• Archives of Plastic Surgery
• /
• 제40권5호
• /
• pp.627-629
• /
• 2013

The ReCell system (Avita Medical) is a cell culture product that allows the immediate processing of a small split-thickness skin biopsy to produce a complete population of cells including keratinocytes, melanocytes, Langerhans cells and fibroblasts. This series is the first to highlight the reconstructive applications of ReCell following ablative skin cancer surgery. The ReCell system was utilized for three patients following skin cancer excision. In two cases, the cells were applied to forehead flap donor sites following nasal reconstruction. In one case, the cells were applied to the calvarial periosteum following wide local excision of a melanoma scar. Assessment of the treated area was performed using the patient and observer scar assessment scale after 1 year. The Patient and Observer Scar Assessment Scale (POSAS) scores for the 2 patients treated with ReCell following forehead flap surgery were 22 and 32. The score for the patient that underwent wide local excision of a melanoma scar was 45. The absence of a donor site, accelerated healing and the satisfactory aesthetic appearance of the mature scars in this series suggest that ReCell may play a useful role in reconstruction following skin cancer excision.

• Investigative Magnetic Resonance Imaging
• /
• 제13권1호
• /
• pp.74-80
• /
• 2009

목적: 이 연구의 목적은 두개골 랑게르한스 세포 조직구증의 특징적인 자기공명 영상소견을 기술하고 단순촬영과 컴퓨터 단층 촬영에서의 영상소견과 비교함에 있다. 대상 및 방법: 총 9명의 환자 중 10예의 병변을 대상으로 자기공명 영상을 분석하였다(연령범위: 5-42세, 평균 연령: 18세, 전예 여자). 9예에서 수술이나 미세 침 흡입 생검술에 의해서 병리학적으로 두개골의 랑게르한스 세포 조직구증이 증명되었다. 모든 환자는 자기공명영상을 시행하였고 이 중 7명 (8예) 에서 컴퓨터 단층 촬영과 단순 촬영을 시행하였다. 두 명의 숙련된 신경영상의학 의사가 영상에서 병변의 위치, 크기, 모양과 특징을 독립적으로 분석하고 병변의 범위와 주변 조직으로의 침범 여부를 비교하였다. 결과: 병변은 모든 두개골에 편향 없이 분포하였다. 자기공명 영상에서 종괴들은 조영증강되는 골 융해성 종괴(10/10)로 주로 판사이 공간에 위치하고(8/10) 두피(9/10)나 경질막(7/10)을 침범하였다. 경질막의 조영증강(7/10)과 비후(4/10)가 모든 병변에서 보였다. 골 융해성 종괴의 크기는 1.1 cm에서 6.8 cm의 범위였으며 모양은 원형(5/10)이거나 난원형(5/10)이었다. 컴퓨터 단층 촬영에서 병변은 판사이 공간의 골 융해성 종괴로(6/8) 두피의 침범(7/8)이 잘 보였다. 컴퓨터 단층촬영에서 골미란이나 골파괴가 자기공명영상보다 좀 더 분명하게 보였지만 연부종괴와 경질막의 조영증강 유무는 판단하기 어려웠다. 이와 대조적으로 단순촬영에서 모든 랑게르한스 세포 조직구증은 도려낸 병터 (punched out) 모양(4/8)이나 beveled-edge 모양(4/8)의 골융해성 종괴로 보였고 두피나 경질막으로의 침범은 판단 할 수 없었다. 결론: 두개골 랑게르한스 세포 조직구증의 특징적인 자기공명 영상소견은 판사이 공간에 위치한 골 융해성 종괴가 경질막과 두피를 침범하는 것으로, 자기공명영상이 단순촬영이나 컴퓨터 단층 촬영 보다 우월한 영상 기법이다.

• 약학회지
• /
• 제39권6호
• /
• pp.585-592
• /
• 1995

Soil microorganisms producing immunomoduators that can restore ultraviolet B (UVB) radiation-induced suppression of the immune response were screened in vitro. Exposure of freshly isolated murine epidermal cells (EC) to $180{\;}J/m^{2}$ of UVB radiation resulted in approximately 90% impairtnent of accessory cell function, as measured by their ability to support anti-CD3 monoclonal antibody-induced T-cell mitogenesis. When the culture supenmtants of 150 actinomycete strains were exanuned for their capacity to prevent or repair the UVB-induced impairment of accessory cell function, 4 of them were identified to contain immunomodulators that can restore the decreased accessory cell finiction. The soil isolate that showed the most effective restorative activity, G40025. was selected and fturther characters Addition of 10.mu.l of the culture supernatant of G40025 grown in G-media to cultures of UVB-irradiated EC right after UVB-irradiation restored the decreased accessory cell function by 58%. The immunomodtdator produced by G40025 appeared to be stable at 100.deg. C for 10 min. Taxonomical studies by cultural, morphological, and physiological characterization showed that the soil isolate, G40025, belongs to the genus Streptomyces.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제31권3호
• /
• pp.279-282
• /
• 2005

Hitiocytosis X, recently termed Langergans cell histiocytosis, is a rare disease histologically characterized by an abnormal proliferation of histiocytes, and of which the pathophysiology is still ambiguous. The clinical presentation is highly varied. Typically, there is a solitary or multiple bony involvements, and less frequently, lesions are found in other organs such as the lungs, liver, lymph nodes, skin, and mucosae. Interestingly, so far, there has been no report which shows multiple developments in both soft and hard tissues. In this report, we present a case of hitiocytosis X in both mandible and lung. This may provide some information for understanding the pathophysilogy of the histiocytosis X.

• Archives of Plastic Surgery
• /
• 제48권1호
• /
• pp.133-143
• /
• 2021

Background Extensive research has been conducted on islet transplantation as a possible cure for diabetes. Islet transplantation in the liver via the portal vein has shown remarkable results, but numerous other recipient sites are currently being investigated. We aimed to show the effectiveness of using a muscle flap as a recipient site for islet transplantation. Methods Islet cells were harvested from 12 isogenic Lewis rats, and then diabetes was induced in another 12 isogenic Lewis rats by streptozotocin injection. In six rats, 3,000 islets were transplanted into gastrocnemius muscle flaps, and in the other six rats, the same number of islets were transplanted into the gastrocnemius muscle. The transplanted islet cell function between the two groups was compared by means of blood glucose tests, glucose tolerance tests, immunohistochemistry, and real-time reverse transcription polymerase chain reaction. Results In the muscle flap group, blood glucose levels significantly decreased after islet transplantation. Blood glucose levels were significantly different between the two groups at 3 weeks after transplantation. The muscle flap group showed nearly normoglycemic results upon the glucose tolerance test, whereas the muscle group was hyperglycemic. Immunohistochemical evaluation showed positive results against insulin and glucagon in biopsies of both groups, and the islet cell density was higher in the muscle flap group. There were no statistically significant differences between the two groups in real-time reverse transcription polymerase chain reaction results. Conclusions Our results suggest that muscle flaps are promising candidates for islet cell transplantation.

• 대한한방내과학회지
• /
• 제28권3호
• /
• pp.510-518
• /
• 2007

Objectives : The aim of this study was to investigate the effect of Jaeumyangyung-tang(滋陰養榮場(JY), JA-0.65g/kg;JB-1.3g/kg) on hyperglycemic mice induced with streptozotocin(STZ). Methods : The experiment operated for 6 weeks. The rats were divided into 3 groups : diabetic group(control group), diabetic group treated with JA(0.65g/kg) for 6 weeks, and diabetic group treated with Jb(1.3g/kg) for 6 weeks. Results : In the STZ-induced diabetic group, blood glucose levels significantly increased as well as the loss of body weight. The levels of serum glucose decreased significantly (p<0.05 or p<0.01) in the JA and JB groups compared with the control. According to a tolerance test, intraperitoneal glucose was ameliorated in the JA and JB groups. The blood urea nitrogen (BUN) and creatinine levels slightly decreased. Histologic analyses of the pancreases revealed that the ${\beta}-cells$ on Langerhans' islets were destroyed by STZ, but the ${\beta}-cell$ mass was larger in the JY than in the control mice. Conclusions : These results indicate that JY can exert beneficial effects on diabetes. preservation of in vivo ${\beta}-cell$ function and regeneration of ${\beta}-cell$ dysfunction by STZ.

• 대한골관절종양학회지
• /
• 제20권1호
• /
• pp.32-35
• /
• 2014

Rosai-Dorfman병은 특발성 양성 조직구 증식성 질환으로 결절형과 결절외형으로 분류되는 질환이며 골 침범은 매우 드물다. 증례는 32세 남자로 좌측 하퇴의 통증을 주소로 내원하였으며 림프절병증은 동반하지 않았다. 임상 및 영상학적으로 전이암, Langerhans 세포 조직구증 등이 의심되어 병변에 대한 절개 생검 시행하였고, 조직 검사 결과 Rosai-Dorfman병으로 진단되어 골소파술 시행하였다. 국내에서 Rosai-Dorfaman병이 사지에 단독으로 발생한 증례는 없기에 저자들은 이를 문헌 고찰과 함께 보고하고자 한다.

• Tuberculosis and Respiratory Diseases
• /
• 제41권2호
• /
• pp.152-157
• /
• 1994

본 저자들은 양측성으로 반복되는 자연기흉 소견을 보인 21세 남자 환자에서BAL은 시행하여 조직구내 Birbeck granule을 찾음으로써 확진할 수 있었던 골 침범을 동반한 폐 조직구증 1예를 문헌 고찰과 함께 보고하는 바이다.

• Journal of Korean Neurosurgical Society
• /
• 제62권2호
• /
• pp.153-165
• /
• 2019

Objective : Spinal cord injury (SCI) is a very serious health problem, usually caused by a trauma and accompanied by elevated levels of inflammation indicators. Stem cell-based therapy is promising some valuable strategies for its functional recovery. Nestin-positive progenitor and/or stem cells (SC) isolated from pancreatic islets (PI) show mesenchymal stem cell (MSC) characteristics. For this reason, we aimed to analyze the effects of rat pancreatic islet derived stem cell (rPI-SC) delivery on functional recovery, as well as the levels of inflammation factors following SCI. Methods : rPI-SCs were isolated, cultured and their MSC characteristics were determined through flow cytometry and immunofluorescence analysis. The experimental rat population was divided into three groups : 1) laminectomy & trauma, 2) laminectomy & trauma & phosphate-buffered saline (PBS), and 3) laminectomy+trauma+SCs. Green fluorescent protein (GFP) labelled rPI-SCs were transplanted into the injured rat spinal cord. Their motilities were evaluated with Basso, Beattie and Bresnahan (BBB) Score. After 4-weeks, spinal cord sections were analyzed for GFP labeled SCs and stained for vimentin, $S100{\beta}$, brain derived neurotrophic factor (BDNF), 2',3'-cyclic-nucleotide 3'-phosphodiesterase (CNPase), vascular endothelial growth factor (VEGF) and proinflammatory (interleukin [IL]-6, transforming growth factor $[TGF]-{\beta}$, macrophage inflammatory protein [MIP]-2, myeloperoxidase [MPO]) and anti-inflammatory (IL-1 receptor antagonis) factors. Results : rPI-SCs were revealed to display MSC characteristics and express neural and glial cell markers including BDNF, glial fibrillary acidic protein (GFAP), fibronectin, microtubule associated protein-2a,b (MAP2a,b), ${\beta}3$-tubulin and nestin as well as anti-inflammatory prostaglandin E2 receptor, EP3. The BBB scores showed significant motor recovery in group 3. GFP-labelled cells were localized on the injury site. In addition, decreased proinflammatory factor levels and increased intensity of anti-inflammatory factors were determined. Conclusion : Transplantation of PI-SCs might be an effective strategy to improve functional recovery following spinal cord trauma.

• 한국발생생물학회지:발생과생식
• /
• 제11권2호
• /
• pp.67-77
• /
• 2007

최근 제 1형 당뇨병을 치료하기 위하여 인슐린-분비성 세포를 이식하는 세포대체요법이 새로운 치료법으로서 주목받고 있다. 그럼에도 불구하고 췌장세포 이식술은 이식원의 절대적인 부족으로 인해 광범위한 시행이 이루어지지 못하고 있는 실정이다. 무한증식과 전분화능을 보유하는 배아줄기세포는 이식할 $\beta$-세포의 부족을 해결할 수 있는 잠재적 세포공급원이 될 수 있을 것으로 기대된다. 본 종설에서는 인간배아줄기세포로부터 췌장 $\beta$-세포로의 유도분화방법에 관한 최근 동향을 살펴보고, 당뇨병 치료에 세포 이식술을 적용함에 있어 고려해야할 문제점 및 극복방안들을 소개하고자 한다.