• 공업화학
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• 제27권6호
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• pp.599-605
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• 2016

최근 효과적인 암 치료 방법으로 광역학치료(photodynamic therapy)와 광열치료(photothermal therapy)가 주목받고 있다. 본 연구에서는 광열치료에 필요한 광열인자로써의 역할을 할 수 있는 골드 나노로드(AuNR)를 합성하고, 그 표면에 광역학치료를 위한 광증감제(photosensitizer)를 결합하였다. 즉, 골드 나노로드를 체내에 오래 머무르도록 하기 위해 PEG(polyethylene glycol) 및 효과적인 암 표적지향성을 위해 FA (folic acid) 리간드를 도입하였고, FA-PEG와 poly-${\beta}$-benzyl-L-aspartate (PBLA)로 이루어진 블록 공중합체를 3,4-dihydroxy hydrocinnamic acid (HCA) linker를 사용하여 골드 나노로드의 표면개질을 하였다. 또한 $AgNO_3$의 feeding ratio 변화를 통해 다양한 aspect ratio를 갖는 골드 나노로드를 합성하였고, UV-visible spectrophotometer, $^1H$-NMR, XPS, TEM 분석을 통해 FA-PEG-$P(Asp)_{50}$-HCA-AuNR100의 물리 화학적 특성과 morphology를 분석하였고, 성공적인 표면 개질을 확인할 수 있었다. 골드 나노로드의 표면 개질을 통한 생체 적합성 약물전달체의 합성은 효과적인 암 진단 및 다양한 광역학/광열치료 분야에 응용이 될 수 있을 것으로 기대된다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.2271-2275
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• 2016

Background: The value of 5-aminolevulinic acid (ALA) in fluorescence detection of peritoneal metastases and the underlying mechanisms were evaluated in patients with peritoneal surface malignancies. Materials and Methods: Oral 5-ALA was administered at a concentration of 20 mg/kg body weight with 50 ml of water 2 hours prior to surgery (n=115). The diagnostic value of 5-ALA based fluorescence production was evaluated following white light inspection during prior to cytoreductive surgery and hyperthermic intraperitoneal chemotherapy. Then, peptide transporter PEPT1 (ALA influx transporter) and ATP-binding cassette transporter ABCG2 (porphyrin efflux transporter) gene expression was determined with quantitative real time (qRT)-PCR and pathological diagnoses confirmed for all tissue samples. Results: The 5-ALA based photodynamic detection rate was 17% for appendiceal mucinous neoplasms, 54% for colorectal cancers, 33% for gastric cancers, 67% for diffuse malign peritoneal mesotheliomas, and 89% for epithelial ovarian cancer of peritoneal metastases. 5-ALA was detected in all cases of peritoneal metastases originating from cholangiocarcinomas whereas it was not able to detect any in granulosa cell and gastrointestinal stromal tumor cases. Furthermore, PEPT1 was overexpressed whereas ABCG2 expression was downregulated in tumors detected with fluorescence. Conclusions: 5-ALA provided 100% specificity and high sensitivity to detect peritoneal metastases in subgroups of patients with peritoneal surface mailgnancies. ALA influx transporter PEPT1 and porphyrin efflux transporter ABCG2 genes are important in tumor specific 5-ALA induced fluorescence in vivo. Further studies should clarify diagnostic utility of 5-ALA in peritoneal surface malignancies.

• Journal of Yeungnam Medical Science
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• 제40권4호
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• pp.423-425
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• 2023

Porokeratosis ptychotropica is an uncommon form of porokeratosis, which was initially described in 1995. It is clinically characterized by symmetrical reddish to brown-colored hyperkeratotic, verrucous, or psoriasiform plaques on the perianal and gluteal regions. The lesions tend to integrate and expand centrally, with small peripheral satellite lesions. Early skin biopsy and appropriate diagnosis are essential because malignant change occurs in 7.5% of porokeratotic lesions. Conventional treatment options include topical steroid, retinoid, imiquimod, 5-fluorouracil, isotretinoin, excimer laser, photodynamic therapy, intralesional steroid or bleomycin injection, cryotherapy, carbon dioxide (CO₂) laser, and dermatome and excision, but none seem to achieve complete clearance. A 68-year-old woman presented with diffuse hyperkeratotic scaly lichenoid plaques on the buttocks that had persisted for several years. A skin biopsy of the buttocks revealed multiple cornoid lamellae and intense hyperkeratosis. There were some dyskeratotic cells beneath the cornoid lamellae and the granular layer was absent. Porokeratosis ptychotropica was diagnosed based on the characteristic clinical appearance and typical histopathological manifestations. She was treated with a CO₂ laser in one session and topical application of urea and imiquimod cream for 1 month. The lesions slightly improved at the 1-month follow-up. We herein present a rare case of porokeratosis ptychotropica.

• Journal of Yeungnam Medical Science
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• 제29권2호
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• pp.136-140
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• 2012

A 61-year-old male who complained of right upper quadrant pain was referred to the authors for evaluation after his computed tomography suggested biliary adenocarcinoma. The lesion consisted of multiple cysts with papillary mass and peri-ampullay mass. The patient underwent an operation due to a clinical suspicion of biliary cystadenocarcinoma, but the pathology confirmed biliary papillomatosis (BP) after diagnosing intrahepatic papillary neoplasm with high-grade dysplasia and invasive adenocarcinoma with papillary neoplasm from the distal common bile duct to the duodenum. BP is a disease characterized by multiple papillary masses. Its cause has yet to be discovered. It commonly manifests as bile duct dilation but rarely as a ductal cystic change. Under computed tomography or magnetic resonance imaging, both the BP and the cystic neoplasm can show bile duct dilation and a papillary mass, which makes their differential diagnosis difficult. A confirmative diagnosis can be made through a pathologic examination. BP is classified as a benign disease that can become malignant and may recur, though rarely. Its treatment of choice is surgical resection. Laser ablation or photodynamic therapy can be used for unresectable lesions. In the case featured in this paper, biliary papillomatosis was difficult to differentiate from cystic adenocarcinoma due to diffusely scattered multiple large cystic lesions in the liver, and it was histologically confirmed to have become malignant with cystic duct dilation after the operation. This case is reported herein with a literature review.

• 공업화학
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• 제29권2호
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• pp.138-146
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• 2018

광역학치료는 질병을 치료함에 있어 전이가능성과 부작용이 매우 적고 국부적인 종양의 제거가 가능하다는 장점을 갖는 치료방법이다. 광역학치료에서는 빛 에너지를 흡수하여 세포 독성을 띠는 활성산소를 생성하는 감광제가 필수적이다. 하지만 일반적인 감광제는 가시광선을 광원으로 사용하므로 이에 따른 부작용 및 치료효과의 한계가 존재한다. 이러한 이유로 가시광선 대신 근적외선을 광원으로 사용할 수 있는 업컨버전 나노입자가 질병진단 및 치료 분야에서 주목을 받고 있다. 업컨버전 나노입자는 세포 독성 및 광원에 의한 부작용이 적고, 광원의 조직 내 높은 투과율 및 낮은 자가형광 등의 장점을 가지고 있다. 근적외선 업컨버전을 광역학치료에 활용하기 위해서는 근적외선을 흡수하는 업컨버전 나노입자를 활성산소를 생성시키는 감광제와 결합시켜야 한다. 나노입자에 결합된 감광제는 나노입자로부터 빛 에너지를 흡수하고 이를 주위의 산소에 전이시켜 활성산소를 생성한다. 뿐만 아니라 질병의 치료 효율은 업컨버전 나노입자의 표면을 개질하거나 항암 약물의 첨가, 또는 광열치료와의 결합을 통해 더욱 향상시킬 수 있다. 본 총설은 업컨버전 나노입자를 이용한 광역학치료와 이를 이용한 질병 치료 효과 향상에 대한 최근의 연구결과를 바탕으로 서술하였다.

• Journal of Yeungnam Medical Science
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• 제34권1호
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• pp.123-127
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• 2017

Drug-induced immune hemolytic anemia (DIIHA) is a rare side effect of drugs. DIIHA may cause a systemic inflammatory response that results in acute multi-organ failure and death. Ceftizoxime belongs to the class of third generation cephalosporins, which are the most common drugs associated with DIIHA. Herein, we present a case of a 66-year-old man who developed fatal DIIHA after receiving a second dose of ceftizoxime. He was admitted to receive photodynamic therapy. He had a history of a single parenteral dose of ceftizoxime 3 months prior to admission. On the day of the procedure - shortly after the infusion of ceftizoxime - the patient's mental status was altered. The blood test results revealed hemolysis. Oliguric acute kidney injury developed, and continuous renal replacement therapy had to be applied. On the suspicion of DIIHA, the patient underwent plasmapheresis. Diagnosis was confirmed by a detection of drug-dependent antibody with immune complex formation. Although his hemolysis improved, his liver failure did not improve. He was eventually discharged to palliative care, and subsequently died.

• Journal of Applied Biological Chemistry
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• 제64권3호
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• pp.217-223
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• 2021

광감각제를 이용한 광역학 치료는 필요한 특정 부위에만 빛을 조사하여 치료 효과를 나타내는 부작용이 적은 방법이다. 5-aminolevulinic acid (ALA)는 다양한 생물체에서 합성되는 대표적 광감제로 암진단과 치료를 포함하는 다양한 분야에서 사용되고 있다. 본 연구에서는 다양한 파장의 LED, 유기산 전구체 및 glucose 농도 변화를 통한 Rhodobacter sphaeroides의 최적 성장 조건과 ALA 생산 조건을 확립하기 위한 실험을 진행하였다. 백열등과 동일한 광도 아래에서 Rhodobacter sphaeroides에 850 nm LED 빛을 조사하면 대조군 대비 균주의 성장과 ALA의 생산 농도를 각각 1.5배 및 1.8배 증가시킬 수 있고, 전구체로 pyruvic acid를 첨가한 경우 850 nm 파장의 LED만 조사한 경우 보다 ALA의 생산 농도를 약 2.8배 증가 시켰으며 동일 배양 조건에 40 mM glucose를 첨가하여 배양한 결과 Rhodobacter sphaeroides의 성장은 850 nm 파장의 LED 조사와 pyruvic acid를 첨가한 것에 비해 약 2.9배, ALA의 생산 농도는 약 3.4배 (20 mM) 증가되었다. 건조체 질량당 ALA의 생산은 20 mM과 40 mM glucose에서 대조군 대비 각각 약 1.4배 높은 결과를 나타냈다. 결론적으로 다양한 파장의 LED 중 850 nm 파장의 LED가 Rhodobacter sphaeroides의 성장률 및 ALA의 생산을 최대로 높였으며, 5 mM pyruvic acid와 40 mM glucose의 농도에서 최적의 Rhodobacter sphaeroides 성장과 ALA 생산을 확인하였다.