• Title/Summary/Keyword: Interstitial fluid

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에오세 경주 A-형 화강암의 기원: 높은 불소 함량에 대한 고찰 (Origin of the Eocene Gyeongju A-type Granite, SE Korea: Implication for the High Fluorine Contents)

  • 명보라;김정훈;우현동;장윤득
    • 자원환경지질
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    • 제51권5호
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    • pp.439-453
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    • 2018
  • 한반도 남동부에 분포하는 에오세 경주 화강암체들은 양산단층과 울산단층을 따라 분포하며, 알칼리장석화강암(AGR), 흑운모화강암(BTGR), 각섬석흑운모화강섬록암으로 분류된다. 지화학적 특성에 따라 이들은 A-형 화강암 (AGR)과 I-형 화강암 (BTGR)로 분류되며, 상부맨틀 내의 같은 모마그마로부터 유래한 것으로 생각된다. AGR의 경우, 유색광물들 (각섬석, 흑운모)이 간극상으로 관찰되는데 이는 AGR 마그마의 결정화 동안 Fluorine (F)이 풍부한 유체가 유입되었을 것으로 생각된다. AGR은 친석원소와 (Sr, Ba 제외) 경희토류원소의 함량이 높으며, 이는 섭입대에서 유래한 유체의 영향으로 생각된다. 에오세 경주 화강암체 중 AGR의 가장 높은 고장력원소 함량과 저어콘포화온도는 마그마 결정분화보다는 부분용융의 영향으로 판단된다. 이들 특징들은 AGR의 높은 F 함량이 섭입슬랩에서 유래한 F이 풍부한 유체와 부분 용융의 영향을 나타내는 것으로 추정할 수 있다. 또한 이러한 결과는 이 연구에서 수행한 희토류원소와 Ba/Th 모델링과도 일치한다. 따라서 이 연구에서는 AGR은 BTGR의 부분용융과 섭입슬랩에서 유래한 F이 풍부한 유체의 유입의 영향이 합쳐져 형성된 것으로 판단하였다.

특발성 간질성 폐렴 환자에서 임상적 지표와 혈청 Angiotensin Converting Enzyme(ACE) 및 Angiotensin II와의 관계 (The Relationship of Serum Angiotensin Converting Enzyme(ACE), Angiotensin II and Clinical Markers in the Idiopathic Interstitial Pneumonia)

  • 경선영;한혜숙;송석호;황준규;임영희;안창혁;박계영;박정웅;정성환;하승연;이재웅
    • Tuberculosis and Respiratory Diseases
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    • 제52권5호
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    • pp.506-518
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    • 2002
  • 연구배경 : 특발성 간질성 폐렴에서 폐섬유화를 일으키는 주된 세포인 섬유아세포를 활성화시키면서 폐포 상피 세포의 세포사멸에 큰 역할을 하는 것으로 알려진 angiotensin II와 antiotensin converting enzyrne(ACE) 혈청 수치를 측정하여, 이들과 환자의 폐기능, 호흡곤란 정도, 기관지폐포세척액에서 세포 분획과의 관계를 알아보고자 하였다. 방 법 : 저자들은 가천의대 길병원에서 특발성 간질성 폐렴으로 진단된 23명의 환자를 대상으로 하였다. 이들 모두에서 내원 당시 혈청 ACE와 angiotensin II를 측정하여 각각을 증가군과 비증가군으로 나누었으며 환자들의 폐기능 검사, 호흡곤란 정도 지수, 기관지폐포세척술상 세포 분획을 측정하여 비교하였다. 결 과 : 전체 환자 23명에서 혈청 ACE 증가군은 14명, 비증가군은 9명이었고, angiotensin II의 경우 증가군이 14명, 비증가군이 9명이였다. DLCO%의 경우 angiotensin II 비증가군이 $64.0{\pm}19.8%$, 증가군이 $51.6{\pm}18.7%$로 증가군에서 유의한 수준으로 감소된 소견을 보였다(p=0.021). 결 론 : 특발성 간질성 폐렴 환자 중 혈청 angiotensin II의 비정상적인 증가가 있는 군에서 폐확산능의 유의한 감소가 보여 angiotensin II의 증가가 폐 섬유화의 진행 과정에서 중요한 역할을 할 것으로 생각되며, 그 기전에 대한 연구가 지속적으로 필요할 것으로 사료된다.

특발성 비특이성 간질성 폐렴 18례의 임상상 및 치료반응 (Clinical Features and Treatment Response in 18 Cases with Idiopathic Nonspecific Interstitial Pneumonia)

  • 강은해;정만표;강수정;안창혁;안종운;한정호;이경수;임시영;서지영;김호중;권오정;이종헌
    • Tuberculosis and Respiratory Diseases
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    • 제48권4호
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    • pp.530-542
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    • 2000
  • 연구배경 : 특발성 폐섬유화증은 병리조직학 소견이 usual interstitial pneumonia(UIP)이면서 치료반응과 예후가 좋지 않은 질환이지만 1994년 처음 보고된 nonspecific interstitial pneumonia(NSIP)는 UIP와는 달리 치료반응 및 예후가 매우 좋아 정확한 감별 진단 및 적극적인 치료가 필요하지만 아직 특발성 NSIP의 임상적 특징 및 치료경과에 대한 보고가 별로 없어 UIP와의 감별이 쉽지 않은 실정이다. 방 법 : 1996년 7월부터 2000년 3월까지 성균관의대 삼성서울병원에서 외과적 폐생검을 통해 미만성 간질성 폐질환으로 확진된 120명 중 총 18례의 특발성 NSIP에 대한 임상적 특징 및 치료 경과를 의무기록 조사 및 방사선학적 분석을 통해 후향적으로 평가하였다. 결 과 : 1) 진단당시의 임상적 특징 18명의 환자중 17명이 여자였고 평균 연령은 $55.2{\pm}8.4$세(44~73세)였으며 호흡곤란 및 기침 이외에 발열이 6명의 환자에서 판정되었다. 이학적검사상 곤봉지는 1명에서만 관찰되었고 증상 발현후 병원을 찾기까지의 기간은 $7.3{\pm}16.9$개월, 외과적 폐생검까지의 기간은 $9.9{\pm}17.1$개월이었다. BAL 검사상 림프구가 $23.0{\pm}13.1%$로 증가되어 있었고 흉부 HRCT 소견상 봉와양 음영은 전혀 관찰되지 않으면서 간유리 음영 및 불규칙 선상 음영이 주로 관찰되었다. 2) 치료약제 및 부작용 13명이 스테로이드로 먼저 치료를 시작하였고 5명은 경구 cyclophosphamide 단독으로 치료를 시작하였다. 스테로이드로 치료를 시작한 13명 종 3명은 치료개시 1달 이내에 심각한 부작용으로 스테로이드 복용을 중단하여 2명은 경구 cyclophosphamide로 전환하여 치료를 계속할 수 있었으나 스테로이드 유발성 정신병이 유발된 1명은 향후 모든 치료를 포기하였다. 스테로이드로 치료를 계속 받은 10명에서는 대상포진 3례, 백내장 2례, 결핵 1례, 대퇴골 허혈 괴사 1례, 당뇨 1례 등이 유발되었고 7명의 경구 cyclophosphamide 복용 환자에서는 출혈성 방광염 1례, 대상포진 1례, 반복성 질염 1례 등이 부작용으로 나타났다. 3) 약물 치료후 반응 치료 시작후 $24.1{\pm}11.2$개월간 추적 관찰한 결과, 스테로이드를 복용한 10명 중 9명이 호전, 1명이 안정 상태를 보였고 경구 cyclophosphamide를 복용한 7명에서는 5명이 호전, 2명이 안전 상태를 보였다. 폐기능검사상 FVC(n=15)는 예측치 절대값으로 $20.2{\pm}11.2%$가 증가하였고 흉부 HRCT 소견상 간유리 음영의 면적(n=15)은 절대값으로 $15.7{\pm}14.7%$가 감소하였으며 추적검사상 봉와양 음영이 나타난 환자는 전혀 없었다. 4) 약물 치료 중단후 재발 호전후 약물 치료를 중단하였던 14명 중 5명이 재발하였고 2명은 스테로이드 감량중 악화되었다. 재발한 4명은 치료 중단 6개월 이내에, 1명은 10개월째에 재발하였고 치료 중단 1년내에 재발이 없었던 4명의 환자는 이후에도 재발의 증거가 전혀 없었다. 추적 관찰 기간($24.1{\pm}11.2$개월)중에 사망한 환자는 1명도 없었다. 결 론 : NSIP는 뚜렷한 임상적 특징과 좋은 치료 반응을 보이므로 예후가 좋지 않은 UIP와 적극적으로 감별하여 치료를 시행해야 할 것으로 사료된다.

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Dose-response Effects of Bleomycin on Inflammation and Pulmonary Fibrosis in Mice

  • Kim, Soo-Nam;Lee, Jin-Soo;Yang, Hyo-Seon;Cho, Jae-Woo;Kwon, Soon-Jin;Kim, Young-Beom;Her, Jeong-Doo;Cho, Kyu-Hyuk;Song, Chang-Woo;Lee, Kyu-Hong
    • Toxicological Research
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    • 제26권3호
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    • pp.217-222
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    • 2010
  • Many studies have reported that bleomycin, anti-cancer drug, induces pulmonary fibrosis as a side effect. However, few investigations have focused on the dose-response effects of bleomycin on pulmonary fibrosis. Therefore, in the present study, we investigated the effects of different doses of bleomycin in male mice. ICR mice were given 3 consecutive doses of bleomycin: 1, 2, or 4 mg/kg in bleomycin-treated (BT) groups and saline only in vehicle control (VC) groups. The animals were sacrificed at 7 and 24 days postinstillation. The severity of pulmonary fibrosis was evaluated according to inflammatory cell count and lactate dehydrogenase (LDH) activity in the broncho alveolar lavage fluid (BALF), and lung tissues were histologically evaluated after hematoxylin and eosin (H&E), and Masson's trichrome staining. BT groups exhibited changed cellular profiles in BAL fluid compared to the VC group, which had an increased number of total cells, neutrophils, and lymphocytes and a modest increase in the number of macrophages at 7 days post-bleomycin instillation. Moreover, BT groups showed a dose-dependent increase in LDH levels and inflammatory cell counts. However, at 24 days after treatment, collagen deposition, interstitial thickening, and granulomatous lesions were observed in the alveolar spaces in addition to a decrease in inflammatory cells. These results indicate that pulmonary fibrosis induced by 4 mg/kg bleomycin was more severe than that induced by 1 or 2 mg/kg. These data will be utilized in experimental animal models and as basic data to evaluate therapeutic candidates through non-invasive monitoring using the pulmonary fibrosis mouse model established in this study.

돼지의 Perirenal Edema의 자연발생예(自然發生例)와 실험적발생예(實驗的發生例)의 병리학적소견(病理學的所見) (Histopathological Observations of the Natural Case and Experimental Occurence of Perirenal Edema in Pig)

  • 조성환;이차수
    • 대한수의학회지
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    • 제24권2호
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    • pp.173-181
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    • 1984
  • This paper dealt with the histopathological observations of the perirenal edema in pigs and rabbits administered with Amaranthus retroflexus, based on the clinical and pathological observations of the porcine perirenal edema naturally occurred in Korea. The results observed are summarized as follows; In the natural case, clinical signs were trembling, weakness and incoordination of the hindquarters, followed by sternal recumbency, coma and death. Death usually occurred within 24 hours after the signs of illness appeared. In gross findings, the grayish yellow fluid in the perirenal area was observed in each case. In some cases, the amount of fluid in the thoracic and abdominal cavities was increased and the yellowish red color of the hydrothorax and ascites was seen. When the renal capsule was incised, the kidneys were enlarged and congested and petechiae on the cortical surface and blood clots on the capsule appeared. In microscopical findings, there were cloudy swelling, hyaline droplets and necrosis of the convoluted tubules containing proteinaceous casts and a few oxalate crystals. In addition, interstitial and perivascular edema, distention of the Bowman's space and the convluted tubules and hemorrhages were recognized. In the weanling pigs and the adult pig fed various weeds, including Amaranthus retroflexus, Euxolus blitum and Portulaca oleracea, the pigs fed Amaranthus retroflexus appeared clinical signs and pathological findings of perirenal edema usually seen in the pigs of natural cases. In the pigs fed Euxolus blitum or fed Portulaca oleracea, neither clinical signs nor pathological changes were seen. It was regarded that this disease was affected with Amaranthus retroflexus, but there was no sensitivity in the adult pigs.

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개의 호산구성 폐침윤증 일례 (A Case of Pulmonary Infiltration with Eosinophils (PIE) in a Dog)

  • 손성목;강지훈;한상철;나기정;장동우;모인필;양만표
    • 한국임상수의학회지
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    • 제20권4호
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    • pp.496-500
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    • 2003
  • A one-year-old male Japanese Chin with anorexia, retching, dyspnea and continuous coughing was brought to the Veterinary Teaching Hospital, Chungbuk National University. Chest radiographs showed moderate regional alveolar pattern with mild interstitial patterns in the caudo-dorsal lung fields and the ill-defined mass in the perihilar area which is consistent with perihilar lymphadenopathy. Although the dog showed severe eosinophilia in the complete blood count, the serum profile values were within normal ranges. There was no indication of any parasite infestation in the direct and floatation examination of feces, skin scraping test and heartworm examination. There was no growth of bacteria and fungi in the selected media such as Mueller Hinton broth, Sabouraud Dextrose agar and Potato Dextorse agar, which were inoculated with tracheal fluid collected using endotracheal tube and cultured for 3 days. In the tracheal fluid smear, most prominent cells were eosinophils, which are a almost 80% of total cells and other cells such as leukocytes, neutrophils and ciliated colummar cells were also observed. Any parasite was also not detected in its smear. Prednisolone (PDS; 1 mg/kg, BID SC), aminophylline (10 mg/kg, TID IV) and nebulization with gentamicin (50 mg) plus saline (3 ml) were given for 1 week. At 3rd day of treatment, blood eosinophil value was return to normal range and pulmonary condition was also improved. The allergen test with serum performed during therapy was positive in the 19 index including milk, barley, tomato pomace, catfish, bonito, house dust and wool, and borderline in 10 index including wheat, house dust mites and house fly. The patient is responding well to PDS therapy. Based on these findings, a possible diagnosis of pulmonary infiltration with eosinophils was made in this dog.

Idiopathic acute eosinophilic pneumonia in a 14-month-old girl

  • Park, Ha Neul;Chung, Bo Hyun;Pyun, Jung Eun;Lee, Kwang Chul;Choung, Ji Tae;Lim, Choon Hak;Yoo, Young
    • Clinical and Experimental Pediatrics
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    • 제56권1호
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    • pp.37-41
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    • 2013
  • Idiopathic acute eosinophilic pneumonia (IAEP), characterized by acute febrile respiratory failure associated with diffuse radiographic infiltrates and pulmonary eosinophilia, is rarely reported in children. Diagnosis is based on an association of characteristic features including acute respiratory failure with fever, bilateral infiltrates on the chest X-ray, severe hypoxemia and bronchoalveolar lavage fluid >25% eosinophils or a predominant eosinophilic infiltrate in lung biopsies in the absence of any identifiable etiology. We present a 14-month-old girl who was admitted to our pediatric intensive care unit because of acute respiratory distress. She had a fever, dry cough, and progressive dyspnea for 1 day. Chest X-ray showed multifocal consolidations, increased interstitial markings, parenchymal emphysema and pneumothorax. IAEP was confirmed by marked pulmonary infiltrates of eosinophils in the lung biopsy specimen. Most known causes of acute eosinophilic pneumonia, such as exposure to causative drugs, toxins, second-hand smoking and infections were excluded. Her symptoms were resolved quickly after corticosteroid therapy.

Histopathological features and viral genome detection in caprine arthritis encephalitis virus infected dairy goats in Korea

  • Son, Gain;Cho, Eun-Sang;Shin, Hyun-Jin;Son, Hwa-Young
    • 한국동물위생학회지
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    • 제40권3호
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    • pp.161-168
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    • 2017
  • Caprine arthritis encephalitis (CAE) virus is a causative agent of caprine arthritis-encephalitis. In our previous study we reported a prevalence of CAE. In this study, we described the further detailed pathological features of CAE and examined the detection of virus by in situ hybridization (ISH). Histopathologically, interstitial pneumonia and bronchopneumonia in lung, focal inflammation in mammary glands, perivascular cuffing in brain, arthritis, and focal necrosis, mild steatosis, inflammatory cell infiltration of liver were noted. CAEV proviral-DNA was identified by nested polymerase chain reaction (PCR) in blood cells, brain, synovial fluid, and lymph node. Confirmation by nested PCR involved amplification of a 296 bp ($1^{st}$ PCR) and 185 bp ($2^{nd}$ PCR) fragments corresponding to a conserved region on the gag gene of CAEV. Positive ISH signals were detected in the brain and liver. In conclusion, significant histopathological findings included parenchymal infection in various organs, including the lung, liver, brain, joint, and mammary gland were noted in the CAEV infected dairy goat. ISH can help confirm the diagnosis of CAE in formalin-fixed samples.

뇌심근염 바이러스의 실험적 감염자돈에 대한 병리학적 소견과 바이러스 항원의 면역조직화학적 검출 (Immunohistochemical detection of viral antigen and pathological lesion in piglets experimentally infected with encephalomyocarditis virus)

  • 조성환;주한수;김현수
    • 대한수의학회지
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    • 제33권2호
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    • pp.301-308
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    • 1993
  • Three or 7day old piglets were infected experimentally with different encephalomyocarditis virus isolates to detect the viral antigen by the immunoperoxidase technique and to observe strain difference in their pathogenecity in newborn pigs by comparing clinical signs and pathologic lesions. Clinical signs of the infected pigs were different depending on the virus strain, pig age and infection route. Encephalomyocarditis virus(EMCV) NVSL-PR isolate was more pathogenic than MN-25 and MN-30 isolate. Three day old piglets showed more severe illness than 7 day old piglets. Predominant clinical signs were sudden death without noticeable clinical signs and dyspnea manifested as heavy abdominal breathing. Contact-infection from infected piglets to controls was observed in the oro-nasally infected group but not the intramuscular group. Common necropsy findings of dead piglets in both age groups infected with MN-25 and NVSL-PR were accumulation of excessive fluid in the body cavities and mild to diffuse necrotic areas observed in the hearts and occasionally in the livers. Microscopically, myocarditis with inflammatory cell infiltration, necrosis of the myocardial muscle fibers and occasional mineralization were observed along with interstitial pneumonia and centrolobular necrosis in the liver. Using an immunoperoxidase technique, viral antigen was detected in myocardial muscle fibers of piglets infected with EMCV.

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Mechanisms of Amyloid-β Peptide Clearance: Potential Therapeutic Targets for Alzheimer's Disease

  • Yoon, Sang-Sun;AhnJo, Sang-Mee
    • Biomolecules & Therapeutics
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    • 제20권3호
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    • pp.245-255
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    • 2012
  • Amyloid-${\beta}$ peptide ($A{\beta}$) is still best known as a molecule to cause Alzheimer's disease (AD) through accumulation and deposition within the frontal cortex and hippocampus in the brain. Thus, strategies on developing AD drugs have been focused on the reduction of $A{\beta}$ in the brain. Since accumulation of $A{\beta}$ depends on the rate of its synthesis and clearance, the metabolic pathway of $A{\beta}$ in the brain and the whole body should be carefully explored for AD research. Although the synthetic pathway of $A{\beta}$ is equally important, we summarize primarily the clearance pathway in this paper because the former has been extensively reviewed in previous studies. The clearance of $A{\beta}$ from the brain is accomplished by several mechanisms which include non-enzymatic and enzymatic pathways. Nonenzymatic pathway includes interstitial fluid drainage, uptake by microglial phagocytosis, and transport across the blood vessel walls into the circulation. Multiple $A{\beta}$-degrading enzymes (ADE) implicated in the clearance process have been identified, which include neprilysin, insulin-degrading enzyme, matrix metalloproteinase-9, glutamate carboxypeptidase II and others. A series of studies on $A{\beta}$ clearance mechanism provide new insight into the pathogenesis of AD at the molecular level and suggest a new target for the development of novel therapeutics.