• Title/Summary/Keyword: pathology response

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급성 섬유소성 기질화 폐렴 1예 (A Case of Acute Fibrinous and Organizing Pneumonia)

  • 조주연;이현경;이성순;이혜경;이영민;이혁표;김주인;최수전;염호기
    • Tuberculosis and Respiratory Diseases
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    • 제61권5호
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    • pp.479-483
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    • 2006
  • 급성 섬유소성 기질화 폐렴 (AFOP)은 임상적으로 급성 간질성 폐렴과 유사하지만 세기관지내 섬유소 축적을 보이며 유리질막이 존재하지 않는 조직학적 특성을 갖는 간질성 폐렴의 한 형태이다. 일부 보고나 본 증례에 따르면 임상경과는 급성 간질성 폐렴보다 비교적 양호한 것으로 기대된다. 그러므로 급격히 진행하는 호흡곤란을 호소하는 환자에게 거친 호흡음과 함께 수포음이 들리고, 방사선 검사상 양측 폐 전반에 걸쳐 현저한 간유리 음영이 있을 경우 조직소견을 바탕으로 급성 간질성 폐렴이나 다른 간질성 폐질환을 감별진단하고 치료방법을 결정하고 병의 경과 및 예후를 예측할 수 있다.

A STUDY ON OSTEOBLAST-LIKE CELL RESPONSES TO SURFACE-MODIFIED TITANIUM

  • Hong Min-Ah;Kim Yung-Soo;Kim Chang-Whe;Jang Kyung-Su;Lee Jae-Il
    • 대한치과보철학회지
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    • 제41권3호
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    • pp.300-318
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    • 2003
  • Statement of problem: The success of implants depends on intimate and direct contact of implant material on bone tissue and on functional relationship with soft tissue contact. Creation and maintenance of osseointegration depend on the understanding of the tissue's healing, repairing, and remodeling capacity and these capacities rely on cellular behavior. Altering the surface properties can modify cellular responses such as cell adhesion, cell motility, bone deposition, Therefore, various implant surface treatment methods are being developed for the improved bone cell responses. Purpose: The purpose of this study was to evaluate the responses of osteoblast-like cells to surface-modified titanium. Materials and Methods: The experiment was composed of four groups. Group 1 represented the electropolished surface. Group 2 surfaces were machined surface. Group 3 and Group 4 were anodized surfaces. Group 3 had low roughness and Group 4 had high roughness. Physicochemical properties and microstructures of the discs were examined and the responses of osteoblast-like cells to the discs were investigated. The microtopography was observed by SEM. The roughness was measured by three-dimension roughness measuring system. The microstructure was analyzed by XRD, AES. To evaluate cell responses to modified titanium surfaces, osteoblasts isolated from calvaria of neonatal rat were cultured. Cell count, morphology, total protein measurement and alkaline phosphatase activities of the cultures were examined. Results and Conclusion: The results were as follows 1. The four groups showed specific microtopography respectively. Anodized group showed grain structure with micropores. 2. Surface roughness values were, from the lowest to the highest, electropolished group, machined group, low roughness anodized group, and high roughness anodized group. 3. Highly roughened anodized group was found to have increased surface oxide thickness and surface crystallinity. 4. The morphology of cells, flattened or spherical, were different from each other. In the electropolished group and machined group, the cells were almost flattened. In two anodized groups, some cells were spherical and other cells were flattened. And the 14 day culture cells of all of the groups were nearly flattened due to confluency. 5. The number of attached cells was highest in low roughness anodized group. And the machined group had significantly lower cell count than any other groups(P<.05). 6. Total protein contents showed no difference among groups. 7. The level of alkaline phosphatase activities was higher in the anodized groups than electropolished and machined groups(P<.05).

Protective effect of Korean Red Ginseng against FK506-induced damage in LLC-PK1 cells

  • Lee, Dahae;Kang, Ki Sung;Yu, Jae Sik;Woo, Jung-Yoon;Hwang, Gwi Seo;Eom, Dae-Woon;Baek, Seung-Hoon;Lee, Hye Lim;Kim, Ki Hyun;Yamabe, Noriko
    • Journal of Ginseng Research
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    • 제41권3호
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    • pp.284-289
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    • 2017
  • Background: Compound FK506 is an immunosuppressant agent that is frequently used to prevent rejection of solid organs upon transplant. However, nephrotoxicity due to apoptosis and inflammatory response mediated by FK506 limit its usefulness. In this study, the protective effect of Korean Red Ginseng (KRG) against FK506-induced damage in LLC-PK1 pig kidney epithelial cells was investigated. Methods: LLC-PK1 cells were exposed to FK506 with KRG and cell viability was measured. Western blotting and RT-PCR analyses evaluated protein expression of MAPKs, caspase-3, and KIM-1. TLR-4 gene expression was assessed. Caspase-3 activities were also determined. The number of apoptotic cells was measured using an image-based cytometric assay. Results: The reduction in LLC-PK1 cell viability by $60{\mu}M$ FK506 was recovered by KRG cotreatment in a dose-dependent manner. The phosphorylation of p38, p44/42 MAPKs (ERK), KIM-1, cleaved caspase-3, and TLR-4 mRNA expression was increased markedly in LLC-PK1 cells treated with $60{\mu}M$ FK506. However, with the exception of p-ERK, elevated levels of p-p38, KIM-1, cleaved caspase-3, and TLR-4 mRNA expression were significantly decreased after cotreatment with KRG. Activity level of caspase-3 was also attenuated by KRG cotreatment. Moreover, image-based cytometric assay showed that apoptotic cell death was increased by $60{\mu}M$ FK506 treatment, whereas it was decreased after cotreatment with KRG. Conclusion: Taken together, these results suggest that the molecular mechanism of KRG in the FK506-induced nephrotoxicity may lead to the development of an adjuvant for the inhibition of adverse effect FK506 in the kidney.

족소양담경(足少陽膽經)에서 투사(投射)되는 신경원(神經元)의 표지부위(標識部位)에 대한 연구(硏究) (Localization of the Neurons Projecting to the Gallbladder Meridian)

  • 육상원;이광규;이상룡;김점영;이창현;이봉희
    • Korean Journal of Acupuncture
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    • 제17권1호
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    • pp.101-121
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    • 2000
  • The purpose of this morphological studies was to investigate the relation to the meridian, acupoint and nerve. The common locations of the spinal cord and brain projecting to the the gallbladder, GB34 and common peroneal nerve were observed following injection of transsynaptic neurotropic virus, pseudorabies virus(PRV), into the gallbladder, GB34 and common peroneal nerve of the rabbit. After survival times of 96 hours following injection of PRV, the thirty rabbits were perfused, and their spinal cord and brain were frozen sectioned($30{\mu}m$). These sections were stained by PRV immunohistochemical staining method, and observed with light microscope. The results were as follows: 1. In spinal cord, PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in thoracic, lumbar and sacral spinal segments. Densely labeled areas of each spinal cord segment were founded in lamina V, VII, X, intermediolateral nucleus and dorsal nucleus. 2. In medulla oblongata, The PRV labeled neurons projecting to the gallbladder, GB34 and common peroneal nerve were founded in the A1 noradrenalin cells/C1 adrenalin cells/caudoventrolateral reticular nucleus, rostroventrolateral reticular nucleus, medullary reticular nucleus, dorsal motor nucleus of vagus nerve, nucleus tractus solitarius, raphe obscurus nucleus, raphe pallidus nucleus, raphe magnus nucleus, gigantocellular nucleus, lateral paragigantocellular nucleus, principal sensory trigeminal nucleus and spinal trigeminal nucleus. 3. In Pons, PRV labeled neurons were parabrachial nucleus, Kolliker-Fuse nucleus and cochlear nucleus. 4. In midbrain, PRV labeled neurons were founded in central gray matter and substantia nigra. 5. In diencephalon, PRV labeled neurons were founded in lateral hypothalamic nucleus, suprachiasmatic nucleus and paraventricular hypothalamic nucleus. 6. In cerebral cortex, PRV labeled neuron were founded in hind limb area.This results suggest that PRV labeled common areas of the spinal cord projecting to the gallbladder, GB34 and common peroneal nerve may be first-order neurons related to the somatic sensory, viscero-somatic sensory and symapathetic preganglionic neurons, and PRV labeled common area of the brain may be first, second and third-order neurons response to the movement of smooth muscle in gallbladder and blood vessels.These PRV labeled neurons may be central autonomic center related to the integration and modulation of reflex control linked to the sensory system monitoring the internal environment, including both visceral sensation and various chemical and physical qualities of the bloodstream. The present morphological results provide that gallbladder meridian and acupoint may be related to the central autonomic pathways.

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내과적 치료와 함께 폐절제술을 시행하여 균음전에 성공한 Mycobacterium avium 폐질환 1례 (Successful Pulmonary Resection Combined with Chemotherapy for the Treatment of Mycobacterium avium Pulmonary Disease : A Case Report)

  • 고원중;권오정;강은해;서지영;정만표;김호중;김관민;이남용;한정호;김태성;이경수
    • Tuberculosis and Respiratory Diseases
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    • 제54권6호
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    • pp.621-627
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    • 2003
  • MAC는 NTM 폐질환의 가장 흔한 원인균이다. Clarithromycin과 같은 새로운 항생제의 사용에도 불구하고, 아직까지 MAC 폐질환의 내과적 치료성적은 만족스럽지 않으며, 따라서 내과적 치료만으로 균음전에 성공하지 못하였을 때, 폐병변이 국한되어 있다면 폐절제술을 고려하여야 한다. 국내에서는 아직까지 MAC 폐질환의 치료를 위하여 폐절제술을 시행한 증례가 보고되지 않았다. 저자들은 MAC 폐질환을 진단하고 clarithromycin을 포함한 내과적 치료에 실패한 환자에서 폐절제술을 시행 후 균음전에 성공한 환자를 경험하여 이를 보고하는 바이다.

영양분이 결핍된 H460 세포주에서 자가포식이 세포사멸에 미치는 영향 (The Effect of Autophagy to Cell Death in Nutrient-Deprived H460 Cells)

  • 장혜연;조향정;황기은;김소영;이강규;문성록;신정현;조경화;이미경;이삼윤;박순아;박종군;김휘정;양세훈
    • Tuberculosis and Respiratory Diseases
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    • 제69권2호
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    • pp.81-94
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    • 2010
  • Background: Autophagy is an important adaptive mechanism in normal development and in response to changing environmental stimuli in cancer. Previous papers have reported that different types of cancer underwent autophagy to obtain amino acids as energy source of dying cells in nutrient-deprived conditions. However, whether or not autophagy in the process of lung cancer causes death or survival is controversial. Therefore in this study, we investigated whether nutrient deprivation induces autophagy in human H460 lung cancer cells. Methods: H460, lung cancer cells were incubated in RPMI 1640 medium, and the starved media, which are BME and RPMI media without serum, including 2-deoxyl-D-glucose according to time dependence. To evaluate the viability and find out the mechanism of cell death under nutrient-deprived conditions, the MTT assay and flow cytometry were done and analyzed the apoptotic and autophagic related proteins. It is also measured the development of acidic vascular organelles by acridine orange. Results: The nutrient-deprived cancer cell is relatively sensitive to cell death rather than normal nutrition. Massive cytoplasmic vacuolization was seen under nutrient-deprived conditions. Autophagic vacuoles were visible at approximately 12 h and as time ran out, vacuoles became larger and denser with the increasing number of vacuoles. In addition, the proportion of acridine orange stain-positive cells increased according to time dependence. Localization of GFP-LC3 in cytoplasm and expression of LC-3II and Beclin 1 were increased according to time dependence on nutrient-deprived cells. Conclusion: Nutrient deprivation induces cell death through autophagy in H460 lung cancer cells.

양배추 및 브로콜리 뿌리혹병에 대한 효율적인 저항성 검정 방법 확립 (Development of Efficient Screening Method for Resistant Cabbage and Broccoli to Plasmodiophora brassicae)

  • 조수정;심선아;장경수;최용호;김진철;최경자
    • 식물병연구
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    • 제18권2호
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    • pp.86-92
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    • 2012
  • Plasmodiophora brassicae Woron.에 의한 뿌리혹병은 배추과 작물에 발생하는 전 세계적으로 가장 중요한 식물병 중 하나이다. 본 연구는 Brassica oleracea에 속하는 양배추와 브로콜리의 뿌리혹병에 대한 효율적인 저항성 검정 방법을 확립하기 위하여, 레이스 9인 GN1 균주를 이용하여 접종원의 농도와 P. brassicae 접종 후 배양 기간 등의 발병 조건에 따른 양배추와 브로콜리 뿌리혹병 발생을 조사하였다. 접종원의 농도는 14일 재배한 유묘에 포트 당 $2.5{\times}10^9$개의 포자를 접종하는 것이 적당하였으며, 안정적인 발병을 위하여 접종한 유묘는 3일 동안 $20^{\circ}C$ 생육상에서 하루에 12시간 광을 처리하며 배양하고, 그 후 온실($20{\pm}5^{\circ}C$)에서 5주 동안 재배한 후에 발병 정도를 조사하는 것이 요구되었다. 위의 검정법을 이용하여 레이스가 다른 P. brassicae 4개 포장 균주에 대한, 시판 중인 양배추 16종과 브로콜리 17종 품종의 저항성 정도를 실험한 결과, 레이스 9인 GN1, GN2 그리고 GS 균주에 대해서는 중도저항성을 보이는 몇 가지 품종이 있었다. 그러나 레이스 2인 YC 균주에 대해서는 실험한 모든 품종이 고도의 감수성 반응을 나타내었다. 따라서 이 방법은 양배추와 브로콜리 뿌리혹병 저항성을 검정하기 위한 효율적인 검정법이라는 것을 알 수 있었다.

Optimal timing for salvage surgery after definitive radiotherapy in hypopharyngeal cancer

  • Chun, Seok-Joo;Keam, Bhumsuk;Heo, Dae Seog;Kim, Kwang Hyun;Sung, Myung-Whun;Chung, Eun-Jae;Kim, Ji-hoon;Jung, Kyeong Cheon;Kim, Jin Ho;Wu, Hong-Gyun
    • Radiation Oncology Journal
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    • 제36권3호
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    • pp.192-199
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    • 2018
  • Purpose: Use of radiotherapy combined with chemotherapy is increasing in hypopharyngeal cancer. However, many show residual tumor after radiotherapy. Timing for treatment evaluation and salvage therapy is essential. However, optimal timing for salvage surgery has not been suggested. In this study, we tried to evaluate optimal timing for salvage surgery. Methods and Materials: Patients who were diagnosed with hypopharyngeal squamous cell carcinoma between 2006 and 2015 were retrospectively analyzed. All patients received definitive radiotherapy with or without chemotherapy. Response of all treated patients were analyzed at 1, 3, and 6 months after radiotherapy. Any patients with progression before 6 months were excluded. Results: A total of 54 patients were analyzed. Complete remission (CR) rates at 1 month (CR1), 3 months (CR3) and 6 months (CR6) were 66.7%, 81.5%, and 90.7%, respectively. Non-CR at 1 month (NCR1), 3 months (NCR3), and 6 months (NCR6) showed poor locoregional recurrence-free survival rates (1-year rates of 63.7%, 66.7%, and 0.0%, respectively) compared to CR1, CR3, and CR6 (1-year rates 94.3%, 88.0%, and 91.5%, respectively). Particularly significant differences were seen between CR6 and NCR6 (p < 0.001). Of 10 patients with NCR3, 5 showed CR at 6 months (NCR3/CR6). There was no statistical difference in locoregional recurrence-free survival between CR3 and NCR3/CR6 group (p = 0.990). Conclusion: Our data suggest half of patients who did not show CR at 3 months eventually achieved CR at 6 months. Waiting until 6 months after radiotherapy may be appropriate for avoiding additional salvage therapy.

Anthracycline계 항암성 항생물질 DA-125의 Beagle dog에 대한 26주 반복정맥투여독성시험 (Toxicity Studies of DA-l25, an Anthracycline Antitumor Antibiotic : Intravenous Repeated Doses for 26 Weeks in Beagle Dogs)

  • 차신우;박종일;정태천;신호철;하창수;김형진;양중익;한상섭;노정구
    • Biomolecules & Therapeutics
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    • 제4권2호
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    • pp.127-137
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    • 1996
  • This study was performed to investigate the toxicity of DA-125 in beagle dogs, an anthracycline antitumor antibiotic. The dogs were administered DA-125 i.v. at 0.0023, 0.0375, 0.15 and 0.6 mg/kg/day, 6 days/week for 26 weeks. At 0.6 mg/kg, all male and female dogs were either sacrificed moribundly or dead during the 26-week treatment. The dogs revealed inactivity, salivation, dark bloody discharge, swelling of the subcutaneous injection site, abscess, and ulceration in the abdominal wall and legs. At 0.15 mg/kg, anorexia, salivation, and swelling of the injection site were observed. The food consumption was decreased with a statistical significance at 6 and 12 weeks treatment in males of 7.6 mg/kg. At 0.0375, 0.15 and 0.6 mg/kg, body weights were decreased significantly in a dose-related fashion after 17 weeks treatment. Total white blood cell counts for male dogs at 0.6 mg/kg were lower than those of control dogs after 13 weeks treatment, which appeared mainly due to decreased neutrophils. At 0.15 mg/kg, testicular atrophy was found in all males by gross pathology and the testicular weights were significantly decreased when compared to those of control males. Microscopically, the testis showed moderate atrophy of the seminiferous tubules and marked decrease in number of spermatozoa in the epididymal tubules. At 0.6 mg/kg, petechia or echymotic hemorrhage was observed in gastrointestinal tract, heart, lungs, and other organs at the necropsy, Marked atrophy of thymus were observed in both males and females. In addition, severe testicular atrophy was noted in all males. Microscopically, gastrointestinal tract showed hemorrhage, epithelial denudation, hypermucus secretion, and atrophy of intestinal villi. Seminiferous tubules of the atrophic testis were lined with Sertoli cells only and devoid of germ cells. Severe oligospermia or aspermia was present in the epididymal tubules. Bone marrow showed marked depletion of hemopoietic cells. In addition, marked atrophy was found in the lymphoid tissue of gastrointestinal tract, various Iymph nodes, and thymus. Injection sites showed marked inflammatory response with necrosis, necrotizing vasculitis, thrombus formation, and ulceration in the skin. According to the present results, no observed effect level appeared to be 0.0375 mg/kg. At 0.15 mg/kg, testis was a target organ, while at 0.6 mg/kg hemopoietic tissue, gastrointestinal tract, and testis were considered to be target organs. At 0.6 mg/kg the test compound seems to inflict a damage on the blood vessels causing hemorrhage in the various organs and tissues.

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돌발적난청 (Sudden Deafness)

  • 조중환;류태현
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1976년도 제10차 학술대회연제 순서 및 초록
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    • pp.85.3-86
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    • 1976
  • 돌발성난청은 만약청력이 구조될 가망이 있으면 즉각적인 검사와 치료가 필요하다. 이것은 이과적 비상사태이며 또 진단의 도전자이다. 감각신경성돌발성난청은 광범위한 종류의 병인으로 생길 수 있다. 종합적인 정밀검사를 곧 시행하여 치료를 지체없이 시작해야만 될 것이다. 감각신경성난청환자에 대해서 아무것도 할 것 없다는 관념은 버려야 되겠다. 돌발성난청을 일으키는 어떤 병인은 치료에 순응 않거나 또는 다만 일부만 정상회복이 가능하다. 그러나 그냥 두면 조금은 회복되거나 또는 스스로는 전연 회복되지 않고, 적절한 치료에는 반응하는 병인들도 있다. 이 병인들을 확인하여 그 처치에 대하며 전심 연구하는 것은 긴요하다. 연령 성별의 비율 및 병변의 편측 또는 양측성은 그 원인에 관련되며, 모은 환자군의 형에 의해서 다르다. 돌발성난청은 개별적으로는 드므나, 모이면 흔한데 외래신이과환자의 약 2.5%에 이르렀으며, 약 70%는 편측성이였다. virus, 세균 및 treponema 감염성은 약 30%였고, 약 16%는 cochlea의 혈관성병변에 의해서였다. 거의 22%는 원인불명(idiopathic)으로 이것은 청년층에서 주로 발생하였으며, 감각성이거나 신경성이였다. 12%는 외상성이고, 9%는 이중독성이였다. 기타가 11%였다. 이대중요요소는 병변의 부위와 청력장해의 기간인데 일찍 진단하여 치료하면 그만큼 치료반응이 좋다. 동시에 원인, 병리 및 치료에 대한 고찰을 더 하였다.

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