• 제목/요약/키워드: Treatment Trend

검색결과 1,338건 처리시간 0.025초

Expression of ERCC1, RRM1 and LRP in Non-small Cell Lung Cancers and their Influence on Chemotherapeutic Efficacy of Gemcitabine Concomitant with Nedaplatin

  • Qiu, Zhen-Qin;Zhao, Kun
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권17호
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    • pp.7303-7307
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    • 2014
  • Objective: To explore the clinical efficacy of gemcitabine concomitant with nedaplatin and drug resistance in the treatment of non-small cell lung cancer (NSCLC) and associated molecular predicators. Materials and Methods: A total of 68 patients diagnosed with NSCLC by histology served as the study objects and were randomly divided into an observation group treated with gemcitabine concomitant with nedaplatin and a control group with cisplatin concomitant with gemcitabine, 34 cases for each group. Short-term and long-term efficacies, adverse responses as well as the expression of nucleotide excision repair cross complementing 1 (ERCC1), ribonucleotide reductase subunit M1 (RRM1) and lung resistance-related protein (LRP) in NSCLC tissues in both groups were assessed. Results: The short-term objective response rate (ORR) and disease control rate (DCR) were 35.3% (12/34) and 76.5% (26/34) in the observation group and 38.2% (13/34) and 85.3% (29/34) in the control group, respectively, the differences not being statistically significant. The time to progression (TTP) in both groups were 1~12 months, while the median TTP was 135 d and 144 d, respectively. Though the survival was slightly higher in the control group, there were no significant differences in TTP and survival time. The rates of decreased hemoglobin, vomiting and nausea as well as renal toxicity were evidently lower in the observation group, while other adverse responses demonstrated no significant difference. The positive expression rates of ERCC1, RRM1 and LRP were 47.1% (16/34), 61.8% (21/34) and 64.7% (22/34) in the observation group, respectively. Compared with negative ERCC1 expression, ORR had decreasing trend and the overall survival time (OS) decreased significantly in patients with positive ERCC1 expression, which were markedly decreased by the positive expressions of RRM1 and LRP. Conclusions: Gemcitabine concomitant with nedaplatin has significant effects in the treatment of NSCLC, with an adverse response rate obviously lower than for cisplatin concomitant with gemcitabine, suggesting that wider use in the clinic is warranted. Additionally, the positive expressions of ERCC1, RRM1 and LRP may increase patient drug resistance, so they can be applied as the chemotherapeutic predicators to guide individualized therapy of NSCLC patients.

유기사료급여가 흑염소의 사료섭취량, 영양소소화율 및 질소 축적에 미치는 영향 (Effects of Organic Feed Supplementation on Feed Intake, Nutrient Digestibility, and Nitrogen Retention in Korean Native Goats(Capra hircus))

  • 조익환;이성훈
    • 한국유기농업학회지
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    • 제13권1호
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    • pp.85-99
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    • 2005
  • This trial was carried out to determine effects of organic feeds in comparison to conventional diet on feed intake, digestibility, and nitrogen retention in Korean native goats. Twelve Korean native goats were allotted to treatments in four groups of three goats and then they were housed in separate metabolism cages for 21 days. Treatments included conventional diet (A) as a control group and three organic feed groups (B: organic rice straw, C: organic nee leaves, D: organic mixture of rice straw and tree leaves). The A treatment, conventional diet, consisted of common rice straw and commercial concentrates at a proportion of 60 and 40%, respectively. All ingredients of organic feeds treatments were organically produced-agricultural products without any application of chemical fertilizer and pesticide. Four experimental diets were formulated to have the same ratio of forage to concentrate and similar contents for protein and carbohydrate across treatments and they were offered to goats ad libitum. Feed intake, apparent nutrient digestibility and nitrogen retention were investigated. For chemical compositions of experimental diets, all nutrients except crude ash and ether extract were not significantly different across treatments as we expected. Crude ash content was highest in the A treatment (P<0.05), however, it was not significantly different among organic feeds treatments. Ether extract content was higher (P<0.05) in C and D treatments than in A and B. Even if dry matter intakes for organic feeds treatments were not significantly different among them, they were significantly higher (P<0.05) compared with conventional diet. Fecal excreta were not significantly different across treatments, resulting in significantly higher digestible dry matter (g/day) in treatments of organic feeds (P<0.01). Average daily gain (ADG) and feed efficiency (FE) were more increased (P<0.01) in treatments of organic feeds compared with conventional diet. Digestibilities for most of nutrients except NFC had the same trend as ADG and FE, however, NFC digestibilities for C and D treatments were significantly lower (P<0.01) than those of A and B. Nitrogen intakes for organic feeds treatments were significantly higher (P<0.001) than conventional diet, with no difference among organic feeds treatments. Fecal nitrogen loss was higher (P<0.05) for C and D treatments than for A and B. Retained nitrogen contents were significantly higher (P<0.05) for organic feeds treatments than for conventional diet, but nitrogen retention rate did not show any difference across treatments. The results showed that organic feed supplementation more improved feed intake, digestibility and nitrogen retention in comparison with conventional diet, and thus they could be concluded that organic feeds might contribute to animal performance and a safer production of animal product.

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Melatonin inhibits the Migration of Colon Cancer RKO cells by Down-regulating Myosin Light Chain Kinase Expression through Cross-talk with p38 MAPK

  • Zou, Duo-Bing;Wei, Xiao;Hu, Ruo-Lei;Yang, Xiao-Ping;Zuo, Li;Zhang, Su-Mei;Zhu, Hua-Qing;Zhou, Qing;Gui, Shu-Yu;Wang, Yuan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5835-5842
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    • 2015
  • Background: Melatonin, which is mainly produced by the pineal gland, has a good inhibitory effect on cell growth of multiple cancer types. However, the underlying molecular mechanisms of anti-tumor activity for colon cancer have not been fully elucidated. In this study, we investigated the effects of melatonin on migration in human colon cancer RKO cells and the potential molecular mechanisms. Materials and Methods: The viability of RKO cells was investigated by MTT assay after treatment with melatonin, SB203580 (p38 inhibitor) and phorbol 12-myristate 13-acetate (PMA, MAPK activator) alone or in combination for 48h. The effects of melatonin, and ML-7, a selective inhibitor of myosin light chain kinase (MLCK), and SB203580, and PMA on the migration of RKO cells were analyzed by in vitro scratch-wound assay. The relative mRNA levels of MLCK was assessed by real-time quantitative RT-PCR. Western blotting analysis was performed to examine the expression of MLCK, phosphorylation of myosin light chain (pMLC) and p38 (pp38). Results: The proliferation and migration of human colon cancer RKO cells were inhibited significantly after treatment with melatonin. The expression levels of MLCK and phosphorylation of MLC of RKO cells were reduced, and real-time quantitative RT-PCR showed that melatonin had significant effects on suppressing the expression of MLCK. Furthermore, the phosphorylation level of p38, which showed the same trend, was also reduced when cells were treated by melatonin. In addition, ML-7 (25umol/l) could down-regulate the phosphorylation of p38. Conclusions: Melatonin could inhibit the proliferation and migration of RKO cells, and further experiments confirmed that p38 MAPK plays an important role in regulating melatonin-induced migration inhibition through down-regulating the expression and activity of MLCK.

Effect of Hormone Therapy on Long-term Outcomes of Patients with Human Epidermal Growth Factor Receptor 2-and Hormone Receptor-Positive Metastatic Breast Cancer: Real World Experience in China

  • Du, Feng;Yuan, Peng;Wang, Jia-Yu;Ma, Fei;Fan, Ying;Luo, Yang;Xu, Bing-He
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.903-907
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    • 2015
  • Background: Among human epidermal growth factor receptor 2 (HER2)-positive breast cancer, more than half are also hormone receptor (HR)-positive. Although HR is a predictive factor for the efficacy of hormone therapy, there are still some uncertainties in regard to the effects on patients with HR-positive and HER2-positive metastatic breast cancers due to the potential resistance to hormone therapy caused by co-expression of HR and HER2. There are no clinical trials directly comparing the efficacy of hormonal therapy with chemotherapy. Materials and Methods: To examine the real-world effect of hormone therapy on patients with HR-positive and HER2-positive metastatic breast cancers, a cross-sectional study of a representative sample of the Chinese population was conducted. The study included 113 patients who received first-line and second-line palliative treatment between 2005 and 2010 in the Cancer Institute and Hospital, Chinese Academy of Medical Science. The effect of hormone therapy on overall survival (OS) was studied. Results: The patients who received hormone therapy (n=51) had better overall survival in contrast to those who received chemotherapy with anti-HER2 therapy (n=62) in first- or second-line treatment. The difference was of borderline statistical significance (51.8m vs 31.9m, p=0.065). In addition, the effect of hormone therapy did not differ significantly with other prognostic factors, including age (${\leq}50$ years or >50 years), disease free survival (${\geq}2$ years or < 2 years) and site of metastasis (visceral or bone/soft tissue). On multivariate analysis, administration of hormone therapy was associated with a trend toward a favorable prognosis (p=0.148, HR=0.693, 95%CI 0.422-1.139). Age more than 50 years was the sole independent harmful prognostic factor (p<0.001, HR=2.797, 95%CI 1.676-4.668). Conclusions: Our data suggest that hormonel therapy may improve outcomes of the patients with ER-positive and HER2-positive metastatic breast cancer.

Effects of Feeding Rancid Rice Bran on Growth Performance and Chicken Meat Quality in Broiler Chicks

  • Chae, B.J.;Lee, K.H.;Lee, S.K.
    • Asian-Australasian Journal of Animal Sciences
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    • 제15권2호
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    • pp.266-273
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    • 2002
  • A total of 225 day-old broiler chicks (43.08 g initial body weight) were allotted to three dietary treatments for a 6-week feeding trial. The treatments were 1) Control (defatted rice bran; DFRB), 2) fresh rice bran (FRB) and 3) rancid rice bran (RRB). Rice brans were intentionally spoiled by two degrees of rancidity by the values of free fatty acids (FFA): 7.6% (FRB) and 16.3% (RRB). Diets were prepared on an isonutrient basis, and defatted or rancid rice brans were included 5 and 10% for starter (0-3 week) and finisher (3-6 week), respectively. At the end of the feeding trial, six chicks per treatment were sacrificed, and thigh meats were ground and stored at $1^{\circ}C$ for thiobarbituric acid reactive substances (TBARS) and peroxide value (POV) analyses. For a digestibility, 48 growing chicks (4 weeks old) were employed in cages (3 replicates/treatment, 2 birds/cage) according to the experimental design: FRB, RRB, pelleted and extruded rice bran. Some of the FRB were pelleted ($70^{\circ}C$) or extruded ($110^{\circ}C$). There was no significant difference in growth performance during the starter period, but chicks fed a diet containing DFRB grew faster (p<0.05) with increased feed intake (p<0.05) than those fed diets containing rice brans, FRB or RRB, during the finisher period. Feed conversion ratio in the RRB was inferior (p<0.05) to the DFRB. Between rice bran groups, weight gain was higher (pco.os) in FRB than in RRB during finisher period. There was a similar trend in growth performance of chicks for the overall period (0-6 week) as the finisher period. Dry matter and energy digestibilities were higher (p<0.05) in extruded than in RRB group. Protein digestibility was improved (p<0.05) when rice bran was extruded, but not pelleted. The chicken meats from RRB showed higher (p<0.05) TBARS than those from FRB during storage for 4 weeks at $1^{\circ}C$. In conclusion, it would appear that feeding rancid rice bran gave negative effects on growth performance and lipid stability of meat in broiler chicks.

부비동염의 초음파 진단법에 관한 임상연구 (A Clinical Study on the Ultrasonographic Diagnosis of Sinusitis)

  • 조재훈;이승은;한은정;김찬중;김윤범
    • 대한한의학회지
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    • 제23권2호
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    • pp.88-96
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    • 2002
  • Objective : This study attempted to evaluate the ultrasonographic diagnosis of sinusitis compared to X-ray diagnosis and further to help the diagnosis and treatment of sinusitis through oriental medicine. Methods : Both A-mode ultrasonography and X-ray were taken of 30 symptom-positive patients and 10 symptom-negative controls. Nasal obstruction, rhinorrhea, postnasal drip, headache (facial pain), hyposmia (anosmia), throat discomfort and chronic cough were included in the symptoms of sinusitis. Both ultrasonographic and X-ray findings were divided into four groups (clear, mucosal thickening, air-fluid level and cystic shape) according to severity. Results : 1. The symptoms of patients (n=30) were as follows: nasal obstruction (83.3%), rhinorrhea (70.0%), postnasal drip (60.0%), chronic cough (53.3%), headache (40.0%), throat discomfort (40.0%), hyposmia (26.7%). 2. There was a significant correlation between symptoms and ultrasonographic findings (n=40, ${\gamma}=0.550$, P=0.001). 3. There was a significant correlation between symptoms and X-ray findings (n=40, ${\gamma}=0.555$, P=0.001). 4. There was a significant whole coincidence between ultrasonographic and X-ray findings (n=60, ${\gamma}=0.335, P=0.00l). Moreover, there was a significant coincidental trend between the two findings as they became severe (n=60, ${\gamma}=6.284$, P=0.012). 5. The distance of the ultrasonographic echoes was as follows: clear echo (n=9, from transducer pulse to air mucosa echo) $0.90{\pm}0.19cm$, mucosal thickening echo (n=23, from transducer pulse to air mucosa echo) 1.85{\pm}0.14cm, air-fluid level echo (n=26, from transducer pulse to back wall echo) $3.70{\pm}0.16cm$. 6. The highest diagnostic reliability of the ultrasonographic findings compared to X-ray findings was as follows: over-diagnosis in clear finding 77.3%, matched diagnosis in mucosal thickening finding 62.0%, matched diagnosis in air-fluid level finding 86.7%, matched diagnosis and under-diagnosis in cystic shape finding 50.0%. 7. In mucosal thickening, air-fluid level and cystic shape finding, there was a significant individual coincidence between the ultrasonographic and X-ray findings. In clear finding, there was no significant individual coincidence between the two findings. Conclusion : The ultrasonographic diagnosis significantly reflects the symptoms of sinusitis like X-ray diagnosis and is a valuable tool to screen prognostic factors such as mucosal thickening, air-fluid level and cyst. Therefore the ultrasonography will be useful for the diagnosis and treatment of sinusitis in oriental medicine.

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Fluoxetine Modulates Corticostriatal Synaptic Transmission through Postsynaptic Mechanism

  • Cho, Hyeong-Seok;Choi, Se-Joon;Kim, Ki-Jung;Lee, Hyun-Ho;Cho, Young-Jin;Kim, Seong-Yun;Sung, Ki-Wug
    • The Korean Journal of Physiology and Pharmacology
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    • 제10권1호
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    • pp.31-38
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    • 2006
  • Fluoxetine, widely used for the treatment of depression, is known to be a selective serotonin reuptake inhibitor (SSRI), however, there are also reports that fluoxetine has direct effects on several receptors. Employing whole-cell patch clamp techniques in rat brain slice, we studied the effects of fluoxetine on corticostriatal synaptic transmission by measuring the change in spontaneous excitatory postsynaptic currents (sEPSC). Acute treatment of rat brain slice with fluoxetine ($10{\mu}M$) significantly decreased the amplitude of sEPSC ($8.1{\pm}3.3$%, n=7), but did not alter its frequency ($99.1{\pm}4.7$%, n=7). Serotonin ($10{\mu}M$) also significantly decreased the amplitude ($81.2{\pm}3.9$%, n=4) of sEPSC, but did not affect its frequency ($105.8{\pm}8.0$, n=4). The effect of fluoxetine was found to have the same trend as that of serotonin. We also found that the inhibitory effect of fluoxetine on sEPSC amplitude ($93.0{\pm}1.9$%, n=8) was significantly blocked, but not serotonin ($84.3{\pm}1.6$%, n=4), when the brain slice was incubated with p-chloroamphetamine ($10{\mu}M$), which depletes serotonin from the axon terminals and blocks its reuptake. These results suggest that fluoxetine inhibits corticostriatal synaptic transmission through postsynaptic, and that these effects are exerted through both serotonin dependent and independent mechanism.

서울올림픽대회 기간중 스포츠의료 이용에 관한 분석 (Analysis of Sports Medical Care Utilization during the 24th Seoul Olympic Games)

  • 유승흠;손명세;이영두;박은철;김춘배
    • Journal of Preventive Medicine and Public Health
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    • 제22권1호
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    • pp.136-145
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    • 1989
  • This study made a descriptive analysis of the cumulative amount and rate of sports medical care utilization during the 24th Seoul Olympic Games by the participating athletes, officials, etc. The sports medical care utilization was a component of the total medical care use and was basically caused by the prevention and treatment of sports injuries. The analytic data were derived from the Olympic Health Management Information System(OHMIS) of the SLOOC and the Korea Athlete Trainer Association(KATA). These were analyzed according to the quantity of physician visits and the utilization rate, which was the amount of utilization divided by the total number of participating persons. The results were as follows: Firstly, the sports medical care utilization by the persons participating in the Seoul Olympics amounted to 17.9% of the total medical care utilization. The venue medical services utilization accounted for 54.7% of the total physician visits, which was larger than the village medical center's utilization. The number of physician visits per hundred persons during the 2 week period in the venue clinic was 3.03 and that of the village medical center was 2.51, therefore, the total was 5.54. Secondly, athletes accounted for 82.3% and officials 12.2% in the sports medical care utilization by participants. These results were because athletes, who were directly related to the games, called extremely often on the physicians. The utilization rate of sports medical care by athletes was 34.29. Thirdly, the sports medical demand according to type of therapy could be ranked from high to low in the following order: sports massage, thermal therapy, and electrical stimulation treatment, etc. The department of physical therapy in the village medical center was used a great deal. Fourthly, the trend of daily sports medical care utilization by the athletes showed a bell shape centering around the opening day of the Seoul Olympic Games. The utilization rate of athletes was 2.3; however, that of officials was 0.6. Lastly, the sports medical demand was calculated according to the continents, and Central America, Africa and Middle-East Asia proved to have a higher rate of sports medical care utilization than the more powerful and industrialized continent or regions.

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두과목초의 질소고정에 관한 연구 I. 질소시비수준이 라디노 클로버의 질소고정 및 생장에 미치는 영향 (Studies on the Nitrogen Fixation of Legumes I. Effects of nitrogen fertilization level on nitrogen fixation and growth of ladino clover)

  • 이효원
    • 한국초지조사료학회지
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    • 제13권1호
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    • pp.16-22
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    • 1993
  • 방목초지에서 자생하는 라디노 클로버 포복경을 l/5,000a 와그너 포트에 이식하여 온실에서 겨울동안 1일 12시간 조명시키면서 재배하였다. 50일 동안 재배 후 제 1차 수화하였고 20일 후 2차, 그리고 다시 20일 후에 3차 수확을 하였다. 처리로는 질소시비를 2.5kg/10a, 5.0kg/10a, 7.5kg/10a를 이식 및 각 예취후에 시비하였다. 조사항목으로는 생장점, 지상부 수량, 지하부 수량 그리고 엽면적을 측정하였고 그밖에 질소고정량 및 지하부의 조단백질 함량 그리고 예취 후 질소고정능의 경시적 변화를 조사하였다. 그 결과을 요약하면 다음과 같다. 1. 직물체의 생장점, 지상부 그리고 지하부 생산량을 1차. 2차에서는 5kg/10a구가 가장 많았던 반면 3차에서는 2.5kg/10a구에서 제일 좋았으며 7.5kg/10a구는 질소를 계속 시비함에 따라 식물체는 3차시에 고사하였다. 생장점수는 처리간 유의성이 인정되었다. 2. 라디노 클로버의 질소고정은 1회 예취에서 2.5kg/10a구가 가장 우수한 것으로 나타나 그 후 예취 및 질소시비를 계속함에 따라 고정량은 저하하였다. 3. 잎의 조단백질 함량은 뿌리와 포복경의 조단백함량보다 많았으며 제2차 예취시 까지는 질소시비수준을 높임에 따라 조단백질의 함량도 높아지는 경향이었으나 3차 예취시에는 다시 저하하였다. 4.아세틸렌 환원능은 예취 3주후에 최저치를 나타내다가 5주후에 예취전 상태로 회복하였으며 뿌리의 건물중도 같은 경향을 나타내었다.

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Ethanol과 NaCl에 의한 Bacillus cereus 생육저해 영향 (Growth Inhibition Effects of Ethanol and Sodium Chloride on Bacillus cereus)

  • 장지현;장정순;이상윤;김현수;강상모;박종현
    • 한국식품과학회지
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    • 제35권5호
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    • pp.998-1002
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    • 2003
  • 비살균 처리 농산식품에 오염되어 있는 세균성 식중독균인 B. cereus의 저감화 할 수 있는 방법을 개발하고자 하였다 B. cereus를 20% ethanol농도에서 5분간 처리 시에는 생육에 영향이 없었으나 30% ethanol에서 5분간 처리하였을 경우 생육저해효과를 보였다. 또한 처리시간이 경과함에 따라 뚜렷한 증식저해 효과를 나타냈으며 E. coli, S. typhimurium 보다 더 많은 생육저해 현상을 보였다. 10% NaCl에서 5분간 처리한 경우 모든 균주에서 효과가 없는 것으로 나타났지만 10% NaCl 과 20% ethanol을 조합하여 5분, 10분간 처리한 경우 모든 균에서 생육이 저해되었다. 특히 B. cereus의 경우는 5분 처리 후에 $10^8cfu/mL$수준에서 $10^2cfu/mL$로 감소하였으며 10분간 처리 시 모두 사멸되는 synergy효과를 보였고 야생형의 B. cereus에서도 비슷한 경향을 보였다. 이러한 결과는 특별한 살균처리 없이 식용되는 여러 농산 식품소재의 전처리에 적용함으로써 식중독 유발균의 오염을 저감화 하는데 활용될 수 있으리라 사료된다.