• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.165-203
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• 1987

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects on FP use: During this 2 year action period, FP acceptance increased from 58% in 1981 to 78% in 1984 in both the study and control areas. This increase in both areas was mainly due to the new family planning campaign driven by the Government for the same study period. Therefore, there was no increment of FP acceptance rate due to additional input of MW to the on-going FP program. But in the study area, quality aspects of FP were somewhat improved, having a better continuation rate of IUDs & pills and more use of effective Contraceptive methods in comparison with the control area. 2. Effects of use of MCH services: Between the study and control areas, however, there was a significant difference in maternal and child health care. For example, the coverage of prenatal care was increased from 53% for 1981 birth cohort to 75% for 1984 birth cohort in the study area. In the control area, the same increased from 41% (1981) to 65% (1984). It is noteworthy that almost two thirds of the recent birth cohort received prenatal care even in the control area, indicating that there is a growing demand of MCH care as the size of family norm becomes smaller 3. There has been a substantive increase in delivery care by medical professions in the study area, with an annual increase rate of 10% due to midwives input in the study areas. The project had about two times greater effect on postnatal care (68% vs. 33%) at delivery care(45.2% vs. 26.1%). 4. The study area had better reproductive efficiency (wanted pregancies with FP practice & healthy live births survived by one year old) than the control area, especially among women under 30 (14.1% vs. 9.6%). The proportion of women who preferred the 1st trimester for their first prenatal care rose significantly in the study area as compared to the control area (24% vs 13%). B) Effects on Interactive Linkage 1. This project made a contribution in making several useful steps in the direction of service integration, namely; i) The health workers have become familiar with procedures on how to work together with each other (especially with a midwife) in carrying out their work in FP/MCH and, ii) The health workers have gotten a feeling of the usefulness of family health records (statistical integration) in identifying targets in their own work and their usefulness in caring for family health. 2. On the other hand, because of a lack of required organizational factors, complete linkage was not obtained as the project intended. i) In regards to the government health worker's activities in terms of home visiting there was not much difference between the study & control areas though the MW did more home visiting than Government health workers. ii) In assessing the service performance of MW & health workers, the midwives balanced their workload between 40% FP, 40% MCH & 20% other activities (mainly immunization). However, $85{\sim}90%$ of the services provided by the health workers were other than FP/MCH, mainly for immunizations such as the encephalitis campaign. In the control area, a similar pattern was observed. Over 75% of their service was other than FP/MCH. Therefore, the pattern shows the health workers are a long way from becoming multipurpose workers even though the government is pushing in this direction. 3. Villagers were much more likely to visit the health sub-center clinic in the study area than in the control area (58% vs.31%) and for more combined care (45% vs.23%). C) Organization factors (admistrative integrative issues) 1. When MW (new workers with higher qualification) were introduced to HSC, it was noted that there were conflicts between the existing HSC workers (Nurse aids with less qualification than MW) and the MW for the beginning period of the project. The cause of the conflict was studied by an anthropologist and it was pointed out that these functional integration problems stemmed from the structural inadequacies of the health subcenter organization as indicated below; i) There is still no general consensus about the objectives and goals of the project between the project staff and the existing health workers. ii) There is no formal linkage between the responsibility of each member's job in the health sub-center. iii) There is still little chance for midwives to play a catalytic role or to establish communicative networks between workers in order to link various knowledge and skills to provide better FP/MCH services in the health sub-center. 2. Based on the above findings the project recommended to the County Chief (who has power to control the administrative staff and the technical staff in his county) the following ; i) In order to solve the conflicts between the individual roles and functions in performing health care activities, there must be goals agreed upon by both. ii) The health sub·center must function as an autonomous organization to undertake the integration health project. In order to do that, it is necessary to support administrative considerations, and to establish a communication system for supervision and to control of the health sub-centers. iii) The administrative organization, tentatively, must be organized to bind the health worker's midwive's and director's jobs by an organic relationship in order to achieve the integrative system under the leadership of health sub-center director. After submitting this observation report, there has been better understanding from frequent meetings & communication between HW/MW in FP/MCH work as the program developed. Lessons learned from the Seosan Project (on issues of FP/MCH integration in Korea); 1) A majority or about 80% of the couples are now practicing FP. As indicated by the study, there is a growing demand from clients for the health system to provide more MCH services than FP in order to maintain the achieved small size of family through FP practice. It is fortunate to see that the government is now formulating a MCH policy for the year 2,000 and revising MCH laws and regulations to emphasize more MCH care for achieving a small size family through family planning practice. 2) Goal consensus in FP/MCH shouBd be made among the health workers It administrators, especially to emphasize the need of care of 'wanted' child. But there is a long way to go to realize the 'real' integration of FP into MCH in Korea, unless there is a structural integration FP/MCH because a categorical FP is still first priority to reduce the rate of population growth for economic reasons but not yet for health/welfare reasons in practice. 3) There should be more financial allocation: (i) a midwife should be made available to help to promote the MCH program and coordinate services, (in) there should be a health sub·center director who can provide leadership training for managing the integrated program. There is a need for 'organizational support', if the decision of integration is made to obtain benefit from both FP & MCH. In other words, costs should be paid equally to both FP/MCH. The integration slogan itself, without the commitment of paying such costs, is powerless to advocate it. 4) Need of management training for middle level health personnel is more acute as the Government has already constructed 90 MCH centers attached to the County Health Center but without adequate manpower, facilities, and guidelines for integrating the work of both FP and MCH. 5) The local government still considers these MCH centers only as delivery centers to take care only of those visiting maternity cases. The MCH center should be a center for the managment of all pregnancies occurring in the community and the promotion of FP with a systematic and effective linkage of resources available in the county such as i.e. Village Health Worker, Community Health Practitioner, Health Sub-center Physicians & Health workers, Doctors and Midwives in MCH center, OBGY Specialists in clinics & hospitals as practiced by the Seosan project at primary health care level.

• 한국축산시설환경학회지
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• 제13권1호
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• pp.13-20
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• 2007

퇴비화 목적은 축분을 오물감과 악취 없이 살균처리 하고, 토양과 작물에 무해한 유기성 자원의 순환이용이다. 퇴비화 호기성 미생물의 이분해성 유기물 (영양원: 탄질비)분해 적정조건은 수분, 공기, 온도, 퇴비화 기간 등이며, 퇴비화 부숙 목적은 이분해성 유기물분해 및 생육저해 물질분해 등에 있다. 부숙도 판정법은 퇴적물의 온도변화(이분해성유기물분해 검사) 및 발아시험(생육저해물질 검사)등이 바람직하다. 본 연구는 퇴비화 온도, 퇴비화 암모니아가스 농도와 악취물질의 탈취처리, 종자 발아율, 퇴비재료 성분 및 EC 농도 등의 퇴비화 부숙도 주요 요인에 대한 3회 반복 실험성과는 다음과 같다. 본 연구결과로서 퇴비화 주발효 및 후숙 6주간 전반기에서 이분해성 유기물 분해와 취기물질 제거에 관련된 퇴비화 온도, 암모니아 농도, 탄질비 및 염류농도, 후반기 후숙 기간에 작물생육저해물질 제거에 연관된 발아율과 탄산가스 발생량 등을 실측조사 분석한 결과는 다음과 같으며, 안정된 숙성 퇴비의 적정 범위를 유지하여 양질 퇴비 생산이 가능하였다. 1. 축사저류조의 돼지배설물의 고액분리 고형분과 착즙액 정화처리 잉여오니 및 톱밥혼합물의 퇴비화 온도가 $55\sim65^{\circ}C$를 2일 이상 유지하여 병원균과 잡초 종자를 사멸하고, 악취가 미미한 44ppm 이하수준의 비교적 낮은 암모니아농도 및 50% 내외의 저수분의 양질 퇴비 생산이 가능하였다. 2. 퇴비화 실험결과는 퇴비화 온도가 $55\sim65^{\circ}C$로서 1주간 이상, 퇴비재료 수분 50%, 종자 발아율 70% 이상 및 EC농도 5ds/m 이하 등의 수준을 유지하고 있어 완숙퇴비 조건을 구비하고 있었다.상관관계가 비교적 높았으나, 음수량과 분 배설량$(R^2=0.2950)$, 사료 섭취량과 뇨 배설량$(R^2=0.1985)$, 산유량과 뇨 배설량$(R^2=0.2335)$의 상관관계는 낮게 나타났다. 6. 따라서 산유량과 음수량, 산유량과 사료 섭취량의 상관관계식은 $Y=0.1919X_1+11.181(R^2=0.7742),\;Y=0.8568X_2+9.3067(R^2=0.7459)$(Y=milk yield $X_1=water$ consumption, $X_2=feed$ intake)로 추정할 수 있다.. 이상(以上)의 결과(結果)로서 통일(統一)벼가 일반품종(一般品種)에 비(比)하여 저장성(貯藏性)이 우수(優秀)함을 인정(認定)할수 있어 장기저장(長期貯藏)을 위(爲)한 미곡(米穀)으로 활용(活用)할 수 있는 가능성(可能性)을 암시(暗示)하고 있다.록 Lact. plantarum ATCC 8014, Lact. fermenti ATCC 9338균주(菌株)의 산생성(酸生成)을 촉진(促進)하는 경향(傾向)을 보였다.V또는 ara-A의 동시첨가는 GCV또는 ara-A를 단독으로 첨가했을 경우보다 단백질의 합성을 더욱 억제하였다. 이상의 실험결과로 보아 GCV와 ara-A의 동시사용은 HSV-1 혹은 ACV저항 DNA polymerase변이주인 $PAA^r5$에 대해서 상승적인 억제작용을 나타냈으며 이 효과는 virus DNA 합성 억제에 의한 것으로 생각된다. ACV저항 thymidine kinase 변이주인 $ACV^r$ 및 $IUdR^r$에

• Radiation Oncology Journal
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• 제29권1호
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• pp.44-52
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• 2011

목적: 본 연구는 근치적 절제술 후 병기 3의 비소세포성 폐암에서 방사선 치료의 결과와 이에 영향을 주는 예후 인자를 분석해 보고자 하였다. 대상 및 방법: 2000년부터 2007년까지 88명의 환자가 비소세포성 폐암으로 근치적 절제술 후 병기 3기로 진단받았고, 수술 후 방사선 치료를 시행 받았다 이중 80명의 환자가 병기 3A였으며, 8명의 환자가 병기 3B였다. 83명의 환자는 림프절 병기 N2였으며 이들 중 56명은 단일 부위(single-station)의 종격동 림프절 전이였다. 76명은 2차원, 12명은 3차원 입체조형치료로 수술 후 망사선 치료를 받았다. 총 선량은 30.6에서 63 Gy 였으며 중앙값은 54 Gy였다. 36명의 환자가 항암치료를 시행받았다. 결 과: 생존기간은 26~77개월이었다(중앙값, 54개월). 5년 생존율 및 무병생존율은 각각 45%, 38%였다. 전이된 림프절개수가 생존율에 영향을 미치는 인자로 분석되었다(hazard ratio, 1.037; p=0.040). 5년 국소제어율 및 원격 전이제어율은 각각 88%, 48%였다. 종격동 림프절 부위의 전이가 단일 부위(single-station)인 경우가 무병생존율(p=0.0014)과 원격전이제어율(p=0.0044)을 의미 있게 증가시켰다. 총 51명의 재발이 발생하였으며 국소구역 재발은 10명, 원격전이는 41명이었다. 10명의 국소구역 재발 중에 6명은 방사선 치료 범위 내에서 재발하였다. Radiation Therapy Oncology Group(RTOG) 2도의 방사선 폐렴은 3명의 환자에서 보였으며 증상은 진해성 약제만으로도 조절이 잘 되었다. CTCAE 2도의 방사선 식도염은 11명의 환자에서 관찰되었다. 수술 후 방사선 치료로 인한 3도 이상의 심각한 부작용은 관찰되지 않았다. 결 론: 본 연구에서 국소 진행 비소세포성 폐암에서 근치적 수술 후 방사선 치료는 안전하고 임상적으로 적용 가능한 치료법이며, 국소제어를 증가시킬 수 있는 것으로 분석되었다. 예후인자로는 전이된 림프절 개수와 종격동 림프절 부위가 생존율에 영향을 미치는 것으로 분석되었다. 또한 국소 진행 비소세포성 폐암의 대부분의 재발 형태인 원격 전이를 감소시키기 위한 추가적인 노력이 필요할 것으로 생각된다.

• 한국산림과학회지
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• 제5권1호
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• pp.4-9
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• 1966

1. On 13 September 1964 a storm raged for 3 hours and 20 minutes with pounding heavy rainfalls, and precipitation of 287.5 mm was recorded on that day. The numerous landslides were occured in the eroded forest land neighbouring Mt. Chunbo, while no landslides recorde at all on Mt. Jookyup within the premise of Kwangnung Experiment Station, the Forest Experiment Station. 2. Small-scalled Landslides were occured in 43 different places of watershed area (21.97 ha.) in which the survey had already been done, in and around Mt. Chunbo (378 m a.s.l.). The accumulated soil amount totaled $2,146,56m^3$ due to the above mentioned landslides, while soil accumulated from riverside erosion has reached to $24,168.79m^3$, consisting of soils, stones, and pebbles. However, no landslides were reported in the Mt. Jook yup area because of dense forest covers. The ratio of the eroded soil amount accumulated from the riversides to that of watershed area was 1 to 25. On the other hand, the loss and damage in the research area of Mt. Chonbo are as follows: 28 houses completly destroyed or missing 7 houses partially destroyed 51 men were dead 5 missing, and 57 wounded. It was a terrible human disaster However, no human casualties were recorded at all, 1 house-completly destroyed and missing, 2 houses-partially destroyed. Total:3 houses were destroyed or damaged, in The area of Mt. Jookyup 3. In the calculation of the quanty of accumulated soil, the or mula of "V=1/3h ($a+{\sqrt{ab}}+b$)" was used and it showed that 24, 168.79m of soil, sands, stones and pebbles carried away. 4. Average slope of the stream stood 15 at the time of accident and well found that there was a correlation between the 87% of cross-area sufferd valley erosion and the length of eroded valley, after a study on regression and correlation of the length and cross-area. In other works, the soil erosion was and severe as we approached to the down-stream, counting at a place of average ($15^{\circ}1^{\prime}$) and below. We might draw a correlation such as "Y=ax-b" in terms of the length and cross-area of the eroded valley. 5. Sites of char-coal pits were found in the upper part of the desert-like Mt. Chunbo and a professional opinion shows that the mountain was once covered by the oak three species. Furthermore, we found that the soil of both mountains have been kept the same soil system according to a research of the soil cross-area. In other words, we can draw out the fact that, originally, the forest type and soil type of both Mt. Chunbo (378m) and Mt. Jookyup (610m) have been and are the same. However, Mt. Chunbo has been much more devastated than Mt. Jookyup, and carried away its soil nutrition to the extent that the ratios of N. $P_2O_5K_2O$ and Humus C.E.C between these two mountains are 1:10;1:5 respectively. 6. Mt. Chunbo has been mostly eroded for the past 30 years, and it consists of gravels of 2mm or larger size in the upper part of the mountain, while in the lower foot part, the sandy loam was formulated due to the fact that the gluey soil has been carried and accumulated. On the hand, Mt. Jookyup has consitantly kept the all the same forest type and sandy loam of brown colour both in the upper and lower parts. 7. As for the capability of absorbing and saturating maximum humidity by the surface soil, the ratios of wet soil to dry soil are 42.8% in the hill side and lower part of the eroded Mt. Chunbo and 28.5% in the upper part. On the contrary, Mt. Jookyup on which the forest type has not been changed, shows that the ratio in 77.4% in the hill-side and 68.2% in the upper part, approximately twice as much humidity as Mt. Chunbo. This proves the fact that the forest lands with dense forest covers are much more capable of maintaining water by wood, vegitation, and an organic material. The strength of dreventing from carring away surface soil is great due to the vigorous network of the root systems. 8. As mentioned above, the devastated forest land cause not only much greater devastation, but also human loss and property damage. We must bear in mind that the eroded forest land has taken the valuable soil, which is the very existance of origin of both human being and all creatures. As for the prescription for preventing erosion of forest land, the trees for furtilization has to be planted in the hill,side with at least reasonable amount of aertilizer, in order to restore the strength of earth soil, while in the lower part, thorough erosion control and reforestation, and establishments along the riversides have to be made, so as to restore the forest type.

• 생명과학회지
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• 제15권5호
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• pp.819-825
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• 2005

항산화물질인 glutathione (${\gamma}$-L-glutamyl-cysteinyl-glycine) 고함유 효모 Saccharomyces cerevisiae FF-8에서 생산된 glutathione을 함유한 세포 추출액의 항산화 활성을 in vitro 과산화지질 실험계인 DPPH($a,{\;}\acute{a}-diphenyl-\beta-picrylhydrazyl$)법, linoleic acid를 이용한 ferric thiocyanate법과 TBA법 및 microsome 생체막 지질 과산화물 생성정도의 TBARS법으로 측정하였다. YM 최적 배지에서 생산된 glutathione 농도는 $204\mug/ml$로 YM 기본배지에서 생산된 glutathione 농도 $74\mug/ml$보다 2.76배 증가하였다. 본 실험에서는 YM 기본배지와 최적배지에서 S. cerevisiae FF-8이 생산하는 glutathione 함량에 따른 항산화 활성을 비교하였다. DPPH 측정법에서는 짙은 자색의 탈색되는 정도로 나타내는 전자 공여능이 glutathione 함량이 높은 최적 생산배지에서 S. cerevisiae FF-8가 생산하는 glutathione고함유 세포 추출액에서 대조구인 $ 0.05\%BHT $와 비슷한 수준으로 항산화 활성이 높게 나타났다. 각 조직 microsome을 이용한 생체막 지질 과산화 억제정도는 최적 생산배지에서 전체적으로 높게 나타났으며, 간장 $60.98\%$, 신장 $56.43\%$, 심장 $52.91\%$, 뇌 $52.13\%$, 고환$45.57\%$ 및 비장 $42.95\%$순으로 나타났다 Linoleic acid 산화 실험계를 이용한 ferric thiocyanate법에서는 최적 생산배지가 반응 7일째까지 대조구에 비해 강한 항산화 활성을 보였으며, TBA법에서는 반응 5일째까지 최적 생산배지가 YM 배지보다는 높은 항산화 활성을 나타내었다 이상의 결과에서 Saccharomyces cerevisiae FF-8 균주가 glutathione을 생산하는 최적배지 조건에서 생산된 glutathione 고함유 세포 추출액은 in vitro 항산화 실험계인 DPPH radical scavenging activity, ferric thiocyanate and TBARS 측정에서 항산화 활성을 나타내는 생리활성 성분을 지닌 것으로 나타나 천연 항산화제로서의 사용 가능성을 시사하였다.

• 대한수의학회지
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• 제43권1호
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• pp.11-24
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• 2003

This experimental studies was to investigate the location of PNS and CNS labeled neurons following injection of 2% WGA-HRP and pseudorabies virus (PRY), Bartha strain, into the ductus deferens of rats. After survival times 4-5 days following injection of 2% WGA-HRP and PRV, the rats were perfused, and their brain, spinal cord, sympathetic ganglia and spinal ganglia were frozen sectioned ($30{\mu}m$). These sections were stained by HRP histochemical and PRY inummohistochemical staining methods, and observed with light microscope. The results were as follows ; 1. The location of sympathetic ganglia projecting to the ductus deferens were observed in pelvic ganglion, inferior mesenteric ganglion and L1-6 lwnbar sympathetic ganglia. 2. The location of spinal ganglia projecting to the ductus deferens were observed in T13-L6 spinal ganglia. 3. The PRY labeled neurons projecting to the ductus deferens were observed in lateral spinal nucleus, lamina I, II and X of cervical segments. In thoracic segments, PRY labeled neurons were observed in dorsomedial part of lamina I, II and III, and dorsolateral part of lamina IV and V. Densely labeled neurons were observed in intermediolateral nucleus. In first lumbar segment, labeled neurons were observed in intermediolateral nucleus and dorsal commisural nucleus. In sixth lumbar segment and sacral segments, dense labeled neurons were observed in sacral parasympathetic nuc., lamina IX and X. 4. In the medulla oblongata, PRV labeled neurons projecting to the ductus deferens were observed in the trigeminal spinal nuc., A1 noradrenalin cells/C1 adrenalin cells/caudoventrolateral reticular nuc., rostroventrolateral reticular nuc., area postrema, nuc. tractus solitarius, raphe obscurus nuc., raphe pallidus nuc., raphe magnus nuc., parapyramidal nuc., lateral reticular nuc., gigantocellular reticular nuc.. 5. In the pons, PRV labeled neurons projecting to the ductus deferens were ohserved in parabrachial nuc., Kolliker-Fuse nuc., locus cooruleus, subcooruleus nuc. and AS noradrenalin cells. 6. In midbrain, PRV labeled neurons projecting to the ductus deferens were observed in periaqueductal gray substance, substantia nigra and dorsal raphe nuc.. 7. In the diencephalon, PRV labeled neurons projecting to the ductus deferens were observed in paraventricular hypahalamic nuc., lateral hypothalamic nuc., retrochiasmatic nuc. and ventromedial hypothalamic nuc.. 8. In cerebrum, PRV labeled neurons projecting to the ductus deferens were observed in area 1 of parietal cortex. These results suggest that WGA-HRP labeled neurons of the spinal cord projecting to the rat ductus deferens might be the first-order neurons related to the viscero-somatic sensory and sympathetic postganglionic neurons, and PRV labeled neurons of the brain and spinal cord may be the second and third-order neurons response to the movement of smooth muscles in ductus deferens. These PRV labeled neurons may be central autonomic center related to the integration and modulation of reflex control linked to the sensory and motor system monitaing the internal environment. These observations provide evidence for previously unknown projections from ductus deferens to spinal cord and brain which may be play an important neuroanatornical basic evidence in the regulation of ductus deferens function.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7849-7855
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• 2014

Purpose: To investigate the effect of deacetylase inhibitory trichostatin A (TSA) on anti HepG2 liver carcinoma cells and explore the underlying mechanisms. Materials and Methods: HepG2 cells exposed to different concentrations of TSA for 24, 48, or 72h were examined for cell growth inhibition using CCK8, changes in cell cycle distribution with flow cytometry, cell apoptosis with annexin V-FTIC/PI double staining, and cell morphology changes under an inverted microscope. Expression of ${\beta}$-catenin, HDAC1, HDAC3, H3K9, CyclinD1 and Bax proteins was tested by Western blotting. Gene expression for ${\beta}$-catenin, HDAC1and HDAC3 was tested by q-PCR. ${\beta}$-catenin and H3K9 proteins were also tested by immunofluorescence. Activity of Renilla luciferase (pTCF/LEF-luc) was assessed using the Luciferase Reporter Assay system reagent. The activity of total HDACs was detected with a HDACs colorimetric kit. Results: Exposure to TSA caused significant dose-and time-dependent inhibition of HepG2 cell proliferation (p<0.05) and resulted in increased cell percentages in G0/G1 and G2/M phases and decrease in the S phase. The apoptotic index in the control group was $6.22{\pm}0.25%$, which increased to $7.17{\pm}0.20%$ and $18.1{\pm}0.42%$ in the treatment group. Exposure to 250 and 500nmol/L TSA also caused cell morphology changes with numerous floating cells. Expression of ${\beta}$-catenin, H3K9and Bax proteins was significantly increased, expression levels of CyclinD1, HDAC1, HDAC3 were decreased. Expression of ${\beta}$-catenin at the genetic level was significantly increased, with no significant difference in HDAC1and HDAC3 genes. In the cytoplasm, expression of ${\beta}$-catenin fluorescence protein was not obvious changed and in the nucleus, small amounts of green fluorescence were observed. H3K9 fluorescence protein were increased. Expression levels of the transcription factor TCF werealso increased in HepG2 cells following induction by TSA, whikle the activity of total HDACs was decreased. Conclusions: TSA inhibits HDAC activity, promotes histone acetylation, and activates Wnt/${\beta}$-catenin signaling to inhibit proliferation of HepG2 cell, arrest cell cycling and induce apoptosis.

• Toxicological Research
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• 제24권3호
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• pp.175-182
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• 2008

DNA-dependent protein kinase(DNA-PK) is involved in joining DNA double-strand breaks induced by ionizing radiation or V(D)J recombination and is activated by DNA ends and composed of a DNA binding subunit, Ku, and a catalytic subunit, DNA-PKcs. It has been suggested that DNA-PK might be $2^{nd}$ upstream kinase for protein kinase B(PKB). In this report, we showed that Ser473 phosphorylation in the hydrophobic-motif of PKB is blocked in DNA-PK knockout mouse embryonic fibroblast cells(MEFs) following insulin stimulation, while there is no effect on Ser473 phosphorylation in DNA-PK wild type MEF cells. The observation is further confirmed in human glioblastoma cells expressing a mutant form of DNA-PK(M059J) and a wild-type of DNA-PK(M059K), indicating that DNA-PK is indeed important for PKB activation. Furthermore, the treatment of cells with doxorubicin, DNA-damage inducing agent, leads to PKB phosphorylation on Ser473 in control MEF cells while there is no response in DNA-PK knockout MEF cells. Together, these results proposed that DNA-PK has a potential role in insulin signaling as well as DNA-repair signaling pathway.

• 생명과학회지
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• 제21권4호
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• pp.604-609
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• 2011

최근 천연 항산화제로 phenolic compound를 함유한 솔잎 추출물에 관심이 많아지고 있다. 사전연구[20]에 의해 높은 항산화 활성 효과가 확인된 적송잎 열수 추출물의 in vivo 차원에서의 항산화 효과를 알아보기 위해 적송잎 열수 추출물을 경구 투여한 흰 쥐에 사염화탄소를 투여하여 간독성을 유발시킨 후 생체 내에 미치는 영향을 혈청 중의 효소활성으로 관찰하였고, 간 조직의 SOD, GPX 및 catalase를 측정하여 항산화 활성에 미치는 영향을 검토 하였다. 혈청 중의 GOT 및 GPT 활성은 사염화탄소를 투여한 대조군이 정상군에 비하여 활성이 증가되었으나, 적송잎 열수 추출물의 투여로 인하여 대조군과 비교하여 감소하는 경향을 나타내었다. 이 수치는 positive control로 사용한 Vit C투여군과 비슷한 활성을 나타내었다. 간 조직 중의 항산화 효소 실험에서 SOD 활성은 사염화탄소를 투여한 대조군이 정상군에 비하여 활성이 감소하였으나, 적송잎 열수 추출물을 투여한 군에서 대조군에 비해 유의적으로 활성이 증가되는 결과를 나타내었다. 또한, catalase 활성은 사염화탄소 투여 대조군이 정상군에 비해 활성이 증가하였으나, 적송잎 열수 추출물의 투여군에서 대조군과 비교하여 유의적으로 감소하는 결과를 나타내었다. GPx 효소 활성은 사염화탄소 대조군이 정상군에 비해 활성이 증가되었고, 적송잎 추출물을 투여한 군에서는 감소하는 경향을 나타내었으나 대조군에 비해 유의적으로 감소하는 결과는 나타나지 않았다. 이상의 결과로부터 사염화탄소를 투여하여 간손상을 유도한 흰 쥐의 항산화 효소활성에 적송잎 열수 추출물의 투여가 긍정적인 영향을 미치는 것으로 나타났으며, 적송잎 열수 추출물이 체내 항산화능 개선에 효과가 있을 것으로 기대된다.

• Radiation Oncology Journal
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• 제16권3호
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• pp.303-310
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• 1998

목적 : 국소적으로 진행된 직장암의 방사선치료에 있어 전통적인 치료방법으로 알려져 있는 근치적 수술 및 보조 방사선 및 항암치료의 성적을 알아보고 이에 영향을 미치는 예후 인자를 알아보기 위함이다. 대상 및 방법 : 1989년 7월 부터 1993년 12월 까지 항문상방 15 cm 이내에 존재하는 직장암으로 진단받고 근치적 수술을 받은 71명의 환자를 대상으로 후향적 분석을 시행하였다. 방사선치료는 6 MeV 선형가속기를 사용하여 주5회씩 5040 cGy 까지 조사되였고 수술후 21일에서 94일 사이에 시작되었고 5-FU와 ACNU chemotherapy가 4주 간격으로 시행되었다. 결과 : 전체환자의 5년 생존율과 5년 무병생존율은 각각 58.8$\%$및 57$\%$였다. 대상환자들의 2년 국소제어율은 76.6$\%$였다. 생존기간 및 무병생존기간의 중앙값은 각각 30개월 및 27개월이었다. 단변량 및 다변량분석시 무병생존율에 의미있게 예후인자로 작용했던 요인은 국소림프절로의 전이여부, 4개 이상의 임파선 전이, 6주이상의 수술과 방사선치료 시작 사이의 간격 및 7일 이상 지속되는 방사선치료 도중의 휴식기간 등이었다. 결론 : 국소적으로 진행된 직장암의 경우 근치적 수술 및 방사선치료 및 5-FU/ACNU를 기본으로 한 항암제를 시행하였을 때 B3 이상의 병기에서는 아직도 생존율이 저조하며 bowel wall penetration이 있거나 국소 림프절전이가 있을 때는 국소제어율도 환자의 절반 정도에서 밖에 얻을 수 없을 뿐만이 아니라 림프절전이가 없는 경우라도 원격전이율이 치료실패의 많은 부분을 차지함을 알 수 있었다. 이는 좀더 효과적인 항암치료제의 선택과 투여 방법이 방사선치료와 병행될 필요가 있음을 시사하며 수술 후 보조적인 방사선치료를 시행함에 있어서 방사선치료가 시작되는 기간이 지연될 때, 또 방사선치료가 7일 이상 중단될 때 치료결과에 영향을 줄 수 있음을 보여준다. 직장선암의 경우 수술과 방사선치료시작까지의 기간이 필요이상으로 연장되거나 치료중 휴식기간이 생겨 전체치료기간이 길어지지 않게 하여야 할 것이다.