• 대한약리학회지
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• 제24권2호
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• pp.233-240
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• 1988

복잡한 시료-전처리과정을 배제하여 간편하고 선택적이며 예민한 polyamine 측정방법으로써 4-fluoro-3-nitrobenzotrifluoride (FNBT)유도체 및 단일이동상을 이용하는 역상의 고속액체 크로마토 그래피 (HPLC) 방법과 아울러 이 방법을 이용한 흰쥐의 재생성간내 polyamine대사의 변동에 관한 관찰-결과를 요약하면 다음과 같다. 1. 간내-polyamine은 0.4M perchloric acid에 추출한 후 Spragg와 Hutchings의 방법에 따라서 FNBT로 N-2'-nitro-4'-trifluoromethylphenyl polyamine (NTP-polyamine) 유도체를 만들고 이를HPLC로 분석 하였다. 2. HPLC-분석은 ERC ODS-1161 (3 um, $6{\times}100$ mm) column에서 분당 1.2ml 속도의 단일-이동상(acetonitril 80%의 물)으로 분리 하며 파장 242 nm로 검출-정량하였다. 3. HPLC-분석은 시료당 약20분이 소요되었는데, 크로마토그래피의 계치들에 있어서 각polyamine의 capacity factor는 putrescine: 4.12, spermidine: 9.25, 및 spermine: 18.75로써 완전한 분리도를 보였으며, 검량한계는 10 picomole이하의 높은 예민도를 나타내었고, 시료처리-과정의 회수율은 약 12.1-88.5%로써 비교적 안정하였다. 4. Higgins와 Anderson의 방법에 따라서 흰쥐의 간을 부분-절제한 결과 $70.4{\pm}1.99%$가 절제되고 $29.7{\pm}1.45%$가 남게 되었으며, 수술후 48시간 후에 남은 간은 생리식염수-처치군 및 methylglyoxal bis (guanylhydrazone) dihydrochloride (MGBG)-처치군에서 각각 수술 전 간의$52.1%$ 및 $53.3%$로 회복되었다. 5. 정상 간의 polyamine 함량은 각각 putrescine: $158.7{\pm}14.1$, spermidine: $829.7{\pm}36.4$, 및 spermine: $875.6{\pm}42.1$ nanomole/g wet liver이었고 ; 부분-절제하고 남은 간의 polyamine의 수술후변동에 있어서, 생리식염수-처치군의 putrescine과 spermine은 6시간까지의 유의한 증가를 보인다음 48시간에 정상치로 회복되었으나 spermidine은 48시간까지도 계속 증가하여 $2004.9{\pm}170.4nanomole/g$ wet liver가 되었다. MGBG-처치군의 spermidine 및 spermine 함량은 생리식염수군의 변동과 유사하였으나 putrescine의 함량은 6시간의 증가 후 계속 증가하여 48시간에는 $1806.5{\pm}159.4$ nanomole/g wet liver가 되었다. 이상의 성적으로 미루어 볼 때, 위의 단일 이등상의 역상-MPLC방법은 생체의 polyamine 정량분석을 위한 간편하고 예민하며 매우 선택적인 것으로 사료된다.

• Applied Microscopy
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• 제40권2호
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• pp.73-80
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• 2010

Granulocyte macrophage-colony stimulating factor (GM-CSF)는 과립구 및 대식세포뿐만 아니라 상피세포의 증식과 분화를 자극하는 당단백질이며, 최근 생산된 벼세포 유래 재조합 GMCSF(rrhGM-CSF)는 감염원으로부터 안전하고 당사슬이 매우 풍부하여 물질의 안정성 혹은 효과의 지속성을 높여 주는 것으로 알려졌다. 본 실험에서는 간 재생 능력이 우수한 흰쥐를 실험모델로 하여 간의 78%를 제거한 후, 간 재생을 유도하는 과정에서 rrhGM-CSF를 처리하고, 시간 경과에 따라 형태변화의 차이와 더불어 단백질 발현 분석법과 면역조직화학법을 이용하여 PCNA 발현에 미치는 효과에 대해서 알아보고자 하였다. rrhGMCSF는 간 재생 속도를 뚜렷이 증가시키지는 못하였으나, 대조군에 비해 실험군에서는 재생 초기에 간 세포판의 붕괴와 재구성 시기를 다소 앞당기는 것으로 관찰되었다. 증식 중인 세포에서 증가하는 것으로 알려져 있는 핵단백질인 proliferating cell nuclear antigen (PCNA)의 간 조직에서의 분포와 발현 정도를 보면 부분간절제 후 12시간과 24시간에서는 PCNA 단백질이 두 그룹에서 조금씩 발현되다가 간 절제 3일과 5일이 경과한 실험군에서 단백질이 높게 발현되었다. 간 재생이 진행될수록 간 조직 전체에서 고르게 PCNA 양성반응이 나타났으며, 대조군 보다 실험군에서 반응성이 더 뚜렷한 것으로 나타났다. 이러한 결과들로 보아 부분 간절제 후 간 재생을 유도하는 과정에서 rrhGM-CSF가 세포분열을 촉진시키는 인자들 중의 하나로 작용하여 간 재생에 효과를 나타낼 수 있을 것으로 사료된다.

• 동의생리병리학회지
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• 제28권2호
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• pp.238-242
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• 2014

Here we described 2 cancer patients treated by acupuncture for abdominal pain as a complication of bowel obstruction. The patient 1, 43-year-old man was treated with surgery, radiotherapy and chemotherapy for rectal cancer. Two years after surgery, he complained of acute abdominal pain due to small bowel adhesion band. Bowel obstruction and symptoms were not improved by conservative therapy like as fasting, keeping Levin tube, and fluid therapy. 4 months later, he could eat a little rice water, but ileus and abdominal pain persisted despite of applying opiod drug and patch. Got started on acupuncture, electroacupuncture(ST-36) and moxa treatment, pain was relived gradually. He could stop opioids 1 month later and ileus was improved after acupuncture therapy for 2 months. The patient 2, 65-year-old woman got hepatectomy, cholecystectomy, and chemotherapy with cholangiocarcinoma. 6 months after surgery, she got laparotomy again for biopsy of new mass around ascending colon. She started eating after gas passing, but felt abdominal distension. Diffuse paralytic ileus was diagnosed by abdominal X-ray, and she got started conservative therapy. During ST-36 electroacupuncture therapy, symptoms like abdominal pain and distension were improved and could stop opiod patch. But eating aggravated ileus again and clinical finding of mechanical bowel obstruction was appeared. Based on these cases, acupuncture and moxa therapy could be helpful for improving abdominal pain and ileus, but possibility of malignant bowel obstruction should be considered especially in cancer patients.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5195-5200
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• 2014

Background: The purpose of this study was to analyze our series of liver resections for metastatic colorectal carcinoma (mCRC) to determine prognostic factors affecting survival and to evaluate the potential roles of neoadjuvant or adjuvant chemotherapy. Materials and Methods: Ninety-nine patients who underwent metastasectomy for liver metastases due to colorectal cancer at the Department of Medical Oncology, 9 Eylul University Hospital between 1996 and 2010 were evaluated in this study. The patients were followed through July 2013. Demographic, perioperative, laboratory, radiological and chemotherapy as well as survival data were obtained by retrospective chart review. Results: In 47 (47.5%) patients, liver metastases were unresectable at initial evaluation; the remaining 52 (52.5%) patients exhibited resectable liver metastases. Simultaneous hepatic resection was applied to 52 (35.4%) patients with synchronous metastasis, whereas 5 (64.5%) patients underwent hepatic resection after neoadjuvant chemotherapy. Forty-two patients with metachronous metastasis underwent hepatic resection following neoadjuvant chemotherapy. R0 resection was obtained in 79 (79.8%) patients. A second hepatectomy was performed in 22 (23.2%) patients. Adjuvant chemotherapy was given to 85 (85.9%) patients after metastasectomy. The median disease-free and overall survivals after initial metastasectomy were 12 and 37 months, respectively, the 1-year, 3-year and 5-year disease-free survival (DFS) and overall survival (OS) rates being 46.5%, 24.3% and 17.9%and 92.3%, 59.0% and 39.0%, respectively. On multivariate analysis, the primary tumor site, tumor differentiation, resection margin and DFS were independent factors predicting better overall survival. Conclusions: In selected cases, hepatic metastasectomy for mCRC to the liver can result in long-term survival. Neoadjuvant chemotherapy did not exert a positive effect on DFS or OS. Adjuvant chemotherapy also did not appear to impact DFS and OS.

• 대한수의학회지
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• 제40권1호
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• pp.117-129
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• 2000

This study was carried out to examine proliferative activity and expression of c-myc oncoprotein and p2lras in normal and preneoplastic rat livers induced by an in vivo mid-term chemical carcinogenesis assay. Sixty, six-week-old male specific pathogen free Sprague-Dawley male rats were randomly divided into five groups. Group I was received a single intraperitoneal(IP) dose(200mg/kg) of diethylnitrosamine(DEN). Group 2(10 rats) was operated partial hepatectomy(PH) and Group 3 was received IP(200mg/kg) DEN, fed two weeks later with 500ppm of phenobarbital(PB). Group 4 was received IP(200mg/kg) DEN, fed two weeks later 500ppm(PB) and PH at week 3 after the onset of experiment. While group 5(20 rats) was not treated and used as a control group. All the rats were sacrificed at age 14 weeks except 10 rats from group 5 were sacrificed at the onset of experiment. Livers of all rats were examined for 5-bromo-2'-deoxyuridine(BrdU) incoporation, proliferating cell nuclear antigen(PCNA), silver-binding nucleolar organizer regions(AgNORs) counts per nucleus and expression of c-myc oncoprotein and p21ras. Both the number and area of the preneoplastic lesions were significantly(p<0.01) compared to other groups. A significant(p<0.01) increase in immunoreactive cells were detected in preneoplastic hepatocytes in Groups 3 and 4 by PCNA and BrdU immunohistochemical stain. The number of the positive cells were significantly(p<0.05) lower in normal 14-week-old rats than those of 6-week-old rats. The results showed that proliferative activity of the hepatocytes was increased by treatment with DEN, PH and PB. Meanwhile, AgNORs counts per nucleus were significantly(p<0.05) increased in the preneoplastic hepatocytes of rats in both groups 3 and 4. The expression of c-myc oncoprotein and p21ras were more readily localized within the hepatic preneoplastic lesions such as hyperplastic nodules. Especially, group 4 showed significantly (p<0.05) overexpressed levels compared to groups 1 and 3. These findings suggest that PCNA, BrdU and AgNORs are significantly increased and c-myc oncoprotein and p21ras are significantly overexpressed in hepatic preneoplastic lesions induced by mid-term carcinogenesis. So these parameters can be an effective markers for hepatic prencoplastic lesions.

• Korean Journal of Radiology
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• 제21권8호
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• pp.987-997
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• 2020

Objective: Measurement of the liver and spleen volumes has clinical implications. Although computed tomography (CT) volumetry is considered to be the most reliable noninvasive method for liver and spleen volume measurement, it has limited application in clinical practice due to its time-consuming segmentation process. We aimed to develop and validate a deep learning algorithm (DLA) for fully automated liver and spleen segmentation using portal venous phase CT images in various liver conditions. Materials and Methods: A DLA for liver and spleen segmentation was trained using a development dataset of portal venous CT images from 813 patients. Performance of the DLA was evaluated in two separate test datasets: dataset-1 which included 150 CT examinations in patients with various liver conditions (i.e., healthy liver, fatty liver, chronic liver disease, cirrhosis, and post-hepatectomy) and dataset-2 which included 50 pairs of CT examinations performed at ours and other institutions. The performance of the DLA was evaluated using the dice similarity score (DSS) for segmentation and Bland-Altman 95% limits of agreement (LOA) for measurement of the volumetric indices, which was compared with that of ground truth manual segmentation. Results: In test dataset-1, the DLA achieved a mean DSS of 0.973 and 0.974 for liver and spleen segmentation, respectively, with no significant difference in DSS across different liver conditions (p = 0.60 and 0.26 for the liver and spleen, respectively). For the measurement of volumetric indices, the Bland-Altman 95% LOA was -0.17 ± 3.07% for liver volume and -0.56 ± 3.78% for spleen volume. In test dataset-2, DLA performance using CT images obtained at outside institutions and our institution was comparable for liver (DSS, 0.982 vs. 0.983; p = 0.28) and spleen (DSS, 0.969 vs. 0.968; p = 0.41) segmentation. Conclusion: The DLA enabled highly accurate segmentation and volume measurement of the liver and spleen using portal venous phase CT images of patients with various liver conditions.

• Korean Journal of Radiology
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• 제23권2호
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• pp.180-188
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• 2022

Objective: To validate the performance of 3T spin-echo echo-planar imaging (SE-EPI) magnetic resonance elastography (MRE) for staging hepatic fibrosis in a large population, using surgical specimens as the reference standard. Materials and Methods: This retrospective study initially included 310 adults (155 undergoing hepatic resection and 155 undergoing donor hepatectomy) with histopathologic results from surgical liver specimens. They underwent 3T SE-EPI MRE ≤ 3 months prior to surgery. Demographic findings, underlying liver disease, and hepatic fibrosis pathologic stage according to METAVIR were recorded. Liver stiffness (LS) was measured by two radiologists, and inter-reader reproducibility was evaluated using the intraclass correlation coefficient (ICC). The mean LS of each fibrosis stage (F0-F4) was calculated in total and for each etiologic subgroup. Comparisons among subgroups were performed using the Kruskal-Wallis test and Conover post-hoc test. The cutoff values for fibrosis staging were estimated using receiver operating characteristic (ROC) curve analysis. Results: Inter-reader reproducibility was excellent (ICC, 0.98; 95% confidence interval, 0.97-0.99). The mean LS values were 1.91, 2.41, 3.24, and 5.41 kPa in F0-F1 (n = 171), F2 (n = 26), F3 (n = 38), and F4 (n = 72), respectively. The discriminating cutoff values for diagnosing ≥ F2, ≥ F3, and F4 were 2.18, 2.71, and 3.15 kPa, respectively, with the ROC curve areas of 0.97-0.98 (sensitivity 91.2%-95.9%, specificity 90.7%-99.0%). The mean LS was significantly higher in patients with cirrhosis (F4) of nonviral causes, such as primary biliary cirrhosis (9.56 kPa) and alcoholic liver disease (7.17 kPa) than in those with hepatitis B or C cirrhosis (4.28 and 4.92 kPa, respectively). There were no statistically significant differences in LS among the different etiologic subgroups in the F0-F3 stages. Conclusion: The 3T SE-EPI MRE demonstrated high interobserver reproducibility, and our criteria for staging hepatic fibrosis showed high diagnostic performance. LS was significantly higher in patients with non-viral cirrhosis than in those with viral cirrhosis.

• 한국간담췌외과학회지
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• 제27권3호
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• pp.258-263
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• 2023

Backgrounds/Aims: Hemangiomas are the most common benign liver lesions; however, they are usually asymptomatic and seldom require surgery. Enucleation and resection are the most commonly performed surgical procedures for symptomatic lesions. This study aims to compare the outcomes of these two surgical techniques. Methods: A retrospective analysis of symptomatic hepatic hemangiomas (HH) operated upon between 2000 and 2021. Patients were categorized into the enucleation and resection groups. Demographic profile, intraoperative bleeding, and morbidity (Clavien-Dindo Grade) were compared. Independent t-test and chi-square tests were used for continuous and categorical variables respectively. p-value of < 0.05 was considered significant. Results: Sixteen symptomatic HH patients aged 30 to 66 years underwent surgery (enucleation = 8, resection = 8) and majority were females (n = 10 [62.5%]). Fifteen patients presented with abdominal pain, and one patient had an interval increase in the size of the lesion from 9 to 12 cm. The size of hemangiomas varied from 6 to 23 cm. The median blood loss (enucleation: 350 vs. resection: 600 mL), operative time (enucleation: 5.8 vs. resection: 7.5 hours), and postoperative hospital stay (enucleation: 6.5 vs. resection: 11 days) were greater in the resection group (statistically insignificant). In the resection group, morbidity was significantly higher (62.6% vs. 12.5%, p = 0.05), including one mortality. All patients remained asymptomatic during the follow-up. Conclusions: Enucleation was simpler with less morbidity as compared to resection in our series. However, considering the small number of patients, further studies are needed with comparable groups to confirm the superiority of enucleation over resection.

• Tuberculosis and Respiratory Diseases
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• 제47권5호
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• pp.650-659
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• 1999

목 적: 산소를 이용하는 세포들은 반응성 산소기(reactive oxygen species, ROS)로 부터 자신을 보호하는 기전을 가지고 있는데, thioredoxin system으로부터 전자를 받아 과산화물을 물로 환원시키는 생화학적 성질을 가진 효모 단백질을 발견하여 이를 thioredoxin peroxidase(TPX)로 명명하였다. 이는 효모 뿐 아니라 체내 여러 장기에 고루 분포되어 있으며, 특허 종양세포에서 유리되는 반응생 산소기를 제거함으로써 종양세포의 발생(initiation), 성장(promotion) 및 전이(metastasis)를 억제하는 역할을 할 것으로 알려져 있으며, 폐암, 유방암 등의 종양세포내에서의 발현이 증가되는 것으로 보고되었다. 한편, 폐암의 치료에 있어서 방사선 치료는 폐암의 국소적 치료 및 증상 경감을 위해 중요한 위치를 차지하고 있으나, 폐의 방사선 치료에 있어 가장 중요한 장애요인은 치료후 발생하는 폐실질의 섬유화로서 방사선 조사후의 산소유리가(free radical) 손상 등에 의한 것으로 알려져 있으며, 이런 섬유화에 관여하는 인자 및 방어기전에 대한 연구는 미흡한 실정이다. 이에 저자 등은 방사선 조사 후에 백서의 폐조직에서 thioredoxin peroxidase의 아형 및 catalase등이 방사선 조사로 인한 폐손상의 방어기전에 어떤 역할을 하는지 알아보기 위하여 다음과 같은 연구를 시행하였다. 대상 및 방법: 백서 18마리를 각각 3마리씩 6개 군으로 나누었고, 그 중 15마리에 900cGY와 방사선을 조사하였다. 방사선 조사를 받은 백서를 조사직후, 1주후, 2주후, 3주후 및 6주후에 희생시켜 폐조직을 얻었고, 이들 폐조직과 대조군 3마리의 폐조직을 H&E 염색하여 폐섬유화의 정도를 관찰함과 동시에 TPX 아형 및 catalase에 대한 항체로 Western blot analysis를 시행하여 각각의 단백질의 발현정도를 비교하였다. 결 과: 대조군과 비교하여 볼 때 폐조직에서 H&E 염색상 방사선 조사후 시기별로 폐섬유화의 정도가 점차로 진행됨을 볼 수 있었으나, thioredoxin peroxidase 5가지 아형(TPX-A & B, HS22, MER5, HORF-06) 모두 방사선 조사전과 조사후, 시간경과에 따른 면역반응대(immunoreactive band)의 차이를 보이지는 않았다. Catalase 역시 면역반응대의 차이를 보이지 않았다. 결 론: 체내 여러장기, 특히 폐장에 많이 분포하고, 폐암세포에 의한 반응성 산소기(reactive oxygen species)에 의하여 발현이 증가되는 것으로 알려진 thioredoxin peroxidase가 방사선 조사후에 발생한 백서의 폐섬유화에서는 그 발현의 정도가 변하지 않는 것으로 미루어 방사선으로 인한 폐손상의 복원과정에는 관여하지 않는 것으로 생각된다.

• 한국식품위생안전성학회지
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• 제6권1호
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• pp.1-12
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• 1991

생후 6주령된 Fischer344 랫드를 4개군으로 나누어 시험 개시 일에 diethylnitrosamine을 제 1, 2, 3 군에 복강내로 각각 체중 kg당 200mg을 1회 주사하였고, 제 4군에는 생리적 식염수를 복강내로 1회 투여하였으며, 간 변화의 증폭을 위해 시험개시 3주후에 간의 약 67%를 부분절제하였다. 제1,2 군은 시험개시 후 제 2주부터 2-acetylaminofluorene(2-AAF)를 사료에 0.02%가 되게 섞어 4주간 투여하였고, 제3군과 대조군인 제4군에는 기초 사료만을 급여하였다. 제 1,3군은 철저항병소의 검색을 위하여 시험종료 2주전에 iron dextran을 체중 100g당 0.125 mg을 주 3회 피하로 투여하였고, 시험종료 후에 모든 랫드를 부검하여, 고정제로 고정한 후 일반적인 조직표본을 만들었다. 전암병소 검색을 위해 glutathione S-transeferase placental form(GST-P)에 대한 면역조직화화적 염색과 Perl's 법에 의한 철염색을 한 후, 동일한 조직을 연속절편하여 hematoxylin & eosin 염색한 것과 비교하였고, 칼라 화상분석기로 병소의 면적을 계산하여 통계학적 분석을 하였다. 본 연구의 결과는 철 저항 nodule이 주위의 정상조직과 한계가 어느정도 굴별되어 병변을 검색할 수 있었으나 GST-P 양성 nodule에 비하여 확실하지 않았고, 또한 철저항 foci는 주위의 정상조직과 한계가 명확하게 구별할 수 없었다. 간엽 전체에 대한 병소의 면적비교는 철 저항병소의 면적이 GST-P양성 병소의 면적보다 유의성 있게 낮았다. (p<0.01). 따라서 전암병소를 검색하는데는 GST-P양성 병소에 의한 검색이 철 저항 병소에 의한 검색보다 더 민감하고 믿을만한 지표가 되는 것으로 생각된다.하고 있는 각종 지구관측위성(EOS)들이 실용화 될 2000년 대에는 일반 지구환경감시는 물론 수계환경 감시 체계구축에 획기적인 진전이 있을 것으로 기대된다.limon(Jordan et Fowler) 및 청자갈치 Allolepis hollandi Jordan et Hubbs, 장갱이란 Stichaeidae의 세줄베도라치 식nogrammus hewagrammus(Temminck et Schlegel), 장갱이 Stichaeus grigorjemi Her\ulcornerenstein, 왜도라치 Chri'olophis wui(Wang et Wang ) , 괴도라치 Chirolophis joponicus(Jordan et snyder) , 벼슬베도라치 각ectrias benjamini Jordan et Snyder, 가시베도라치 Lumpenella nigricons Matsubara, 육점날개 Ophistocentws zonope jordan et Snyder, 그물베도라치 Dictyosoma burgeri Van der Hoeven 및 황점 베도라치Dictyosoma wbrimaculata Yatsu, Yasuda et Taki, 그리고 황줄베도라치란 Pholididae의 황줄베도라치 Phoris taczanowskii(Steindachner), 오색베도라치 Phoris omotus (Girad), 베도라치 Pholis nebuloso(Temminck et Schlegel), 횐베도라치 Pholisfangi(Wang et Wang) 및 점베도라치 Pholis crossispino(Temminck et Schlegel)의 17속 25종이 분류되었다. 이중에서 Zoarchias glaber, Chirofophis oui, Alectrias benjamini, Dictyosoma mbrimaculamia 및 Pholis crassispina의 5종은