• 대한핵의학회지
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• 제18권1호
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• pp.1-8
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• 1984

To evaluate the clinical significance of serum tissue polypeptide antigen (TPA) levels in patients with malignancy, serum TP A levels were measured by radioimmunoassay in 49 normal controls, 9 patients of postoperative colon cancer without recurrence and 68 patients with various untreated malignancy, who visited Seoul National University Hospital from February, 1983 to September, 1983. The results were as follows; 1) Serum TPA levels in 49 normal controls were in the range of 22-135 U/L $(74{\pm}28U/L,\;mean{\pm}S.D.)$. There was no sex or age difference. Normal upper limit of serum TPA was defined as 130 U/L (mean+2S.D.). 2) Serum TPA levels in 68 patients with various untreated malignancy (stomach cancer 33 cases, colon cancer 11 cases, lung cancer 10 cases, primary liver cancer 9 cases and metastatic cancer of unknown primary site 5 cases) were in the range of 10-800 U/L $(189{\pm}170U/L,\;mean{\pm}S.D.)$ and significantly elevated, compared with those of normal controls (p<0.005). 3) The sensitivities of serum TPA in various untreated malignancy were 39% in stomach cancer, 55% in colon cancer, 50% in lung cancer, 67% in primary liver cancer and 80% in metastatic cancer of unknown primary site respectively. 4) The sensitivities of serum TPA related to resectability in stomach and colon cancer were 32% in resectable stomach cancer, 50% in unresectable stomach cancer, 29% in resectable colon cancer and 100% in unresectable colon cancer respectively. 5) The mean value of serum TPA levels in 9 patients of postoperative colon cancer without recurrence was $70{\pm}39U/L$ and significantly decreased, compared with that of untreated colon cancer, $180{\pm}150U/L$ U/L (p<0.05). 6) In patients with stomach or colon cancer, there was no significant correlation between serum TP A and serum CEA levels, but simultaneous measurement of serum TPA and serum CEA levels increased sensitivities. From above results, we concluded that serum TPA level is a useful indicator reflecting tumor activity and responses to anticancer treatment in patients with malignancy.

• Asian Pacific Journal of Cancer Prevention
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• 제15권9호
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• pp.3911-3914
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• 2014

Background: To determine the potential clinical utility of tumor markers CEA, TPA, and SCC-Ag for early detection of cervical precancerous lesions. Materials and Methods: A case-control study was carried out on 120 women (46 patients with histologically confirmed cervical precancerous lesions and 74 healthy controls). The significance of serum selected tumor markers in early detection of cervical intraepithelial neoplasia (CIN) were assessed. Results: Of the case group, the rates of CIN I, II, III, was 69.6%, 23.9%, and 6.5%, respectively. According to the manufacturer's cut-off values of 2ng/ml, 5ng/ml, and 70 U/ml for SCC-Ag, CEA and TPA tests, in that order, SCC-Ag test had a sensitivity of 13%, but CEA and TPA tests could not distinguish between case and control groups. The diagnostic sensitivities were highest at cut-off values of 0.55 ng/ml for SCC-Ag, 2.6ng/ml for CEA, and 25.5 U/ml for TPA which were 93%, 61%, and 50%, respectively. However, the area under the receiver operating characteristic curve was the largest for SCC-Ag (0.95 vs. 0.61 and 0.60 for CEA and TPA, respectively). Moreover, there was a highly significant direct correlation between SCC-Ag concentration and the degree of cervical precancerous lesions (r=0.847, p<0.001). Conclusions: The new cutoff of 0.5 for SCC-Ag test might be useful as a tumor marker in Iranian patients with CIN and it needs to be more evaluated by studies with larger populationa.

• Journal of Microbiology and Biotechnology
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• 제16권11호
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• pp.1791-1798
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• 2006

When ginsenoside Rg5, a main component isolated from red ginseng, was incubated with three human fecal microflora for 24 h, all specimens showed hydrolyzing activity: all specimens produced ginsenoside Rh3 as a main metabolite, but a minor metabolite $3{\beta},12{\beta}$-dihydroxydammar-21(22),24-diene (DD) was observed in two specimens. To evaluate the antiallergic effect of ginsenoside Rg5 and its metabolites, the inhibitory effect of ginsenoside Rg5 and its metabolite ginsenoside Rh3 against RBL-2H3 cell degranulation, mouse passive cutaneous anaphylaxis (PCA) reaction induced by the IgE-antigen complex, and mouse ear skin dermatitis induced by 12-O-tetradecanoilphorbol-13-acetate (TPA) were measured. Ginsenosides Rg5 and Rh3 potently inhibited degranulation of RBL-2H3 cells. These ginsenosides also inhibited mRNA expression of proinflammatory cytokines IL-6 and $TNF-{\alpha}$ in RBL-2H3 cells stimulated by IgE-antigen. Orally and intraperitoneally administered ginsenoside Rg3 and orally administered ginsenoside Rg5 to mice potently inhibited the PCA reaction induced by IgE-antigen complex. However, intraperitoneally administered ginsenoside Rg5 nearly did not inhibit the PCA reaction. These ginsenosides not only suppressed the swelling of mouse ears induced by TPA, but also inhibited mRNA expression of cyclooxygenase-2, $TNF-{\alpha}$, and IL-4 and activation of transcription factor NF-kB. These inhibitions of ginsenoside Rh3 were more potent than those of ginsenoside Rg5. These findings suggest that ginsenoside Rg5 may be metabolized in vivo to ginsenoside Rh3 by human intestinal microflora, and ginsenoside Rh3 may improve antiallergic diseases, such as rhinitis and dermatitis.

• Tuberculosis and Respiratory Diseases
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• 제44권4호
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• pp.785-795
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• 1997

연구배경 : 종양 표지자는 각종 악성 종양의 진단, 진행정도, 절제 가능성, 예후추정, 치료후 추적 검사 등에도 사용될 수 있으나 민감도와 특이도가 만족스럽지 못한 경우가 많아서 임상에서 보조적인 수단으로 이용되고 있는 경우가 대부분이다. 최근 Cyfra21-1이 비소세포 폐암의 진단에 CEA, SCC보다 우수하다는 보고가 있었고 단일클론 항체를 이용한 TPA-M(Tissue polypeptide antigen)이 비소세포 폐암은 진단하는데 상당히 우수한 결과를 보인다고 보고하고 있다. 이에 폐암환자에서 혈청 CEA, SCC, Cyfra21-1, TPA-M의 임상적 유용성을 서로 비교해 보고자 이 연구를 시행하였다. 방 법 : 1996년 4월 1일 부터 19961건 8월 31일까지 계명대학교 의과대학 병원에 내원한 환자중 조직 생검으로 확진된 비소세포 폐암 37예와 소세포 폐암 12예를 총 49예를 폐암 환자군으로 같은 기간의 입원 환자 중 양성 양성 폐질환으로 확진된 29예를 대조군으로 선정하였고 폐암 환자의 경우 수술, 항암요법 및 방사선치료를 전혀 시행하지 않은 상태에서 혈청을 채취하여 검사를 시행하였다. CEA는 일본 Eiken사의 Ab bead CEA, SCC는 미국 DAINABOT사의 SCC RIA BEAD kit, Cyfra21-1은 일본 TFB사의 CA 21-1 kit, TPA-M은 일본 DAIICHI사의 TPA-M kit를 사용하였다. 결 과 : 전체 폐암환자와 대조군을 비교해보면 CEA가 $10.05{\pm}38.39{\mu}/L$, $1.59{\pm}0.94{\mu}/L$, SCC가 $3.04{\pm}5.79{\mu}/L$, $1.58{\pm}2.85{\mu}/L$, Cyfra21-1이 $8.27{\pm}11.96{\mu}/L$, $1.77{\pm}2.72{\mu}/L$, TPA-M이 $132.02{\pm}209.35U/L$, $45.86{\pm}75.86U/L$으로 나타났으며 Cyfra21-1과 TPA-M은 폐암환자에서 대조군보다 종양 표지자의 측정치가 유의하게 높았다.(p<0.05) CEA, Cyfra21-1, TPA-M, SCC의 cutoff value를 회사에서 권장하는 $2.5{\mu}/L$, $3.0{\mu}/L$, 70.0U/L, $2.0{\mu}/L$로 하였을 때 전체폐암에 대한 민감도와 특이도는 CEA 33.3%와 78.6%, Cyfra21-1 50.0%와 89.7%, TPA-M 52.3%와 89.7%, SCC 23.8%와 89.3%이었으며 비소세포 폐암에 대하여서는 CEA 36.1%와 78.1%, Cyfra21-1 50.1%와 89.7%, TPA-M 53.1%와 89.7%, SCC 33.8%와 89.3% 소세포 폐암의 경우에도 CEA 25.0%와 78.5%, Cyfra21-1 50.0%와 89.6%, TPA-M 50.0%와 89.6%, SCC 0%와 89.2%로 폐암환자에서 Cyfra21-1과 TPA-M이 민감도와 특이도에 있어 더 우수한 결과를 보였고 비소세포 폐암환자에서 SCC도 높은 특이도를 나타내었다. ROC(Receiver operating characteristic) curve에 따라 민감도와 특이도를 얻어 가장 정확도가 높은 cutoff value를 CEA $1.25{\mu}/L$, Cyfra21-1 $1.5{\mu}/L$, TPA-M 35U/L, SCC $0.6{\mu}/L$로 하여 민감도와 특이도, 정확도 및 kappa index를 비교해 보아도 Cyfra21-1과 TPA-M이 더 우수한 결과를 나타내었다. 병기에 따른 비소세포 폐암에서의 종양 표지자를 3A 병기까지와 3B 병기이상으로 나누어 비교해보면 3B 병기이상에서 SCC에서만 통계적 유의성을 보였다. (p<0.05) 그러나 종양크기에 따른 종양표지자의 측정치는 통제적 유의성이 없었다.(p>0.05) 결 론 : 혈청 TPA-M과 Cyfra21-1은 폐암환자에 있어 CEA나 SCC보다 민감도와 특이도가 높으며 SCC의 경우 비소세포 폐암에 있어 높은 특이도를 보였으며 SCC의 측정치가 병기와 유관하게 나타났으나 종양의 크기와 병기의 진행과의 관계에 있어서는 더 많은 환자들을 대상으로 한 연구가 행해져야 할 것으로 생각된다.

• IMMUNE NETWORK
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• 제1권1호
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• pp.53-60
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• 2001

Background: The human mic2 gene is a pseudoautosomal gene that encodes a cell surface antigen, CD99. High levels of CD99 constitute a tumor marker in Ewing s sarcoma (ES). We have recently demonstrated that CD99-induced apoptosis occurs only in undifferentiated ES cells, not in differentiated ES cells, raising the possibility of the involvement of CD99 in neural ontogeny. Methods: To elucidate the relations between the expression of CD99 and the differentiation of neural cells and the mechanism by which the expression of CD99 is regulated, we analyzed the differential patterns of CD99 expression in SH-SY5Y by treatment of 12-O-tetradecanoyl-13-phorbol acetate (TPA) and retinoic acid. In addition, to explore the transcriptional activity of CD 99 during neural cell differentiation, SH-SY5Y cells were transiently transfected with a CD99 promoter-driven luciferase construct, and treated with the inducers. Results: In immunoblotting and flow cytometry, the expression level of CD99 was increased on differentiated SH-SY5Y cells induced by TPA and retinoic acid. The luciferase activity was elevated by the treatment with TPA, known to mature SH-SY5Y cells toward a sympathetic neuronal lineage, whereas retinoic acid inducing a sympathetic chromaffin lineage displayed little effect. Conclusion: The result indicates that CD99 might be expressed only on cells maturing toward a neuronal lineage among differentiating primitive neuronal cells. In addition, the expression of CD99 seems to be regulated at the transcriptional level during the differentiation.

• Asian Pacific Journal of Cancer Prevention
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• 제14권5호
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• pp.2973-2978
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• 2013

Maesil (Prunus mume Siebold & Zucc.), a member of the genus Rosaceae, has been reported to have antioxidative effects, as well as anticancer influence in many cancer lines. Thus, this present study was designed to investigate the inhibitory effect of fermented Maesil with probiotics against 7,12-dimethylbenz[a]anthracene (DMBA), 12-O-tetradecanoyl phorbol 13-acetate (TPA)-induced mouse skin carcinogenesis via its antioxidative potential. Mice were fed a diet containing fermented Maesil, containing either 1% (1% FM fed group) or 2% (2% FM fed group) along with probiotics following DMBA and TPA exposure. Continuous ingestion of the experimental feed markedly inhibited skin carcinogenesis, as evidenced by a marked decrease in papilloma numbers and epidermal hyperplasia as well as cellular proliferation and the percentage of proliferating-cell nuclear antigen positive cells. Also, the FM fed group showed an increase of total antioxidant capacity as well as an increased level of phase II detoxifying enzymes such as superoxide dismutase, concurrent with a decreased lipid peroxidation activity level. Taken together, these results suggest that fermented Maesil has the ability to suppress the development of DMBA-TPA induced skin carcinogenesis, via the reduction of lipid peroxidation, enhancing total antioxidant capacity and phase II detoxifying enzyme.