• Title/Summary/Keyword: 신장암

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Dendritic Cell Based Cancer Immunotherapy: in vivo Study with Mouse Renal Cell Carcinoma Model (수지상세포를 이용한 항암 면역 치료: 생쥐 신장암 모델을 이용한 연구)

  • Lee, Hyunah;Choi, Kwang-Min;Baek, Soyoung;Lee, Hong-Ghi;Jung, Chul-Won
    • IMMUNE NETWORK
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    • v.4 no.1
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    • pp.44-52
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    • 2004
  • Background: As a potent antigen presenting cell and a powerful inducer of antigen specific immunity, dendritic cells (DCs) are being considered as a promising anti-tumor therapeutic module. The expected therapeutic effect of DCs in renal cell carcinoma was tested in the mouse model. Established late-stage tumor therapeutic (E-T) and minimal residual disease (MRD) model was considered in the in vivo experiments. Methods: Syngeneic renal cell carcinoma cells (RENCA) were inoculated either subcutaneously (E-T) or intravenously (MRD) into the Balb/c mouse. Tumor cell lysate pulsed-DCs were injected twice in two weeks. Intraperitoneal DC injection was started 3 week (E-T model) or one day (MRD model) after tumor cell inoculation. Two weeks after the final DC injection, the tumor growth and the systemic immunity were observed. Therapeutic DCs were cultured from the bone marrow myeloid lineage cells with GM-CSF and IL-4 for 7 days and pulsed with RENCA cell lysate for 18 hrs. Results: Compared to the saline treated group, tumor growth (E-T model) or formation (MRD model) was suppressed in pulsed-DC treated group. RENCA specific lymphocyte proliferation was observed in the RENCA tumor-bearing mice treated with pulsed-DCs. Primary cytotoxic T cell activity against RENCA cells was increased in pulsed-DC treated group. Conclusion: The data suggest the possible anti-tumor effect of cultured DCs in established or minimal residual disease/metastasis state of renal cell carcinoma. Systemic tumor specific immunity including cytotoxic T cell activity was modulated also in pulsed-DC treated group.

Assessment of Perirenal Fat Infiltration in Renal Cell Carcinoma by CT (CT에 의한 신세포암의 신주위 지방층 침윤의 평가)

  • Cho, Dae-Hyoun;Cho, Jae-Ho;Chang, Jay-Chun;Park, Bok-Hwan
    • Journal of Yeungnam Medical Science
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    • v.14 no.1
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    • pp.175-182
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    • 1997
  • Forty-two preoperative CT scans with renal cell carcinoma were reviewed and compared with pathologic findings to evaluate the differential points between stage I and II. Regardless of whole body staging, perirenal fat infiltrations were seen in 9 cases and the other 33 cases showed no infiltration onto perirenal fat tissue. We retrospectively reviewed them by comparing tumor size and CT findings, following three view points, lobulating contour of tumor margin, thickening of Gerota's fascia and strands in perirenal fat tissue. The size of them was 2-15 cm, size of the stage I tumors was 2-15 cm and that of stage II was 6-15 cm. In stage I(n=33), 25 cases(76%) showed smooth margin, and the others(n=8) showed lobulating contours. Thickening of Gerota's fascia was observed in 7 cases(21%) and strands in perirenal fat tissue in 14(42%). Of these, only one positive finding was seen in 7 cases(21%), 2 findings in 6(18%), 3 findings in 3 (9%) and nothing in 17cases(51%). In stage II(n=9), 3 cases(34%) showed smooth margin, and the others(n=6) showed lobulating contours. Thickening of Gerota's fascia were observed in 5 cases(55%) and strands in perirenal fat tissue in 9(100%). Of these, one finding was seen in 2 cases(22%), 2 findings in 3(33%), 3 findings in 4 (44%). In conclusion, it is insufficient to evaluate the perirenal fat infiltration in renal cell carcinoma with only one positive finding of 3 view points; lobulation of tumor margin, thickening of Gerota's fascia, strands in perirenal fat tissue. But if all these findings are shown, it is helpful to determinate perirenal fat infiltration of renal cell carcinoma.

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Physiological Activities of Commercial Instant Curry Powders and Individual Spices (시판 instant curry 및 curry 사용원료의 생리활성)

  • Chung, Myong-Soo;Jung, Seung-Hyeon;Lee, Jin-Sun;Park, Ki-Moon
    • Korean Journal of Food Science and Technology
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    • v.35 no.1
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    • pp.125-131
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    • 2003
  • Physiological activities of hot water extracts of 10 commercial instant curry powders and 6 spices, were investigated. All spice extracts except ginger showed significant antioxidant activities on the autoxidation of linoleic curry acid (p<0.01). Antioxidant activities of clove and fennel were significantly higher than ${\alpha}-tocopherol$, instant curry powders, and other spices, Red pepper $(52.8{\pm}2.13%)$, clove, and coriander showed significant inhibitory activities against angiotensin-I-converting enzyme (p<0.001). Cytotoxic effects of instant curry powder and spices against human cancer cell lines were examined through MTT assay. Black pepper $(29.31{\pm}2.21%\;cytotoxic\;rate)$ and cardamon $(19.41{\pm}3.92%)$ were effective against MCF-7 (p<0.01), Clove $(42.92{\pm}5.57%)$ against HeLa (p<0.01). Ginger $(34.21{\pm}1.11%)$, cardamon, and black pepper against A172 (p<0.001), garlic $(82.88{\pm}0.53%)$ against SN12C (p<0.001), garlic $(71.63{\pm}0.38%)$, red pepper, ginger, fenugreek, SPC, cumin, and MPC against SNU-638 (p<0.001), and cassia $(82.84{\pm}16.92%)$ against A549 (p<0.001).

영양-울진지역 선캠브리아기 변성암류의 변형작용사

  • 강지훈;김남훈;박계헌;송용선;옥수석
    • Proceedings of the Mineralogical Society of Korea Conference
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    • 2003.05a
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    • pp.84-85
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    • 2003
  • 소백산육괴의 동부에 분포하는 영양-울진지역의 선캠브리아기 변성암류는 평해층, 기성층, 원남층, 평해화강편마암, 하다우백질화강편마암 등으로 구성되어 있다(김옥준 외, 1963). 그러나, 최근 김남훈 외(2001, 2002)은 야외조사연구와 암석학적 및 지구화학적 연구를 통하여 주로 변성화산암류로 기재되었던 기성층은 변성화산암류가 아니라 평해층과 원남층에서 산출되는 화강암질편마암과 각섬암 기원의 변성암류가 연성전단변형을 받아 형성된 압쇄암 내지 초압쇄암으로 되어 있고, 기존의 기성층은 변성화산암류와 같이 성분상으로 구분되는 별개의 층이 아닌 구조적으로 만들어진 연성전단대의 중심부일 가능성을 시사한 바가 있다. 본 연구는 연성전단대의 연장성 및 연성전단대 형성과 관련된 지구조운동의 특성을 파악하고, 중첩된 변형구조들의 선후관계로부터 영양-울진지역 선캠브리아기 변성암류에 대한 변형작용사를 규명하기 위해 기성층의 분포지를 중심으로 이 지역 선캠브리아기 변성암류에 대한 상세한 야외지질조사를 실시하였다. 그 결과, 예천(북후면-평은면)지역을 통과하여 봉화 부근에서 동북동-서남서 방향이 동-서 방향으로 전환하여 장군봉지역까지 연장되는 것으로 알려져 있는 우수 주향 이동성 예천전단대(KIGAM, 1995; 강지훈 외 1997; 강지훈, 2000; 강지훈과 김형식, 2000)는 영양-울진지역까지 연장됨이 확인된다. 또한, 영양-울진지역의 선캠브리아기 변성암류에는 연성전단변형 이전에 적어도 한 번의 습곡작용과 이후에 적어도 두 번의 습곡작용이 인지된다. 각 변형단계별 특징적인 구조요소를 요약하면 다음과 같다. D1 변형: 편마면 내지 편리(S0)가 습곡되어 형성된 F1 습곡은 동-서 방향의 준 수평적인 습곡축을 갖는 뿌리 없는 등사습곡 형태로 인지된다. 양 날개부의 S0 엽리는 F1 습곡축면(S1)으로 완전히 전위된 하나의 엽리(S0-1)로 나타나고, S0-1 엽리는 이 지역의 광역엽리로 인지된다. S0-1 광역엽리는 구성암류의 대상 분포 방향과 유사한 서북서 주향에 북쪽으로 중각 경사하는 집중된 방향성을 보이며 분산되어 나타난다. D2 변형: 변형구조로는 신장선구조, 압쇄구조면, 비대칭습곡 등으로 인지된다. 신장선구조는 S0-1 엽리면상에서 주로 신장된 석영(집합체)과 장석(집합체)들의 정향배열에 의해 정의되고, S0-1 엽리의 주향 방향으로 저각으로 침강하는 집중된 방향성을 보이며 분산되어 나타난다. 신장선구조에 평행하고 S0-1 엽리에 수직한 단면에서는 상부-동쪽-이동의 우수주향 이동성 연성 전단운동감각을 지시하는 구조요소들이 다량 관찰된다. 연성전단변형에 의해 형성된 압쇄구조면은 전단엽리와 압쇄엽리에 각각 해당하는 C면과 S면 등이 인지된다. 전단엽리 C면은 S0-1 광역엽리와 거의 일치하고, 압쇄엽리 S면은 F2 비대칭습곡의 축면엽리와 거의 일치한다. S0-1 엽리를 습곡시키는 F2 비대칭습곡은 S0-1 엽리를 전단면으로 하여 상부-동쪽-이동 전단운동에 의해 형성된 밀착습곡 형태로 인지된다. F2 습곡축은 북동 방향으로 중각 내지 저각 침강하고 F1 습곡축과는 65$^{\circ}$-75$^{\circ}$ 범위의 사이각을 이룬다. F2 습곡축면은 동북동 주향에 북쪽으로 중각으로 경사하고 F1 습곡축면과는 20$^{\circ}$-40$^{\circ}$ 범위의 사이각을 이룬다. D3 변형. S0-1 엽리와 압쇄구조면 등을 습곡시키는 F3 습곡은 준 수평적인 습곡축과 습곡축면을 갖는 개방 횡와습곡의 형태로 인지된다. D4 변형: F4 습곡은 비대칭 공역성 킹크습곡, 공역성 충상단층에 수반되어 나타나는 드래그습곡, 대칭 개방 직림습곡 등의 다양한 습곡 형태로 인지된다. 이들 F4 습곡의 축면엽리는 일반적으로 동-서 주향에 남쪽과 북쪽으로 경사한다. 그 경사각은 비대칭 공역성 킹크습곡(저각), 드래그습곡(중각), 대칭 개방 직립습곡(고각) 순으로 고각을 이룬다. F4 습곡축은 동쪽과 서쪽으로 저각 침강하는 집중된 방향성을 보인다. 공역성 충상단층은 동-서 주향에 남쪽과 북쪽으로 경사하는 단층면과 상부가 북쪽과 남쪽으로 충상하는 운동상을 보인다. 드래그습곡의 축면엽리는 이러한 공역성 충상단층운동의 전단압축방향에 수직으로 발달한다. 이러한 D4 변형구조는 남-북 방향의 압축 지구조 환경하에서 형성된 것으로 고찰된다.

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Effects of Amlodipine on the pharmacokinetics of Repaglinide (암로디핀이 레파그리니드의 약물동태에 미치는 영향)

  • Choi, Dong-Hyun;Choi, Jun-Shik
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.215-223
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    • 2011
  • 암로디핀과 레파그리니드의 병용은 당뇨병의 합병증으로인한 고혈압 유발 시 병용 처방될 수 있다. 암로디핀과 레파그리니드의 약동학적 상호작용 연구를 위하여 암로디핀 (0.1 및 0.4 mg/kg) 과 레파그리니드를 흰 쥐에 경구(0.5 mg/kg) 및 정맥 (0.2 mg/kg) 투여하여 연구를 실시하였다. 암로디핀이 cytochrome P450 (CYP) 3A4 활성과 P-glycoprotein (P-gp)의 활성에 미치는 영향도 평가하였다. 암로디핀의 CYP3A4의 50% 효소활성억제는 $9.1{\mu}M$ 이었다. 암로디핀은 P-gp의 활성에는 영향을 미치지 않았다. 암로디핀 (0.4 mg/kg)은 레파그리니드의 혈장곡선하면적(AUC)과 최고혈장농도 ($C_{max}$)를 40.2% 와 22.2% 각각 유의성 (p < 0.05)있게 증가시켰다. 따라서, 레파그리니드의 상대적생체이용률 (RB)은 암로디핀과 병용투여 시 1.18-1.40 배 증가되었으며, 또한 레파그리니드의 절대적생체이용률(AB)은 대조군과 비교하여 41.0% 유의성 있게 증가되었다. 경구 투여 시와는 대조적으로, 암로디핀은 정맥 내로 투여된 레파그리니드에서는 약동학적 파라미터에 어떤 영향도 미치지 않았다. 따라서 암로디핀이 레파그리니드의 생체이용률을 증가시킨 것은 신장배설 감소 또는 P-gp 활성억제 보다는 암로디핀이 소장 또는 간장에서 CYP3A4을 억제시켰기 때문으로 사료된다. 암로디핀과 레파그리니드의 병용투여 시 레파그리니드의 용량을 조절하는 것이 안전하다고 사료된다.

A Case of Adenocarinoma of the Lung Associated with Multi-oragn Infarctions (다발성 장기 경색을 동반한 폐선암 1례)

  • Park, Chang-Whan;Lee, Chung-Hoon;Whang, Jun-Wha;Jang, Il-Gwon;Park, Hyeong-Kwan;Kim, Young-Chul;Park, Kyung-Ok
    • Tuberculosis and Respiratory Diseases
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    • v.44 no.5
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    • pp.1177-1183
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    • 1997
  • The relationship between neoplastic disease and thromboembolic disorders has been recognized since 1865, when Armand Trousseau first reported a high incidence of venous thrombosis in a series of patients with gastric carcinoma. The overall incidence of thromboembolic disease in patients with cancer has been reported to vary 1% to 15%. In a prospective study, Ambrus and associates reported that thrombosis and/or bleeding was the second most common cause of death in haspitalized cancer patients. We report a case who presented as a thromboembolic disease and subsequently confirmed to have an underlying lung malignancy. This 45 years old male patient visited our hospital with abdominal pain and distention of 3 days duration. Abdominal CT scan revealed multiple splenic and renal infarctions. On 20th haspital day, drowsy mental status was developed and hemorrhagic cerebral infarction was noted in brain CT scan. Chest CT scan revealed a 4cm sized spiculated mass on left lung apex and multiple paratracheal lymph adenopathy. With surgical biopsy of left supraclavicular lymph nodes, this patient was confirmed to have adenocarcinoma.

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Influence of Plant Growth Regulators on Shoot Multiplication of Thymus quinquecostatus Celak. (백리향 (Thymus quinquecostatus Celak.)의 기내증식에 미치는 식물생장조절물질의 영향)

  • Lee, Keum-Young;Kang, Ho-Duck
    • Journal of Plant Biotechnology
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    • v.31 no.1
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    • pp.37-41
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    • 2004
  • In vitro culture system was established to induce multiple shoots of Thymus quinquecostatus Celak. by investigating the effects of cytokinins. Stem explants were cultures on MS medium supplemented with either five drfferent plant growth regulators or their combinations under light or dark condition. The most effective cytokininsource was the combination of BA 1.0mg/L and TDZ 0.1mg/L for producing shoots (6.05$\pm$1.51), zeatin 2.0mg/L and TEZ 0.1mg/L for elongating shoots (3.27$\pm$0.66cm) under the light condition. In addition the most effective cytokinin was 2-ip 2.0mg/L for producing shoots(5.20$\pm$1.81), zeatin 2.0mg/L for elongating shoots(5.64$\pm$1.24cm)under the dark condition. Overall, the average percent for in vitro shooting was greater than 89.58%.

Anatomical Changes in the Forming and Germinating Processes of Tobacco (Nicotiana tabacum L.) Seeds (담배종자의 형성과정과 발아과정중의 형태적 변화)

  • ;Byong-Hee Hong;Jae-Young Cho
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.31 no.2
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    • pp.143-149
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    • 1986
  • Anatomical changes in the forming and germinating processes of tobacco seeds were investigated to obtain basic information on the ecological characteristics of tobacco seeds. Seed development studied through the longitudinal section of the fertilized ovule clarified that the cell division of the zygote was initiated after 7 days of flowering. After 12 days of flowering, perfect seed constituents such as cotyledon, epicotyle and radicle were formed and those were expressed to recognizable level of germinability. After 15 days of flowering germination rate reached higher than 30% and 17 and 21 days after flowering a perfect seed which have 70% or higher germinability were produced. Seed size was ranged between 0.3-0.6 mm and varietal differences were noted in the given seed size range. Under the light treatment, the morphological changes were observed by elongation of radicle after 2 days of imbibition and apparent germination after 3 days of imbibition. But no responses of the seeds imbibed 6 days under the dark condition were observed.

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End-of-Life Care Practice in Dying Patients with Do-Not-Resuscitate Order: A Single Center Experience (심폐소생술 금지 동의 후 사망한 환자의 현황과 연명의료 실태 조사: 단일 의료기관 경험)

  • Yoon, Sang Eun;Nam, Eun Mi;Lee, Soon Nam
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.51-57
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    • 2018
  • Purpose: End-of-life (EoL) decisions are challenging and multifaceted for patients and physicians. This study was aimed to explore how EoL care is practiced for patients with a do-not-resuscitate (DNR) order. Methods: We retrospectively analyzed medical records of patients who died after agreeing to a DNR order in 2016 at a university hospital. Characteristics including cause of death, intensity of EoL care, and other factors were reviewed and statistically analyzed. Results: Of total 375 patients, 170 patients (45.3%) died with malignancies, and 205 patients (54.6%) with other causes involving the central nervous system (19.2%), pulmonary (14.7%), cardiologic (6.7%) and infectious (6.4%) conditions. Both the cancer and non-cancer patient groups showed a short duration from DNR to death (median 3 days vs 2 days, P=0.629). An intensive care group comprising patients who received one or more intensive treatments such as ventilator (n=205) showed a higher number of non-cancer patients and a shorter duration from DNR to death than a group that withheld treatment before DNR (P<0.05). Conclusion: EoL decisions were made very late by both cancer and non-cancer patients. About half of the patients did not have cancer, and two-thirds of them decided DNR during intensive treatment. To make a good EoL decision, a shared decision making with patients should be done at an earlier stage.

A Study of Bone Uptake According to Renal Function in the Whole Body Bone Scan (전신 뼈 검사에서 신장 기능에 따른 뼈 섭취율에 대한 고찰)

  • Cho, Yong-In;Jang, Dong-Gun;Park, Cheol-Woo
    • Journal of radiological science and technology
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    • v.36 no.4
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    • pp.299-304
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    • 2013
  • Whole body bone scan has been used to confirm bone metastasis and follow-up study with radio isotope. However, if the factors related to $^{99m}Tc$ uptake and waiting time for study are inappropriate, it would be image of low quality. The purpose of present study was to investigate correlation between the evaluation index of renal function and uptake of radiopharmaceuticals. The population for this retrospective study consisted of 387 patients who underwent whole body bone scan between June 2012 and December 2012. As a result of quantitative and qualitative analysis, we were able to confirm that GFR of less than normal range and creatinine levels in blood of more than average are more likely to be under the mean uptake rate. As a result of analysis on the indicator affecting soft-tissue and bone uptake, the correlation of all elements was somewhat low. Also there are no statistically significances due to the other parameters we did not deal with. Therefore, further research on additional factors is needed for exact study and improvement of the image quality.