• Journal of Chest Surgery
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• 제27권1호
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• pp.15-23
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• 1994

This study examined the effects of cyclosporin A [CsA] and methylprednisolone[MP] on the viability of the devascularized trachea after heterotopic transplantation. Fourty-two tracheal segments were harvested from 21 donor Wistar rats. Those tracheal segments were heterotopically implanted into the abdomen of recipient rats after wrapping in omentum. Heterotopical implantation was performed in six groups of rats:Group I was Wistar syngeneic controls, and five groups of Sprague Dawley recipients, receiving no immunosuppression[Group II], CsA alone[Group III, V], and CsA in combination with MP[Group IV, VI]. After 14 days, the tracheal segments were histologically evaluated.Epithelial thickness and the degree of epithelial regeneration were significantly different between group I and group II, III, VI, VI [p< 0.05]. There were significant differences in the epithelial thickness between group II, III, IV and group V, VI. In the degree of epithelial regeneration, there were significant differences in group II, group III-IV, and group V-VI. Without immunosuppression there was virtually no epithelium, whereas low-dose immunosuppression yielded intermediated viability, and with high dose CsA and MP we observed improved tracheal viability. Our results suggest that optimal combination of CsA and MP may improve the viability in heterotopic tracheal allografts.

• 대한기관식도과학회지
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• 제6권1호
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• pp.44-61
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• 2000

Objectives : This study was designed to compare the morphological changes in the nasal, tracheal and main bronchial mucosa in rats exposed to 0, 0.3, 0.6, 0.9 and 1.2 ppm ozone for 7 days, 6 hours per day. Materials and Methods : We observed the nasal, tracheal and main bronchial mucosa in rats exposed to 0, 0.3, 0.6, 0.9 and 1.2 ppm ozone for 7days, 6hours per day with LM, SEM and TEM. Results : In light microscopy, influx of inflammatory cells, epithelial hyperplasia, loss of cilia and increased goblet cells were observed in all rats except those exposed to 0.3 ppm. these findings increased with the increase of ozone concentration, but there were no significant differences among the nasal, tracheal and main bronchial mucosa in rats exposed to the same ozone concentration. In scanning electron microscopy, a loss of cilia was observed in rats exposed to 0.3 ppm in some sections and 0.6 ppm and 1.2 ppm in all sections. In transmission electron microscopy, vacuolization of epithelial cells was observed in rats exposed to 0.3 ppm in some sections and 0.6 ppm in all sections. These results suggest that electron microscopic observation is necessary to study morphology of airway mucosa in rats exposed to ozone below 0.3 ppm. And also the morphological changes in nasal septal epithelium may reflect those of tracheal and bronchial epithelium after high concentration ozone-exposure.

• The Korean Journal of Physiology and Pharmacology
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• 제2권6호
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• pp.763-770
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• 1998

A number of substances involved in the proliferation and differentiation of the tracheobronchial epithelium have been identified. The defects in the control of the proliferation and differentiation of tracheobronchial epithelial cells appear to constitute crucial steps in the transition of normal cells to neoplastic ones. Endothelin-1 is produced by tracheal epithelial cells, and its receptors are present in tracheal epithelial cells. However, the effect of endothelin-1 on the proliferation and differentiation of tracheal epithelial cells has not been clearly elucidated. This study was undertaken to investigate these actions of endothelin-1 in primary cultured cells of rat tracheal epithelia. Endothelin-1 stimulated proliferation of tracheal epithelial cells 1.5-fold when compared with that of control cells. Endothelin-1 increased mitogen-activated protein kinase (MAPK) activity. Herbimycin A, a tyrosine kinase inhibitor, inhibited endothelin-1-induced proliferation of epithelial cells. The treatment of endothelin-1 during the primary culture of tracheal epithelial cells increased AB-PAS-stained cell population and ciliated cell population 6.5 fold and 1.5 fold, respectively, when compared with those in control cells. The responsiveness to carbachol and forskolin in the $Cl^-$ secretion was increased 1.7 and 1.9 fold, respectively, in the endothelin-treated epithelial cells. These results indicated that endothelin-1 increases proliferation via MAPK pathway and stimulates differentiation to secretory and ciliated cells in rat tracheal epithelial cells.

• Journal of Chest Surgery
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• 제31권12호
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• pp.1127-1133
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• 1998

배경: 광범위한 기관의 병변시 이를 절제하고 기관을 대체시킬 수 있는 이상적인 대치물질로 현재 많이 연구되고 있는 기관의 초냉동보관 동종이식편의 상피세포 및 연골조직의 생육성 유지와 항원성의 변화를 토끼 기관을 이용하여 연구하였다. 대상 및 방법: 토끼 45마리를 각각 15마리씩 3개의 군으로 나누어 1군은 자가 이식술을 시행하였고 2군은 초냉동보관하지 않은 동종이식편으로 기관 대치술을 시행하였으며 3군은 영하 196$^{\circ}C$에서 1달간 보관한 초냉동보관 동종이식편으로 경부기관 정위치에 이식수술을 시행하였다. 수술 후 7일, 14일, 30일 후에 각군 당 5마리씩 무작위로 선별하여 기관 이식편의 조직학적 검사를 시행하여 상피세포 및 연골조직의 생육성 및 거부반응 정도를 조사하였다. 결과: 상피세포 재생정도에 있어서 7일째에는 세 군간에 차이가 없었으나 14일과 30일에는 1군에서 2군과 3군에 비해 상피세포 재생정도가 좋았다. 2군과 3군에서는 차이가 없었다. 수술 후 7일째까지 거부반응은 2군과 3군 모두에서 거의 나타나지 않았으나 14일과 30일째에는 7일째에 비해 2군과 3군 모두에서 통계학적으로 유의하게 거부반응이 많이 나타났다(P<0.05). 3군에 있어서 2군에 비해 거부반응이 적었으나 통계학적인 유의성은 없었다. 모든 경우에 연골세포는 생육성을 유지하고 있었으며 거부반응도 없었다. 결론: 1달 동안 초냉동보관 된 기관의 동종이식편은 상피세포와 연골의 생육성을 유지할 수 있으며 이는 초냉동보관 기관 동종이식편이 기관 대체물질로 사용할 수 있는 가능성을 보여준다고 할 수 있다. 그러나 초냉동보관으로 항원성을 완전히 없앨 수는 없으며 따라서 거부반응을 더욱 더 줄일 수 있는 방법에 대한 연구가 계속되어야겠다.

• Tuberculosis and Respiratory Diseases
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• 제38권3호
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• pp.270-279
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• 1991

It has been well known that the integrity of airway epithelium is important in developing of bronchial hyperreactivity or bronchial asthma. But the mechanisms underlying this nonspecific airway hyperresponsiveness are not yet determined. To evaluate the ability of guinea pig trachea to release an epithelium derived relaxing factor (EpDRF) which relax rat vascular smooth muscle, we performed the coaxial bioassay using guinea pig trachea and rat aorta. And to evaluate the nature of EpDRF we investigate the influence of methylene blue and indomethacin on the coaxial bioassay. Results were as follows. 1) Vascular smooth muscle mounted into the epithelium intact trachea which was precontracted with phenylephrine was relaxed by addition of histamine or acetylcholine. But vascular smooth muscle mounted into epithelium denuded trachea failed to be relaxed. 2) Epithelium dependent relaxation of vascular smooth muscle was not affected by pretreatment of methylene blue or indomethacin. These results strongly suggests that guinea pig tracheal epithelium releases EpDRF which is able to relax rat vascular smooth muscle. And EpDRF released by airway epithelium is not related to endothelium derived relaxing factor (EDRF) or cyclooxygenase products.

• Journal of Chest Surgery
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• 제27권9호
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• pp.812-814
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• 1994

The esophageal cyst result from a wrong cleavage of the primitive gut in the 4 weeks embryo. In embryo and after seperation of the tracheal diverticulum, the esophagus is lined with ciliated cells which are able cover a "cystic duplication". It is often difficult to distinguish between the bronchogenic and the esophageal cyst. Pathological findings showed the presence of a ciliated epithelium without cartilage which was diagnosed as an esophageal cyst. The patient was 21 year old man for evaluation of the cyst in the posterior mediastinum. The cyst was located the intramural esophagus. Microscopically, the cyst was lined with ciliated columnar epithelium and there was no evidence of cartilage. The cyst was confirmed as the intramural esophageal cyst.geal cyst.

• 대한기관식도과학회지
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• 제6권1호
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• pp.29-37
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• 2000

Background and Objectives : The concentration of sulfur dioxide($SO_2$) gas in the ambient air appears increasing in the industry and urban area day by day. It was known that $SO_2$ is noxious gas. $SO_2$ can be irritating to the eyes, nose, throat, upper respiratory tract and skin. It produces sulfurous acid on contact with water and is extremely irritating to the nasopharynx and respiratory tract. Laminin is a family of extracellular matrix glycoproteins localized in the basement membrane that separates epithelial cells from the underlying stroma. The biological activities of laminin are to promote cell migration, wound healing, growth and differentiation. Meterials and Methods : The histologic changes and the expression of laminin in tracheal mucosa sacrificed at every weeks (to 7 weeks) after continued $SO_2$ exposure of 250ppm for 30 minutes a day were studied in rats. Results : Pathologic tissue was formed at the tracheal mucosa and the underlying tissue by the infiltration of monocytes and epithelium was transformed to the single cell layered epithelium above 5 weeks after exposure. At the 6 weeks after exposure, epithelial cells were partially lost and epithelial cell layer was transformed to be leaf-shaped. Submucosal tissue was transformed to be lymphatic tissue. An intense positive staining for laminin was found in apical cytoplasm and lateral surface of the normal epithelial cells and basement membrane but at the 5 and 6 weeks after exposure, laminin activity was decreased to the moderate activity. At the 7 weeks after exposure, laminin activity was decreased to the weak activity. Conclusion : Our finding suggests that $SO_2$ makes histologic damage on the tracheal mucosa and decreases immunoreactivity for laminin. Longer duration of the exposure of $SO_2$ makes more histologic damage on the tracheal mucosa and decreases immunoreactivity for laminin.

• Journal of Chest Surgery
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• 제24권5호
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• pp.438-444
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• 1991

This study was designed to evaluate the viability of canine trachea after cryopreservation for two months. Eight cervical tracheal rings were resected in three dogs and both ends were anastomosed. The resected tracheal segments were cryopreserved and stored in liquid nitrogen at -196oC for two months. Two months later, the cryopreserved segments were thawed. Half of each segment was implanted into the abdomen of its donor animal and the other half was cultured in tissue media. Two weeks later, the animal was sacrificed. The native cervical trachea was removed to serve as a control and the abdominally implanted trachea was removed for study. At that time, both specimens were also cultured in tissue media. Tracheal epithelial viability was assessed histologically by using an inverted microscope. The epithelial cells were confirmed immunohistochemically using monoclonal antibodies against cytokeratin and epithelial membrane antigen. Control and cryopreserved segments showed good, viable epithelial cells, but the implanted segments showed slightly depressed viability. We conclude that canine tracheal epithelium can survive after cryopreservation for two months, but the implanted trachea will be slightly damaged by ischemia before revascularization, even if omental wrapping is used.

• 대한기관식도과학회지
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• 제3권2호
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• pp.253-260
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• 1997

Successful regeneration of a cartilage framework using perichondrium has been reported by several authors but there are some arguments surrounding mucosal regeneration. Some authors report that regeneration of mucosa is completed by ingrowth from neighboring tissue but others insist that it occurs via metaplasia from the squamous epithelium. This study was designed to investigate the differences, especially in mucosal regeneration between nonvascularized and vascularized flaps via immunohistochemical study. A morphologic study was carried out to elucidate the characteristics o( the regenerated mucosa which was sutured on the vascularized perichondrium and fabricated in a rabbit ear. A nonvascularized perichondrial-mucosal composite flap with the same dimension was transferred in the control group. BrdU was labelled on both normal mucosa and grafted mucosa in the experimental group without my statistically significant differences. In cytokeratin stain, it was regarded that mucosal coverage of the control group occurred by ingrowth from the neighboring mucosa. It can be conceived that metaplasia of the grafted mucosa occurs in a vascularized composite flap transferred group.

• Journal of Chest Surgery
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• 제38권7호
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• pp.461-467
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• 2005

기관 또는 기관지의 이식이나 기관문합술 후 그리고 폐절제술 후 기관지의 봉합면에 빠른 재혈관화를 통해 감염이나 허혈성 괴사를 막기위해 흉막, 심외막, 심외지방, 횡격막, 장막, 늑간 근육 등을 이용하여 보강해 주는 경우가 많다. 이 연구는 실험동물에서 자가기관을 흉막, 장막 및 횡경막에 이식했을 때 생존에 미치는 영향을 알아보고자 하였다. 대상 및 방법 : 실험동물로 무게는 $250\~350g$ 정도의 Sprague-Dawley rats가 사용되었다. 장막, 횡격막, 흉막 세 군으로 나누어서 각 군별로 5마리씩 실험하였다. 복막 내 마취 후 기관 삽관을 시행하였고 기관을 노출시켜 세마디의 기관이식편을 잘라내었다 잘라낸 기관을 장막, 횡격막, 흉막에 각각 이식하였고 2주 후 쥐를 희생시켜 얻은 조직으로 병리조직학적 검사를 하였다. 병리조직학적으로 절단기관편의 생존능력을 비교하기 위하여 각각의 상피조직, 점막하조직, 연골조직의 괴사정도를 점수화하여($0\~3$점) 그 결과의 평균값을 표시하였다. 결과 : 병리 조직학적 검사상 장막군이 가장 좋은 보존 상태를 보였다. 괴사 점수는 흉막이식군에서 상피층서 $2.17\pm0.983$, 점막하층 $1.67\pm0.516$, 연골층 $2.17\pm0.753$으로 나타났고 장막이식군의 경우 각각 1.00\pm0.00,\;1.60\pm0.548,\;1.8\m0.447$, 횡격막이식군은 $1.40\pm0.894,\;2.40\pm0.547,\;2.2\pm0.447$으로 관찰되었다. 전체 괴사 점수는 흉막이식군에서 $6.00\pm1.789$, 장막이식군에서 $4.40\pm0.894$, 횡격막이식군에서 $6.00\pm1.414$보였다. 걸론: 세 그룹간의 비교시 통계적 유의성은 없었으나 장막에 이식한 기관에서 가장 낮은 괴사점수가 나와 장막이 횡격막이나 흉막보다 기간 봉합면을 보호하고 신혈관 생성에 더 좋은 역할을 하는 경향을 보였다.