• 제목/요약/키워드: First-In-Man dose

검색결과 48건 처리시간 0.027초

수막 혈관주위세포종 환자에서의 수술과 방사선치료 -증례보고- (Meningeal Hemangiopericytoma Treated with Surgery and Radiation Therapy - Case Report -)

  • 장지영;오윤경
    • Radiation Oncology Journal
    • /
    • 제24권2호
    • /
    • pp.149-155
    • /
    • 2006
  • 수막에 발생하는 혈관주위세포종은 경질막에 기초한 드문 종양으로서 국소재발과 함께 신경축이나 신경외 장소로 원격전이를 일으킬 수도 있다. 저자들은 수막에 발생한 혈관주위세포종 환자 2예에서 수술 전 방사선치료와 수술 후 방사선치료를 각각 경험하였기에 방사선치료의 역할에 관한 문헌고찰과 함께 보고하고자한다. 첫 번째 증례는 41세 남자로 3개월 동안 두통과 우측 반부전마비가 있었다. 1차 수술과 2차 수술 시 종양은 거의 제거할 수 없었고 수막 혈관주위세포종으로 진단되었다. 수술 전 방사선치료를 좌측 전두두정부의 큰 잔여종양에 일 회에 1.8 Gy씩 31회에 걸쳐 총 55.8 Gy를 조사하였다. 방사선치료 후 CT검사상 종양은 현저하게 크기가 줄었고 방사선치료 후 6개월에 시행한 3차 수술 시 잔여 종양의 크기는 $2{\times}2cm$로 완전히 제거되었다. 추적 CT검사상 국소재발의 소견은 없었고, 1차 수술 후 4년 10개월 동안 원격 전이 없이 생존하고 있다. 두 번째 증례는 45세 여자로 갑작스러운 두통과 시력 장애로 수막종이 의심되어 종양제거수술을 받았는데 조직 검사상 우측 전두엽에 발생한 혈관주위세포종으로 진단되었으며 시상동을 침습한 소견을 보였으나 완전히 제거되었다. 국소재발을 줄이기 위해 수술 후 방사선치료가 의뢰되었고 방사선치료는 우측전두엽 부위에 일 회에 1.8 Gy씩 30회에 걸쳐 총 54 Gy를 조사하였다. 수술 후 5년 동안 국소 재발이나 원격전이 없이 정상적인 활동을 유지하면서 생존하고 있다.

Molecular Identification of Diphyllobothrium latum from a Pediatric Case in Taiwan

  • An, Yu-Chin;Sung, Chia-Cheng;Wang, Chih-Chien;Lin, Hsin-Chung;Chen, Kuang-Yao;Ku, Fu-Man;Chen, Ruei-Min;Chen, Mei-Li;Huang, Kuo-Yang
    • Parasites, Hosts and Diseases
    • /
    • 제55권4호
    • /
    • pp.425-428
    • /
    • 2017
  • Human diphyllobothriasis is a parasitic disease caused by ingestion of larvae (plerocercoids) in raw or undercooked fish and commonly found in temperate areas. Rare cases were reported in tropical or subtropical areas especially in children. The first documented case of pediatric diphyllobothriasis in Taiwan had been reported 11 years ago. Here, we report another 8-year-old girl case who presented with a live noodle-like worm hanging down from her anus, with no other detectable symptoms. We pulled the worm out and found the strobila being 260 cm in length. Examination of gravid proglottids showed that they were wider than their lengths, containing an ovoid cirrus sac in the anterior side and the rosette-shaped uterus. Eggs extracted from the uterus were ovoid and operculated. Diphyllobothrium latum was confirmed by molecular analysis of the mitochondrial DNA cytochrome c oxidase subunit 1 (cox1) gene. The girl was treated with a single oral dose of praziquantel, and no eggs or proglottids were observed from her stool in the subsequent 3 months. The reemergence of human diphyllobothriasis in non-endemic countries is probably due to prevalent habit of eating imported raw fish from endemic areas. This pediatric case raised our concern that human diphyllobothriasis is likely underestimated because of unremarkable symptoms.

Forskolin-Induced Stimulation of RGS2 mRNA in C6 Astrocytoma Cells

  • Kim Sung-Dae;Cho Jae-Youl;Park Hwa-Jin;Kim Sang-Keun;Rhee Man-Hee
    • 대한의생명과학회지
    • /
    • 제12권3호
    • /
    • pp.131-137
    • /
    • 2006
  • RGS is a negative regulator of G-protein signaling and can be identified by the presence of a conserved $120{sim}125$ amino acid motif, which is referred to as the RGS box. A number of RGSs are induced in response to a wide variety of stimuli. Increased levels of RGSs lead to significant decreases in GPCR responsiveness. To obtain further evidence of a role of RGS proteins in rat C6 astrocytoma cells, we first determined the expression profile of RGS-specific mRNA in C6 cells using reverse transcription-polymerase chain reaction (RT-PCR) with a poly dT18 primer and transcript-specific primers. We found that RGS2, RGS3, RGS6, RGS9, RGS10, RGS12, and RGS16 were differentially expressed in C6 astrocytoma cells. The highest expression rate was found for RGS3, followed by RGS16, RGS10 and RGS9, whereas the expression level for RGS2 was barely detectable. We next assessed whether forskolin regulated the expression of RGSs expressed in C6 astrocytoma cells. The present study found that forskolin dose-dependently stimulated the expression of RGS2 transcripts. This up-regulation of RGS2 gene was abrogated by H-89, potent and broad-spectrum protein kinase A (PKA) inhibitors. Actinomycin D completely inhibited the up-regulation of RGS2 gene induced by forskolin $(10{\mu}M)$, indicating that the regulation of RGS2 gene is controlled at the transcriptional level. In addition, forskolin did significantly activate transcriptional cAMP response element (CRE) in either HEK 293 cells or C6 cells and did not modulate the $NF-{\kappa}B$ and AP-l activity as measured by luciferase reporter gene assay. Finally, forskolin induced the expression of RGS2 mRNA in C6 astrocytoma cells, which depend on the PKA pathway and CRE transcriptional pathways.

  • PDF

아시클로버-아시알로페투인 접합체의 간 포획 및 안정성 (Hepatic Uptake and Stability of Acyclovir-Asialofetuin Conjugate)

  • 손성호;허근;이영대;오두만;용철순
    • Journal of Pharmaceutical Investigation
    • /
    • 제27권1호
    • /
    • pp.1-10
    • /
    • 1997
  • For the purpose of improving the chemotherapeutic index of acyclovir(ACV), it was conjugated with asialofetuin(AF), which has been reported to enter into hepatocytes. When $[H^3]$ acyclovir in itself or its conjugate were administered to rats, the latter was taken up more selectively by the liver than any other tissues. The stability of ACVMP-AF conjugate in phosphate buffer (pH 5.0) and rat liver homogenate showed a pseudo-first order profile. ACVMP-AF, however, was relatively stable in pH7.4 phosphate buffer and rat plasma. The conjugate was added to the isolated rat hepatocyte and cellular uptake was monitored by scintillation counting for up to 6 hours at $37^{\circ}C$. Hepatocytes incubated with the conjugate exhibited radioactivities significantly enhanced over control levels dose-dependently, i.e., a 3-40 fold increase in radioactivities was observed over controls at the conjugate concentrations of $0.1-10\;{\mu}g/ml$. The AUQ in the liver, kidney, spleen, intestine and lung was higher in treatment with ACVMP-AF than that in treatment with ACV. In treatment with ACVMP-AF, the weighted-average overall drug targeting efficiency(Te) for the liver was higher than in treatment with ACV(57.00 vs 13.31 %), and the weighted-average tissue exposure(Re) was 5.03 for the liver. These results indicated that ACVMP-AF conjugate was rapidly taken up by hepatocytes and could be an efficient and selective hepatic targeting system.

  • PDF

A case of Diphyllobothrium latum infection with a brief review of diphyllobothriasis in the Republic of Korea

  • Lee, Eun-Bin;Song, Jung-Hoon;Park, Nam-Seon;Kang, Byung-Kook;Lee, Hyung-Suk;Han, Yoon-Ju;Kim, Hyo-Jin;Shin, Eun-Hee;Chai, Jong-Yil
    • Parasites, Hosts and Diseases
    • /
    • 제45권3호
    • /
    • pp.219-223
    • /
    • 2007
  • A case of Diphyllobothrium latum infection in a 49-year old man is described, and diphyllobothriasis latum in the Republic of Korea is briefly reviewed. An incomplete strobila of a tapeworm, 95 cm in length, without scolex and neck, was spontaneously discharged in the feces of a patient. On the basis of morphologic characteristics of the worm and eggs, the worm was identified as D. latum. The patient was successfully treated with a single dose (15 mg/kg) of praziquantel. The most probable source of infection was salmon flesh according to the past history of the patient. The first case of D. latum infection was documented in 1971, and this is the 43rd recorded case in the Republic of Korea. The 43 cases were briefly reviewed. The patients' main complaints were gastrointestinal troubles, such as mild abdominal pain, indigestion, and diarrhea, and discharge of tapeworm segments in the feces. The suspected infection sources included raw or improperly cooked flesh of fresh or brackish water fish, including the perch, mullet, salmon, and trout.

Production of extracellular polysaccharide by Monilinia fructigena for aquaculture

  • Kwak Jung-Ki;Park Jin-Hee;Lee Jung-Suck;Goetz Peter;Cho Man-Gi
    • Fisheries and Aquatic Sciences
    • /
    • 제2권2호
    • /
    • pp.182-188
    • /
    • 1999
  • Production of extracellular polysaccharide by Monilinia fructigena in B-I medium containing cereals was higher than that in glucose medium. Productivities in B-I medium and glucose medium were 0.7g/l nd 0.2-03g/l respectively. The maximum content of polysaccharide occurred at the rising point from the lowest pH of culture. As the apparent viscosity of the polysaccharide solution increased, the flow Index (m) decreased, and the consistency Index (Kc) also increased. The polysaccharide solution was a typical pseudoplastic fluid. The mycelium was separated from the culture solution by $300\mu m$ mesh-filter and the polysaccharide was precipitated by adding 50% of ethanol (v/v). The amount of the polysaccharide removed from the filtrated solution was 0.45 g/l and the amount adhered to the mycelium was 0.25g/l. In experiments for investigating growth enhancement of rotifer (Brachionus plicatilis) by the polysaccharide, the dose of the polysaccharide was 1mg per 10,000 organisms of rotifer. Maximum specific growth rate of rotifer with feed consisting of sea Chlorella sp. and the polysaccharide was 1.095/day in the batch culture for 10 days. A semi-continuous culture was done for 30 days, the biomass of rotifer could be harvested twice. Maximum specific growth rate with sea Chlorella sp. and the polysaccharide was 0.734/day before the first harvest, and 1.685/day before the second harvest. Productivity was 38 $cells/ml\; \cdot\; day$ with sea Chlorella sp. and the polysaccharide.

  • PDF

폐출혈을 동반한 현미경적 다발혈관염 1예 (A Case of Microscopic Polyangiitis with Diffuse Alveolar Hemorrhage)

  • 이상진;이재웅;김혜진;신경철;정진홍;이관호;박혜정
    • Journal of Yeungnam Medical Science
    • /
    • 제21권1호
    • /
    • pp.101-107
    • /
    • 2004
  • Diffuse alveolar hemorrhage is a rare but serious and frequently life-threatening complication of a variety of conditions. The first goal in the management of patients with diffuse alveolar hemorrhage is to achieve or preserve stability of the respiratory status. Subsequently, the differential diagnosis is aimed at the identification of a remediable cause of the alveolar hemorrhage. The most common causes of diffuse alveolar hemorrhage with glomerulonephritis are microscopic polyangiitis and Wegener's granulomatosis, followed by Goodpasture syndrome and systemic lupus erythematosus. Microscopic polyangiitis (MPA) is a distinct systemic small vessle vasculitis affecting small sized vessels with few or no immune deposits and with no granulomatosus inflammation. The disease may involve multiple organs such as kidney, lung, skin, joint, muscle, gastrointestinal tract, eye, and nervous system. MPA is strongly associated with antineutrophil cytoplasmic autoantibody (ANCA) that is a useful serological diagnostic marker for the most common form of necrotizing vasculitis. Our report concerns a case of microscopic polyangiitis with diffuse alveolar hemorrhage in a 54-year-old man. He was admitted to our hospital due to dyspnea upon exertion and recurrent hemoptysis. Laboratory findings showed hematuria, proteinuria and deterioration of renal function. In the chest CT scan, diffuse ground glass appearance was seen in both lower lungs. A lung biopsy revealed small vessel vasculitis with intraalveolar hemorrhage and showed a positive reaction to against perinuclear ANCA. The patient was treated with prednisolone and cyclophosphamide. Chest infiltration decreased and hemoptysis and hypoxia improved. He is still being followed up in our hospital with a low dose of prednisolone.

  • PDF

Solanum lycopersicum (tomato) ethanol extract elicits anti-inflammatory effects via the nuclear factor kappa B pathway and rescues mice from septic shock

  • Saba, Evelyn;Oh, Mi-Ju;Kwak, Dongmi;Roh, Seong-Soo;Kwon, Hyuk-Woo;Kim, Sung-Dae;Rhee, Man Hee
    • 대한수의학회지
    • /
    • 제57권2호
    • /
    • pp.97-104
    • /
    • 2017
  • Solanum lycopersicum, commonly known as tomato, is widely used in raw, cooked, or liquid forms because it contains nutritional compounds that are beneficial for human health, including carotenoids, lycopene, ascorbic acid, vitamins, and minerals. The tomato is perhaps the most widely studied fruit, especially with respect to its cardioprotective effects. In this study, we aimed to identify the anti-inflammatory mechanisms by which the tomato elicits its anti-inflammatory properties. We treated murine macrophage RAW 264.7 cells with a tomato ethanol extract and performed various biochemical assays including nitric oxide inhibition, cell viability, RNA extraction, expression of pro-inflammatory mediators and cytokines, and immunoblotting, as well we assessed cell survival rates. Our results have shown for the first time that a tomato ethanol extract treatment can suppress nitric oxide production in a dose-dependent manner without cytotoxicity. Moreover, it inhibits the expression of pro-inflammatory mediators and cytokines and elicits its anti-inflammatory effects via the nuclear factor kappa-light-chain-enhancer of activated B cells ($NF-{\kappa}B$) and mitogen-activated protein kinase (MAPK) pathways. In addition, administration of tomato syrup potently rescued mice from septic shock induced by lipopolysaccharide injection. Collectively, our results elucidate details regarding the anti-inflammatory mechanisms of tomato.

5-ethynyl-2'-deoxyuridine (EdU)에 의한 뇌실하 영역 신경줄기세포의 신경 세포로의 분화 억제 (Inhibition of Neurogenesis of Subventricular Zone Neural Stem Cells by 5-ethynyl-2'-deoxyuridine (EdU))

  • 박기엽;오현창;이지용;김만수
    • 생명과학회지
    • /
    • 제27권6호
    • /
    • pp.623-631
    • /
    • 2017
  • 뇌실하 영역과 subgranular zone은 뇌에서 평생 새로운 신경 세포를 만들어 내는 곳이다. 이 부위에 있는 신경줄기세포는 세포 분열을 통해서 줄기 세포군을 계속 유지할 뿐만 아니라, 신경 세포와 신경 교세포로 분화한다. 세포 분열을 측정하기 위해 thymidine 유사체인 5-ethynyl-2'-deoxyuridine (EdU)가 사용되어 왔다. 몇몇의 경우에서는 새롭게 만들어지는 신경 세포를 표지하려는 목적으로 사용되었다. 이번 연구에서는, EdU가 쥐의 뇌실 하영역에서 분리해낸 신경줄기세포의 분열과 분화에 어떠한 영향을 미치는 지를 보여주었다. 첫째, 신경줄기세포가 EdU를 포함하는 세포 증식 배양액에서 24시간 동안 배양되었을 때, 추후에 분화를 유도하여도 신경세포로 분화가 전혀 일어나지 않았다. EdU를 1시간 동안 처리했을 때도 신경세포로의 분화가 상당부분 저해되었다. 둘째, EdU는 농도가 높을수록, 처리시간이 많을수록 신경줄기세포의 증식을 더욱 많이 저해하였다. 끝으로, EdU는 신경 교세포 중에서 oligodendrocyte으로의 분화는 억제하였지만, astrocyte로의 분화는 오히려 증가시켰다. 본 연구결과는 뇌실하 영역 신경줄기세포의 분화에 EdU가 어떠한 영향을 미치는 지를 처음으로 보여주었고, 이러한 결과들은 신경 세포와 oligodendrocyte로의 분화에 세포 분열이 반드시 필요하다는 것을 제안하고 있다.

SPE 및 GC/MS에 의한 혈액중 스트리크닌의 분석법 개발 및 검출사례 (Method Development and Validation of Strychnine in Blood by Gas Chromatography/Mass Spectrometry Using Solid Phase Extraction and its Application in Real Specimens)

  • 이종숙;염혜선;문성민;이상기
    • 약학회지
    • /
    • 제57권2호
    • /
    • pp.87-94
    • /
    • 2013
  • An analytical methodology based on solid-space extraction (SPE) with with Bond Elut Certify cartridge (Varian, 130 mg) has been developed for the qualification and quantitation of strychnine in blood. After the elution layer was evaporated, the residue was reconstituted with methanol for GC/MS. Internal standard was used 10 mg/l dextromethorphan. Strychnine is a potent central nervous stimulant and convulsant, and an alkaloid found in seeds of Strychnos nux-vomica. It was used therapeutically to improve circulation and muscle tone in oral or intramuscular doses of 0.05~8 mg. The fatal dose of strychnine for humans is 50~100 mg. A man was found dead lying curled up the corner of the large room in a roof house after the fire fighter opened a locked door inside to put out the fire. The postmortem blood and gastric contents were analyzed for toxicological testing. Strychnine and brucine were detected using GC/MS first in gastric contents extracts. The contents of strychnine was 0.083 mg/l in heart blood, 0.088 mg/l in peripheral blood and 4.0 mg/kg in gastric contents, respectively. Method validation was carried out in terms of linearity, accuracy, precision (intraday, interday) in blood. The assay is linear over 0.05~10 mg/l ($r^2$=0.999). Limit of detection (LOD) and limit of quantitation (LOQ) in blood were determined 0.02 mg/l (S/N=3) and 0.07 mg/l (S/N=10), respectively. Accuracy (bias%) of strychnine with 0.1, 1 and 10 mg/l was 12.0% (n=6), 9.3% (n=6) and 6.9% (n=6), respectively. Intraday precision (CV%) of strychnine with, 0.1, 1 and 10 mg/l were 6.4%, 10.4%, 1.2% (n=6), respectively. Interday precision (CV%) of strychnine with 0.1, 1 and 10 mg/l over three days were 24.0%, 18.5%, 13.8% (n=18), respectively. Relative recovery with 0.1, 1 and 10 mg/l (in blood) were 114.9%, 99.3% and 87.4% (n=6), respectively. The described method can be applied in forensic toxicology to determine strychnine in blood samples.