• 제목/요약/키워드: graft reaction

검색결과 208건 처리시간 0.027초

Use of Platelet-Rich Fibrin in Oral and Maxillofacial Surgery

  • Jeong, Kyung-In;Kim, Su-Gwan;Oh, Ji-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제34권2호
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    • pp.155-161
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    • 2012
  • Platelet-rich fibrin (PRF) is a strong but flexible fibrin including a enrich platelet which contain growth factors and cytokines. PRF can be made very simply and requires no artificial additives unlike platelet-rich plasma. While PRF is remodeled and released in the tissue, this induces cell growth, vascularization, collagen synthesis, osteoblast differentiation and an anti-inflammatory reaction. Taking advantage of these functions, PRF can stimulate regeneration of bone and soft tissue in a diverse number of ways during the course of hemostasis, wound coverage, preservation, and reconstruction of alveolar bone. Moreover, the use of PRF to improve bone regeneration has become a recent technique in implantology. In this study, through a literature review of PRF's existing clinical applications, we classified a range of potential PRF oral and maxillofacial surgery applications including preservation of extraction sockets, guided bone graft, sinus lift, dressing and periodontal treatment. This trial gave us chance to confirm the usefulness of PRF. Recently, updated clinical studies results concerning skin and tendon wound healing have become available. These results suggest that the usage of RPF will gradually expand.

Functional Characteristics of C-terminal Lysine to Cysteine Mutant Form of CTLA-4Ig

  • Kim, Bongi;Shin, Jun-Seop;Park, Chung-Gyu
    • IMMUNE NETWORK
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    • 제13권1호
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    • pp.16-24
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    • 2013
  • CTLA-4Ig is regarded as an inhibitory agent of the T cell proliferation via blocking the costimulatory signal which is essential for full T cell activation. To improve applicability, we developed the CTLA-4Ig-CTKC in which the c-terminal lysine had been replaced by cysteine through single amino acid change. The single amino acid mutation of c-terminus of CTLA-4Ig was performed by PCR and was checked by in vitro transcription and translation. DNA construct of mutant form was transfected to Chinese hamster ovary (CHO) cells by electroporation. The purified proteins were confirmed by Western blot and B7-1 binding assay for their binding ability. The suppressive capacity of CTLA-4Ig-CTKC was evaluated by the mixed lymphocyte reaction (MLR) and in the allogeneic pancreatic islet transplantation model. CTLA-4Ig-CTKC maintained binding ability to B7-1 molecule and effectively inhibits T cell proliferation in MLR. In the murine allogeneic pancreatic islet transplantation, short-term treatment of CTLA-4Ig-CTKC prolonged the graft survival over 100 days. CTLA-4Ig-CTKC effectively inhibits immune response both in MLR and in allogeneic islet transplantation model, indicating that single amino acid mutation does not affect the inhibitory function of CTLA-4Ig. CTLA-4Ig-CTKC can be used in vehicle-mediated drug delivery system such as liposome conjugation.

백서 두개골결손모델에서 실크단백과 골형성단백 이식체가 골재생에 미치는 영향 (The effect of silk fibroin and rhBMP-2 on bone regeneration in rat calvarial defect model)

  • 남정훈;노경록;방은오;유우근;강응선;권해용;김성곤;박영주
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제36권5호
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    • pp.366-374
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    • 2010
  • Introduction: This study evaluated the capability of silk fibroin (SF) and recombinant human bone morphogenetic protein-2 loaded SF (SF-BMP) as a bone defect replacement matrix when grafted in a calvarial bone defect of rats in vivo. Materials and Methods: A total 70 calvarial critical size defects (5.0 mm in diameter) made on 35 adult female Sprague-Dawley rats were used in this study. The defects were transplanted with (1) rhBMP-2 loaded silk fibroin graft (SF-BMP: 0.8+$10\;{\mu}g$), (2) Silk fibroin (SF: $10\;{\mu}g$), and (3) no graft material (Raw). The samples were evaluated with soft x-rays, alkaline phosphatase activity, calcium/phosphate quantification, histological and histomorphometric analysis at postoperative 4 and 8 weeks. Results: The SF-BMP group ($48.86{\pm}14.92%$) had a significantly higher mean percentage bone area than the SF group ($24.96{\pm}11.01%$) at postoperative 4 weeks.(P<0.05) In addition, the SF-BMP group ($40.01{\pm}12.43%$) had a higher % bone area at postoperative 8 weeks than the SF group ($33.26{\pm}5.15%$). The mean ratio of gray scale levels to the host bone showed that the SF-BMP group ($0.67{\pm}0.08$) had a higher mean ratio level than the SF group ($0.61{\pm}0.09$) at postoperative 8 weeks. These differences were not statistically significant.(P=0.168 and P=0.243, respectively) The ratio of the calcium and phosphate contents of the SF-BMP ($0.93{\pm}0.22$) group was lower than that of the SF ($1.90{\pm}1.42$) group at postoperative 4 weeks. However, the SF-BMP group ($0.75{\pm}0.31$) had a higher Ca/$PO_4$ ratio than the SF ($0.68{\pm}0.04$) at postoperative 8 weeks. These differences were not statistically significant.(P=0.126 and P=0.627, respectively) For the bone-specific alkaline phosphatase (ALP) activity, which is recognized as a reliable indicator of the osteoblast function, the SF-BMP ($23.71{\pm}8.60\;U/L$) groups had a significantly higher value than the SF group ($12.65{\pm}6.47\;U/L$) at postoperative 4 weeks.(P<0.05) At postoperative 8 weeks, the SF-BMP ($21.65{\pm}10.02\;U/L$) group had a lower bone-specific ALP activity than the SF group ($16.72{\pm}7.35\;U/L$). This difference was not statistically significant.(P=0.263) For the histological evaluation, the SF-BMP group revealed less inflammation, lower foreign body reactions and higher bone healing than the SF group at postoperative 4 and 8 weeks. The SF group revealed more foreign body reactions at postoperative 4 weeks. However, this immunogenic reaction decreased and the remnant of grafted material was observed at postoperative 8 weeks. For histomorphometric analysis, the SF-BMP group had a significantly longer bone length to total length ratio than those of the SF group at postoperative 4 and 8 weeks.(P<0.05) Conclusion: The rhBMP-2 loaded silk fibroin graft revealed fewer immunoreactions and inflammation as well as more new bone formation than the pure silk fibroin graft. Therefore, silk fibroin may be a candidate scaffold for tissue engineered bone regeneration.

PC(Polycarboxylate)계 고유동화제가 시멘트 수화 반응에 미치는 영향 (Effect of PC(Polycarboxylate) Type Superplasticizer on the Hydration Reaction of Cement Paste)

  • 채은진;신진용;서정권;이정민;박진원
    • 콘크리트학회논문집
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    • 제18권4호
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    • pp.569-576
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    • 2006
  • PC계 2원 공중합체를 분자량이 2080인 MPEG와 (polyethylene glycol methyl ether methacrylate, Mn=2080) 몰 비가 2, 3, 4인 mono-carboxylic aicd(AA acrylic acid)를 사용하여 합성하고, MPEG와 mono-carboxylic aicd에 dicarboxylic acid(ITA, MAL)를 추가하여 3원공중합체를 합성하였다. PC계 2, 3원 공중합체가 시멘트페이스트 수화 반응에 미치는 영향성을 평가하고, 분석하기위해 각각의 시편을 만들어 재령(1일, 3일, 28일)별로 적외선 분광법(FT-IR), X-선 회절분석(XRD), 시차주사열계량법(DSC), 주사전자현미경(SEM)을 사용하여 분석을 실시하였다. 2, 3원 공중합체 모두 재령 1일에서는 다소 수화 반응 속도가 지연되었으나, 시간 경과에 따라 수화 지연은 완화되었으며 3원공중합체보다 2원공중합체가 수화가 더 활발히 진행되었는데 이는 3원공중합체에 비해 상대적으로 2원 공중합체가 가진 낮은 카복실기 함량 때문이다. 2AA계를 적용한 PC계 2원 공중합체의 경우 재령 3일에서 수화반응이 가장 활발하게 일어났고, AA의 몰비가 증가할수록 2원 공중합체의 수화 지연성은 커지는 경향을 나타내었다.

광중합법을 이용한 수처리용 설폰산형 PET-g-GMA 극세 이온 교환 섬유의 합성 및 금속 이온 흡착 특성 (Synthesis of Sulfonated PET-g-GMA Fine Ion-exchange Fibers for Water Treatment by Photopolymerization and Their Adsorption Properties for Metal Ions)

  • 곽노석;황택성;김선미;양윤규;강경석
    • 폴리머
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    • 제28권5호
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    • pp.397-403
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    • 2004
  • 광개시제를 이용한 UV 조사방법으로 설폰화 PET-g-GMA 극세 이온 교환 섬유를 합성하고 이들의 구조 및 흡착 특성을 확인하였다. PET-g-GMA의 그라프트율은 UV 조사량, 조사시간 및 반응온도가 증가함에 따라 증가하였으며, 최적 합성조건은 UV조사량, 시간, 반응온도가 각각 450 W, 60 min, $40^{\circ}C$이었다. 한편 최대 설폰화율과 이온 교환 용량은 각각 8.12 mmol/g, 3.25 meq/g의 값을 나타내었다. 또한 설폰화 PET-g-GMA 극세 이온 교환 섬유의 인장강도는 반응전 PET 기재의 인장강도보다 그라프트 반응율이 증가함에 따라 약간 낮아지는 경향을 보였다. 설폰화 PET-g-GMA 극세 이온 교환 섬유의 칼슘 이온, 마그네슘 이온에 대한 흡착 시험 결과 마그네슘 이온이 칼슘 이온보다 흡착 파과 시간이 길었으며, 칼슘 이온, 마그네슘 혼합 용액에서 마그네슘의 흡착 파과 시간은 더욱 길어지는 경향을 보였다.

가토 탈회 동종골편 이식시 조직반응에 관한 연구 (HISTOLOGICAL TISSUE RESPONSES OF DEMINERALIZED ALLOGENEIC BONE BLOCK GRAFT IN RABBITS)

  • 전영환;김영조;민승기;엄인웅;이동근
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제15권1호
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    • pp.63-79
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    • 1993
  • To repair bony defects with tansplanted bone in the body, fresh autogenous bone is undoubtly, the most effective bone graft for clinical applications. But the demineralized bone has the matrix-induced bone formation which was suggested by Urist in 1965. Many authors assisted that demineralized bone powder induces phenotypic conversion of mesenchymal cells into osteoblasts, with high-density bone formation. The process of inducing differentiated cells becomes osteogenic properties. The purpose of this study was to evaluate the osteoinductive capacity of allogenic freeze-dried demineralized bone block (FDD, $7{\times}7mm$) and to compare FDD with the same sue of deep-frozen allogenic bone(DF), fresh autogenous bone (A) after implantation. The histological and ultrastructural features of tissue responses were examined after 1, 2, 4, 6, 8 weeks implantation of each experimental groups in the operative site of the New Zealand white rabbits. The results were as follows : 1. Inflammatory cell infiltration generally has appeared at 1 week, but reduced at 4 weeks in each group, but most severe in DF group. 2. Osteoblastic activity has increased for 4 weeks, but decreased at 6 weeks in each group and there was no significant difference among experimental groups. 3. New bone formation has begun at 1week, least activations in A groups, and showed the revesal line of bone formation among each group at 6 to 8 weeks. 4. Bone resorption has appeared at 1 week, but disappeared at 4 weeks in both A and DF groups, but more severe in DF than A groups. 5. In ultrastructural changs, the DF group have showed the most remarkable osteoclastic activities among experimental groups. 6. Osteoid or tangled collagen fibrils near the implanted sites were replaced by more mature, lamellated bony trabeculae during bone remodeling. There was little difference among each experimental groups. 7. During the convertion osteoblasts to osteocytes which embedded within the bone matrix, there was organ-less-poor cytoplasm, increased nuclear chromatin, abundant rough endothelial reticulum (RER) in each groups. From the above the findings, the DF group shored more bone resorption and foreign body reaction than FDD and A groups, and FDD group showed more new bone formation or osteoblastic activity than DF and A groups in early stage. There was no significant difference of cellular activities among the FDD DF, and A groups according to the time.

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Dehydrothermal Treatment로 제작한 흡수성 콜라겐 골유도재생술 차단막 (Absorbable Guided Bone Regeneration Membrane Fabricated from Dehydrothermal Treated Porcine Collagen)

  • 방강미;정한울;김성포;양은경;김기호;김성민;김명진;장정원;이종호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제33권2호
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    • pp.112-119
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    • 2011
  • Purpose: Collagen membranes are used extensively as bioabsorbable barriers in guided bone regeneration. However, collagen has different effects on tissue restoration depending on the type, structure, degree of cross-linking and chemical treatment. The purpose of this study was to evaluate the inflammatory reaction, bone formation, and degradation of dehydrothermal treated porcine type I atelocollagen (CollaGuide$^{(R)}$) compared to of the non-crosslinked porcine type I, III collagen (BioGide$^{(R)}$) and the glutaldehyde cross-linked bovine type I collagen (BioMend$^{(R)}$) in surgically created bone defects in rat mandible. Methods: Bone defect model was based upon 3 mm sized full-thickness transcortical bone defects in the mandibular ramus of Sprague-Dawley rats. The defects were covered bucolingually with CollaGuide$^{(R)}$, BioMend$^{(R)}$, or BioGide$^{(R)}$ (n=12). For control, the defects were not covered by any membrane. Lymphocyte, multinucleated giant cell infiltration, bone formation over the defect area and membrane absorption were evaluated at 4 weeks postimplantation. For comparison of the membrane effect over the bone augmentation, rats received a bone graft plus different covering of membrane. A $3{\times}4$ mm sized block graft was harvested from the mandibular angle and was laid and stabilized with a microscrew on the naturally existing curvature of mandibular inferior border. After 10 weeks postimplantation, same histologic analysis were done. Results: In the defect model at 4 weeks post-implantation, the amount of new bone formed in defects was similar for all types of membrane. Bio-Gide$^{(R)}$ membranes induced significantly greater inflammatory response and membrane resorption than other two membranes; characterized by lymphocytes and multinucleated giant cells. At 10 weeks postoperatively, all membranes were completely resorbed. Conclusion: Dehydrotheramal treated cross-linked collagen was safe and effective in guiding bone regeneration in alveolar ridge defects and bone augmentation in rats, similar to BioGide$^{(R)}$ and BioMend$^{(R)}$, thus, could be clinically useful.

아민형 PP-g-VBC의 NO3-N과 PO4-P 흡착특성 (Nitrate and Phosphate Adsorption Properties by Aminated Vinylbenzyl Chloride Grafted Polypropylene Fiber)

  • 이용재;송재준;나춘기
    • 대한환경공학회지
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    • 제38권10호
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    • pp.543-550
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    • 2016
  • 비닐벤질클로라이드(VBC)를 PP부직포에 광그라프트 중합시키고 에칠렌디아민을 이용한 아민반응을 통해 음이온 교환기능기를 갖는 아민형 PP-g-VBC-EDA 흡착제를 제조하고, 회분식 흡착실험을 통해 음이온 영양염에 대한 흡착특성을 평가하였다. 흡착평형은 랭뮤어 흡착등온식과 잘 일치하였으며, 그로부터 계산한 단일층 최대흡착량은 $NO_3-N$이 59.9 mg/g, $PO_4-P$가 111.4 mg/g이었다. 흡착에너지는 8 kJ/mol 이상으로 이온교환이 주된 흡착메커니즘임을 나타내었다. 흡착속도는 이차흡착 속도모델식과 일치하였으며 9.8-36.7 kJ/mol의 흡착활성화에너지를 나타내어 화학적 흡착과정에 의해 지배되었음을 시사하였다. 흡착에 대한 열역학 함수 ${\Delta}G^o$, ${\Delta}H^o$${\Delta}S^o$는 음이온 영양염에 대한 PP-g-VBC-EDA의 흡착이 자발적이고 발열적으로 일어남을 나타내었다. PP-g-VBC-EDA 흡착제는 0.1 N HCl 용액을 이용한 세척과정을 통해 재생할 수 있었다.

재발된 법랑아세포종 환자에서 하악골 부분절제술후 금속판과 자가장골을 이용한 즉시재건술에 대한 증례보고 (IMMEDIATE RECONSTRUCTION WITH A.C.P AND ILIAC BONE GRAFT AFTER PARTIAL MANDIBULECTOMY ON RECURRENT AMELOBLASTOMA.)

  • 문행규;여환호;길병동;김운규
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제11권2호
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    • pp.53-59
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    • 1989
  • 법랑아세포종은 결체조직에 최소의 유도적인 변화를 나타내며 양성이지만 지속성이나 국소적으로 악성양상을 띄는 가장 흔한 형태의 치계 종양이다. 호발연령은 주로 20세부터 50세 사이이며, 임상증상은 환자마다 다양하게 나타나며 상악보다 하악에 호발하며 완만한 성장 속도를 나타낸다. 법랑아세포종의 방사선학적 특징은 병소의 본질과 국소적인 골반응에 의하며, 재발은 약 33%로 흔하며 이것은 불완전한 병소부의 제거로 인한 것이다. 29세의 여성환자에서 하악 우측 소구치부터 하악지까지 발생한 재발성 법랑아세포종의 외과적 절재후 장골 이식과 금속판을 이용한 즉시 재건술을 시행한바 이러한 재건술을 이용하여 양호한 기능, 단기간의 악간고정 기간, 그리고 다른 재건술 보다 용이하였던 바 이에 지견을 얻어 보고드리는 바입니다.

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방사선 그라프트 PFA-폴리스티렌 멤브레인으로 제조한 직접 메탄올 연료전지용 MEA의 성능과 특성 (Characterization and Performance of MEA for Direct Methanol Fuel Cell Prepared with PFA Grafted Polystyrene Membranes via Radiation-Grafting Method)

  • 강세구;백동현;김상경;임성엽;정두환;박영철;신준화;강필현;노영창;설용건
    • 전기화학회지
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    • 제12권2호
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    • pp.173-180
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    • 2009
  • DMFC (Direct Methanol Fuel Cell)용의 새로운 고분자 전해질 멤브레인을 개발하기 위하여 스티렌 단량체를 poly(tetrafluoroethylene perfluoropropyl vinyl ether) (PFA) 필름에 그라프트 중합 반응시킨 후에 술폰화 반응을 진행하였다. $\Upsilon$-ray를 이용하여 방사선 그라프트 중합 반응시킨 방사선 그라프트 필름의 술폰화 반응은 chlorosulfonic acid/dichloroethane (5 v/v%) 혼합 용액에서 진행하였다. PFA 그라프트 폴리스티렌 멤브레인 (PFA-g-PSSA)의 화학적, 물리적, 전기화학적 및 형태의 특성은 푸리에 변환 적외선 분광기 (FTIR), 이온전도도 측정기 및 주사전자현미경 (SEM)으로 분석하고 함수율과 메탄올 투과도도 측정하였다. PFA-g-PSSA 멤브레인으로 제작한 MEA의 단위전지 성능을 평가하였고, 전지의 셀 저항은 임피던스 분석 장치를 이용하여 측정하였다. PFA-g-PSSA 멤브레인으로 제조한 MEA는 Nafion 112로 제조한 MEA보다 우수한 DMFC 성능을 나타내었다.