• 한국광학회:학술대회논문집
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• 한국광학회 2005년도 하계학술발표회
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• pp.300-301
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• 2005

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제2권2호
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• pp.169-177
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• 1999

목 적: 소아 만성 B형 간염 환아에서 알파 인터페론의 치료 효과는 보고자마다 차이가 있으나 30~40%로 알려져 있다. 그러나 만성 지속성 B형 간염, 혈청 ALT치가 낮은 경우나 혈청 HBV DNA치가 높은 소아 만성 B형 간염 환자에서 알파 인터페론 단독 투여 시 그 치료 효과는 더 낮다고 보고되고 있다. 이에 저자들은 알파 인터페론 단독 투여 시 치료 효과가 낮다고 알려진 소아 만성 B형간염 환자에 prednisolone 이탈 요법 후 인터페론 병용 투여 시 그 치료 효과를 알아보고자 본 연구를 시행하였다. 대상 및 방법: 1996년 1월부터 1997년 12월까지 전남대학교병원 소아과에 내원하여 만성 B형 간염으로 진단받은 28명을 대상으로 하였다. 대상 환아 중 간 조직 검사 상 만성 활동성 간염을 보이고 혈청 ALT치가 100 IU/L 이상이고 혈청 HBV-DNA치가 100 pg/$300\;{\mu}L$ 미만인 14명(group 1)은 알파 인터페론을 체표면적($m^2$) 당 5백만 단위를 6개월 동안 주 3회 단독 투여하였다. 조직 검사 상 만성 지속성 간염인 경우와 만성 활동성 간염이면서 혈청ALT치가 100 IU/L 미만 또는 혈청 HBV DNA치가 100 pg/$300\;{\mu}L$ 초과한 14명(group 2)은 prednisolone을 60 mg/$m^2$, 40 mg/$m^2$, 20 mg/$m^2$으로 각각 2주씩 6주간 경구 투여하고 2주간 휴약 기간을 가진 후 알파 인터페론을 group 1과 같은 방법으로 투여하였다. 치료에 대한 반응은 인터페론 투여가 종료되는 시점에서 완전반응(항 HBe 항체의 양전화, 혈청 ALT 정상화 및 혈청 HBV-DNA 음성), 부분반응(혈청 ALT 정상화 또는 혈청 HBV-DNA 음성) 및 무반응으로 평가하였다. 결 과: 1) 대상 환아의 평균 연령은 130.6개월(21~192개월)이었고, 남아는 22례, 여아는 6례이었다. 만성 지속성 간염은 11례, 만성 활동성 간염은 17례이었고, 15명의 환아에서 모친이 B형 간염 바이러스 만성 보유자이었다. 2) Group 1에서 평균 연령은 144.1개월(97~169개월), 남아 9명, 여아 5명, 혈청 ALT $299.9{\pm}215.3$ IU/L, HBV-DNA $49.3{\pm}33.1\;pg/300\;{\mu}L$이었고, group 2에서 평균 연령은 112.1개월(21~192개월), 남아 13명, 여아 1명, 만성 지속성 간염 11명, 만성 활동성 간염 3명, 혈청 ALT $85.6{\pm}71.0$ IU/L, HBVDNA $524.3{\pm}1064\;pg/300\;{\mu}L$이었다. 3) Group 1에서 항 HBe 항체 양전은 10례(71.4%) 에서, 혈청 ALT는 9례(64.3%)에서 정상화되었고, HBV-DNA는 11례(78.6%)에서 음성화되었다. Group 2에서 항 HBe 항체 양전은 7례(50.0%)에서, 비정상 수치를 보인 9명의 환아 중 5명(55.6%)이 ALT 의 정상화를 보였고, HBV-DNA는 9례(64.3%)에서 음성화되었다. 두 군간의 항 HBe 항체의 양전율, ALT치의 정상화율, HBV DNA치의 음성화율에 있어서 통계학적으로 유의한 차이는 없었다. 4) Group 1에서 완전반응은 8례(57.1%), 부분반응은 3례(21.4%), 무반응은 3례(21.4%)이었고, group 2 에서는 완전반응 7례(50.0%), 부분반응 2례(14.3%), 무반응 5례(35.7%)으로 두 군간의 통계학적 유의한 차이는 없었다. 결 론: 소아 만성 B형 간염에 대한 치료로 인터페론 단독 요법으로 반응이 좋지 않을 것으로 예측되는 환자군에 스테로이드 이탈 요법 후 인터페론 병합 투여는 안전하고 효과적인 치료법으로 생각된다. 향후 치료 효과의 지속 여부에 대한 지속적인 관찰과 더 많은 환자를 대상으로 한 전향적인 비교 연구가 필요하리라 사료된다.

• Clinical and Experimental Pediatrics
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• 제53권2호
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• pp.136-145
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• 2010

Natural killer T (NKT) cell is a special type of T lymphocytes that has both receptor of natural killer (NK) cell (NK1.1, CD161c) and T cell (TCR) and express a conserved or invariant T cell receptor called $V{\alpha}14J{\alpha}18$ in mice or Va24 in humans. Invariant NKT (iNKT) cell recognizes lipid antigen presented by CD1d molecules. Marine-sponge-derived glycolipid, ${\alpha}-galactosylceremide$ (${\alpha}-GalCer$), binds CD1d at the cell surface of antigen-presenting cells and is presented to iNKT cells. Within hours, iNKT cells become activated and start to secrete Interleukin-4 and $interferon-{\gamma}$. NKT cell prevents autoimmune diseases, such as type 1 diabetes, experimental allergic encephalomyelitis, systemic lupus erythematous, inflammatory colitis, and Graves' thyroiditis, by activation with ${\alpha}-GalCer$. In addition, NKT cell is associated with infectious diseases by mycobacteria, leshmania, and virus. Moreover NKT cell is associated with asthma, especially CD4+ iNKT cells. In this review, I will discuss the characteristics of NKT cell and the association with inflammatory diseases, especially asthma.

• 생약학회지
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• 제31권2호
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• pp.142-148
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• 2000

The purpose of this research was to investigate effects of Samultang water extract (SMT) on cytokine production from immune cells during the late stage of pregnancy in BALB/c mice. SMT(500 mg/kg) was administered p.o. once a day for 7 days, and then thymocytes and peritoneal macrophages were separated. At the late stage of pregnant mice, the proliferation of thymocytes and the production of ${\gamma}-interferon$ in thymocytes were decreased as compared with normal group, but the production of interleukin-2 and interleukin-4 was increased. The production of tumor necrosis $factor-{\alpha}$, nitric oxide and phagocytic activity in peritoneal macrophage was increased as compared with normal group. At the late stage of pregnant mice administered with SMT, the production of interleukin-2 in thymocytes was decreased as compared with a pregnant group, but the proliferation of thymocytes, the production of ${\gamma}-interferon$ and interleukin-4 was increased. The production of tumor necrosis $factor-{\alpha}$ and nitric oxide in peritoneal macrophages were decreased as compared with a pregnant group, but phagocytic activity were increased. These results suggest that SMT has the regulative action on immune function of thymocytes and peritoneal macrophages at the late stage of pregnant mice.

• 혜화의학회지
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• 제23권2호
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• pp.5-13
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• 2015

Objectives : The anti-inflammatory and antioxidant effects of water extracts of Sasangja-tang(SSJ) and Gami-sasangja-tang(GSJ) were investigated. The effects of SSJ and GSJ were compared. Methods : We performed cell viability assay in HaCaT cells and RAW 264.7 cells using 3-(4,5-dimethylthiazol-2-yl)-2, 5 diphenyltetrazolium bromide(MTT) assay. We measured chemokines(regulated on activation normal T-cell expression and secreted ; RANTES/CCL5, interferon-inducible protein; IP-10/CXCL10, macrophage-derived chemokine; MDC/CCL22) in HaCat cells, also we measured cytokines (tumor necrosis factor-${\alpha}$; TNF-${\alpha}$, interleukin-6; IL-6) and nitric oxide(NO) production in RAW 264.7 cells using enzyme-linked immunosorbent assay(ELISA) and NO assay. Western blot assay was used to evaluate the expression for inducible nitric oxide synthase(iNOS) in RAW 264.7 cells. Results : SSJ and GSJ did not affect the cell viability at the concentrations treated ($0-800{\mu}g/ml$). As a result of SSJ and GSJ treatment in HaCat cells stimulated by TNF-${\alpha}$(10 ng/ml) and interferon(IFN)-${\gamma}$(10 ng/ml), the production of RANTES and IP-10 was inhibited significantly. However there was no significant difference in the secretion of MDC. And in RAW 264. 7 cells stimulated by lipopolysaccharide(LPS, $1{\mu}g/ml$), SSJ and GSJ treatment significantly inhibited the secretion of TNF-${\alpha}$ and IL-6 and the production of NO. The expression of iNOS was also decresed by SSJ and GSJ treatment in RAW 264. 7 cells. Compared with SSJ, GSJ was superior to SSJ in inhibition of RANTES, IP-10, TNF-${\alpha}$, IL-6 and NO production at the concentration of $200{\mu}g/ml$. Conclusion : Both SSJ and GSJ have anti-inflammatory and antioxidant effects. And GSJ has better effects than SSJ.

• Tuberculosis and Respiratory Diseases
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• 제70권1호
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• pp.69-73
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• 2011

The combination therapy of pegylated interferon and ribavirin is the mainstay of treatment for chronic hepatitis C patients. Anti-viral therapy is commonly associated with side effects such as headache, fever, myalgia, and arthralgia. However, anti-viral therapy can continue because these side effects are mostly mild and can be improved with supportive management. Anti-viral therapy should be stopped promptly if serious side effects, such as interstitial pneumonitis or hemolytic anemia occur, although those serious side effects are rare. There were a few case reports of interferon-related interstitial pneumonitis worldwide. In Korea, one atypical case report of interstitial pneumonitis has been reported, which followed the combination therapy of interferon-alpha and ribavirin in a patient with chronic hepatitis C. We present a case of interstitial pneumonitis and pancytopenia following the combination therapy of pegylated interferon and ribavirin in a patient with chronic hepatitis C.

• 약학회지
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• 제54권4호
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• pp.232-239
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• 2010

Stems and roots of Acanthopanax koreanum Nakai were extracted with water and treated on immune cells in order to determine their immunomodulatory activites. Various Th-1 type cytokines were measured using ELISA including interleukin (IL)-2, IL-12, interferon-gamma (IFN-$gamma$), and tumor necrosis factor-alpha (TNF-$\alpha$) secreted by dendritic cells, T-cells, intestinal epithelial cells, natural killer cells, and macrophages. As a result, there was a significant increase in IL-12 and IFN-$\gamma$, secretion, but there was no change in the secretion of TNF-$alpha$. Additionally T-cells slightly increased the secretion of IL-2, but there was a significant increase of IL-2 in intestinal epithelial cells. Therefore, our results suggest that A. koreanum Nakai may act as an immunomodulator by stimulating the cell-mediated immunity which can help the immune system defend against infections or cancer cells.

• Toxicological Research
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• 제3권1호
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• pp.55-63
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• 1987

A Peri-and Postnatal Study was Carried out to examine the effects of rHuIFN-${\alpha}A$, produced by gene-manipulated E. coli, on offsprings of Wistar rats. The substance was administered intraperitoneally to dams at dose levels of $1{\times}10^5$, $4{\times}10^5$ and $1.2{\times}10^6$ I.U/kg/day during the period from day 17 of gestation to day 21 after delivery. All the pregnant dams were allowed to deliver naturally, and the postnatal development of the offsprings was observed. No noticeable toxic effects and pathological changes on dams were observed, and no detectable variations in postnatal development of offsprings occured.

• 약학회지
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• 제44권2호
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• pp.182-188
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• 2000

High soy consumption leading to high exposures of soy isoflavones has been associated with a reduced risk of cancers at many sites. As part of a study focusing on the chemopreventive mechanisms, we have investigated the modulating effects of daidzein and genistein, a prominent and more bioavailable isoflavone in soy foods, on murine immune function. Daidzein (50 mg/kg) or genistein (50 mg/kg) was administered p.o. once a day for 7 days in BALB/c mice. Daidzein decreased the mitogen-stimulated proliferation of murine splenocyte, but genistein increased it. Daidzein stimulated the secretion of interleukin-4, but inhibited the secretion of ${\gamma}$-interferon, interleukin-2 and tumor necrosis factor-$\alpha$. Genistein stimulated the secretion of ${\gamma}$-interferon, interleukin-2 and tumor necrosis factor-$\alpha$, but inhibited the secretion of interleukin-4. Daidzein and geiustein inhibited the production of nitric oxide and enhanced the phagocytic activity in peritoneal macrophage. These results suggest that cancer preventive effects of daidzein is partly concerned with the secretion of $T_{H}$2 cells cytokine and the activation of macrophage phagocytosis, and genistein is partly concerned with the secretion of $T_{H}$l cells cytokine, tumor necrosis factor-$\alpha$ and the activation of macrophage phagocytosis.sis.

• Toxicological Research
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• 제3권1호
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• pp.33-44
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• 1987

A fertility study was carried out in Sprague Daxley rats which have been given the intravenous or intraperitoneal injections of rHuIFN-${\alpha}$A, a commecially available therapeutic agent, at dose levels of $1{\times}10^5$, $4{\times}10^5$ and $1.2{\times}10^6$ I.U/kg/day. Male rats were treated with rHuIFN-${\alpha}$A from 60 days before pairing and until the completion of mating. Femal rats received rHuIFN-${\alpha}$A for 22days prior to mating and up to day of gestation. All pregnant females were sacrificed on day 20 of gestation and all fetuses were examined for abnormalities. Both the male and female animals treated with rHuIFN-${\alpha}$A did not show any abnormal responses. No abnormal signs were seen in reproducibility for the rats treated with rHuIFN-${\alpha}$A. No External, internal and skeletal anomalies attributable to rHuIFN-${\alpha}$A were observed in the fetuses. It was concluded that rHuIFN-${\alpha}A$ had no harmful effect on mating, fertilization, implantation, or embryonic development.