• 제목/요약/키워드: 3T3-L1 Cell

검색결과 901건 처리시간 0.033초

유방암 환자에 있어서 폐경상태에 따른 위험인자의 상관성 연구 (A Study on Relationship to Risk Factors according to Menopausal Status in Breast Cancer)

  • 윤한식
    • 대한방사선기술학회지:방사선기술과학
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    • 제23권1호
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    • pp.49-54
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    • 2000
  • It is important to identify modifiable risk factors for breast cancer, because the breast cancer is one of the major causs of mortality among women. Some reported that obesity is a risk factor for breast cancer, but the results are not constant. Many risk factors are related to the duration of estrogenic stimulation of the breast. In general, early menarche and late menopause are positive risk factors. Human breast cancer has different characteristics according to the status of menopause(premenopause and postmenopause). In premenopausal women, about 60% of circulating estrogen is from the ovaries in the form of estradiol, and the remaining 40% is estrogen formed primarily in the adipose(fat) tissue via aromatization of androstenedion from the adrenal glands. After menopause this adipose cell production of estrone is the main source of estrogens and the level of estrone is maintained approximately at premenopausal levels. This study was undertaken to determine the role of body size and body mass index by status of menopause in development of breast cancer using retrospective case/control study. From March 1991 to February 1997 at the Wonkwang University Hospital, the breast cancer cases(n=72) and controls(n=86) were selected. By statistical analysis method, regression analysis, paired T-test and multiple logistic regression were done to estimate the influenced factors same as height, weight, BMI, age at menarche and age at menopause. The following results were obtained : 1. In premenopausal women, age at menarche was showed comparatively high correlation coefficients and BMI was described prominently highly in postmenopause. 2. At the results of multiple regression analysis, age at monarch, BMI and weight were showed as significant variables. In this method, critical factor ($R^2$) was 0.054. 3. Paired samples T-test was undertaken to test mean difference between two groups of cases and controls. The result of test performance showed a significant difference. 4. In comparison with women whose weight less than 50 kg, the ORs for the upper 5th group was 1.82(95% confidence interval). The heaviest women had a higher risk(OR=1.14, 95% confidence interval $1.12{\sim}1.31$, p=0.005). Higher body mass index was significantly associated with increased risk of premenopausal breast cancer (OR=1.01, 95% confidence interval $1.08{\sim}l.18$, p=0.05).

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산사(山査)가 토끼 음경해면체의 수축에 미치는 영향 (Effects of Crataegii fructus on the Contractile Response of Rabbit Corpus Cavernosum)

  • 이한석;박선영
    • 동의생리병리학회지
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    • 제27권5호
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    • pp.602-610
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    • 2013
  • This study was aimed to evaluate the cavernosal relaxation effect of Crataegii fructus(CF) in the contracted rabbit penile corpus cavernosum by agonists.In order to study the effect of CF on the vasoconstriction of rabbit penile corpus cavernosum, isolated rabbit penile corpus cavernosum tissues were used for the experiment using organ baths containing Krebs solution.To investigate the cavernosal relaxation of CF, CF extract at $0.01{\sim}3.0mg/m{\ell}$ was added after penile corpus cavernosum were contracted by norepinephrine(NE) $1{\mu}M$. To analyze the mechanism of CF's vasorelaxation, CF extract infused into contracted penile tissues by NE after each treatment of indomethacin(IM), $N{\omega}$-nitro-L-arginine(L-NNA), methylene blue(MB), tetraethylammonium chloride(TEA).To study the effect of CF on influx of extracellular calcium chloride($Ca^{2+}$) in penile tissues, in $Ca^{2+}$-free krebs solution, $Ca^{2+}$ 1 mM infused into contracted penile tissues by NE after pretreatment of CF. Cytotoxic activity of CF on human umbilical vein endothelial cell(HUVEC) was measured by MTT assay, and nitric oxide(NO) prodution was measured by Griess reagent. CF relaxed cavernosal strip with endothelium contracted by NE, but in the strips without endothelium, CF-induced relaxation was significantly inhibited. The pretreatment of L-NNA, MB, TEA decreased significantly on the cavernosal relaxation than not-treatment of them. But the pretreatment of IM had no significant effect on the cavernosal relaxation. In $Ca^{2+}$-free krebs solution, when $Ca^{2+}$ infused into contracted penile tissues by NE, pretreatment of CF inhibit contraction induced by adding $Ca^{2+}$.NO production wasn't increased by treatment of CF on HUVEC. This findings showed that CF is effective for the relaxation of rabbit penile corpus cavernosum, and we suggest that CF relax rabbit corpus cavernosal smooth muscle through multiple action mechanisms that include increasing the release of nitric oxide from corporal sinusoidal endothelium, inhibition of $Ca^{2+}$ mobilization into cytosol from the extracellular fluid, and maybe a hyperpolarizing action.

백서 설신경 압박손상모델에서 신경성장인자 유전자 주입이 신경재생에 미치는 영향 (EFFECT OF NERVE GROWTH FACTOR GENE INJECTION ON THE NERVE REGENERATION IN RAT LINGUAL NERVE CRUSH-INJURY MODEL)

  • 고은봉;정헌종;안강민;김성민;김윤희;장정원;이종호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제28권5호
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    • pp.375-395
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    • 2006
  • Purpose: Lingual nerve (LN) damage may be caused by either tumor resection or injury such as wisdom tooth extraction, Although autologous nerve graft is sometimes used to repair the damaged nerve, it has the disadvantage of necessity of another operation for nerve harvesting. Moreover, the results of nerve grafting is not satisfactory. The nerve growth factor (NGF) is well-known to play a critical role in peripheral nerve regeneration and its local delivery to the injured nerve has been continuously tried to enhance nerve regeneration. However, its application has limitations like repeated administration due to short half life of 30 minutes and an in vivo delivery model must allow for direct and local delivery. The aim of this study was to construct a well-functioning $rhNGF-{\beta}$ adenovirus for the ultimate development of improved method to promote peripheral nerve regeneration with enhanced and extended secretion of hNGF from the injured nerve by injecting $rhNGF-{\beta}$ gene directly into crush-injured LN in rat model. Materials and Methods: $hNGF-{\beta}$ gene was prepared from fetal brain cDNA library and cloned into E1/E3 deleted adenoviral vector which contains green fluorescence protein (GFP) gene as a reporter. After large scale production and purification of $rhNGF-{\beta}$ adenovirus, transfection efficiency and its expression at various cells (primary cultured Schwann cells, HEK293 cells, Schwann cell lines, NIH3T3 and CRH cells) were evaluated by fluorescent microscopy, RT-PCR, ELISA, immunocytochemistry. Furthermore, the function of rhNGF-beta, which was secreted from various cells infected with $rhNGF-{\beta}$ adenovirus, was evaluated using neuritogenesis of PC-12 cells. For in vivo evaluation of efficacy of $rhNGF-{\beta}$ adenovirus, the LNs of 8-week old rats were exposed and crush-injured with a small hemostat for 10 seconds. After the injury, $rhNGF-{\beta}$ adenovirus($2{\mu}l,\;1.5{\times}10^{11}pfu$) or saline was administered into the crushed site in the experimental (n=24) and the control group (n=24), respectively. Sham operation of another group of rats (n=9) was performed without administration of either saline or adenovirus. The taste recovery and the change of fungiform papilla were studied at 1, 2, 3 and 4 weeks. Each of the 6 animals was tested with different solutions (0.1M NaCl, 0.1M sucrose, 0.01M QHCl, or 0.01M HCl) by two-bottle test paradigm and the number of papilla was counted using SEM picture of tongue dorsum. LN was explored at the same interval as taste study and evaluated electro-physiologically (peak voltage and nerve conduction velocity) and histomorphometrically (axon count, myelin thickness). Results: The recombinant adenovirus vector carrying $rhNGF-{\beta}$ was constructed and confirmed by restriction endonuclease analysis and DNA sequence analysis. GFP expression was observed in 90% of $rhNGF-{\beta}$ adenovirus infected cells compared with uninfected cells. Total mRNA isolated from $rhNGF-{\beta}$ adenovirus infected cells showed strong RT-PCR band, however uninfected or LacZ recombinant adenovirus infected cells did not. NGF quantification by ELISA showed a maximal release of $18865.4{\pm}310.9pg/ml$ NGF at the 4th day and stably continued till 14 days by $rhNGF-{\beta}$ adenovirus infected Schwann cells. PC-12 cells exposed to media with $rhNGF-{\beta}$ adenovirus infected Schwann cell revealed at the same level of neurite-extension as the commercial NGF did. $rhNGF-{\beta}$ adenovirus injected experimental groups in comparison to the control group exhibited different taste preference ratio. Salty, sweet and sour taste preference ratio were significantly different after 2 weeks from the beginning of the experiment, which were similar to the sham group, but not to the control group.

호박벌(Bombus ignitus Smith)의 봉군발육에 미치는 영향 (The Effect of Temperature on the Colony Development of Bombus ignitus Smith)

  • 이상범;마영일;배태웅
    • 생명과학회지
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    • 제9권4호
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    • pp.395-407
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    • 1999
  • The queens of Korean native bumblebee species, Bombus ignitus were collected from the field in the spring of 1997 and reared under the various temperatures as 15$^{\circ}C$$\pm$1$^{\circ}C$, 2$0^{\circ}C$$\pm$1$^{\circ}C$, $25^{\circ}C$ $\pm$1$^{\circ}C$, 3$0^{\circ}C$$\pm$1$^{\circ}C$, 60%$\pm$5% of relative humidity and 14L : 10D, to investigate their ecological characteristics, as comparing with control(29$^{\circ}C$$\pm$1$^{\circ}C$, 60%$\pm$5% of relative humidity and red light). As a result, eggs were laid by foundation queen at 15$^{\circ}C$, but they didn't hatched out while at 2$0^{\circ}C$ eggs were laid by them and they hatched out. When a foundation queen laid eggs at $25^{\circ}C$ and they all were hatched out and normally grown. Finally they were developed to the normal colony. B. ignitus worker survived for 77days at 2$0^{\circ}C$, about 69days at $25^{\circ}C$, about 68days at 3$0^{\circ}C$ and about 63days at 29$^{\circ}C$(control). The first brood workers emerged in 25-27days from the egg which a foundation queen laid. At the various temperatures, the captive queens stand to lay eggs in about 18days at 15$^{\circ}C$, 15days at 2$0^{\circ}C$, 11days at $25^{\circ}C$, 11days at 3$0^{\circ}C$ and 4days in control. The first worker and the first drone from the egg cell of the collected queens appeared in about 27days and 72days at 2$0^{\circ}C$, 26days and 88days in $25^{\circ}C$, 24days and 65days at 3$0^{\circ}C$, 25days and 71days in control, respectively. In colony foundation, 33% of the collected queen at 2$0^{\circ}C$ and $25^{\circ}C$, 100% of the disposed queen at 3$0^{\circ}C$ and in control, and 67% of them at 3$0^{\circ}C$ and in control both produced new queens in 66days and 88days, respectively. The life span of the colony founded covered fro about 3 months at $25^{\circ}C$, 3$0^{\circ}C$ and in control. At lower temperatures, the life span of queen is shorter; 2 months at 15$^{\circ}C$ and 3 months at 2$0^{\circ}C$, respectively. A colony which normally developed, varied in size with rearing temperatures; about 20heads at 2$0^{\circ}C$, 482heads at $25^{\circ}C$, 330heads at 3$0^{\circ}C$ and 452heads in control. A foundation queen monthly oviposited 1.5egg cells at 15$^{\circ}C$, 3.0egg cells at 2 $0^{\circ}C$, 21.7egg cells at $25^{\circ}C$, 42.3egg cells at 3$0^{\circ}C$ and 47.0egg cells in control. As a colony developed in June and July, egg cells as well as daily average cells increased in number, as compared to those in May and August. Also, in June and July, interval(days) of egg laying is shorter than in May and August. Number of nectar pots during the colony development varied with rearing temperatures; 31pots at $25^{\circ}C$, 39pots at 3$0^{\circ}C$, 23pots in control. The emergence of new queen showed a distinctively different two patterns; early emerging type and late emerging type. Workers are rapidly increased from early in July to early in August at $25^{\circ}C$, but at 3$0^{\circ}C$ and in control, emergence of workers are remarkably increased from the middle of June and last until July. No new queen emerged at 15$^{\circ}C$, 2$0^{\circ}C$ and $25^{\circ}C$. New queens at 3$0^{\circ}C$ and in control emerged between late in June and early in July. Thus emergence of new queen was temperature dependent.

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Retrovirus를 이용하여 조혈모세포에 유전자를 전달하기 위한 최적화 (Optimization of Retrovirus Mediated-Gene Transfer into Hematopoietic Stem Cells)

  • 김상경;서헌석;이종원;신동건;이재관;김현민;김재식;서장수
    • KSBB Journal
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    • 제14권5호
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    • pp.593-599
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    • 1999
  • 본 연구는 제대혈과 골수로부터 얻은 조혈모세포를 재조합 retrovirus로 감염시킬 때의 최적조건을 human growth hormone (hGH)과 $\beta$-galactosidase를 발현하는 두 가지의 다른 retroviral vector를 이용하여 찾았다. Retrovirus는 자라는 세포에만 감염하는 것으로 알려져 있어 이에 대한 최적조건을 구하기 위해 세포 배양을 통해 조혈모세포의 성장곡선을 얻었으며, 또한 감염된 세포를 환자에게 다시 넣는 유전자요법에서는 이 세포가 체내에서 가능하면 조혈모세포의 기능을 가지는 것이 요구되어 이 때 얻어진 세포의 분열능을 나타내는 집락형성 세포분율을 구하였다. 우선, 세포성장에 대해 조사한 결과 초기에 넣은 세포농도가 5$\times$$10^4$세포/mL일 때 세포성장속도가 가장 빠른 것으로 나타났다. 그러나, 배양시간이 지남에 따라 집락을 형성할 수 있는 능력은 급격하게 감소하여 유전자요법을 위한 최적조건을 구하기 위해서는 이를 고려한 최적화가 필요하였다. 이를 위한 예비실험으로 감염이 잘 된다고 알려진 NIH3T3 세포에 retrovirus 상층액으로 감염시킨 결과 성공적으로 유전자가 전달된 것을 배지에 분비되는 hGH을 측정하여 확인하였다. 이러한 결과로부터 hGH을 발현하는 재조합 retrovirus는 정상적으로 작동하는 것을 확인하였다. 그러나, 조혈모세포와 retrovirus를 분비하는 packaging cell을 동시 배양하는 방법을 채택하였다. 제대혈로부터 얻은 조혈모세포와 대장균 lacZ 유전자로부터 $\beta$-galactosidase를 분비하는 packaging cell을 이용한 경우 동시배양의 경우 조혈모세포를 3일 동안 세포배양을 한 후 이 증식된 세포를 48시간 동안 동시배양하면서 감염시켰을 때 최대의 감염율을 나타내었다. 한편, 골수로부터 얻은 조혈모세포와 hGH을 분비하는 packaging cell과 동시배양시켰을 때 세포농도가 다름에도 불구하고 제대혈에서와 마찬가지로 조혈모세포를 3일 동안 세포배양한 후 48시간 동안 동시배양하는 경우에 hGH이 최대로 분비되었다. 이러한 결과로부터 세포의 source나 세포농도와 관계없이 유전자전달을 통한 단백질의 발현에 있어서 최적조건이 존재하였다. 그러나, 이러한 경우에 유전자전달이 완료되는 시점이 배양을 시작한지 5일이 되므로 집락을 형성할 수 있는 세포의 분율이 약 1/3로 감소하였다. 따라서, 이러한 결과를 유전자요법에 적용하는 경우에는 그 목적에 따라 적절한 실험조건을 선정하는 것이 필요하리라 사료된다.

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항산화 물질을 생산하는 해양 미생물의 분리.동정 및 배양 특성 조사 (Isolation and Identification of Antioxidant-producing Marine Bacteria and Medium Optimization.)

  • 김현진;여수환;조성춘;배동원;윤정훈;황용일;이승철
    • 한국미생물·생명공학회지
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    • 제30권3호
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    • pp.223-229
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    • 2002
  • 전자 공여능으로 항산화 물질 생산 능력이 우수한 해양 미생물을 분리하여 HJ-14라고 명명하였다. HJ-14는 형태적, 생리적, 생화학적 특성이 Altermonas macleodii ATCC 27126T와 가장 유사하였으며, 주요 세포 지방산이 $C_{14:0}$ , $C_{15:0}$ , $C_{16:1}$$C_{17:1}$ $_{w8c}$로 분석됨으로서 Aiteromonas SP- HJ-14로 동정하였다. Alteromonas sp. HJ-l4의 항산화 물질 생산에 대한 배양 특성을 조사하기 위해, 탄소원, 무기질소원, sodium chloride농도, 초기 pH및 배양온도의 영향을 관찰하였다. 탄소원으로는 2.5% dextrin, 무기 질소원으로는 ammonium sulfate, sodium chloride는 2~6%, pH와 온도는 각각 pH 6~8, 25~37$^{\circ}C$에서 전자공여능이 높게 나타났으며, 최적 조건일 때에 전자공여능은 90~92%로.나타났다 또한, OH소거능도 90.03%로 관찰되어 항산화활성이 높은 것으로 확인되었다.

Pleural Carcinoembryonic Antigen and Maximum Standardized Uptake Value as Predictive Indicators of Visceral Pleural Invasion in Clinical T1N0M0 Lung Adenocarcinoma

  • Hye Rim Na;Seok Whan Moon;Kyung Soo Kim;Mi Hyoung Moon;Kwanyong Hyun;Seung Keun Yoon
    • Journal of Chest Surgery
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    • 제57권1호
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    • pp.44-52
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    • 2024
  • Background: Visceral pleural invasion (VPI) is a poor prognostic factor that contributes to the upstaging of early lung cancers. However, the preoperative assessment of VPI presents challenges. This study was conducted to examine intraoperative pleural carcinoembryonic antigen (pCEA) level and maximum standardized uptake value (SUVmax) as predictive markers of VPI in patients with clinical T1N0M0 lung adenocarcinoma. Methods: A retrospective review was conducted of the medical records of 613 patients who underwent intraoperative pCEA sampling and lung resection for non-small cell lung cancer. Of these, 390 individuals with clinical stage I adenocarcinoma and tumors ≤30 mm were included. Based on computed tomography findings, these patients were divided into pleural contact (n=186) and non-pleural contact (n=204) groups. A receiver operating characteristic (ROC) curve was constructed to analyze the association between pCEA and SUVmax in relation to VPI. Additionally, logistic regression analysis was performed to evaluate risk factors for VPI in each group. Results: ROC curve analysis revealed that pCEA level greater than 2.565 ng/mL (area under the curve [AUC]=0.751) and SUVmax above 4.25 (AUC=0.801) were highly predictive of VPI in patients exhibiting pleural contact. Based on multivariable analysis, pCEA (odds ratio [OR], 3.00; 95% confidence interval [CI], 1.14-7.87; p=0.026) and SUVmax (OR, 5.25; 95% CI, 1.90-14.50; p=0.001) were significant risk factors for VPI in the pleural contact group. Conclusion: In patients with clinical stage I lung adenocarcinoma exhibiting pleural contact, pCEA and SUVmax are potential predictive indicators of VPI. These markers may be helpful in planning for lung cancer surgery.

${\alpha}$-Mangostin Reduced ER Stress-mediated Tumor Growth through Autophagy Activation

  • Kim, Sung-Jin;Hong, Eun-Hye;Lee, Bo-Ra;Park, Moon-Ho;Kim, Ji-Won;Pyun, A-Rim;Kim, Yeon-Jeong;Chang, Sun-Young;Chin, Young-Won;Ko, Hyun-Jeong
    • IMMUNE NETWORK
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    • 제12권6호
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    • pp.253-260
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    • 2012
  • ${\alpha}$-Mangostin is a xanthon derivative contained in the fruit hull of mangosteen (Garcinia mangostana L.), and the administration of ${\alpha}$-Mangostin inhibited the growth of transplanted colon cancer, Her/CT26 cells which expressed Her-2/neu as tumor antigen. Although ${\alpha}$-Mangostin was reported to have inhibitory activity against sarco/endoplasmic reticulum $Ca^{2+}$ ATPase like thapsigargin, it showed different activity for autophagy regulation. In the current study, we found that ${\alpha}$-Mangostin induced autophagy activation in mouse intestinal epithelial cells, as GFP-LC3 transgenic mice were orally administered with 20 mg/kg of ${\alpha}$-Mangostin daily for three days. However, the activation of autophagy by ${\alpha}$-Mangostin did not significantly increase OVA-specific T cell proliferation. As we assessed ER stress by using XBP-1 reporter system and phosphorylation of $eIF2{\alpha}$, thapsigargin-induced ER stress was significantly reduced by ${\alpha}$-Mangostin. However, coadministration of thapsigargin with ${\alpha}$-Mangostin completely blocked the antitumor activity of ${\alpha}$-Mangostin, suggesting ER stress with autophagy blockade accelerated tumor growth in mouse colon cancer model. Thus the antitumor activity of ${\alpha}$-Mangostin can be ascribable to the autophagy activation rather than ER stress induction.

소아에서 유전성 구상 적혈구증의 비장 적출술 (Splenectomy in Hereditary Spherocytosis in Childhood)

  • 허영수;김창식;도병수;서보양;하정옥
    • Journal of Yeungnam Medical Science
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    • 제11권1호
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    • pp.42-48
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    • 1994
  • 저자들은 1987년 12월부터 1993년 8월까지 영남대학교 의과대학 부속병원에 입원하여 유전성 구상 적혈구증으로 진단받고 비장적출술을 시행한 9례를 대상으로 임상분석하여 다음과 같은 결론을 얻었다. 1. 총 9명중 남아 5명, 여아 4명으로 남녀비가 비슷하였으며, 6세에서 10세 사이가 9례중 5례로 전체의 반이상을 차지하였다. 2. 가족력을 나타낸 경우는 9례중 4례(44.4%)이었다. 3. 주요임상 증상으로는 빈혈, 황달 및 비장종대가 주증상이었으며, 담석증 및 총담관결석을 동반하였던 2례에서는 우상복부 동통을 나타내었다. 4. 검사실 소견으로는 말초혈액 도말검사상 구상 적혈구를 발견할 수 있었으며, 혈색소 $8.1{\pm}2.4gm/dl$, 헤마토크리트 $23.4{\pm}10.2%$ 망상적혈구 $15.9{\pm}11.7%$이었으며, 삼투압 취약성은 모두에서 증가되어 있었다. 혈청 전 빌리루빈 $8.6{\pm}10.9mg/dl$, LDH $370.1{\pm}169.1IU/L$으로 증가되었다. Coombs 검사상 9례 모두 음성반응을 보였다. 5. 9례 모두 비장적출술을 시행하였으며 이들중 담석증을 동반한 1례에서는 담낭절제술, 총담관 결석을 동반한 1례에서는 담낭절제술, 총담관 결석제거술 및 T-tube 담관조루술을 동시에 시행하였다. 수술 소견상 비장의 무게는 350(150-600)gm이었고, 9례중 3례에서 부비장(accessory spleen)이 관찰되었다. 6. 비장 적출후 유전성 구상 적혈구증 9례에서 수술전 혈색소 $8.1{\pm}2.4gm/dl$, 헤마토크리트 $23.4{\pm}10.2%$, 수술후 혈색소 $12.3{\pm}1.2gm/dl$, 헤마토크리트 $37.0{\pm}5.3%$로 증가되어 술후 빈혈이 교정되었음을 관찰할 수 있었다. 수술후에 수혈의 필요성은 없었으며, 술후 특별한 합병증없이 9명 모두 현재까지 건강하게 잘 자라고 있다.

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삼출성 흉수에서 악성 감별을 위한 MAGE 유전자 검출의 의의 (Diagnostic Utility of MAGE Expression in Exudative Pleural Effusion)

  • 김경찬;서창균;박순효;최원일;한승범;전영준;박종욱;전창호
    • Tuberculosis and Respiratory Diseases
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    • 제56권2호
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    • pp.159-168
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    • 2004
  • 연구배경 : 최근 암에서 발현되는 다양한 종양특이항원들이 밝혀지고 있다. MAGE는 대부분의 암에서 발현되므로 이러한 종양 특이성을 이용하여 암을 진단하려는 연구가 시도되고 있다. 그러나 흉수를 대상으로 MAGE 발현을 검사한 연구는 아직 없었다. 이번 연구는 삼출성 흉수에서 MAGE 유전자의 발현여부를 검사하여 양성과 악성의 감별진단에 도움이 되는지를 알아보고 이를 기존의 세포검사 결과와 비교해 보기 위하여 시행하였다. 방 법 : 2002년 1월 1일부터 동년 6월 30일까지 삼출성 흉수임이 확인된 44명을 대상으로 하였다. 10 mL의 흉수를 채취하여 각각 5 mL씩 세포검사와 MAGE 검사를 시행하였다. MAGE 발현 유무는 RT-PCR 방법을 이용한 commercial kit를 이용하여 판정하였다. 등록된 환자들은 악성과 양성군으로 분류하여 각각 민감도와 특이도를 비교 분석하였다. 결 과 : 연령, 성별, 흉수 내 백혈구 수치, 흉수/혈청 protein 비 및 흉수/혈청 LDH 비 등은 악성과 양성군 간에 유의한 차이가 없었다. MAGE 검사의 민감도는 72.2%, 특이도 96.2%, 양성 예측값 92.9% 그리고 음성 예측값은 83.3%이었으며 세포검사의 민감도는 66.7%, 음성 예측값 81.3%이었다. MAGE 검사와 세포검사의 민감도는 통계적으로 유의한 차이는 없었으며 특이도의 경우 결핵성 흉막염 1례에서 MAGE가 위양성이 나왔다. 결 론 : MAGE 검사는 삼출성 흉수를 가진 환자에서 양성과 악성의 감별진단에 예민하고 특이적인 지표로 평가된다. 또한 악성 흉수를 가진 환자에서 5mL의 흉수를 검사할 경우 MAGE 검사는 세포검사와 동등한 수준의 민감도를 가지는 것으로 판단된다.