• BMB Reports
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• 제56권3호
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• pp.184-189
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• 2023

Ovarian cancer (OC) is the most common gynecological malignancy worldwide, and chemoresistance occurs in most patients, resulting in treatment failure. A better understanding of the molecular processes underlying drug resistance is crucial for development of efficient therapies to improve OC patient outcomes. Circular RNAs (circRNAs) and ferroptosis play crucial roles in tumorigenesis and resistance to chemotherapy. However, little is known about the role(s) of circRNAs in regulating ferroptosis in OC. To gain insights into cisplatin resistance in OC, we studied the ferroptosis-associated circRNA circSnx12. We evaluated circSnx12 expression in OC cell lines and tissues that were susceptible or resistant to cisplatin using quantitative real-time PCR. We also conducted in vitro and in vivo assays examining the function and mechanism of lnc-LBCSs. Knockdown of circSnx12 rendered cisplatin-resistant OC cells more sensitive to cisplatin in vitro and in vivo by activating ferroptosis, which was at least partially abolished by downregulation of miR-194-5p. Molecular mechanics studies indicate that circSnx12 can be a molecular sponge of miR-194-5p, which targets SLC7A11. According to our findings, circSnx12 ameliorates cisplatin resistance by blocking ferroptosis via a miR-194-5p/SLC7A11 pathway. CircARNT2 may thus serve as an effective therapeutic target for overcoming cisplatin resistance in OC.

• 한국수정란이식학회지
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• 제29권2호
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• pp.195-200
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• 2014

Endothelin 2 (EDN2) induces follicular rupture by constricting periovulatory follicles. In this study, it was investigated the mechanisms of EDN2 action on follicular rupture with respect of receptor using the conditionally granulosa cell specific EDN2 receptor type A (ETa) KO mice (gcETaKO; $ETa^{flox/-}{\cdot}Amhr2^{Cre}$). It was generated the gcETaKO mice by breeding with $ETa^{flox/-}$ mice after mono-alleic ETa knockout by $ZP3^{Cre}$ and $Amhr2^{Cre}$ mice. Fertility, ovulation and maturation rates of ovulated oocytes after super ovulation were investigated in the gcETaKO mice compared with wild-type mice ($ETa^{flox/flox}$ and $ETa^{flox/-}$) as a control group. In the gcETaKO mice, normal fertility after breeding with male mice was shown compared with wild-type mice. And, there was no significant differences in ovulation rates after super ovulation, however its maturation rates was lower than that of wild type mice. These findings show that EDN2 in follicular rupture for ovulation is related with an other ETa not in granulosa cells. Further studies are needed to investigate how EDN2 is acted in ovarian follicular rupture for ovulation.

• Radiation Oncology Journal
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• 제14권3호
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• pp.221-228
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• 1996

목적 : 난소 미분화세포종의 임상적 특징과 치료 방법, 국소 제어율, 치료 실패 양상, 생존율 등 치료 성적을 분석해 보고, 가임력을 보존하기 원하는 병기 13 환자들에서의 적절한 치료 방침을 찾아보고자 본 연구를 시행하였다. 대상 및 방법 : 1975년 1월부터 1990년 12월까지 연세 의대 신촌 세브란스병원, 연세암센터에서 진단 및 치료를 받은 34명의 난소 미분화세포종 환자를 대상으로 하였다. 이중 2예의 gonadoblastoma(46,XY)와 3예의 혼합 배세포종(mixed germ cell tumor)을 제외하고 나머지 순수 미분화세포종(pure dysgermlnoma) 환자 29예만을 연구 대상으로 하여 치료 방법에 따라 두군으로 나누어 성적을 분석하였다. 1군은 수술후 보조적 방사선치료를 받은 환자로 21예였고, 2군은 수술후 보조적 방사선치료를 하지 않은 군으로 8예였다. 대상 환자의 연령 분포는 8-39세였고 중앙치는 23세였다. 진단 시 임상 증상은 촉지되는 복부 골반부 종괴가 가장 호발하였다. 병기는 I이 23명으로 $89.3\%$로 다수를 차지하였다. 방사선치료는 병기 I, II에서는 전복부조사 20-25 Gy, 골반부에 축소하여 10-15 Gy 추가 조사하였고 종격동과 쇄골 상부의 방사선치료는 대부분 II기 이상의 진행된 병기에서 20-26 Gy 조사하였다. 환자들의 추적 관찰 중앙치는 80개월(13-201개월)이었다. 결과 : 수술후 보조적 방사선치료를 받은 환자인 1군(21예)은 전원 국소제어 및 무병 생존중이었다. 2군은 수술후 보조적 방사선치료를 하지 않은 8예인데 이중 6예에서 국소 재발지 발생하여 4예는 구제 목적의 방사선치료를 받았고 1예는 항암화학요법을 1예는 재수술만 시행 받았다. 구제 치료 결과 방사선치료를 받은 4예중 3예, 항암화학요법 받은 1예 및 재수술을 받은 1예는 완치되었으나, 1예만 암종증(carcinomatosis)으로 진행되어 방사선치료후 11개월에 사망하였다. 그러므로 29예 전체의 5년 국소 제어율 및 5년 생존율은 $96.6\%$(28/29)였다. 일측 난소에 국한된 병기 la 환자 13예 중 7예는 수술 및 수술후 방사선치료를 받았고 이들은 전원 국소제어 되어 20-201개월간(중앙치 80개월) 무병 추적 관찰 중이나, 수술로 일측 난소난 관절제술 후 방사선치료 없이 지내던 6예의 환자 중 5예에서 재발하였으나 이들 모두 방사선치료, 항암화학요법, 재수술 등의 구제치료에 성공하였다. 즉 13예의 병기 la 환자 전원이 20-201개월간 무병 생존 중이다. 결론 : 난소 미분화세포종의 치료에 있어서 수술후 보조적 방사선치료를 부가함으로 종양의 크기, 병기, 수술법에 관계없이 $100\%$ 국소 제어율 및 $100\%$ 5년 생존율을 획득하였다. 수술후 재발한 경우라도 암종증(carclnomatosis)이나 복부 이외의 장기에 원격 전이가 없다면 방사선치료, 항암화학요법 또는 재수술로 구제될 가능성이 매우 높다. 그러므로 가임력을 보존하기 원하는 병기 la 환자에서는 보존적 수술인 일측 난관난소절제술만 시행하고 추적 관찰하는 것도 치료 방법으로 고려될 수 있겠다.

• 대한간호학회지
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• 제41권4호
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• pp.471-480
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• 2011

Purpose: The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer. Methods: The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program. Results: Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA. Conclusion: The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.

• 대한한방부인과학회지
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• 제23권2호
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• pp.154-160
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• 2010

Purpose: This study was done to report the progress of treatment with oriental medicine on a woman who complained of irregular menstruation in menopausal transition. Methods: The patient in this case was treated with Chokyungjongoktanggamibang, acupuncture and moxibustion. And to assess the effectiveness of this treatment, we evaluated the ovarian function by using hormone assay. Results: During treatment period the patient had three times of uterine bleeding, two of the three seemed like normal menstrual bleeding. And analyzing the hormone assay, estraiol level was increased and FSH, LH levels were decreased significantly. However a month after treatment end, estradiol level was decreased and FSH, LH levels were incresead as the levels in menopausal transition or menopause state. And the patient had no more uterine bleeding since last one according to follow up by phone-call. Conclusion: In this study, the progress of ovarian function was specified with hormonal changes after treatment of oriental medicine during menopausal transition. And further studies are needed to find the more appropriate clinical approach for women in menopausal transition.

• 한국수정란이식학회지
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• 제13권3호
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• pp.261-275
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• 1998

본 연구에서는 GnRH가 과배란 처치된 래트의 초기 난포기와 후기 난포기에서 난소기능에 어떠한 영향을 미치는지를 이해하기 위해서, 30IU PMSG와 10IU hCG로 전처치된 미성숙 래트에 있어서 배란반응, 배란 난자의 형태학적 이상 유무 및 핵 성숙도, 난소 중량, 난소의 조직학적인 변화 및 혈중 스테로이드 호르몬 (17$\beta$-estradiol, progesterone 및 testosterone) 농도에 대하여 GnRH agonist의 효과를 검사하였다. GnRH agonist는 PMSG 전처치 후 초기 난포기 (PMSG 투여 후 6시간부터) 또는 후기 난포기(PMSG 투여 후 54시간부터)에 4시간 동안 20분 간격으로 경정맥 카테타를 통해 혈관내로 투여하였다. 각 실험동물은 혈중 스테로이드 호르몬의 변화를 측정하기 위하여 PMSG 투여 후 54시간, 72시간에 혈액을 채취하고 72시간에 희생시켰다. PMSG로 전처치한 미성숙 래트의 초기 난포기에 GnRH agonist의 투여는 GnRH agonist를 투여하지 않은 군(대조군)에 비해 과배란 억제, 형태학적 비정상 배란난자의 증가, 난소 중량의 감소, 난포폐쇄의 증가 및 혈중 스테로이드 호르몬의 농도 감소가 보였다. 한편 후기 난포기에 GnRH agonist의 투여는 대조군에서의 반응과 전반적으로 유사하였다. 이상의 결과, PMSG 및 hCG 처치로 과배란된 래트의 초기 난포기에 GnRH agonist의 투여는 난소기능을 전반적으로 억제하지만, 후기 난포기에 GnRH agonist의 투여는 난소기능에 영향을 미치지 않았다.

• Animal Bioscience
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• 제36권9호
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• pp.1376-1383
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• 2023

Objective: We aimed to determine the effects of 12-oxoeicosatetraenoic acid (12-KETE)-induced placenta release on the performance of mother cows (milk yield, ovarian function, and blood plasma biochemical properties). Methods: Experimental treatments were as follows: i) natural delivery including natural placental release (control cows); ii) induced calf delivery with placental retention (RP cows); and iii) induced calf delivery and 12-KETE-induced placental release (KE cows). Delivery in pregnant KE cows was induced with dexamethasone and prostaglandin. These cows were injected with 12-KETE after calf discharge, resulting in the release of the fetal placenta. RP cows were not treated with 12-KETE after inducing delivery, resulting in placental retention. Results: The milk yield in RP cows during the first 50 days after delivery was significantly lower than that in control cows (p<0.05), whereas KE cows exhibited a similar milk yield to that of control cows. The postpartum plasma progesterone levels of control cows increased 14 days after delivery on average; however, its increase was delayed by 10 days in RP cows. Meanwhile, the 12-KETE treatment (KE cows) brought the timing of progesterone increase forward to the normal level (control cows). Among the 20 biochemical parameters examined, the total cholesterol levels in blood plasma 14 days after delivery were lower in RP cows than that in the other two treatment groups (control cows and KE cows) (p<0.05). In addition, the plasma level of haptoglobin tended to be low in cows that discharged their placentas shortly after delivery. Conclusion: These findings indicate that 12-KETE treatment can alleviate the disorder caused by placental retention.

• 대한한방부인과학회지
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• 제18권3호
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• pp.165-183
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• 2005

Purpose : This study is to identify the aftermath of hysterectomy in the treatment of a uterine disease. Methods : We collected treatises on the aftermath of hysterectomy and analyzed those. Those treatise had relation to change in ano-rectal function, ovarian function, change of serum sex hormone levels, bone mineral density, quality of life and so on. Results : After the treatises on the aftermath of hysterectomy, common symptoms after hysterectomy were general weakness, loss of taste, sweating, abdominal pain, dysuria, vaginal bleeding, weight loss, emptyness on lower abdomen and pains on operation. Conclusion : The result of this study suggest the aftermath of hysterectomy in the treatment of a uterine disease. In conclusion, our result support the importance of earlier prediction and a proper management plan to improve the quality of life in women.

• Communications for Statistical Applications and Methods
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• 제31권1호
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• pp.155-178
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• 2024

Regression discontinuity (RD) design is one of the most widely used methods in causal inference for estimation of treatment effect when the treatment is created by a cutpoint from the covariate of interest. There has been little attention to RD design, although it provides a very useful tool for analysis of treatment effect for censored data. In this paper, we define the causal effect for survival function in RD design when the treatment is assigned deterministically by the covariate of interest. We propose estimators of this causal effect for survival data by using transformation, which leads unbiased estimator of the survival function with local linear regression. Simulation studies show the validity of our approach. We also illustrate our proposed method using the prostate, lung, colorectal and ovarian (PLCO) dataset.

• Asian-Australasian Journal of Animal Sciences
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• 제27권12호
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• pp.1695-1704
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• 2014

Maternal malnutrition during pregnancy may give rise to female offspring with disrupted ovary functions in adult age. Neonatal ovary development predisposes adult ovary function, yet the effect of maternal nutrition on the neonatal ovary has not been described. Therefore, here we show the impact of maternal protein restriction on the expression of folliculogenic and steroidogenic genes, their regulatory microRNAs and promoter DNA methylation in the ovary of neonatal piglets. Sows were fed either standard-protein (SP, 15% crude protein) or low-protein (LP, 7.5% crude protein) diets throughout gestation. Female piglets born to LP sows showed significantly decreased ovary weight relative to body weight (p<0.05) at birth, which was accompanied with an increased serum estradiol level (p<0.05). The LP piglets demonstrated higher ratio of bcl-2 associated X protein/B cell lymphoma/leukemia-2 mRNA (p<0.01), which was associated with up-regulated mRNA expression of bone morphogenic protein 4 (BMP4) (p<0.05) and proliferating cell nuclear antigen (PCNA) (p<0.05). The steroidogenic gene, cytochrome P450 aromatase (CYP19A1) was significantly down-regulated (p<0.05) in LP piglets. The alterations in ovarian gene expression were associated with a significant down-regulation of follicle-stimulating hormone receptor mRNA expression (p<0.05) in LP piglets. Moreover, three microRNAs, including miR-423-5p targeting both CYP19A1 and PCNA, miR-378 targeting CYP19A1 and miR-210 targeting BMP4, were significantly down-regulated (p<0.05) in the ovary of LP piglets. These results suggest that microRNAs are involved in mediating the effect of maternal protein restriction on ovarian function through regulating the expression of folliculogenic and steroidogenic genes in newborn piglets.