• 제목/요약/키워드: junctional

검색결과 217건 처리시간 0.023초

식품 단백질 유발성 장염 증후군: 임상적 접근과 병태생리의 최신 지견 (Food Protein-induced Enterocolitis Syndrome: an Update on Clinical Approaches and Its Pathophysiology)

  • 황진복
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제10권2호
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    • pp.117-128
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    • 2007
  • Food protein-induced enterocolitis syndrome (FPIES) is a non-IgE mediated hypersensitivity disorder, which is associated with mainly gastrointestinal symptoms and has a delayed onset. The vomiting and/or diarrheal symptoms of FPIES typically begin in the first month of life in association with a failure to thrive, metabolic acidosis, and shock. Therefore, the differential diagnosis of FPIES and neonatal or infantile sepsis-like illnesses or gastroenteritis is difficult. The early recognition of indexes of suspicion for FPIES may help in the diagnosis and treatment of this disorder. The diagnosis of FPIES is generally made through clinical practice and food-specific IgE test findings are typically negative in this condition. Therefore, oral cow's milk challenge (OCC) remains the valid diagnostic standard for FPIES. An investigation of positive OCC outcomes helps to find out a diagnostic algorithm of criteria of a positive challenge in FPIES. Moreover, it has not been clearly determined in infantile FPIES when $1^{st}$ follow up-oral food challenge (FU-OFC) should be performed, with what kind of food protein (e.g., cow's milk, soy), and how much protein should be administered. Hence, to prevent the risk of inappropriate FU-OFC or accidental exposure and achieve appropriate dietary management, it is necessary to identify tolerance rates to major foods under the careful follow up of infantile FPIES patients. On the other hand, small intestinal enteropathy with villous atrophy is observed in FPIES and this enteropathy seems to be in part induced by both of epithelial apoptosis and intercellular junctional complex breakdown. The purpose of this report is to introduce an update on diagnostic and therapeutic approaches in FPIES and suggest the possible histopathological evidences in this disorder.

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테트라싸이클린이 치주결체조직의 재부착에 미치는 효과 (PERIODONTAL REGENERATION FOLLOWING RECONSTRUCTIVE SURGERY INCLUDING TOPICAL APPLICATION OF TETRACYCLINE IN DOGS)

  • 최상묵;한수부;고재승;강윤선
    • Journal of Periodontal and Implant Science
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    • 제23권2호
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    • pp.203-218
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    • 1993
  • This study was designed to examine the effect of tetracycline application to the planed periodontal surgery of the experimentally induced periodontal disease in dogs. Modified Widman flap surgery was done and aqueous tetracycline (1%) was applied to the root surface for 5min, after which the wound was rinsed with saline, and flaps were coronally repositioned. Root surface ntoches were used as reference points. The animals were sacrificed 1 week, 2 weeks, 4 weeks, and 8 weeks after surgery, and block sections of tooth and surround tissue were processed for conventional light and electron microscopy. The results were as follows : 1. A more coronal position of junctional epithelium was observed in the area treated with tetracycline. 2. In the most of the tetracycline - treated teeth, the new collagen fibrils of connective tissue were oriented vertical/or oblique and parallel to the root surface. The vertical or oblique fibers were inserted into the denuded dentin matrix and contacted with exposed dentin collagen fibrils. 3. In the tetracycline - treated root, new cementum apposition, most of acellular extrinsic fiber cementum, was seen with bundles of oriented collagen fibrils incoporating into the cementum. 4. In the control and tetracyclin - treated teeth, bone resorption was observed at the alveolar crest in the 1 week groups.

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구강 편평세포 암종에서의 CD44 발현 (CD44 EXPRESSION IN ORAL SQUAMOUS CELL CARCINOMA)

  • 박상준;박혜련;김규천;박봉수;김태규
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권2호
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    • pp.132-136
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    • 2000
  • The cell surface glycoprotein CD44 is a kind of adhesion molecule, which binds hyaluronic acid, type I collagen and fibronectin. Although there have been numerous reports on the expression and the function of CD44 in lymphocytes and macrophages, very little is known about its distribution and definite role in epithelial tissue, especially in oral epithelial one. The present study was performed to investigate the distribution and expression of the CD44 in human gingiva and squamous cell carcinoma(SCC) arising in human gingiva. And the authors compared CD44 expression with histopathologic grade of SCC. The results were as follows: 1. The CD44 was strongly expressed in granular, spinous and basal layers of normal marginal and attached gingiva, in spinous and basal layers of normal sulcular gingiva, and in all epithelial layers of normal junctional gingiva. 2. In SCC of gingiva, the CD44 was expressed in all but one case. In most of the cases the CD44 was expressed at cell membrane and the degree of expression was relatively strong. 3. In low-grade SCC of gingiva, the CD44 was strongly expressed, especially at the basal and spinous layers of abundantly keratinized cancer nests. In high-grade SCC of gingiva, the CD44 expression tended to be weak but was strong at cells showing individual keratinization. This study suggest that the CD44 expression of normal and cancerous gingival epithelium is associated with the degree of proliferation and differentiation of epithelial cells.

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3급 치근분지부 골결손에서 미세전류자극이 치주조직의 재생에 미치는 영향에 관한 실험적 연구 (Experimental study on the effect of direct microcurrent to periodontal regeneration in class III furcation defects)

  • 김영준;정현주
    • Journal of Periodontal and Implant Science
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    • 제27권4호
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    • pp.845-866
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    • 1997
  • Several experimental studies showed that the application of small amounts of electric current to bone stimulated osteogenesis at the site of the cathode and suggests that the application of electrical currents to periodontal defects could promote bone and cementum formation. The purpose of this study was to determine the effect of direct microcurrent to the periodontal regeneration of class III furcation defects in dogs. Class III furcation defects were surgically created on the third and the fourth premolars bilaterally in the mandibles of nine mongrel dogs. Experimental periodontitis were induced by placing small cotton pellets into the created defects for 3 weeks. The experimental sites were divided into three groups according to the treatment modalities: Group I-surgical debridement only; Group II-allogenic demineralized freeze dried bone grafting; Group III-allogenic demineralized freeze dried bone grafting and electrical stimulation. For fluorescence microscopic evaluation, calcein, oxytetracycline HCI and alizarin red were injected 2, 4 and 8 weeksfS days prior to sacrifice) after surgery. The animals were sacrificed in the 1st, 2nd, 4th and 8th week after periodontal surgery and the decalcified and undecalcified specimens were prepared for histological and histometrical examination. After the first and the second weeks, gingival recession was more severe in group I than groups II and III. After the fourth and the eighth weeks, there was no difference in the width of junctional epithelium and connective tissue attachment among the three groups, but the width of connective tissue attachment increased in group II at the eighth week, compared to the fourth week. The amount of bone repair in new attachment was significantly greater in group III, compared to groups I and II. New attachment formation was significantly greater in group III, compared to groups I and group II. These results suggest that electrical stimulation using microcurrent generator could be a useful tool for periodontal regenerative therapy in class III furcation defect.

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Calcium carbonate와 fibrin adhesive의 병용이 성견 2급 치근 분지부 치주조직 재생에 미치는 영향 (The Effects of the Combination of Calcium Carbonate and Fibrin Adhesive on the Periodontal Regeneration of Class II Furcation Defect in Dogs)

  • 서은표;정현주;김영준
    • Journal of Periodontal and Implant Science
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    • 제30권2호
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    • pp.229-242
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    • 2000
  • The purpose of this study was to evaluate the effect of fibrin tissue adhesive and porous resorbable calcium carbonate on the periodontal regeneration of the class II furcation defect in dogs. Class II furcation defect was surgically created on the second, third, and fourth premolars bilaterally in the mandibles of six mongrel dogs. The experimental sites were divided into four groups according to the treatment modalities: Control-surgical debridement only; Group I-calcium carbonate grafting; Group II-application of fibrin adhesive only; Group III-application of fibrin adhesive after calcium carbonate grafting. The animals were sacrificed at the 2, 4, and 12 weeks after periodontal surgery and the decalcified specimens were prepared for histological and histometrical examination. The results are as follows : Clinically, there were no inflammatory response in all groups after 2, 4, 12 weeks. In the Control group, junctional epithelium was grown downward to the reference notch. In Group I, graft materials were exfoliated from the defect throughout the experimenta periods andnew bone was seen in the notch area at 4 and 12 week specimens. In Group II, fibrin adhesive was absorbed at 2 week specimens, and connective tissue attachment increased than that of control group. New cementum and new bone were seen above the notch area. In Group III, the graft material was maintained in the defect throughout the experimental period and inducing the amount of periodontal tissue regeneration was higher than other groups. These results suggest that the use of fibrin tissue adhesive in conjunction with porous resorbable calcium carbonate would improves the stability of graft material and inhibit the epithelial down growth and make it be a feasible method for periodontal regeneration.

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RNA Polymerase II Inhibitor, ${\alpha}$-Amanitin, Affects Gene Expression for Gap Junctions and Metabolic Capabilities of Cumulus Cells, but Not Oocyte, during In Vitro Mouse Oocyte Maturation

  • Park, Min-Woo;Lee, Hyun-Seo;Kim, Eun-Young;Lee, Kyung-Ah
    • 한국발생생물학회지:발생과생식
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    • 제17권1호
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    • pp.63-72
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    • 2013
  • A specific inhibitor of RNA polymerase II, ${\alpha}$-amanitin is broadly used to block transcriptional activities in cells. Previous studies showed that ${\alpha}$-amanitin affects in vitro maturation of cumulus-oocyte-complex (COC). In this study, we evaluated the target of ${\alpha}$-amanitin, and whether it affects oocytes or cumulus cells (CCs), or both. We treated ${\alpha}$-amanitin with different time period during in vitro culture of denuded oocytes (DOs) or COCs in comparison, and observed the changes in morphology and maturation status. Although DOs did not show any change in morphology and maturation rates with ${\alpha}$-amanitin treatment, oocytes from COCs were arrested at metaphase I (MI) stage and CCs were more scattered than control groups. To discover causes of meiotic arrest and scattering of CCs, we focused on changes of cumulus expansion, gap junctions, and cellular metabolism which to be the important factors for the successful in vitro maturation of COCs. Expression of genes for cumulus expansion markers (Ptx3, Has2, and Tnfaip6) and gap junctional proteins (Gja1, Gja4, and Gjc1) decreased in ${\alpha}$-amanitin-treated CCs. However, these changes were not observed in oocytes. In addition, expression of genes related to metabolism (Prps1, Rpe, Rpia, Taldo1, and Tkt) decreased in ${\alpha}$-amanitin-treated CCs but not in oocytes. Therefore, we concluded that the transcriptional activities of CCs for supporting suitable transcripts, especially for its metabolic activities and formation of gap junctions among CCs as well as with oocytes, are important for oocytes maturation in COCs.

만성 심방세동에 대한 외과적 치험 4례 (Surgical Management for Chronic Atrial Fibrillation)

  • 강경훈;김철환;김병열
    • Journal of Chest Surgery
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    • 제31권1호
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    • pp.59-65
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    • 1998
  • 심방세동은 심부정맥중 가장 흔한 질환이다. 이환율과 사망율에 있어서 심각한 문제를 일으킬 수 있으며 약물치료에 반응을 않하는 경우가 많다. 실험적 및 임상적 연구의 측면에서 볼 때, 거대회귀성 회로의 존재와 소회귀성 회로 혹은 심방의 자동성의 결핍을 근거로 심방세동에 대한 수술적 절제가 가능하다고 확신한다. maze III술식을 통해서 술후 동성 율동으로의 회복 빈도 증가, 장기적으로 볼 때 동방결절의 기능 향상, 인공심박동기의 사용 감소, 부정맥의 재발 감소, 심방의 전달 기능의 장기적 측면에서의 향상 등의 효과를 기대할 수 있다. 본원에서는 만성 심방세동을 가진 4명의 환자를 치험했다. 심방중격결손증 및 심방세동을 가진 환자에대해 Hioki술식을 시행했으며 술후 심전도상 정상 동방율동을 보였으나 술후 3년후에 접합부율동 및 서맥을 보였다. 승모판막질환 및 심방세동을 가진 나머지 3명의 환자에 대해서는 maze III술식을 시행했으며, 수술직후 2명의 환자에서는 규칙적인 동방율동을 보였으며, 1명의 환자에서는 심방세동을 보여서 amiodarone으로 조절하였다. 술후 3개월후 규칙적인 동방율동을 보이는 2명의 환자에 대해 심초음파를 실시한 결과 우심방의 수축은 양호하나 좌심방의 수축은 미미한 편이였다.

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Expressional Profiling of Connexin Isoforms in the Initial Segment of the Male Reproductive Tract during Postnatal Development

  • Seo, Hee-Jung;Seon, Chan-Wook;Choi, In-Ho;Cheon, Yong-Pil;Cheon, Tae-Hoon;Lee, Ki-Ho
    • Reproductive and Developmental Biology
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    • 제34권2호
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    • pp.103-109
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    • 2010
  • Functional regulation of a specific tissue or organ is controlled by a number of ways, including local cell-cell interaction. Of several forms of cell-cell junctional complexes, gap junctions are caught a great attention due to a formation of direct linkage between neighboring cells. Gap junctions are consisted of connexin (Cx) isoforms. In the present study, we evaluated expressional profiling of Cx isoforms in the rat initial segment (IS) of the male reproductive tract at different postnatal ages. The presence and expression of 13 Cx isoform mRNAs were determined by semi-quantitative real-time PCR analyses. A total of 8 Cx isoform mRNAs were detected in the IS of the male rats during postnatal development. The highest level of Cx30.3 mRNA was found at 5 months of age, while abundance of Cx31 mRNA was the highest at 1 year of age. Expression of Cx31.1 gene was relatively consistent during the postnatal development. Fluctuation of Cx32 and 37 gene expression was observed during the postnatal period. Significant elevation of Cx40 mRNA abundance was detected at 25 days of age and older ages. Expression patterns of Cx43 and 45 genes were similar with the highest level at 2 weeks of age, followed by gradual decreases at older ages. These results indicate differential regulation on expression of Cx isoforms in the rat IS during postnatal development. A complicated regulation of gene expression of Cx isoforms in the IS at different postnatal ages is suggested.

Taurocholic acid 투여 흰쥐 담세관주위세포질의 미세구조에 관한 급속동결 deep etching법에 의한 연구 (Fine Structure of Pericanalicular Cytoplasm of Taurocholic Acid-treated Rat Liver as Revealed by Deep Etching with Rapid Freezing)

  • 신영철
    • Applied Microscopy
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    • 제28권1호
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    • pp.73-82
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    • 1998
  • 본 연구에서는 급속동결 deep etching법을 이용하여 흰쥐에서 담세관주위세포질에 있는 미세사와 용해소체 및 소포등 세포내소기관들이 어떻게 담즙분비에 관여하는지를 알아 보고자 하였다. Taurocholic acid를 투여한 군은 정상군에 있어서와 같이 미세사가 담세관 주위를 둘러싸면서 담세관 원형질막과 다른 세포내소기관에 부착되어 있었다. 이들 담세관 주위의 미세사들은 미세융모속에서 다발을 이루고 있었으며 담세관 둘레에서는 관주위직을 형성하면서 연접복합체에 결합되어 있었다. 미세사는 또한 담세관 원형질막과 소포사이에 걸쳐있는 것도 관찰되었다. 이상의 소견으로 미루어 미세사는 담세관에서의 담즙의 분비를 돕는 소기관임을 알 수 있는데 특히 담세관에 융합할 수 있도록 소포의 전위를 유도하는 기구로서 작용할 것으로 추정된다.

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성견 치조골 결손부에 자가골이식과 조직유도재생막을 이용한 치주치료시 치유효과에 관한 비교연구 (COMPARATIVE STUDY OF AUTOGENOUS BONE GRAFT AND GUIDED TISSUE REGENERATION IN THE TREATMENT OF PERIODONTAL DEFECT IN DOGS)

  • 홍기석;김종여;정진형
    • Journal of Periodontal and Implant Science
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    • 제24권1호
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    • pp.205-216
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    • 1994
  • The goal of periodontal therapy is the regeneration of the periodontium lost by periodontal disease. The purpose of this study was to evaluate the regenerative potential of the autogenous bone graft and guided tissue regeneration in the treatment of periodontal bony defect in dogs. Experimental periodontitis were induced in the mandibular left 3rd premolar and right 3rd and 4th premolars of 5 dogs using orthodontic ligature wire. After 6 weeks, the ligature wire removed, surgical procedure were performed as follows. 1) control group : Flap operation(Mn.Lt 3rd premolar) 2) experimental group I : Flap operation + autogenous bone graft (Mn.Rt. 3rd premolar) 3) experimental group II : Flap operation + Gore-Tex membrane (Mn.Rt. 4th premoalr) Thereafter, dogs were sacrificed on the 1,2,4,8,16th week and the specimens were prepared and stained with hematoxyline-eosin stain for the light microscopic examination. The results of this study were as follows. 1. The apical migration of junctional epithelium was most remarkable in the flap operation and the experimental group II was less than the experimental group I. 2. In the formation of new alveolar bone, it was found in experimental group I,II and experimental group I is more than II. In the control group, few bone formation was found. 3. In the formation of new cementum, it was found in experimental group I,II and experimental group II is more than I. So, the periodontal therapy combined with autogenous and guided tissue regeneration will be produce the periodontal regeneration.

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