• 대한화장품학회:학술대회논문집
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• 대한화장품학회 2003년도 IFSCC Conference Proceeding Book I
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• pp.780-803
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• 2003

Exposure of skin cells, particularly keratinocytes to various nuclear factor-kappaB ($\textrm{NF}_{-{\kappa}}\textrm{B}$) activators [e.g. tumor necrosis factor-$\alpha$, interleukin-1, lipopolysaccharides, and ultraviolet light] leads to phosphorylation and degradation of the inhibitory protein, $\textrm{I}_{{\kappa}}\textrm{B}$. Liberated $\textrm{NF}_{-{\kappa}}\textrm{B}$ is translocated into the nucleus where it can change or alter expression of target genes, resulting in the secretion of extracellular signaling molecules including melanotrophic factors affecting melanocyte. In order to demonstrate the possible role of $\textrm{NF}_{-{\kappa}}\textrm{B}$ activation on the synthesis of melanotrophic factors from the keratinocytes, the activities of $\textrm{NF}_{-{\kappa}}\textrm{B}$ induced by melanogenic inhibitors (MIs) were determined in human HaCaT keratinocytes transfected with $\textrm{pNF}_{-{\kappa}}\textrm{B}$-SEAP-NPT plasmid. Transfectant cells released the secretory alkaline phosphatase (SEAP) as a transcription reporter in response to the $\textrm{NF}_{-{\kappa}}\textrm{B}$ activity and contain the neomycin phosphotransferase (NPT) gene for the dominant selection marker for geneticin resistance. MIs such as niacinamide, kojic acid, hydroquinone, resorcinol, arbutin, and glycolic acid were preincubated with transfectant HaCaT cells for 3 h and then ultraviolet B (UVB) was irradiated. $\textrm{NF}_{-{\kappa}}\textrm{B}$ activation was measured with the SEAP reporter gene assay using a fluorescence detection method. Of the Mis tested, kojic acid ($IC_{50}$/ = 60 $\mu$M) was found to be the most potent inhibitor of UVB-upregulating $\textrm{NF}_{-{\kappa}}\textrm{B}$ activation in transfectant HaCaT cells, which is followed by niacinamide ($IC_{50}$/= 540 $\mu$M). Pretreatment of the transfectant HaCaT cells with the Mis, especially kojic acid and niacinamide, effectively lowered $\textrm{NF}_{-{\kappa}}\textrm{B}$ binding measured by electrophoretic mobility shift assay. Furthermore, these two inhibitors remarkably reduced the secretion level of IL-6, one of melanotrophic factors, triggered by UV-radiation of the HaCaT cells. These observations suggest that Mis working at the in vivo level might act partially through the modulation of the synthesis of melanotrophic factors in keratinocyte.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1565-1570
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• 2016

Background: Central neurocytomas are rare neuronal neoplasms with a favorable prognosis. They are typically located in the lateral ventricles of the brain and mostly histologically correspond to WHO grade II with a Mib 1 labelling index of <2%. Similar tumors located in the cerebral hemispheres and spinal cord, for example, are called "extraventricular neurocytomas". A few tumors histologically show atypia, mitoses, vascular proliferation and/or necrosis and a Mib 1 index >2 % and are designated as "atypical neurocytomas. Aim: The aim of our study was to describe the common as well as unusual morphologic features and the role of various immunohistochemical stains in the diagnosis of these rare tumors. Materials and Methods: We retrieved and reviewed 35 cases diagnosed between 2001 and 2015. Results: Sixty percent of patients were males, and the mean age was 26 years. 31 cases (88.6%) were intraventricular and 4(11.4%) were extraventricular. Histologically, 6 cases (17.1%) were compatible with "atypical neurocytomas". All cases showed the classic morphology comprising nests and sheets of uniform, round cells with uniform round to oval nuclei with finely speckled chromatin and perinuclear cytoplasmic clearing (halos). All cases also showed delicate, fibrillary, neuropil-like matrices. Other common histologic features included capillary-sized blood vessels in a branching pattern in 57.1%, foci of calcification in 34.3% and perivascular pseudorosettes in 20%. Rare findings included Homer-Wright or true rosettes in 8.6% and ganglioid cells in 2.9%. Synaptophysin was the most consistent and valuable marker, being positive in almost all cases. GFAP positivity in tumor cells was seen in 25.7% of cases. Follow up was available in 13 patients. Of these 9 had histologically typical and 4 had atypical tumors. Only 1 (with an atypical neurocytoma) died, probably due to complications of surgery within one month, while 12 (including 3 with atypical neurocytomas) remained alive. Recurrence developed in 1 of these 12 patients (histologically consistent with typical morphology) almost 9 years after surgery. Only 4 patients, including 2 with atypical tumors, received postoperative radiotherapy, all with surgery in 2010 or later. Overall, prognosis was excellent with prolonged, recurrence free survival and most patients, even without receiving radiation therapy, were alive and well for many years, even a decade or more after surgery, without developing any recurrence, indicating the benign nature of these neoplasms.

• Archives of Plastic Surgery
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• 제44권6호
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• pp.516-522
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• 2017

Background Implant-based breast reconstruction is being performed more frequently, and implants are associated with an increased risk of infection. We reviewed the clinical features of cases of implant infection and investigated the risk factors for breast device salvage failure. Methods We retrospectively analyzed 771 patients who underwent implant-based breast reconstruction between January 2010 and December 2016. Age, body mass index, chemotherapy history, radiation exposure, and smoking history were assessed as potential risk factors for postoperative infection. We also evaluated the presence and onset of infection symptoms, wound culture pathogens, and other complications, including seroma, hematoma, and mastectomy skin necrosis. Additionally, we examined the mastectomy type, the use of acellular dermal matrix, the presence of an underlying disease such as hypertension or diabetes, and axillary node dissection. Results The total infection rate was 4.99% (58 of 1,163 cases) and the total salvage rate was 58.6% (34 of 58). The postoperative duration to closed suction drain removal was significantly different between the cellulitis and implant removal groups. Staphylococcus aureus infection was most frequently found, with methicillin resistance in 37.5% of the cases of explantation. Explantation after infection was performed more often in patients who had undergone 2-stage expander/implant reconstruction than in those who had undergone direct-to-implant reconstruction. Conclusions Preventing infection is essential in implant-based breast reconstruction. The high salvage rate argues against early implant removal. However, when infection is due to methicillin-resistant S. aureus and the patient's clinical symptoms do not improve, surgeons should consider implant removal.

• Imaging Science in Dentistry
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• 제33권2호
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• pp.97-105
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• 2003

Purpose : To evaluate the effect of all-trans-retinoic acid (ATRA) on the radiosensitivity of normal human oral keratinocyte (NHOK). Materials and methods: Relative cell survival fraction including SF2 (survival fraction at 2 Gy) was calculated on the basis of colony formation assay. Data were fitted to the linear-quadratic model to establish the survival curve and calculate α and β values. Using flow cytometry at 1, 2, 3, 4, and 5 days after exposure to 2 and 10 Gy irradiation, cell cycle arrest and apoptosis were analysed. To understand the molecular mechanism of the radiosensitization of ATRA on NHOK, proteins related with apoptosis and cell cycle arrest were investigated by Western blot analysis. Results: Treatment with ATRA resulted in a significant decrease of SF2 value for NHOK from 0.63 to 0.27, and increased α and β value, indicating that ATRA increased radiosensitivity of NHOK. ATRA increased LDH significantly, but increasing irradiation dose decreased LDH, suggesting that the radiosensitizing effect of ATRA is not directly related with increasing cell necrosis by ATRA. ATRA did not induce appotosis but increased G2 arrest after 10 Gy irradiation, implying that the increased radiosensitivity of NHOK may be due to a decrease in mitosis casued by increasing G2 arrest. ATRA inhibited the reduction of p53 at 3 days after l0Gy irradiation and increased p21 at 1 day after 10 Gy irradiation. Further study is required to determine the precise relationship between this effect and the radiosensitizing effect of A TRA. Conclusion: These results suggested that ATRA increase radiosensitivity by inhibiting mitosis caused by increasing G2 arrest.

• Applied Microscopy
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• 제23권2호
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• pp.11-26
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• 1993

This experiment was performed to study the morphological responses of the pigment epithelial cell and the Bruch's membrane of the retina of rat following X-ray irradiation. Male rats were divided into normal and experimental groups. The heads of the rats, under sodium thiopental anesthesia, were exposed to 3,000 rads or 6,000 rads of radiation in a single dose, respectively. The source was a Mitsubishi Linear Accelerator ML-4MV. The target to skin distance was 80cm, and the. dose rate was 200 rads/min. The experimental groups were sacrificed on the 6th hour, 2nd and 6th day after X-ray irradiation. Under anesthesia, 1% glutaraldehyde-1% paraformaldehyde solution(0.1M Millonig's phosphate buffer, pH 7.3) was perfused through the left ventricle and ascending aorta. Pieces of the tissue taken from the posterior region of the retina were fixed in 2.5% glutaraldehyde-1.5% paraformaldehyde(0.1M Millonig's phosphate buffer, pH 7.3) and 1% osmium tetroxide(0.1M Millonig's phosphate buffer, pH7.3), and embedded in araldite mixture. The ultrathin sections contrasted with uranyl acetate and lead citrate were observed with JEM 100 CX-II electron microscope. The results were as follow; 1. The morphological changes of the pigment epithelial cells were not pronounced after exposure to 3,000 rads of X-ray. But on the 6th hour after exposure to 6,000 rads of X-ray, bulging nuclear membrane protruding into the cytoplasm and nuclear chromatin clumped into numerous masses along the nuclear membrane were observed. At the 2nd and 6th day post-irradiation, partial cytolysis or necrosis were seen. 2. The thickness of the Bruch's membrane of the experimental groups were increased in the time and dose range covered by this study, and splitting or diffusing basal laminae of the choriocapillary layer were observed frequently in the experimental group. Above results suggest that large amount(6,000 rads) of head irradiation induce direct hazardous effects on the pigment epitherial cells and Bruch's membrane of the retina of the rat, but pigment epithelial cells are more radioresistant than Bruch's membrane.

• Journal of Korean Neurosurgical Society
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• 제29권10호
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• pp.1309-1315
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• 2000

Objectives : We performed an in vivo experiment to investigate the effect of $^{166}Holmium$ and $^{166}Holmium$-chitosan complex($^{166}Ho$-CHICO) on the normal brain of rats and to determine the sublethal dose of $^{166}Ho$-CHICO. Materials and Methods : $^{166}Ho$ is a beta and gamma ray emitter. $^{166}Ho$-CHICO is a novel radio-pharmaceutical complex with chitosan to facilitate the transport of $^{166}Ho$ obtained from Korea Atomic Energy Research Center(Taejon, Korea). It is in acidic form and becomes gel state at alkaline pH. One hundred and seventy consecutive rats were divided into four groups : $^{166}Ho$ treated(n＝50), $^{166}Ho$-CHICO treated(n＝57), saline treated(n＝5) and chitosan treated(n＝5) groups. $^{166}Ho$ and $^{166}Ho$-CHICO were injected into the rat brain stereotactically with various doses of 0.1mCi/$20{\mu}l$, 0.2mCi/$20{\mu}l$, 0.3mCi/$20{\mu}l$, and 0.4mCi/$20{\mu}l$ using an automated microinjector. Nuclear imaging, histopathological and hematological studies were performed in 10 rats in each group at 1 day, 3days, 7 days, 1 month and 3 months after the injections. Results : An infiltration of inflammatory cells and necrotic changes were noted in $^{166}Ho$ treated group at 1 week after the injection. A wedge-shaped tissue defect due to necrosis, lined with infiltrated glial cells in $^{166}Ho$ treated group and a cystic defect lined with reactive astroglial cells in $^{166}Holmium$-CHICO treated group at 3 months after the injection were observed. $^{166}Ho$ alone without chitosan leaked out and caused necrotic lesion on the cerebral surface but $^{166}Holmium$-CHICO treated group did not show this feature. As the dose of $^{166}Ho$ increased, the mortality rates were also increased. The mortality rate of the $^{166}Holmium$-CHICO group was higher than the $^{166}Ho$ treated group at a dose of 0.4mCi/$20{\mu}l$/300g. There was no detectable radioactivity due to the leakage or extravasation from the injected site of the brain on the scintigraphy performed at 1 hour, 24 hours and 48 hours after the injection. There was also no detectable activity of $^{166}Holmium$-CHICO in other organs including spleen, liver and kidney. Conclusions : $^{166}Ho$-CHICO did not leak out to the critical cortical surface of the brain from the injection site and induced radiation changes of the parenchyma around the injection site without cortical damage. The sublethal dose of $^{166}Ho$-CHICO for the normal brain in rats was determined to be 0.2mCi/$20{\mu}l$/300g.

• 한국식품영양학회지
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• 제23권1호
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• pp.30-38
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• 2010

Aflatoxin은 Aspergillus 속 곰팡이로부터 생성되며, 사람에게 있어서 간독성 및 간암을 유발하는 잠재력을 가진 곰팡이 독소이며, 지질과산화 반응은 aflatoxin $B_1$에 의한 세포 산화적 손상 시 발생하는 주요 현상 중의 하나이다. 방사선은 수술, 항암약물요법과 더불어 임상 시 중요한 치료 방법이나, 정상세포에 방사선을 조사하였을 때 반응성이 높은 활성산소와 과산화라디칼($OH^*$)을 생성하여 세포막의 불포화 지방산을 지질 과산화물로 변성시켜 세포 산화적 손상을 일으킨다. 본 연구는 곡류를 주식으로 하는 우리나라 사람들의 경우, aflatoxin $B_1$에 노출되기 쉽고 이들 중 일부는 위, 간, 담도 암과 같은 상복부 암으로 진단되어 간을 포함하는 부위에 대해 방사선 치료를 받을 수 있는 경우를 생각하여 흰쥐에게 aflatoxin $B_1$을 투여하거나 방사선과 aflatoxin $B_1$을 병합 처리하여 vitamin C가 간독성 유발요인과 연관된 간 기능 효소들의 변화와 전자현미경 실험에 의한 형태학적 관찰을 알아보고자 시행되었다. X-ray 조사는 실험기간 내 단 1회로 실험사육기간 첫 일에 조사하였고, X-ray 조사 후 vitamin C를 투여하였으며 vitamin C 투여 1시간 후 $AFB_1$을 투여하였다. Vitamin C와 AFB은 모두 복강투여로 실험 사육 첫 일부터 1회 시작하여 3일에 한번씩, 5회 반복 투여 하였으며 실험동물 사육기간은 총 15일로 하였다. GOT, ALK phatase, LDH는 유의적인 차이는 없으나 $AFB_1$을 투여한 2군에 비해 2군에 vitamin C를 투여한 3군이, 방사선과 $AFB_1$ 병합 처리한 4군에 비해 4군에 vitamin C를 투여한 5군이 각각 감소하는 경향이었다. 간 기능 효소 중 GPT는 대조군에 비해 $AFB_1$을 투여한 2군은 유의적인 차이가 없었으나 증가하였으며, 특히 2군에 비해 2군에 vitamin C를 투여한 3군은 수치가 p<0.001 수준에서 현저히 감소하였다. TEM을 이용한 간세포의 형태에서는 $AFB_1$ 단독 처리군의 세포(G2)는 세포의 핵과 핵막이 팽창되어 있으며, 소포체가 긴 막대 모양에서 원형으로 변형되어 나타나고, 미토콘드리아는 크리스테(cristae)가 분열되어 속이 빈 형태를 보여주고 있으나 여기에 vitamin C를 투여한 3군의 세포(G3)에서는 핵은 아직 약간 팽창된 모양을 하고 있으나 핵막의 모양이 거의 정상으로 되었으며, 소포체와 미토콘드리아도 거의 정상 모양을 회복하고 있다. X선 조사와 $AFB_1$ 병합 처리군인 4군의 세포(G4)는 조직의 상당한 파괴가 관찰되었으며, 여기에 vitamin C를 투여한 5군의 세포(G5)는 정상적이지는 않으나 파괴 정도가 덜 한 것을 볼 수 있었다. 이로써 $AFB_1$ 단독 투여군인 2군, 방사선과 $AFB_1$ 병합 처리한 4군에 각각 vitamin C를 혼합 투여한 3군과 5군에서 핵과 핵막 등이 정상에 가깝게 회복된 현상은 vitamin C의 항산화력에 의해 세포막 표면에 형성된 틈이나 팽창 상태가 가역적이고 반복적인 결합이 유도되어 핵과 핵막이 많이 회복된 것을 확인할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제40권5호
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• pp.495-500
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• 1993

연구배경 : 수술이 불가능한 주기도의 종양성 병변에 의한 기도 폐쇄를 치료하는 방법으로서 Yag-laser 치료, 체외부 방사선치료나 기관지내 방사선치료법 등이 있다. 최근 조기 간암 환자들에서 직접 ethanol을 암조직내로 투입해서 좋은 효과가 보고되고 있어 저자들도 주기도 폐쇄를 일으킨 폐암환자 11명을 대상으로 기관지경을 통해 직접 암종괴내로 ethanol을 주입하여 기도폐쇄를 호전시킬 수 있었기에 보고하는 바이다. 방법 : 지속적인 산소 주입하에 굴곡성 기관지 내시경을 통해 경기관지 흡입침을 이용하여 종양내로 직접 ethanol을 0.5~1.0ml씩을 수회 주입한 후 생검 겸자로 종양을 제거하였으며 필요시는 3~4일후 이 조작을 되풀이하였다. 결과 : ethanol 주입 직후 점막이 창백해지고 출혈이 즉시 멎었으며 지연 효과로서 종양의 괴사가 발생하였으며, 대부분의 환자에서 2~3회 치료후 기간지가 개방되었고 증상 및 흉부 X-선 사진의 호전을 보였다. 11명 환자들에서 폐기능 검사상 FVC가 $2.1{\pm}0.84L$에서 $2.44{\pm}0.92L$로 $FEV_{1.0}$이 $1.48{\pm}0.69L$에서 $1.80{\pm}0.64L$로 증가하였고, $PaO_2$는 $68.1{\pm}9.2$ mmHg에서 $83.9{\pm}8.1$ mmHg로 (p<0.005), $SaO_2$는 $94{\pm}8.5%$에서 $96.6{\pm}1.1%$(p<0.005)로 증가하였으며, $AaDO_2$는 $26.5{\pm}8.5$mmHg에서 $10.9{\pm}9.1$mmHg(p<0.005)로 감소하였다. 결론 : 종양에 의한 주기관지 폐색환자에서 ethanol을 종양 조직내 직접 주입하는 것은 주기도 폐쇄를 치료하는데 빠른 효과를 볼 수 있으며, 저렴한 비용으로 비교적 안전하게 시행할 수 있는 방법이라 생각한다.

• 대한핵의학회지
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• 제34권5호
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• pp.371-380
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• 2000

목적: 수술 전에 전향적으로 $^{201}Tl$ 뇌 SPECT를 시행하여 그 소견만으로 뇌 병변이 양성인지 악성인지를 감별하는데 유용한지를 알아보고자 하였다. 대상 및 방법: 본 연구는 CT나 MRI에서 뇌 병변이 확인된 28예(양성: 13, 악성: 15)를 대상으로 하였다. 양성병변에는 비특이적 양성변화가 3예, 뇌수막종 3예, 양성 뇌교종 2예, 결핵종, 중심성 신경세포종, 혈관 모세포종, 방사선괴사, 맥락막총 유두종이 각각 1예씩 이었고 악성병변에는 다형성 교모세포종 6예, 미분화 성상교세포종 5예, 수질아세포종 2예, 전이암과 림프종이 각각 1예였다. $^{201}Tl$ 111 MBq (3 mCi)를 정맥주사자고 $^{201}Tl$ 뇌 SPECT를 얻은 후에 정량화 분석을 위하여 병변의 대부분을 포함하는 합산영상을 만들었고 병변 및 정상뇌부위에 관심영역을 설정하여 평균 $^{201}Tl$-index와 최고 $^{201}Tl$-index를 구하였다. 결과: 양성병변의 평균 $^{201}Tl$-index와 최고 $^{201}Tl$-index는 각각 $3.51{\pm}2.70$과 $4.80{\pm}3.46$으로 악성병변의 평균 $^{201}Tl$-index와 최고 $^{201}Tl$-index인 $2.24{\pm}1.07,\;3.20{\pm}1.46$과 각각 통계적으로 유의한 차이는 없었다(p>0.05). 결론: $^{201}Tl$ 뇌 SPECT만으로 뇌 병변을 악성이나 양성으로 판단하여서는 안된다.