• 제목/요약/키워드: immunosuppressive activity

검색결과 122건 처리시간 0.026초

암미세환경에서 종양관련대식세포의 역할 (Role of Tumor-associated Macrophage in Tumor Microenvironment)

  • 민도식
    • 생명과학회지
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    • 제28권8호
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    • pp.992-998
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    • 2018
  • 암세포는 종양의 성장을 지지하는 다양한 성분으로 구성되어 있는 환경에서 자란다. 암미세환경에 존재하는 주요 세포등은 섬유아세포, 내피세포, 면역세포들이며 이들세포들은 암세포들과 서로 소통을 하고 있다 종양조직에 유입된 면역세포중에서 대식세포가 종양미세환경의 주요성분으로서 다양한 면역현상들을 조절한다. 면역세포유입에 의한 암촉진과 항암효과 간의 복잡한 균형은 종양의 성장과 진행에 필요한 만성염증 환경을 생성시킬 수 있다. 대식세포는 M1과 M2 극성화로 규정된 미세환경 신호에 반응하여 기능적으로 다른 프로그램을 작동시킬 수 있다. 종양관련대식세포는 다양한 사이토카인, 케모카인, 단백질분해효소들을 분비함으로써 암 신생혈관형성, 증식, 전이 및 면역억제를 촉진시킨다. 최근에, 종양관련대식세포는 암줄기세포와 상호작용하여 종양의 진행, 전이 및 항암제 내성을 유도하는 것으로 알려져 있다. 종양관련대식세포는 암미세환경을 유지하기위해 면역억제 기능을 획득하며, 종양의 이질성과 가소성의 특성을 갖고 있어 암관련인자 및 감염등의 노출에 의해 서로 다른 극성형질로 리프로그래밍된다. 종양관련대식세포는 기질인자의 자극에 의해 암특이적인 케모카인들을 생성하기 때문에 케모카인은 질병의 활성을 반영하는 바이오마커로 작용할 수 있다. 종양조직에 종양관련대식세포가 많이 유입될수록 환자의 예후가 좋지 않으며 항암치료에 대한 저항성이 생긴다. 따라서 종양에서 대식세포를 표적화하는 항암치료는 유망한 치료전략이 될 수 있다.

NQO1 (NAD(P)H:quinone oxidoreductase 1)에 의한 대식세포 활성화 억제 (Inhibitory Effect of NAD(P)H:Quinone Oxidoreductase 1 on the Activation of Macrophages)

  • 훙지;장펑;윤이나;김호
    • 생명과학회지
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    • 제27권8호
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    • pp.873-878
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    • 2017
  • 본 연구는 대식세포 활성화 과정에서 NQO1의 역할을 확인하는 것이다. 대식세포의 활성화 정도는 배양액으로 분비하는 IL-6와 $TNF-{\alpha}$ 양을 측정하여 평가하였다. 먼저 NQO1 WT 생쥐와 NQO1 KO 생쥐에서 각각 분리한 복강대식세포의 활성화 정도를 비교해 보았다. 특이하게도 NQO1 KO 복강대식세포가 NQO1 WT에 비해서 더 높게 활성화되어 있었다. 또한 일반 생쥐의 복강대식세포에 NQO1 억제제(dicumarol)을 처치한 경우에도 강한 활성이 유도됨을 확인하였다. Dicumarol을 처치한 RAW264.7 (대식세포주)에 서도 강한 활성화가 관찰되었다. 이는 NQO1이 대식세포의 활성화 과정을 억제하는 경로와 연관되어 있음을 보여준다. 더욱이 dicumarol을 처치하여 NQO1의 기능을 억제시킨 다양한 대식세포에서 $I{\kappa}B$ 단백질이 유의하게 감소한다는 사실을 확인하였다. 대식세포 활성화 과정을 매개하는 주요 신호분자가 $NF{\kappa}B$이며 이 분자에 대한 억제자가 $I{\kappa}B$라는 사실들을 감안할 때, NQO1의 기능이 $I{\kappa}B$ 단백질변성 억제와 연관되어 있으며 이를 통해 대식세포의 활성화를 차단했을 가능성이 있다. 본 연구는 향 후 대식세포 활성화 과정을 조절하는 NQO1의 역할을 규명하는데 있어서 중요한 기초 결과가 될 것이다.

Immunomodulatory Effects of Aureobasidium pullulans SM-2001 Exopolymers on Cyclophosphamide-Treated Mice

  • Yoon, Hyun-Soo;Kim, Joo-Wan;Cho, Hyung-Rae;Moon, Seung-Bae;Shin, Hyun-Dong;Yang, Kun-Ju;Lee, Hyeung-Sik;Kwon, Young-Sam;Ku, Sae-Kwang
    • Journal of Microbiology and Biotechnology
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    • 제20권2호
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    • pp.438-445
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    • 2010
  • The immunomodulatory effects of Aureohasidium pullulans SM-2001 exopolymers containing $\beta$-1,3/1,6-glucan were evaluated in cyclophosphamide (CPA)-treated mice. To induce immunosuppression, 150 and 110 mg/kg of CPA were intraperitoneally injected 3 days and 1 day, respectively, before beginning administration of the test material. Exopolymers were delivered subcutaneously or orally, four times, in a volume of 10 ml/kg at 12-h intervals beginning 24 h after the second CPA treatment. Changes in thymus and spleen weights, splenic amounts of tumor necrosis factor (TNF)-$\alpha$, interleukin (IL)-$1{\beta}$, and IL-10, and numbers of CD3+, CD4+, CD8+, and TNF-$\alpha+$ thymus and spleen cells were monitored in CPA-treated mice. As a result of CPA treatment, dramatic decreases in the number of CD3+, CD4+, CD8+, and TNF-$\alpha+$ cells were detected in the thymus and spleen, along with decreases in thymus and spleen weights. In addition, splenic TNF-$\alpha$, IL-$1{\beta}$, and IL-10 contents were also decreased on observation with flow cytometry. However, oral and subcutaneous treatments with exopolymers effectively reduced the immunosuppressive changes induced by CPA. Therefore, it is concluded that exopolymers of A. pullulans SM-2001 can effectively prevent immunosuppression through, at least partially, the recruitment of T cells and TNF-$\alpha+$ cells or enhancement of their activity, and can provide an effective component of prevention or treatment regimens for immunosuppression related to cancer, sepsis, and high-dose chemotherapy or radiotherapy.

Piceatannol에 의한 AGS 인체 위암세포의 G1 Arrest 및 Prostaglandin E2 생성의 억제 (Piceatannol-Induced G1 Arrest of the Cell Cycle is Associated with Inhibition of Prostaglandin E2 Production in Human Gastric Cancer AGS Cells)

  • 최영현
    • 한국식품영양과학회지
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    • 제41권7호
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    • pp.907-913
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    • 2012
  • 포도, 대황, 사탕수수 등을 포함한 다양한 식물에서 발견되는 hydroxystilbene의 일종인 piceatannol은 암세포의 증식을 억제하고 apoptosis를 유발하는 것으로 알려져 있다. 본 연구에서는 AGS 인체위암세포를 대상으로 piceatannol에 의한 암세포 증식억제 과정에서 나타나는 또 다른 현상들을 조사하기 위하여 실시되었다. Piceatannol이 처리된 AGS 위암세포는 piceatannol의 처리 농도의 증가에 따라 생존율이 감소되었으며, 이는 세포주기 G1 arrest 유발과 연관이 있음을 MTT assay와 flow cytometry 분석을 통하여 확인하였다. Piceatannol에 의한 AGS 세포의 G1 arrest는 Cdks 및 cyclins의 발현 변화 및 Cdk 저해제인 p21의 발현을 전사 및 번역 수준에서 증가시켰으며, pRB 단백질의 인산화 감소 및 E2F1의 발현 억제와 연관성이 있었다. 아울러 piceatannol은 COX-2의 mRNA 및 단백질의 발현을 억제하였으나 COX-1의 발현에는 영향을 미치지 않았으며, piceatannol에 의한 COX-2의 발현억제는 PGE2의 생성 저하와 관련이 있었다. 본 연구의 결과는 piceatannol에 의한 세포주기 G1 arrest 유발이 COX-2의 선택적 발현 차단과 연관이 있음을 보여 주는 것이다.

발효 황련해독탕의 생물 전환 성분분석 (Analysis of Bioconversion Components of Fermentation Hwangryunhaedok-tang)

  • 이광진;이보형;정필문;량춘;마진열
    • 약학회지
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    • 제57권4호
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    • pp.293-298
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    • 2013
  • Hwangryunhaedok-tang (HRT) is a traditional herbal medicine, which has been known as a useful prescription for anti-biotic, anti-inflammatory, anti-oxidative and immunosuppressive activity. In this study, the variation in the amount of eight bioactive components of Hwangryunhaedok-tang (HRT) and its fermentation HRT with Lactobacillus casei KFRI 127, Lactobacillus curvatus KFRI 166 and Lactobacillus confuses KFRI 227 was investigated via high-performance liquid chromatography coupled with diode array detection (HPLC-DAD). Simultaneous qualitative and quantitative analysis of eight bioactive components; geniposide, genipin, baicalin, wogonoside, palmatine, berberine, baicalein and wogonin was achieved by comparing their retention times ($t_R$) and UV spectra with those of the standard components. All calibration curve of standard components showed good linearity ($r^2$ >0.979). As a result, the geniposide amount was $15.52{\pm}0.19{\mu}/mg$ that as a main components in HRT. The wogonoside was decreased by 29.28~58.35% with Lactobacillus casei KFRI 127 and L. confuses KFRI 227 ($3.17{\pm}0.31{\mu}g/mg$ and $3.55{\pm}0.13{\mu}g/mg$) compared with the original HRT ($5.02{\pm}0.14{\mu}g/mg$). Otherwise wogonin was increased by 16.28~41.86% with Lactobacillus casei KFRI 127 and L. confuses KFRI 227 ($0.61{\pm}0.01{\mu}g/mg$ and $0.50{\pm}0.02{\mu}g/mg$) compared with the original HRT($0.43{\pm}0.00{\mu}g/mg$). HRT fermented with L. casei KFRI 127 and L. confuses KFRI 227 were evaluated as creating the changes in wogonoside to that aglycon wogonine. In the fermented HRT using Lactobacillus acidophilus KFRI 166, the genipin was only detected, among 3 species of fermentation strains. Thus, these results considered that the strains 166 were exhibited the remarkable changes in genipin.

반복 유산환자의 말초혈액 단핵구와 태반항원을 체외 공동 배양시 세포 매개 면역반응에 프로게스테론이 미치는 영향 (The Effects of Progesterone on Cell Mediated Immunity to Trophoblast in Woman with Recurrent Pregnancy Loss)

  • 최범채
    • Clinical and Experimental Reproductive Medicine
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    • 제24권3호
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    • pp.399-405
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    • 1997
  • Progesterone is necessary for successful pregnancy and had immunosuppressive properties. Peripheral blood mononuclear cells (PBMC) from many women with unexplained recurrent spontaneous abortion responded to trophoblast extract in vitro by prolifertion and releasing soluble, heat-labile factors that are toxic to mouse embryos (embryotoxic factors). Accumulating evidence suggests that T Helper (Th)-1 type immunity to trophoblast is correlated with embryotoxic factor production and is associated with pregnancy loss, while Th2-type immunity is associated with successful gestation. The objective of this study was to determine whether progesterone can inhibit Th1-type cytokine secretion (IFN-${\gamma}$, TNF-${\alpha}$) by trophoblast-activated peripheral blood mononuclear cells from 23 nonpregnant women (age 25-35) with unexplained recurrent abortion (median 5, range 3 to 15)who otherwise produce embryotoxic factors in response to trophoblast. We also determined whether progesterone affected Th2-type cytokines (IL-4, IL-10) in this system in vitro and if IL-10 (1,500 pg/mL) could inhibit Th1-type immunity to trophoblast. IFN-${\gamma}$ was detected in 17 of 23 (74%) trophoblast stimulated PBMC culture supernatants ($77.94{\pm}23.79$ pg/mL) containing embryotoxic activity. TNF-${\alpha}$ was detected in 19 (83%) of these same supernatants ($703.15{\pm}131.36$ pg/mL). In contrast, none of the supernatants contained detectable levels of IL-4 or IL-10. Progesterone ($10^{-5}$, $10^{-7}$, $10^{-9}$M) inhibited Th1-type immunity in a dose dependent manner, but had no effect on Th2-type cytokine secretion. The inhibitory effects of progesterone were abrogated with RU486, but did not affect Th2-type cytokine secretion in trophoblast-activated cell cultures. IL-10, like progesterone also inhibited Th1-type cytokine secretion but had no effect on Th2-type cytokines. These data suggest that therapies designed to suppress Th1-type cytokine secretion in women with recurrent abortion who have evidence of Th1-type immunity to trophoblast may be efficacious in preventing pregnancy loss and should be tested in appropriately designed clinical trials.

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대파 재배지 파좀나방(Acrolepiopsis sapporensis) 발생 현황과 '비티플러스' 처리 효과 (Occurrence of the Onion Moth, Acrolepiopsis sapporensis, in the Welsh Onion Farms and its Treatment Using 'BtPlus')

  • 엠디따핌호사인흐리틱;진가현;김용균
    • 한국응용곤충학회지
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    • 제62권4호
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    • pp.277-285
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    • 2023
  • 대파(Allium fistulosum) 정식부터 수확기까지 성페로몬을 이용하여 재배지에 발생한 파좀나방(Acrolepiopsis sapporensis)을 모니터링하였다. 이 시기에 발생한 파좀나방은 월동세대 이후 6월 초와 7월 말에 각각 발생 최성기를 보였다. 그러나 발생량은 연도와 재배 환경에 따라 다르게 나타났다. 파좀나방을 효과적으로 방제하기 위한 미생물제제로서 Bacillus thuringiensis 균주를 스크리닝하였고, 이들 가운데 B. thuringiensis kurstaki (BtK)가 선발되었다. 선발된 BtK의 살충력을 높이기 위해 다른 곤충병원세균인 Photorhabdus temperata temperata (Ptt) 세균 배양액 추출물을 추가하였다. 이들 두 세균을 혼합한 '비티플러스'는 BtK 단독 보다 현격하게 높은 살충력을 나타냈다. 이러한 살충력 제고 원인은 Ptt 추출물에 포함된 대사물질에 의해 기인되었다. 이들 대사물질은 파좀나방의 세포성 및 체액성 면역반응을 억제하여 BtK의 살충력을 제고시킨 것으로 나타났다. 이상의 결과는 국내 대파 재배지에서 파좀나방이 지속적으로 발생하며, 이 해충에 의한 경제적 피해를 줄이기 위한 비티플러스의 효과적 방제 가능성을 제시하였다.

cDNA Microarray를 이용한 구강편평세포암종 세포주에서 $Taxol^{(R)}$과 Cyclosporin A로 유도된 유전자 발현양상 (GENE EXPRESSION PATTERNS INDUCED BY $TAXOL^{(R)}$ AND CYCLOSPORIN A IN ORAL SQUAMOUS CELL CARCINOMA CELL LINE USING CDNA MICROARRAY)

  • 김용관;이재훈;김철환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권3호
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    • pp.202-212
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    • 2006
  • It is well-known that paclitaxel($Taxol^{(R)}$), which is extracted from the pacific and English yew, has been used as a chemotherapeutic agent for ovarian carcinoma and advanced breast carcinoma and Cyclosporin A, which is highly lipophilic cyclic peptide and isolated from a fungus, has been also used as an useful immunosuppressive drug after transplantation and is associated with cellular apoptosis. Since 1953, in which James Watson, Rosalind Franklin and Francis Crick discovered the double helical structure of DNA, a few kinds of techniques for identifying gene expression have been developed. In postgenomic period, many of researchers have used the DNA microarray which is high throughput screening technique to screen large numbers of gene expression simultaneously. In this study, we searched and screened the gene expression in the oral squamous cell carcinoma cell lines treated with $Taxol^{(R)}$, cyclosporin or cyclosporin combined with $Taxol^{(R)}$ using cDNA microarray. The results were as following; 1. It was useful that the appropriate concentration of Cyclosporin A and $Taxol^{(R)}$ used in oral squamous cell carcinoma cell line was under 1${\mu}g/ml$ and 3${\mu}g/ml$. 2. In the experimental group in which $Taxol^{(R)}$ and $Taxol^{(R)}$ + Cyclosporin A were used, the cell growth was extremely decreased. 3. In the group in which Cyclosporin A was used, the MTT assay was rarely decreased which means the activity of succinyl dehydrogenase is remained in mitochondria but in the group in which the mixture of Cyclosporin A and $Taxol^{(R)}$ were used, the MTT assay was extremely decreased. 4. In the each group in which Cyclosporin A(3 ${\mu}g/ml$) and $Taxol^{(R)}$(1 ${\mu}g/ml$) were used, the cell arrest was appeared in $G_2/M$ phase and in the group in which $Taxol^{(R)}$(3 ${\mu}g/ml$) was used, the cell arrest was appeared in both S phase and $G_2/M$ phase. 5. In the oral squamous cell carcinoma cell line treated with $Taxol^{(R)}$, several genes including ANGPTL4, RALBP1 and TXNRD1, associated with apoptosis, SUI1, MAC30, RRAGA and CTGF, related with cell growth, HUS1 and DUSP5, related with cell cycle and proliferation, ATF4 and CEBPG, associated with transcription factor, BTG1 and VEGF, associated with angiogenesis, FDPS, FCER1G, GPA33 and EPHA4 associated with signal transduction and receptor activity and AKR1C2 and UGTA10 related with carcinogenesis were detected in increased levels. The genes that showed increaced expression in the oral squamous cell carcinoma cell line treated with Cyclosporin A were CYR61, SERPINB2, SSR3 and UPA3A which are known as genes associated with cell growth, carcinogenesis, receptor activity and transcription factor. The genes expressed in the HN22 cell line treated with cyclosporin combined with $taxol^{(R)}$ were ALCAM and GTSE1 associated with cancer invasiveness and cell cycle regulation.

인삼이 이식편대숙주반응, 대식세포유주저지반응 및 Trichinella spiralis의 expulsion에 미치는 영향 (Effect of Panax ginseng on the Graft-versus-Host Reaction, Production of Leucocyte Migration Inhibitory Factor and Expulsion of Adult Trichinella spiralis in Mice)

  • 하대유;이정호;김상형
    • 대한미생물학회지
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    • 제21권1호
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    • pp.133-144
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    • 1986
  • This study was undertaken to assess the effect of ginseng administration on T lymphocyte induced local xenogenic graft-versus-host(GVM) reactions which were induced with thymocyte, spleen cell and lymph node cell of ICR mice. Mice received daily 10mg of 70% alcohol ginseng extract oral1y for 100days and control mice remained untreated for the same period of time. The cells from donor mice were injected intradermally into the closely shaven abdominal skin of Sprague-Dawley rats for GVH tests. The thymocyte from control(ginseng-untreated) mice showed a negative local GVH reaction, whereas thymocyte from experimental(ginseng-treated) mice showed a positive reaction with the rate of 17.4%. When spleen cells were injected, the incidence of positive local GVH reaction was 66.7% among ginseng-treated mice, as opposed to incidence of 45.5% of positive local GVH reaction among control mice. The incidence of positive local GVH reaction of the lymph node cells when injected into a recipient was 71.4% among ginseng-treated mice as compared with that of 18.9% among control mice. The relationship between spleen cell inoculum and intensity of the local GVH reaction was assessed in ginseng-untreated mice. The intensity of GVH reaction clearly appears to be dose related. In ginseng-treated mice, a minimum of $1{\times}10^7$ spleen cell was required for production of positive local GVH reaction with almost linear relationship up to an inoculum of $5{\times}10^8$ cells. In control mice, however, a minimum of $1{\times}10^8$ spleen cells was required for positive GVH reaction. These results strongly suggest that the ginseng administration augments significantly the local xenogenic GVH reaction which was used to assess T lymphocyte function and immunocompetence of mice and in addition to this, these results appear to support previous suggestions that the local GVH reaction consitutes a qualitative test of the functional activity of T lymphocytes. These results may be the first to induce local GVH reaction, employing rats as recipient and mice as donor. This study was also desingned to investigate some of the effects of ginseng extract on lymphocyte-macrophage interactions. This was accomplished by in vitro quantification of 1) migratory inhibitory factor(MIF) synthetic capacity of splenic lymphocytes in mice previously primed with ginseng 2) MIF responsiveness of mouse peritoneal macrophages or chicken peripheral leucocytes under the presence of ginseng extract 3) migration ability of chicken peripheral leucocytes by direct stimulation of ginseng extract or ginseng saponin and 4) immunosuppressive effects of immunosuppressants such as cyclophosphamide, cyclosporin A or dexamethasone. Mice divided equally into the ginseng and the saline groups, which received intraperitoneally daily 0.2ml of ginseng absolute alcohol-extract(5mg/ml) and same amount of saline for 15 days, respectively. The cellular immune responsiveness of these mice was assayed 15 days after ginseng pretreatment. Splenic lymphocytes of mice treated with ginseng, when stimulated with sensitized specific-antigen such as sheep red blood cells or toxoplasmin, or with polyclonal activator concanavalin A, produced significantly more MIF than those of control saline group. MIF responsiveness of normal mouse macrophages was significantly augmented when assayed under the presence of ginseng extract (1mg/ml). The migratory ability of normal chicken leucocytes in the absence of MIF was significantly decreased by the stimulation of ginseng extract alone. MIF response was significantly decreased by immunosuppressants and this impaired response was not restored by ginseng pretreatment. This study was additionally performed to evaluate the effect of ginseng on the expulsion of adult Trichinella spiralis in mice. ICR mice were infected experimentally by esophageal incubation of 300 T. spiralis infective muscle larvae prepared by acid-pepsin digestion of infected mice. and received oral administration of 70% alcohol ginseng extract(10mg/mouse/day) for the indicated days plus 4 days before infection. At various times after infection, the number of adult T. spiralis worms in small intestines was determined. Interestingly, ginseng-treatment was accompanied by accelerated expulson of T. spiralis. These results led to the conclusion that Panax ginseng caused some enhancing effect on GVH reaction, macrophage migration inhibition reaction and expulsion of T. spiralis. In addition these results suggested that the mechanisms responsible for this enhancement of ginseng may be chiefly or partially due to nonspecific stimulation of cell-mediated immune response.

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통상성 간질성 폐렴 환자 예후인자로서의 섬유모세포병소(fibroblastic foci)의 유용성 (Prognostic Value of Fibroblastic Foci in Patients with Usual Interstitial Pneumonia)

  • 박용범;강길현;심태선;임채만;이상도;고윤석;김우성;김원동;;김동순
    • Tuberculosis and Respiratory Diseases
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    • 제53권3호
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    • pp.309-318
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    • 2002
  • 연구배경 :통상성 간질성 폐렴(UIP)은 일반적으로 생존기간 중앙값이 약 3년이하로 보고되는 치명적인 질환이나 환자들간에 예후에 차이가 많다. UIP의 조직학적 소견은 늑막 직하부의 국소적(patchy) 섬유화병변으로 여러 시기의 섬유화 병변이 같이 공존하는 것이 특징이다. 섬유모세포 병소(fibroblastic foci: FBF)는 활발히 증식하는 근-섬유모세포들이 모여있는 급성 폐병소 부위로서 UIP의 활동성 및 예후를 반영할 가능성이 많으나 UIP의 예후인자로서 FBF의 유용성에 관해서는 서로 상반된 결과가 보고되어 논란이 많다. 이에 저자들은 UIP에서 FBF의 예후인자로서의 유용성를 평가하고자 하였다. 대상 및 방법 :1990년 7월부터 2000년 4월까지 서울중앙병원에서 수술적 폐생검검사로 진단되고 일년이상 경과가 관찰된 UIP환자 46명(연령 $59{\pm}12$, 남:여=33:13)으로 모든 조직표본을 재검토하여 ATS/ERS 분류에 의한 IPF-UIP로 확인된 환자들만을 대상으로 하였다. FBF 정도는 폐생검조직에서 0에서 3 (absent:0, mild:1, moderate:2, severe:3)까지 반정량적인 방법으로 측정하였다. 결 과 : 1) 대상 환자들의 46명의 진단 후 생존기간 중앙값은 26개월이었고, 추적관찰 기간중에 사망자는 13명이었다. 2) 사망군과 생존군을 비교 하였을 때 진단시의 FVC와 DLco, 흡연 유무, FBF 정도가 유의한 차이를 보였다. 3) 진단시 FBF 정도가 비중증군 (FBF :2이하)의 103개월로 중증군(FBF :3)의 평균 생존기간이 48 개월에 비해 유의하게 길었다. 또한 FVC가 73.5% 이상인 군에서(평균 생존기간 86개월) 73.5% 미만인 군(65개월)보다, $D_Lco$가 60.5% 이상인 군(평균 생존기간 83개월)에서 60.5% 미만 군(69개월)보다 생존기간이 길었다. 4) 환자의 나이, 성별, 흡연 그리고 Kaplan Meyer 분석을 이용한 단변수 분석 상 생존과 연관이 있는 인자로 나타난 $D_Lco$, FVC, FBF정도에 대하여 Cox regression분석을 시행한 결과, FBF 정도 만이 UIP사망의 독립적인 예측인자로 확인되었다. 결 론 : 수술적 폐생검상 FBF 정도와 환자의 생존기간의 연관성이 관찰되어, FBF가 UIP의 예후의 예측인자로 추측되었다.