• 제목/요약/키워드: mammary carcinoma

검색결과 90건 처리시간 0.027초

가미지패산(加味芷貝散)의 포도상구균 감염 유방염에 대한 항균활성 및 항염 효과 (Effect of Gamijipaesan Extracts against Mastitis Induced by Staphylococcus aureus Infection in a Rat Model through Anti-inflammatory and Antibacterial Effects)

  • 권지명;김동철
    • 대한한방부인과학회지
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    • 제26권1호
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    • pp.1-24
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    • 2013
  • Objectives: The object of this study was to observe the protective effect of Gamijipaesan aqueous extracts(GJS), which has been traditionally used in Korean medicine in obstetrics & gynecological fields as anti-infectious and anti-inflammatory agents, against mastitis induced by Staphylococcus aureus infection in a rat model through antibacterial, antiinflammatory, immunomodulatory, and anti-oxidant effects. Methods: Antibacterial activities of GJS against S. aureus were detected using standard agar microdilution methods, with the effects on the bacterial invasion and intracellular killing of individual test materials in human mammary gland carcinoma cell(MCF-7) and murine macrophages(Raw 264.7) at MIC1/2, MIC and MIC2 concentration levels. In addition, the effects on the cell viability, nitric oxide(NO), tumor necrosis factor(TNF)-${\alpha}$ and interleukin (IL)-6 productions of LPS activated Raw 264.7 cells. The changes on the mammary tissue viable bacterial numbers, myeloperoxidae(MPO), inducible nitric oxide synthetase(iNOS), TNF-${\alpha}$ and IL-6 contents were observed in the S. aureus in vivo intramammary infectious rat model. The anti-bacterial and anti-inflammatory effects were compared with ciprofloxacin and piroxicam, respectively in the present study. Results: MIC of GJS and ciprofloxacin against S. aureus were detected as $0.860{\pm}0.428$ (0.391-1.563) mg/ml and $0.371{\pm}0.262$(0.098-0.782) ${\mu}g/ml$, respectively. In addition, GJS and ciprofloxacin were also showed marked dosage-dependent inhibition of the both bacterial invasion and intracellular killing assays using MCF-7 and Raw 264.7 cells at MIC1/2, MIC and $MIC{\times}2$ concentrations, respectively. $ED_{50}$ against LPS-induced cell viabilities and NO, TNF-${\alpha}$ and IL-6 releases of GJS were detected as 0.72, 0.04, 0.08 and 0.11 mg/ml, and as 19.04, 4.18, 5.37 and 4.27 ${\mu}g/ml$ in piroxicam, respectively. 250 and 500 mg/kg of GJS also inhibit the intramammary bacterial growth, MPO, iNOS, TNF-${\alpha}$ and IL-6 contents in S. aureus in vivo intramammary infected rats, respectively. GJS 500 mg/kg showed quite similar antibacterial and anti-infectious effects as compared with ciprofloxacin 40 mg/kg and also showed similar anti-inflammatory effects as piroxicam 10 mg/kg, in S. aureus in vivo intramammary infectious models. Conclusions: The results obtained in this study suggest that over 250 mg/kg of GJS showed favorable anti-infectious effects against S. aureus infection in a rat model through their antibacterial, anti-inflammatory, immunomodulatory and anti-oxidant effects and therefore expected that GJS can be used as alternative therapies, having both anti-inflammatory and anti-infectious activities. However, more detail mechanism studies should be conducted in future with the efficacy tests of individual herbal composition of GJS and the screening of the biological active compounds in individual herbs. In the present study, GJS 500 mg/kg showed quite similar anti-infectious effects were detected as compared with ciprofloxacin 40 mg/kg treated rats, and also GJS shows quite similar anti-inflammatory effects as compared with piroxicam 10 mg/kg in S. aureus in vivo intramammary infectious rats, but ciprofloxacin did not showed any anti-inflammatory effects, and piroxicam did not showed anti-infectious effects in this study.

5종 단미제의 Staphylococcus aureus에 대한 in vitro 항균력 평가 (A Study on Antibacterial Effects of Five Single Herbs Aqueous Extracts against Staphylococcus aureus)

  • 박은영;김동철
    • 대한한방부인과학회지
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    • 제26권1호
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    • pp.25-40
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    • 2013
  • Objectives: The object of this study was to observe the in vitro antibacterial effects of five single(Pulsatillae Radix, Patrinae Radix, Sanguisorbae Radix, Sophorae Flos, and Sophorae Radix) aqueous herbal extracts, traditionally used for treating various gynecological diseases including mastitis in Korea, against Staphylococcus aureus. Methods: Antibacterial activities against Staphylococcus aureus of aqueous extracts of Pulsatillae Radix, PatrinaeRadix, Sanguisorbae Radix, Sophorae Flos, and Sophorae Radix were detected using standard agar microdilution methods. In addition, the effects on the bacterial growth curve were also monitored at Minimal Incubation Concentration(MIC) and $MIC{\times}2$ levels. The effects on the intracellular killing and bacterial invasion of individual test materials were also observed using murine macrophage(Raw 264.7) and human mammary gland carcinoma cell(MCF-7). Results: MIC of aqueous extracts of Pulsatillae Radix, Patrinae Radix, Sanguisorbae Radix, Sophorae Flos, and Sophorae Radix against Staphylococcus aureus were detected as $0.215{\pm}0.107$ mg/ml, $0.273{\pm}0.107$ mg/ml, $0.469{\pm}0.297$ mg/ml, $11.850{\pm}8.406$ mg/ml, and $0.664{\pm}0.546$ mg/ml, respectively. MIC of Ciprofloxacin was detected as $0.469{\pm}0.297{\mu}g/ml$ at same conditions. In addition, all five single aqueous herbal extracts were also showed marked dosage-dependent inhibition of bacterial growth. The effects of intracellular killing with Raw 264.7 and inhibition of bacterial invasion with MCF-7 cells were detected, in the order of Sophorae Flos, Pulsatillae Radix, Patrinae Radix, Sanguisorbae Radix and Sophorae Radix aqueous extracts in the present study. Conclusions: The results obtained in this study suggest that all five single aqueous herbal extracts showed antibacterial effects against Staphylococcus aureus and they also showed dosage-dependent inhibitory effects on the bacterial growth. They showed the significant intracellular killing and inhibition of bacterial invasion effects. It means, all five single aqueous herbal extracts may show potent anti-infectious effects against Staphylococcus aureus for mastitis.

비소세포폐암에서 Maspin의 발현과 임상적 의의 (Maspin Expression and Its Clinical Significance in Non-Small Cell Lung Cancer)

  • 윤성훈;김원진;신경화;김미현;조우현;김기욱;박혜경;전두수;김윤성;이창훈;이민기;박순규
    • Tuberculosis and Respiratory Diseases
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    • 제70권2호
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    • pp.132-138
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    • 2011
  • Background: Maspin (mammary serine protease inhibitor) is a member of the serpin superfamily. A few studies have examined the role of maspin in tumor suppression of non-small cell lung cancer (NSCLC); however, its role in the development and progression of NSCLC still remains controversial. We evaluated the immunohistochemical expression of maspin in order to elucidate its clinical significance in NSCLC. Methods: We analyzed 145 patients with pathologically confirmed NSCLC, including 66 cases of squamous cell carcinomas (SCCs) and 79 cases of adenocarcinomas (ADCs). We performed a immuno-histochemical stain with maspin and PCNA (proliferating cell nuclear antigen) using tissue microarray blocks. Results: There were 108 men and 37 women in the study population. The mean age of patients in the study was 63.7 years (range, 40.0~82.0; median, 65.0). The proportion of maspin expression was significantly higher in SCCs (52/66, 78.8%; p<0.01) than in ADCs (17/79, 21.5%; p<0.01). Maspin expression was not associated with PCNA (p=0.828), lymph node involvement (p=0.483), or tumor stage (p=0.216), but showed correlation with well-to-moderate tumor differentiation (p=0.012). There was no observed correlation between maspin expression and survival with NSCLC (p=0.218). Conclusion: The present study suggests that maspin expression was significantly higher in SCCs than in ADCs and was associated with low histological grade. However, maspin expression was not an independent factor to predict a prognosis in NSCLC.

타목시펜 사용과 연관되어 빠르게 진행하는 다발성 자궁내막폴립 1예 (A Case of Tamoxifen-Associated Rapid Growing and Multiple Endometrial Polyps)

  • 이희준;김훈;구승엽;한원식;김석현;최영민;김정구;문신용
    • Clinical and Experimental Reproductive Medicine
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    • 제37권2호
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    • pp.173-179
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    • 2010
  • 유방암의 치료는 수술, 항암치료 및 방사선 치료 등의 주 치료법이 있으며, 유방암 환자에서 주 치료 후 보조적 치료 수단으로 호르몬 치료가 사용된다. 이 호르몬 치료에는 타목시펜이 가장 보편적으로 사용되며, 타목시펜은 체내에서 항에스트로겐 효과를 보여 유방암 치료에 도움을 주며 유방암의 재발방지에도 효과가 있다고 알려져 있다. 그러나 타목시펜의 부작용 또한 여러 가지가 있으며 문헌에 보고된 것으로는 자궁내막폴립, 자궁내막증식증, 자궁내막암 등이 있다고 알려져 있다. 본원에서도 유방암으로 수술 치료를 시행 받은 후 보조적 치료로서 호르몬 제제인 타목시펜을 사용하여 왔으며 이러한 환자들은 모두 외과와 협진하여 산부인과 외래로 추적 관찰하고 있다. 최근에 본원산부인과 외래로 추적 관찰 중인 타목시펜 사용 환자 중에서, 호르몬 치료 시작 3개월 후의 단기간 내에 빠르게 진행하는 다발성의 자궁내막폴립의 1예가 발견되었으며, 이는 타목시펜의 부작용으로 발생한 것으로 사료된다. 이에 저자는 유방암 수술 후 보조적 치료로 타목시펜을 사용한 환자들 중 우연히 발견된 빠르게 진행하는 다발성의 자궁내막폴립의 1예를 문헌고찰과 함께 보고하는 바이다.

Immunomodulatory effect of captopril and local irradiation on myeloid-derived suppressor cells

  • Cho, Won Kyung;Shin, Sung-Won;Kim, Shin-Yeong;Hong, Chang-Won;Choi, Changhoon;Park, Won;Noh, Jae Myoung
    • Radiation Oncology Journal
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    • 제34권3호
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    • pp.223-229
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    • 2016
  • Purpose: This study is to investigate the effect of captopril when combined with irradiation. Materials and Methods: 4T1 (mouse mammary carcinoma) cells were injected in the right hind leg of Balb/c mice. Mice were randomized to four groups; control (group 1), captopril-treated (group 2), irradiated (group 3), irradiated and captopril-treated concurrently (group 4). Captopril was administered by intraperitoneal injection (10 mg/kg) daily and irradiation was delivered on the tumor-bearing leg for 15 Gy in 3 fractions. Surface markers of splenic neutrophils (G-MDSCs) and intratumoral neutrophils (tumor-associated neutrophils [TANs]) were assessed using flow cytometry and expression of vascular endothelial growth factor (VEGF) and hypoxia-inducible factor 1 alpha ($HIF-1{\alpha}$) of tumor was evaluated by immunohistochemical (IHC) staining. Results: The mean tumor volumes (${\pm}$standard error) at the 15th day after randomization were $1,382.0({\pm}201.2)mm^3$ (group 1), $559.9({\pm}67.8)mm^3$ (group 3), and $370.5({\pm}48.1)mm^3$ (group 4), respectively. For G-MDSCs, irradiation reversed decreased expression of CD101 from tumor-bearing mice, and additional increase of CD101 expression was induced by captopril administration. Similar tendency was observed in TANs. The expression of tumor-necrosis factor-associated molecules, CD120 and CD137, are increased by irradiation in both G-MDSCs and TANs. Further increment was observed by captopril except CD120 in TANs. For IHC staining, VEGF and $HIF-1{\alpha}$ positivity in tumor cells were decreased when treated with captopril. Conclusion: Captopril is suggested to have additional effect when combined to irradiation in a murine tumor model by modulation of MDSCs and angiogenesis.

Effect of Soy Isoflavones on the Expression of $TGF-{\beta}1$ and Its Receptors in Cultured Human Breast Cancer Cell Lines

  • Kim Young-Hwa;Jin Kyong-Suk;Lee Yong-Woo
    • 대한의생명과학회지
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    • 제11권2호
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    • pp.175-183
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    • 2005
  • The two major isoflavones in soy, genistein and daidzein, are well known to prevent hormone-dependent cancers by their anti estrogenic activity. The exact molecular mechanisms for the protective action are, however, not provided yet. It has been reported that genistein and daidzein have a potential anticancer activity through their antiproliferative effect in many hormone-dependent cancer cell lines. Transforming growth $factor-\beta1(TGF-\beta1)$ has also been found to have cell growth inhibitory effect, especially in mammary epithelial cells. This knowledge led to a hypothetical mechanism that the soy isoflavones-induced growth inhibitory effect can be derived from the regulation of $TGF-\beta1$ and $TGF-\beta$ receptors. In order to test this hypothesis, the effects of the soy isoflavones at various concentrations and periods on the expression of $TGF-\beta1$and $TGF-\beta$ receptors were investigated by using Northern blot analysis in human breast carcinoma epithelial cell lines, an estrogen receptor positive cell line (MCF-7) and an estrogen receptor negative cell line (MDA-MB-231). As a result, only genistein has shown a profound dose-dependent effect on $TGF-\beta1$ expression in the $ER^+$ cell line within the range of doses tested, and the expression levels are correspondent to their inhibitory activities of cell growth. Moreover, daidzein showed down-regulated $TGF-\beta1$ expression at a low dose, the cell growth proliferation was promoted at the same condition. Therefore, antiproliferative activity of the soy isoflavones can be mediated by $TGF-\beta1$ expression, and the effects are mainly, if not all, occurred by ER dependent pathway. The expression of $TGF-\beta$ receptors was induced at a lower dose than the one for $TGF-{\beta}1$ induction regardless of the presence of ER, and the expression patterns are similar to those of the cell growth inhibition. These results indicated that the regulation of $TGF-\beta$ receptor expression as well, prior to $TGF-\beta1$ expression, may be involved in the antiproliferative activity of soy isoflavones. Little or no expression of $TGF-\beta$ receptors was found in the MCF-7 and MDA-MB-231 cells, suggesting refractory properties of the cells to growth inhibitory effect of the $TGF-\beta$. The soy isoflavones can seemingly restore the sensitivity of growth inhibitory responses to $TGF-\beta1$ by re-inducing $TGF-\beta$ receptors expression. In conclusions, our findings presented in this study show that the antitumorigenic activity of the soy isoflavones could be mediated by not only $TGF-\beta1$induction but $TGF-\beta$ receptor restoration. Thus, soy isoflavones could be good model molecules to develop new nonsteroidal antiestrogenic chemopreventive agents, associated with, regulation of $TGF-\beta$ and its receptors.

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동계 마우스 종양의 방사선 감수성 예측인자로서의 생물학적 표지자 (Biological Markers as Predictors of Radiosensitivity in Syngeneic Murine Tumors)

  • 장세경;김성희;신현수;성진실
    • Radiation Oncology Journal
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    • 제24권2호
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    • pp.128-137
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    • 2006
  • 목적: 방사선 감수성이 다양한 동계(syngeneic) 마우스 종양들을 대상으로 50% 종양억제선량과 종양성장지연 등 방사선 감수성을 대변하는 지표와 방사선에 의해 유도되는 아포토시스 간에 상관관계가 있는지 여부를 알아보고자 하였다. 또한 아포토시스와 관련된 여러 유전물질의 기본(constitutive) 발현수준을 측정한 후 이들 상호 간의 상관관계를 분석하여 방사선 감수성을 예측할 수 있는 생물학적 표지자를 알아보고자 하였다. 대상 및 방법: 동계 마우스 종양으로는 난소암 OCa-1, 유방암 MCa-K, 편평상피세포암 SCC-VII, 섬유육종 FSa-II, 간암 HCa-1을 사용하였고 이들은 PCR-SSCP 검사상 p53이 모두 자연형인 종양들이었고 주령 $8{\sim}10$ 주인 C3H/HeJ 웅성 마우스를 사용하였다. 50% 종양억제선량과 종양성장지연 및 방사선에 의해 유도되는 아포토시스를 측정하여 이들과 방사선에 의해 유도되는 아포토시스간의 상관관계를 분석하여 방사선에 의해 유도되는 아포토시스로 방사선 감수성을 예측할 수 있는지 여부를 알아보고, 또한 아포토시스와 관련된 유전물질 $053,\;p21^{WAF1/CIP1},\;BAX,\;Bcl-2,\;Bcl-x_L,\;Bcl-X_s,\;p34$ 등의 기본 발현양상 및 발현수준을 Western blot과 농도계측기로 측정한 후 이들 상호 간의 상관관계를 분석하였다. 결과: 방사선에 의해 유도된 아포토시스의 정도와 종양성장지연과의 사이에는 통계적으로 유의한 상관관계가 존재하였다(R=0.922, p=0.026). 50% 종양억제선량과의 사이에는 통계적 유의성은 변연수준이었으나(p=0.070) 상관관계의 경향을 보였다(R=-0.848). $p21^{WAF1/CIP1}$과 p34의 기본 발현수준과 50% 종양억제선량(R=0.893, p=0.041와 R=0.904, p=0.035) 및 종양성장지연(R=-0.922, p=0.026와 R=-0.890, p=0.043) 사이에는 통계적으로 유의한 상관관계가 존재하였다. 즉, $p21^{WAF1/CIP1}$과 p34의 기본 발현수준이 낮은 경우에 방사선 감수성이 높고, 기본 발현수준이 높은 경우에는 방사선 감수성이 낮은 상관관계가 존재함을 알 수 있었다. 결론: 방사선에 의해 유도된 아포토시스의 정도로 종양의 방사선 감수성을 예측하여 볼 수 있을 것으로 생각하며, 종양의 방사선 감수성을 예측할 수 있는 생물학적 표지자로 $p21^{WAF1/CIP1}$와 p34의 기본 발현수준이 이용될 수 있을 것으로 생각한다.

방사선의 항암작용에 대한 재조합 TNF-$\alpha$의 효과 (Potentiation of Antitumor Effect of Radiotherapy by Recombinant Tumor Necrosis Factor-$\alpha$)

  • 성진실;신항철;김귀언;서창옥
    • Radiation Oncology Journal
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    • 제16권3호
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    • pp.225-231
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    • 1998
  • 목적 : 마우스 동종암에 TNF-$\alpha$와 방사선을 병용하여 방사선의 항암 효과가 TNF-$\alpha$에 의하여 증강될 수 있는지 연구하고자 하였다. 대상 및 방법 : C3Hf/HeJ 마우스에 유방암인 MCa-K, MCa-4, 난소암인 OCa-I, 그리고 간암인 HCa-I 등 종양을 이식하였다. 종양의 크기가 6 mm에 이를 때 TNF-$\alpha$, 방사선, 또는 병용군 등 실험군을 나누어 적절한 치료를 하였다. 방사선조사는 Cobalt-60 방사선 조사기를 이용하여 HCa-I 에는 30 Gy를, 나머지 종양에는 15 Gy를 단일 조사하였다. TNF-$\alpha$는 실험실 마우스당 하루 10 ug씩 7일간 연속 주사하였다. 치료 결과는 종양성장지연 분석법으로 평가하였다. 결과 : TNF-$\alpha$ 단독 투여시 네가지 종양 중 MCa-K 및 OCa-I 종양에서 absolute growth delay (AGD)가 각각 5.0일, 6.5일로 유의한 항암 효과가 있었다. TNF-$\alpha$와 방사선을 병용한 경우 OCa-I에서는 AGD가 TNF-$\alpha$ 단독의 6.5일, 방사선의 26.9일에 비하여 TNF-$\alpha$와 방사선 병용시 41.1일로 의의있게 증가하였다 (p<0.05). EF는 1이상으로서 (EF: 1.29) TNF-$\alpha$와 방사선 병용시 증강효과가 있는 것으로 나타났다. 나머지 세 종양에서는 TNF-$\alpha$ 단독 및 방사선 단독에 비하여 TNF-$\alpha$와 방사선 병용시 AGD의 유의한 증가는 관찰되지 않았다. 결론 : TNF-$\alpha$는 마우스 동종암 중 일부 종양 (MCa-K 및 OCa-I)에서 항암 효과를 보였다. 방사선과 병용한 경우에도 일부 종양에서만 (OCa-I) 방사선의 항암 효과를 증강시키는 것으로 나타났다. 이같이 종양에 따라 방사선과 TNF-$\alpha$의 병용치료 효과의 정도가 다르다는 점은 향후 임상적 적용에 대비한 유용한 기초자료로 쓰일 것으로 기대된다.

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1998, 1999년도 우리나라에서 시행된 유방보존수술 후 방사선치료 현황 조사 (The 1998, 1999 Patterns of Care Study for Breast Irradiation After Breast-Conserving Surgery in Korea)

  • 서창옥;신현수;조재호;박 원;안승도;신경환;정은지;금기창;하성환;안성자;김우철;이명자;안기정
    • Radiation Oncology Journal
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    • 제22권3호
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    • pp.192-199
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    • 2004
  • 목적: 유방암에 대한 방사선치료의 적정성과 안전성을 보장하고 궁극적으로 치료 효과를 향상시키기 위한 방사선치료 기술 표준화를 위하여 우리나라 전국의 병원을 대상으로 하는 치료 형태 조사연구(Patterns of Care Study)를 계획하였다. 그 첫 단계로 유방보존적 수술 후 시행한 방사선치료 방법에 대하여 조사하고 분석 하였다. 대상 및 방법: 조사하고자 하는 입력 문항을 개발하였고 동시에 인터넷을 통하여 조사자가 직접 입력할 수 있도록 Web 기반 입력 프로그램(www.pcs.re.kr)을 개발하였다. 대상 환자들은 1998년도와 1999년도에 유방보 존술 후 방사선치료를 받은 환자로 전수 조사를 하지 않고 표본 추출하여 조사하였다. 입력 문항은 127개로 병력과 이학적 소견, 수술 소견과 병리 소견, 항암화학요법, 호르몬요법, 방사선치료계획, 방사선치료, 치료 중 부작용, 치료 효과, 합병증, 미용 효과 등 10군으로 나누어져 있다. 15개 병원에서 입력된 261명의 데이터를 분석 하였다. 결과: 연령은 24$\~$85세(중앙값 45세)였다. 병리학적 유형은 관상피암종이 88.9$\%$로 대부분을 차지하였으며 수질성암종이 4.2$\%$, 소엽상피암종이 1.5$\%$였다. 병기는 AJCC (American Joint Committee on Cancer) 5판에 따라 분류하였으며 T1이 59.7$\%$,T2가 29.5$\%$,Tis가 8.8$\%$였으며 전체의 42.5$\%$가 Tlc에 해당하였다. 전체 환자의 91.2$\%$에서 액와림프절 곽청술이 시행되었고 69.7$\%$의 환자들에서는 액와림프절 전이가 없었으며 림프절 전이가 3개 이하인 경우가 15.3$\%$, 4$\~$9개가 4.2$\%$, 10개 이상 전이된 경우가 1.9$\%$였다. 따라서 병기 0기가 8.4$\%$, I기, 44.9$\%$, IIA기, 33.3$\%$, IIB기 8.4$\%$였다. 에스트로겐수용체와 프로게스테론수용체 검사는 각각71.6, 70.9 $\%$에서 이루어졌다. 유방보존적 수술 방법은 단순절제술(excision/lumpectomy)이 37.2$\%$, 광범위절제술이 11.5$\%$ 사분원절제술(quadrantectomy)이 23$\%$, 부분절제술(partial mastectomy)이 27.5$\%$에서 시행되었다. 수술 후 10예 (3.8$\%$)에서 절제연이 양성이었고 10예는 절제연이 종양에서 2 mm 이내였다. 항암화학요법은 I기에서 54.7$\%$, IIA기에서 83.9$\%$, IIB에서 100$\%$ 시행되었다. 방사선치료는 1예를 제외한 모든 환자들이 계획된 방사선량의 90$\%$ 이상을 조사 받음으로써 순응도가 매우 높은 치료임을 알 수 있었다. 방사선치료의 범위는 전체의 88$\%$가 유방만 치료받았고 5$\%$는 유방과 쇄골상부림프절을, 4.2$\%$는 유방, 쇄골상부림프절에 액와림프절후방추가 조사를 하였으며, 유방, 쇄골상부림프절과 함께 내유방림프절을 치료하였던 예는 1예(0.4$\%$) 뿐이었다. 유방 치료에 사용된 방사선의 종류는 Co-60가 8명(3.1$\%$), 4 MV X-ray가 115명(44.1$\%$), 6 MV X-ray가 125명(47.8$\%$)이었으며 11명(4.2$\%$)은 10 MV X-ray를 사용하였다. 조사된 방사선량은 유방 전체에 45$\~$59.4 Gy (중앙값 50.4), 원발 병소에 대한 추가 조사가 8$\~$20 Gy (중앙값 10 Gy)로 총 방사선 조사선량은 50.4$\~$70.4 Gy (중앙값 60.4 Gy)였다. 결론: 조기 유방암에 대한 진단과 병기 결정 과정, 유방보존적 수술 후 시행되는 방사선치료는 큰 편향이 없이 권고안대로 잘 시행되고 있었다. 다만 원발 병소에 대한 추가 치료는 비교적 다양하게 적용되고 있는데 이것이 치료 결과에 어떤 영향을 미치는지 추적조사연구가 필요하며 방사선치료 계획상의 세부 사항에 대한 분석과 평가가 향후 이루어져야 할 것이다.

Potential Antitumor $\alpha$-Methylene-$\gamma$-butyrolactone-Bearing Nucleic Acid Base. 3. Synthesis of $5^1$-Methyl-$5^1$-[(6-substituted-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans

  • Kim, Jack-C.;Kim, Si-Hwan;Kim, Ji-A;Choi, Soon-Kyu;Park, Won-Woo
    • Archives of Pharmacal Research
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    • 제21권4호
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    • pp.458-464
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    • 1998
  • Search for a new $\alpha$-methylene-$\gamma$-butyrolactone-bearing 6-substituted purine as a potental antitumor agent has led to synthesize seven, hitherto unreported, $5^1$-Methyl-$5^1$-[(6-substituted-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$- methylenetetrahydrofurans (H, Cl, l, $CH_3$, $NH_2$, SH, >C=O) (6a-g). These include $5^1$-Methyl-$5^1$-[(9H-purin-9-yl)methyll-$2^1$-oxo-$3^1$ -methylenetetrahydrofurans (6a), $5^1$-Methyl-$5^1$-[(6-chloro-9H-purin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydr ofurans (6b), $5^1$-Methyl-$5^1$-[(6-chloro-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6c), $5^1$-Methyl-$5^1$-[(6-methyl-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6d), $5^1$-Methyl-$5^1$-[(9H-adenin-9-yl)methyll-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6e), $5^1$-Methyl-$5^1$-[(6-mercapto-9H-purin-9-yl) methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofurans (6f) and $5^1$-Methyl-$5^1$-[(9H-hypoxanthin-9-yl)methyll-$2^1$-oxo-$3^1$-methylenetetrahydrof urans (6g) which were made by the Reformatsky-type reaction of ethyl $\alpha$-(bromomethyl) acrylate with the corresponding (6-substituted-9H-purin-9-yl)-2-propanone intermediates (5a-g). These ketone intermediates 5a-g, 1-(9H-purin-9-yl)-2-propanone (5a), 1-(6-chloro-9H-purin-9-yl)-2-propanone (5b), 1-(6-iodo-9H-purin-9-yi)-2-propanone (5c), 1-(6-methyl-9H-purin-9-yl)-2-propanone (5d), 1-(9H-adenin-9-yl)-2-propanone (Se), 1-(6-mercapto-9H-purin-9-yl)-2-propanone (5f), and 1-(9H-hypoxanthin-9-yl)-2-propanone (5g) were directly obtained by the alkylation of the 6-substituted purine bases with the chloroacetone in the presence of $K_2$$CO_3$ (or NaH) under DMF (or DMSO). The preliminary in vitro cytotoxcity assay for the synthetic .alpha.-methylene-y-butyro-lactone compounds (6a-g) were determined against three cell lines (PM-3A, P-388, and K-562) and showed the moderate antitumor activity ($IC_50$ ranged from 1.4 to 4.3 $\mu\textrm{g}$/ml) with the compound $5^1$-methyl-$5^1$ -[(9H-hypoxanthin-9-yl)methyl]-$2^1$-oxo-$3^1$-methylenetetrahydrofuran (6g) showing the least antitumor activity.

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