few in these segments. No bovine chromogranin-, porcine chromogranin- and insulin-IR cells were detected throughout the GI tract of the snakehead.