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Sang Hui Chu,Wol Mi Park,Kyung Eun Lee,Young Sook Pae 대한생리학회-대한약리학회 1999 The Korean Journal of Physiology & Pharmacology Vol.3 No.6
<P> Intracellular accumulation of bile acids in the hepatocytes during cholestasis is thought to be pathogenic in cholestatic liver injury. Due to the detergent-like effect of the hydrophobic bile acids, hepatocellular injury has been attributed to direct membrane damage. However histological findings of cholestatic liver diseases suggest apoptosis can be a mechanism of cell death during cholestatic liver diseases instead of necrosis. To determine the pattern of hepatocellular toxicity induced by bile acid, we incubated primary cultured rat hepatocytes with a hydrophobic bile acid, Glycochenodeoxycholate (GCDC), up to 5 hours. After 5 hours incubation with 400 μM GCDC, lactate dehydrogenase released significantly. Cell viability, quantitated in propidium iodide stained cells concomitant with fluoresceindiacetate was decreased time- and dose-dependently. Most nuclei with condensed chromatin and shrunk cytoplasm were heavily labelled time- and dose-dependently by a positive TUNEL reaction. These findings suggest that both apoptosis and necrosis are involved in hepatocytes injury caused by GCDC.
Chu Mi Ae,Jang Yoon Young,Lee Dong Won,Kim Sung Hoon,류남희,박성균,Lee Jae Hee,Chung Hai Lee 대한소아청소년과학회 2021 Clinical and Experimental Pediatrics (CEP) Vol.64 No.12
Background: Viral load and shedding duration are highly associated with the transmission of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection. However, limited studies have reported on viral load or shedding in children and adolescents infected with sudden acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Purpose: This study aimed to investigate the natural course of viral load in asymptomatic or mild pediatric cases.Methods: Thirty-one children (<18 years) with confirmed SARS-CoV-2 infection were hospitalized and enrolled in this study. Viral loads were evaluated in nasopharyngeal swab samples using real-time reverse transcription polymerase chain reaction (E, RdRp, N genes). cycle threshold (Ct) values were measured when patients met the clinical criteria to be released from quarantine.Results: The mean age of the patients was 9.8 years, 18 (58%) had mild disease, and 13 (42%) were asymptomatic. Most children were infected by adult family members, most commonly by their mothers. The most common symptoms were fever and sputum (26%), followed by cough and runny nose. Nine patients (29%) had a high or intermediate viral load (Ct value≤30) when they had no clinical symptoms. Viral load showed no difference between symptomatic and asymptomatic patients. Viral rebounds were found in 15 cases (48%), which contributed to prolonged viral detection. The mean duration of viral detection was 25.6 days. Viral loads were significantly lower in patients with viral rebounds than in those with no rebound (E, P=0.003; RdRp, P=0.01; N, P=0.02).Conclusion: Our study showed that many pediatric patients with coronavirus disease 2019 (COVID-19) experienced viral rebound and showed viral detection for more than 3 weeks. Further studies are needed to investigate the relationship between viral rebound and infectiousness in COVID-19.
( Mi-jung Jun ),( Ju Hyun Shim ),( Joo Ho Lee ),( Gi-won Song ),( Yangsoon Park ),( Eunsil Yu ),( Sung-gyu Lee ),( Jihyun An ),( Danbi Lee ),( Kang Mo Kim ),( Young-suk Lim ),( Han Chu Lee ),( Young-h 대한간학회 2016 춘·추계 학술대회 (KASL) Vol.2016 No.1
Aims: It has been found that methionine adenosyltransferase 1A (MAT1A) gene, encoding isoenzymes MAT I/III, is dysregulated in hepatocellular carcinoma (HCC), and reduced MAT1A expression correlates with worse HCC prognosis. The X protein of hepatitis B virus (HBV) inhibits apoptosis in HCC cells through enhancing the expression of MAT2A gene, encoding MAT II. MA1A/MAT2A switch has been severally demonstrated to be involved in hepatocarcinogenesis. We aimed to investigate prognostic implication of MAT I and MAT II protein expression in HBV-infected patients undergoing hepatic resection for HCC. Methods: In this study, we used a tissue microarray constructed from archival surgical specimens of 166 patients with HBV-related HCC who underwent curative hepatectomy at Asan Medical Center. The tumor tissue microarray was immunohistochemically stained with primary antibodies against MAT I and MAT II. We examined pre- and post-surgical clinical factors related to MAT 1 and MAT II, using logistic regression analysis, and predictive effect of the two proteins on post-surgical recurrence and survival, using Cox proportional hazards model. Results: Of the 166 patients, 74.1% were male with a mean age of 52.8 ± 8.7 years, 94% were Child-Pugh class A disease, and 55.4% had liver cirrhosis. In terms of histological factors, most patients had solitary tumor (93.4%) and tumors of 5cm or less (74.7%). Microvascular invasion and Edmondson grade III/IV tumors were observed in 30.7% and 66.9%, respectively of the patients. During a median follow-up of 39 months (range 5-81 months), 12 deaths and 63 recurrences had been found, where 52 recurrences occurred early within 2 years after resection. MAT I and MAT II were positively expressed in 83.7% and 87.3%, respectively of the 166 tumor tissues. MAT I expression was independently associated with male and tumors of 5 cm or less (adjusted P<0.05 for both). Expression of MAT II had a significant relationship with only serum AFP >200 ng/mL (adjusted P<0.05). Multivariate Cox regression analyses showed that MAT II expression was significantly correlated with shorter times to overall and early recurrences (hazard ratios 9.97 and 8.26, respectively; adjusted P<0.05 for both), as was not positive MAT I (hazard ratio 1.13; P=0.730). Immunopositivity for two proteins did not influence overall survival (P>0.05 for both). MAT I : MAT II activity ratio below 1.0 was observed in 12.7% of the patients, and not significantly associated with post-surgical recurrence and survival outcomes. Conclusions: Immunohistological expression of MAT II in tumor may be helpful in predicting and monitoring tumor recurrence, especially in the early phase after hepatic resection, in patients with HBV-related HCC.
Chu, Sang-Hui,Lee, Mi-Kyung,Kowalski, Jill,Beck, Jenny,Schwertz, Dorie 한국기초간호학회 2008 Journal of korean biological nursing science Vol.10 No.1
Purpose: Hypoestrogenism caused by ovariectomy, disease, or menopause is associated with increased obesity in women. Altered fat distribution and weight gain are consequences of menopausal hypoestrogenism, but the mechanisms responsible are not completely known. This study examined the effect of estrogen on obesity in ovariectomized rats. Method: The groups of female rats were 4 weeks post ovariectomy (OVX) or, 4 weeks post-sham operation (SHAM), and 2 weeks post ovariectomy followed by 2 weeks replacement with estradiol benzoate (ER-$16{\mu}g$/kg, subq, qd). Serum ghrelin level was measured by radioimmunoassay (RIA). The expression of adrenergic receptors in adipose tissue was measured by Western blotting assay. Result: OVX significantly increased body weight, serum cholesterol. Two weeks estrogen replacement reduced body weight accompanied by the increment of serum ghrelin and the reduction of the receptor ratio of adrenergic ${\alpha}_{2A}/{\beta}_1$, and ${\alpha}_{2A}/{\beta}_3$. Conclusion: We provide evidence that estrogen reduces obesity through the altered receptor ratio of adrenergic ${\alpha}_{2A}/{\beta}_1$, and ${\alpha}_{2A}/{\beta}_3$ in adipose tissue in ovariectomized rats.
Soft toric lens rotation measurement using Slit-lamp method and built-in camera of smart phone
Sung Woo Choi,Min Gi Lee,Chan Wok Lee,Sang Min Choi,Mi Ae Park,Jung Gun Lee,Sun Mi Park,Hyung Min Park,Byoung Sun Chu 대한시과학회 2015 대한시과학회지 학술대회 Vol.2015 No.10
Purpose: Aims of this study were to investigate the agreement and test-retest repeatability of two methods for measuring magnitude of soft toric lens rotation. The two methods assessed were a newly developed mobile application for iPhone which uses the built-in camera function and the slit lamp biomicroscope. Methods: Agreement of ToriExpertä against known reference source was tested under experimental situation. For clinical measurement, thirty three participants (66 eyes) wore toric lens (prism ballast design) both eyes. Two investigators measured toric lens rotation using the two methods which are slit-lamp measurement(HS-700) and mobile application. First investigator used the same method twice for assessment of test-retest repeatability of each method. Inter- and intra-investigator agreement and repeatability were assessed using Bland-Altman analysis. Results: Against the known reference sources, mean variance was 0.52±0.75 degree and limits of agreement was ±1.47 degree (95% of Cls). The limits of agreement between the silt-lamp biomicroscope and mobile application methods was ±9.1 degree (95% CIs). Measurements using the two different methods showed no statistically significant mean difference (paired t-test, p=0.32). Inter-investigator agreement of lens rotation was ±7.9 degree (95% CIs) using the slit-lamp microscope and ±7.8 degree using mobile application. Intra-investigator repeatability was ±6.6 degree using the slit lamp microscope and ±6.8 using mobile application. Conclusions: The results should be considered in view of the fact that soft toric lenses are not static but move with the blink thus the location of the reference point is unlikely to be at exactly the same location at the different measurement times. Despite this source of variability in the results, the newly developed mobile application provides clinically comparable performance to slit lamp biomicroscope measurement which does not appear to be investigator dependent. This mobile application may provide sufficient precision to those optometric practices have limited access to slit-lamp biomicroscope for measuring soft toric lens rotation.
C-KIT-positive undifferentiated tumor of the liver: A case report
CHU, HYUN HEE,CHO, BAIK HWAN,SONG, JI SOO,KIM, KYUNG MI,MOON, WOO SUNG D.A. Spandidos 2014 Oncology letters Vol.8 No.4
<P>With recent advances in cancer stem cell analysis, it has been postulated that the transformation of hepatic stem and progenitor cells underlies the development of certain liver cancers. Human C-KIT is a transmembrane type III receptor protein with intrinsic tyrosine kinase activity that has been proposed as a marker for human embryonic stem cells. In addition, human C-KIT functions in maintaining the undifferentiated state of stem cells, and has been identified as a marker for human hematopoietic and hepatic stem/progenitor cells. The present study identified an unusual case of a C-KIT-positive hepatic tumor with an undifferentiated stem cell phenotype distinct from existing descriptions of liver tumors. A 69-year-old male with Ampulla of Vater (AoV) cancer was admitted to the hospital for the treatment of a hepatic mass that was incidentally detected during evaluation of AoV cancer. Microscopically, the hepatic tumor was composed of solidly packed small, round and uniform undifferentiated cells, which resembled that of a small-blue-round-cell tumor. The immunophenotype of neoplastic cells (C-KIT<SUP>+</SUP>/EpCAM<SUP>+</SUP>/E-cadherin<SUP>+</SUP>/keratin 7<SUP>−</SUP>/keratin 19<SUP>−</SUP>/α-fetoprotein<SUP>−</SUP>/albumin<SUP>−</SUP>) supported primitive stem cell features with no hepatic or biliary phenotypes. Polymerase chain reaction and direct DNA sequencing revealed no C-KIT mutations. It is suggested that this tumor may have originated from transformed C-KIT<SUP>+</SUP>/EpCAM<SUP>+</SUP>/E-cadherin<SUP>+</SUP> cells, which are more primitive and undifferentiated than bipotential hepatic progenitor cells.</P>