• Archives of Pharmacal Research
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• 제21권4호
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• pp.363-369
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• 1998

Glutathione S-transferase placental form (GST-P) positive foci development and its expression in liver exposed by nongenotoxic carcinogens phenobarbital (PB) and clofibrate (CF), and genotoxic carcinogen 2-amino-3-methylimidazo[4,5-f] quinoline (IQ) were investigated as a measure of carcinogenic potential of these chemicals. Male F344 rats were initially given a single intraperitioneal injection of diethyinitrosamine (200 mg/kg), and 2 weeks later, animals were fed diets containing 0.03% IQ or 0.5% CF or 0.05% PB or basal diet as a control for 6 weeks. All rats were subjected to two-thirds partial hepatectomy (PH) at week 3. Sequential sacrifice of rats was performed at 8 weeks or 52 weeks, and liver tissues were examined for immunohistochemical staining of GST-P positive foci. The numbers (No./$cm^2$) and areas ($mm^2$/ $cm^2$) of GST-P positive foci were increased by IQ or PB, but were decreased by CF compare to the control. Consistent with the development of GST-P positive foci, a time-related increase in the expression of GST-P mRNA was found in the rats treated with IQ, whereas CF decreased it. The incidence of hepatocellular carcinoma at 52 weeks was increased by all three chemicals. These results show that PB and IQ induced GST-P positive foci, but the peroxisome proliferator CF did not, which suggest that the prediction of carcinogenic potency based on the development of prenoplastic foci may cause false negative in a particular category compounds like peroxisome proliferators.

• Toxicological Research
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• 제14권4호
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• pp.475-481
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• 1998

This study was performed to investigate the modifying effect of the general (GPA) and the fermented pilose antler (FPA) on experimental hepatocarcinogenesis and Natural Killer cell activity in rats. Specific pathogen free, 5-week male Sprague-Dawley rats were divided into four groups. To induce hepatocarcinogenesis, diethylnitrosamine (DEN, 200 mg/kg, i.p.) was used as a tumor initiator and was given in a single dose at experimental onset. All rats were given a partial hepatectomy (PH) at 3 weeks after experimental onset. Sodium phenobarbital (PB, 0.05% in diet), GPA (0.075% in diet) and FPA (0. 075% in diet) were given from 2 to 8 weeks. Group I of the initiation control group was only given DEN. As initiation-promotion group, Group II was given DEN and then PB. Group III and IV were given DEN-PB-GPA and DEN-PB-FPA, respectively. In hematological analysis, as compared with Group I. the number of white blood cells were significantly increased in the GPA (p<0.01) and the FPA treated group (p<0.05), respectively. Natural killer (NK) cell activity by flow cytometer (FCM) analysis was higher in group of treated with the GPA (35%) than that of the FPA (27.5%), but not significant. Result of the immunohistochemical staining of the glutathione S-transferase placental form (GST-p) indicated that the number of and area of the pre-neoplastic lesions was not significantly changed in Group III and IV compared Group II, respectively. In conclusion, the GPA and the FPA treatment significantly increased the number od WBC in peripheral blood, but the enhancing NK activity and the modifying effect on the experimental hepatocarcinogenesis were not observed.

• Biomolecules & Therapeutics
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• 제3권4호
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• pp.279-287
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• 1995

This study examined the anti-cancer effects of diallyl sulfide(DAS) and/or diallyl disulfide(DDS), major components of garlic oil, with the DEN-PH model in rats, by the numbers and areas per cm$^2$ of induced glutathion S-transferase placental form(GST-P) positive foci and silver-stained nucleolar organizer regions(Ag-NORs) counts per nuclei in liver as indicator. Sprague-Dawley(SD) rats were given the diethylnitrosamine(DEN, 200 mg/kg, i.p.) as initiator and 2 weeks later, in experiment 1, rats were treated with DAS(200 mg/kg, i.g.) and/or DDS(50 mg/kg, i.g.) for 6 weeks, respectively and concomitantly and also were given the same dose of DAS and/or DDS prior to DEN treatment for 2 weeks, and in experiment II, rats were treated with potential cancer promoter, 2-acetylaminofluorene (2-AAF, 20 mg/kg, i.g.). The DAS and/or DDS were treated prior to 2-AAF for 8 weeks, respectively and concomitantly. Then the anti-promoting effects of DAS and/or DDS were assessed. All rats were subjected to the two-thirds partial hepatectomy(PH) at week 3 and sacrificed at week 8. In experiment I, DAS and/or DDS treatment only prior to DEN showed inhibition of the development of GST-P positive foci. In experiment II, DAS and/or DDS treatment prior to 2-AAF promotion showed obvious inhibition of the development of GST-P positive foci in numbers and areas and AgNORs counts. In conclusion, We found DAS and/or DDS had the preventive effects on the hepatocarcinogenesis in rats and the concomitant treatment had some additive effects compared with the each treatment and AgNORs counts correlated well with the preneoplastic hepatic lesion.

• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.235-243
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• 2022

Background: Intrahepatic cholangiocarcinoma (ICC) of the left liver often shows left-sided lymph node (LN) metastasis. If gastric lesser curvature is extensively dissected, it can induce an iatrogenic injury to the extragastric vagus nerve branches that control motility of the pyloric sphincter and lead to gastric stasis. To cope with such LN dissection-associated gastric stasis, we performed pyloroplasty preemptively. The objective of this study was to analyze our 20-year experience of preemptive pyloroplasty performed in 10 patients. Methods: We investigated clinical sequences of 10 patients with ICC who underwent preemptive pyloroplasty following left hepatectomy and extended left-sided LN dissection. Incidence of gastric stasis and oncological survival outcomes were analyzed. Results: All 10 patients were classified as stage IIIB due to T1-3N1M0 stage according to the 8th edition of American Joint Committee on Cancer staging system. The overall patient survival rate was 51.9% at 1 year, 25.9% at 2 years, and 0% at 3 years. Seven patients showed uneventful postoperative recovery after surgery. Two patients suffered from gastric stasis, which was successfully managed with supportive care. One patient suffered from overt gastric paresis, which was successfully managed with azithromycin administration for 1 month. Conclusion: We believe that preemptive pyloroplasty is an effective surgical option to prevent gastric stasis in patients undergoing extensive left-sided LN dissection. Azithromycin appears to be a potent prokinetic agent in gastroparesis.

• 한국간담췌외과학회지
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• 제27권1호
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• pp.6-19
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• 2023

A systematic review was conducted in compliance with PRISMA statement standards to identify all studies reporting outcomes of laparoscopic resection of benign or malignant lesions located in caudate lobe of liver. Pooled outcome data were calculated using random-effects models. A total of 196 patients from 12 studies were included. Mean operative time, volume of intraoperative blood loss, and length of hospital stay were 225 minutes (95% confidence interval [CI], 181-269 minutes), 134 mL (95% CI, 85-184 mL), and 7 days (95% CI, 5-9 days), respectively. The pooled risk of need for intraoperative transfusion was 2% (95% CI, 0%-5%). It was 3% (95% CI, 1%-6%) for conversion to open surgery, 6% (95% CI, 0%-19%) for need for intra-abdominal drain, 1% (95% CI, 0%-3%) for postoperative mortality, 2% (95% CI, 0%-4%) for biliary leakage, 2% (95% CI, 0%-4%) for intra-abdominal abscess, 1% (95% CI, 0%-4%) for biliary stenosis, 1% (95% CI, 0%-3%) for postoperative bleeding, 1% (95% CI, 0%-4%) for pancreatic fistula, 2% (95% CI, 1%-5%) for pulmonary complications, 1% (95% CI, 0%-4%) for paralytic ileus, and 1% (95% CI, 0%-4%) for need for reoperation. Although the available evidence is limited, the findings of the current study might be utilized for hypothesis synthesis in future studies. They can be used to inform surgeons and patients about estimated risks of perioperative complications until a higher level of evidence is available.

• 한국간담췌외과학회지
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• 제28권2호
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• pp.115-124
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• 2024

To compare the outcomes of low central venous pressure (CVP) to standard CVP during laparoscopic liver resection. The study design was a systematic review following the PRISMA statement standards. The available literature was searched to identify all studies comparing low CVP with standard CVP in patients undergoing laparoscopic liver resection. The outcomes included intraoperative blood loss (primary outcome), need for blood transfusion, mean arterial pressure, operative time, Pringle time, and total complications. Random-effects modelling was applied for analyses. Type I and type II errors were assessed by trial sequential analysis (TSA). A total of 8 studies including 682 patients were included (low CVP group, 342; standard CVP group, 340). Low CVP reduced intraoperative blood loss during laparoscopic liver resection (mean difference [MD], -193.49 mL; 95% confidence interval [CI], -339.86 to -47.12; p = 0.01). However, low CVP did not have any effect on blood transfusion requirement (odds ratio [OR], 0.54; 95% CI, 0.28-1.03; p = 0.06), mean arterial pressure (MD, -1.55 mm Hg; 95% CI, -3.85-0.75; p = 0.19), Pringle time (MD, -0.99 minutes; 95% CI, -5.82-3.84; p = 0.69), operative time (MD, -16.38 minutes; 95% CI, -36.68-3.39; p = 0.11), or total complications (OR, 1.92; 95% CI, 0.97-3.80; p = 0.06). TSA suggested that the meta-analysis for the primary outcome was not subject to type I or II errors. Low CVP may reduce intraoperative blood loss during laparoscopic liver resection (moderate certainty); however, this may not translate into shorter operative time, shorter Pringle time, or less need for blood transfusion. Randomized controlled trials with larger sample sizes will provide more robust evidence.

• 한국간담췌외과학회지
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• 제26권1호
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• pp.98-103
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• 2022

Backgrounds/Aims: This study aimed to evaluate clinical application of InnoSEAL Plus (a mussel-inspired catecholamine hemostat) as a new hemostatic material for humans. Methods: Patients treated with topical hemostatic patches after liver resection were enrolled. They were divided into an experimental group (InnoSEAL Plus group) and two control groups (TachoSil^® group and Surgicel Fibrillar^® group) for efficacy evaluation. Results: A total of 15 patients were enrolled. Each group had five patients. The 3-minute hemostasis success rate was 80.0% (4/5 patients) in the InnoSEAL Plus group, 80.0% (4/5 patients) in the TachoSil^® group, and 40.0% (2/5 patients) in the Surgicel Fibrillar^® group, showing no significant difference in the success rate among these groups (p > 0.05). All three groups exhibited 100% success rate for 10-minute hemostasis. Both InnoSEAL Plus and TachoSil^® groups had one patient developing adverse events, which were treated easily with drug administrations. Conclusions: InnoSEAL Plus is expected to be functionally not inferior to other conventional hemostatic agents. However, it is necessary to confirm this through multicenter prospective studies in the future.

• 한국간담췌외과학회지
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• 제26권4호
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• pp.407-411
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• 2022

Mesenchymal hamartoma of the liver (MHL) is a rare benign tumor that often presents in early childhood, and it rarely occurs in adulthood. Aberrant development of the portal tract is a known cause of MHL. Although limited information is available on the natural course of MHL, malignant transformation has been reported in a few cases. Here, we report a case of a 26-year-old female with intrahepatic cholangiocarcinoma secondary to unresected MHL. The patient underwent resection of the hepatic mass, which was diagnosed as MHL at 2 years of age, due to an increase in mass size and a suspicion of malignant transformation during work-up. Histopathology confirmed intrahepatic adenosquamous carcinoma in the background of MHL, with a T2N0M0 pathological stage (stage II). The surgical margin was free from tumor cells. The patient fully recovered postoperatively and started receiving adjuvant chemotherapy. Previous case reports have only reported about the development of undifferentiated embryonal sarcoma or angiosarcoma as malignant transformation of MHL. Cases of other malignancies have not been published; however, it is difficult to rule out the occurrence of various malignancies related to the portal tract when considering the pathogenesis of the disease. To the best of our knowledge, this is the first case report of adenocarcinoma of bile duct origin secondary to MHL. This case report suggests that aggressive surgical management should be considered after the initial diagnosis of MHL.

• 한국식품위생안전성학회지
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• 제8권1호
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• pp.37-53
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• 1993

옥수수에 자연 발생하는 F. monliforme MRC 826을 옥수수에 배양하여 배양물에 존재하는 fumonisin $B_{1}$을 정성검사 한 후, 배양물질의 독성 및 발암성을 aflatoxin $B_{1}$과 비교하여 보았다. 독성 시험은 3주령의 Sprague-Dawley(SD) 암컷 랫드 10마리를 각 군당 5마리씩 2개 군으로 나누어 제1군은 시험 군으로 배양물질을 분말사료와 1 : 1로 혼합하여 1주간 급여하였고, 제 2군은 대조군으로 분말사료만을 급여하면서 실험하였다. 시험군은 급여 3~4일경부터 침울해 보였으며, 랫드 1마리당 1주간 평균 사료 섭취량은 24 g이었고, 평균 체중은 18 g 감소하였다. 부검 시 신장의 피막박리가 곤란하였고 조직 검사 결과 간장의 공포변성에 신장 세뇨관 상피세포의 괴사등의 관찰되었다. 발암성 검사 6주령의 SD 수컷 랫드 70마리를 사용하여 중기 발암성 검색법인 diethylnitrosamine-partial hepatectomy (DEN-PH) 모델로 시험하였다. 시험군은 각 군당 14마리씩 총 5개군을 두었으며 실험 0일 때 DEN을 복상내로 투여하였고, 2주후에 제 1군(양성대조군)은 aflatoxin $B_{1}$을 2ppm 농도로 첨가한 사료를, 제4군 옥수수를 5% 농도로 첨가한 사료를, 제 5군은 옥수를 2.5% 농도로 첨가한 사료를 각각 6주간 급여하였다. 실험 3주간에 간 부분 절제술을 시술하였고, 8주간 체중변화, 사료섭취량 음수량을 측정한 후 부검하여 간장은 glutathione S-transferase placental form (GST-P) 면역조직화학적 염색을 실시하였고, 뇌, 뇌하수체, 융선, 폐, 부신, 신장, 심장, 비장, 정낭선, 고환 및 간장 등은 H&E 염색을 하여 병변을 관찰하였다. GST-P 염색결과 5% 배양물질 투여군은 aflatoxin $B_{1}$투여군과 유사하게 GST-P 양성병소의 발현율이 대조군에 비하여 유의성 있는 증가를 보였다. 5% 배양물질 투여군 및 2.5% 배양물질 투여군은 옥수수 투여군에 비하여 증체율의 저하가 관찰되었고, 5% 배양물질 투여군에서 간, 신장, 고환 및 정낭선등의 체중에 대한 상대중량비, 혈액요소질소와 평균 적혈구 혈색소량 등은 옥수수 투여군에 비하여 유의성 있는 변화가 관찰되었다. 이상의 결과들을 종합해 볼 때 F. monliforme MRC 826 배양물질은 랫드의 간과 신장에 독성을 나타내었고, aflatoxin $B_{1}$과 마찬가지로 간암 촉진효과가 있는 것으로 판단되었다.

• 대한약리학회지
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• 제24권2호
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• pp.233-240
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• 1988

복잡한 시료-전처리과정을 배제하여 간편하고 선택적이며 예민한 polyamine 측정방법으로써 4-fluoro-3-nitrobenzotrifluoride (FNBT)유도체 및 단일이동상을 이용하는 역상의 고속액체 크로마토 그래피 (HPLC) 방법과 아울러 이 방법을 이용한 흰쥐의 재생성간내 polyamine대사의 변동에 관한 관찰-결과를 요약하면 다음과 같다. 1. 간내-polyamine은 0.4M perchloric acid에 추출한 후 Spragg와 Hutchings의 방법에 따라서 FNBT로 N-2'-nitro-4'-trifluoromethylphenyl polyamine (NTP-polyamine) 유도체를 만들고 이를HPLC로 분석 하였다. 2. HPLC-분석은 ERC ODS-1161 (3 um, $6{\times}100$ mm) column에서 분당 1.2ml 속도의 단일-이동상(acetonitril 80%의 물)으로 분리 하며 파장 242 nm로 검출-정량하였다. 3. HPLC-분석은 시료당 약20분이 소요되었는데, 크로마토그래피의 계치들에 있어서 각polyamine의 capacity factor는 putrescine: 4.12, spermidine: 9.25, 및 spermine: 18.75로써 완전한 분리도를 보였으며, 검량한계는 10 picomole이하의 높은 예민도를 나타내었고, 시료처리-과정의 회수율은 약 12.1-88.5%로써 비교적 안정하였다. 4. Higgins와 Anderson의 방법에 따라서 흰쥐의 간을 부분-절제한 결과 $70.4{\pm}1.99%$가 절제되고 $29.7{\pm}1.45%$가 남게 되었으며, 수술후 48시간 후에 남은 간은 생리식염수-처치군 및 methylglyoxal bis (guanylhydrazone) dihydrochloride (MGBG)-처치군에서 각각 수술 전 간의$52.1%$ 및 $53.3%$로 회복되었다. 5. 정상 간의 polyamine 함량은 각각 putrescine: $158.7{\pm}14.1$, spermidine: $829.7{\pm}36.4$, 및 spermine: $875.6{\pm}42.1$ nanomole/g wet liver이었고 ; 부분-절제하고 남은 간의 polyamine의 수술후변동에 있어서, 생리식염수-처치군의 putrescine과 spermine은 6시간까지의 유의한 증가를 보인다음 48시간에 정상치로 회복되었으나 spermidine은 48시간까지도 계속 증가하여 $2004.9{\pm}170.4nanomole/g$ wet liver가 되었다. MGBG-처치군의 spermidine 및 spermine 함량은 생리식염수군의 변동과 유사하였으나 putrescine의 함량은 6시간의 증가 후 계속 증가하여 48시간에는 $1806.5{\pm}159.4$ nanomole/g wet liver가 되었다. 이상의 성적으로 미루어 볼 때, 위의 단일 이등상의 역상-MPLC방법은 생체의 polyamine 정량분석을 위한 간편하고 예민하며 매우 선택적인 것으로 사료된다.