초기 비소세포 폐암 환자의 늑막하 병변이 예후에 미치는 영향; 예비 보고

이호준,이형식,허원주,이기남,최필조,Lee, Ho-Jun,Lee, Hyung-Sik,Hur, Won-Joo,Lee, Ki-Nam,Choi, Pill-Jo 대한방사선종양학회 1998 Radiation Oncology Journal Vol.16 No.4

Purpose : We retrospectively analyzed the impact of subpleural lesions of early stage non-small cell lung cancer on the patterns of failure to support selection of postoperative adjuvant therapy. Methods and Materials : The study included 91 patients who underwent surgery for early stage non-small cell lung cancer at Dong-A University Hospital from Dec 1990 to Sep 1996. Twenty five patients were excluded due to postoperative mortality (four patients, 4.4$\%$) and stage III (21 patients). Of 66 patients, 22 patients were subpleural lesions (15 patients in stage I, and seven patients in stage II). Postoperative adjuvant radiation therapy was given to seven patients with T2Nl disease. The median follow-up duration was 29.5 months (range; 8-84 months). Results : The overall survival rate was 69.5$\%$ at 3 years. For all patients who presented with (22 patients) and without (44 patients) subpleural lesions, 3-year overall survival rates were 35.5$\%$ and 84.6$\%$, respectively (p=0.0017). For stage I patients who presented with (15 patients) and without (29 patients) subpleural lesions, 3-year overall survival rates were 33.1$\%$ and 92.3$\%$, respectively (p=0.001). For stage II patients who presented with (7 patients) and without (15 patients) subpleural lesions, 3-year overall survival rates were 53.3$\%$ and 45.7$\%$, respectively (p=0.911). For patients with T2N0 disease (34 patients) who presented with (11 patients) and without (23 patients) subpleural lesions, 3-year overall survival rates were 27.3$\%$ and 90.3$\%$, respectively (p=0.009). Conclusion : These observations suggest that the subpleural lesion play an important role as a prognostic factor for early stage non-small cell lung cancer. Especially for T2N0 disease, patients with subpleural lesions showed significantly lower survival rate than those without that. 목적 : 초기 비소세포 폐암환자의 치료시 늑막하병변이 있는 경우에 치료후 결과에 어떤 영향을 주는지를 분석하고, 이 결과를 토대로 향후 치료방침의 결정에 도움을 주기 위해서 본 연구를 하였다. 대상 및 방법 : 1990년 12월부터 1996년 9월까지 동아대학병원에서 절제가능한 비소세포 폐암으로 진단받고 수술을 받은 환자 91명중 제 I병기와 제 II병기환자 66명을 대상으로 후향적 분석을 하였다. 66명중 늑막하병변이 있는 경우는 22명이었으며, 제 I병기(T1N0, T2N0)에서 늑막하병변이 있는 경우는 15명/44명(34.1$\%$)이었으며, 제 II병기(T1N1, T2Nl, T3No)에서 늑막하병변이 있는 경우는 7명/22명(31.8$\%$)이었다. 수술후 보조요법으로서 전신 항암요법은 시행되지 않았고, 방사선치료는 7명에서 시행되었다. 최소 추적관찰기간은 8개월이며 최대추적관찰기간은 84개월이며, 평균 추적관찰 기간은 33.2개월(중앙값; 29.5개월)이었다. 생존율은 Kaplan-Meier법으로 분석하였고, 서로간의 성적비교는 log-lank test를 이용하였다. 결과 : 전체환자의 3년 생존율은 69.5$\%$였다. 전체환자에서 늑막하병변이 있는 경우와 없는 경우의 3년 생존율은 각각 35.5$\%$와 84.6$\%$였으며, 통계학적으로 의미있는 차이를 보였다(p=0.0017). 제 I병기에서 늑막하병변이 있는 경우와 없는 경우의 3년 생존율은 각각 33.1$\%$와 92.3$\%$였으며, 통계학적으로 의미있는 차이를 보였다(p=0.001). 제 II병기에서 늑막하병변이 있는 경우와 없는 경우의 3년 생존율은 각각 53.3$\%$와 45.7$\%$였으며, 통계학적으로 차이는 없었다 (p=0.911). 제 I병기환자 44명중 원발종양의 크기가 3cm이상인 경우(T2, 34명)는 늑막하병변이 있는 경우와 없는 경우의 3년 생존율은 각각 27.3$\%$와 90.3$\%$였으며, 통계학적으로 의미있는 차이를 보였다(p=0.009). 국소재발은 늑막하병변이 있는 경우에는 제 I병기에서 2명/15명(13.3$\%$), 제 II병기에서 2명/7명(28.6$\%$)에서 재발하였고, 늑막하병변이 없는 경우에는 제 I병기에서 4명/29명(13.8$\%$), 제 II병기에서 2명/14명(14.3$\%$)에서 국소재발을 보였다. 원격전이는 늑막하병변이 있는 경우에는 제 I병기에서 5명/15명(33.3$\%$), 제 II병기에서 2명/7명(28.6$\%$)에서 원격전이를 보였고, 늑막하병변이 없는 경우에는 제 1병기에서 2명/29명(6.9$\%$), 제 II병기에서 4명/14명(28.6$\%$)에서 원격전이를 보였다. 결론 : 초기 비소세포 폐암환자의 예후에 있어서 늑막하병변의 유무가 중요한 역할을 하는 것으로 생각되며, 특히 임파선 전이가 없는 72병기의 경우 늑막하병변이 있으면 늑막하병변이 없는 경우에 비해 생존율에서 현저한 차이를 보였다.

한국 남성 불임환자에서 Y 염색체상의 AZF Gene에 대한 분석 및 DAZ Gene의 발현 양상

이호준,이형송,송견지,변혜경,서주태,김종현,이유식,Lee, Ho-Joon,Lee, Hyoung-Song,Song, Gyun-Jee,Byun, Hye-Kyung,Seo, Ju-Tae,Kim, Jong-Hyun,Lee, You-Sik 대한생식의학회 1997 Clinical and Experimental Reproductive Medicine Vol.24 No.1

Cytogenetic observations of loss of the distal portion of the Y chromosome long arm were found to be associated with disrupted spermatogenesis. The existence of a gene involved in the regulation of spermatogenesis, the azoospermia factor (AZF), was postulated. In this study, we screened the AZF region including DAZ and DAZH genes and observed the expression pattern of DAZ and DAZH transcript in infertile men with azoospermia and oligospermia by using a sequence-tagged site (STS)-based PCR method. PCR primers were synthesized for 11 STSs that span Yq interval 6, SRY, DAZ, and DAZH, functional DAZ homologue on chromosome 3. Microdeletions were detected in 4/32 (12.5%) azoospermic men and 1/11 (9%) severe oligospermic men. Only 2 of 5 patients had microdeletions of Yq that contained the DAZ gene, whereas the other 3 patients had deletions extending from intervals 5L-6F proximal to the DAZ gene on Yq. Testis biopsies of the azoospermic patients revealed a variety from Sertoli cell-only syndrome to testicular maturation arrest. Of 4 men with clinical data available, average testis size was R: 13.8 cc, L: 13.8 cc, serum T was $4.0{\pm}1.25$ ng/ml, LH was $3.63{\pm}1.90$ mIU/ml, and FSH was $8.85{\pm}5.13$ mIU/ml. These values did not differ significantly from the remainder of the patients tested. We could not observed the DAZ transcript in 2 patients, who have no mature spermatozoa. In 11.6% of patients microdeletions of the AZF could be detected. These deletions in the AZF region seem to be involved causing spermatogenic failure. But the frequency of microdeletions proximal to DAZ suggests that DAZ is not the only gene associated with spermatogenic failure.

Miscanthus sinensis 와 타 식물과의 친근성에 관한 연구

정일구(Il Koo Lee),이호준(Ho Joon Lee),이경순(Kyung Soon Lee) 한국식물학회 1970 Journal of Plant Biology Vol.13 No.4

Althought allelopathy has been cleary established for Pinus densiflora by Lee-Monsi, the auther suspected that Miscanthus sinensis which grows vigrously in such Korean pine forests might also exhibit the phenomenon. A total of 33 species having an affinity in the Miscanthus group were recorded in the field. Out of these, five species; Patrinia scabiosaefolia, Lespedeza crytobotrya. Oenothera odorata, Raphanus sativus var. acanthiformis, and Zoysia japonica were considered the A group. Five other species which have no affinity to Miscanthus sinensis, Amaranthus patulus, Solanum nigrum, Capsella bursa-pastorris var. triangularis, Chemopodium album var. centrorubrum and Alopeculus amurensis were considered the B group. Extracts of Miscanthus sinensis were applied to determine relative germination and growth. It was found the growth in the B group was promoted by a cold water extract of Miscanthus stems and leaves, but inhibited remarkably by an extract obtained by passing cold water through Miscanthus root. As expected, growth in the A group was promoted by both experimental treatments.

생쥐 초기배아와 사람의 수정란의 발생에 미치는 생식수관 상피세포의 영향에 관한 연구

이호준,변혜경,김정욱,황정혜,전종영,김문규,Lee, H.J.,Byun, H.K.,Kim, J.W.,Hwang, J.H.,Jun, J.Y.,Kim, M.K. 대한생식의학회 1994 Clinical and Experimental Reproductive Medicine Vol.21 No.3

Mammalian oviductal epithelial cells have been known to improve in vitro fertilization and embryonic development. Recently, co-cultured human embryos with the epithelial cells in human genital tract has been reported to improve the pregnancy rate. The purpose of the study was to investigate the effects of the epithelial cells of human genital tract on the development of mouse early embryos and human fertilized oocytes. The epithelial cells of human genital tract were collected from the fallopian tubes which were obtained during hysterectomy in fertile women and from the endometrium during endometrium biopsy. Collected human ampullary cells(HACs) and endometrial cells(HECs) were cultured for 10 days to establish primary monolayer. Second passaged HACs and HECs were obtained by trypsinization were cryopreserved in PBS with 1.5 M DMSO for later use. To investigate the effect when co-cultured with HACs and HECs, we tried to apply strict quality control on mouse embryo, from two cell to blastocyst prior to human trial. The results of quality control were as follows; In Group I (Ham's F10 with 10% FCS), Group IT (co-cultured with HACs) and Group ill (co-cultured with HECs), developmental rates to blastocyst were 63.3%(253/400), 76.0%(304/ 400),74.0%(296/400), respectively. Hatching rates were 36.8%(147/400), 41.80/0(167/400), 38.0%(152/400), respectively(p<0.05). To perform the human IVF, cryopreserved HACs were thawed at 37$^{\circ}C$ waterbath, seeded on the well dish and cultured for 48 hI'S. The pronuclear stage embryos were transferred to the seeded well dish. After 24 hRS, co-cultured embryos were examined and transferred to patient's uterus. The results of human IVF when co-cultured with HACs were that fertilization and developmental rates were 61.8% (256/414), 95.3% (244/256) as compared with 57.2% (279/488) and 94.6%(264/279) in Ham's F10 supplemented with 10% FCS(control). However, 62.9% (161/256) of co-cultured human embryos showed good embryos(no or slight fragmentation) as compared with 53.8 % (150/279) in control(p < 0.05). Pregnancy rate was 40.0% (12/30) when co-cultured with HACs whereas 30.6%(11/36) in control. In conclusions, co-culture system using HACs and HECs improved the developmental and hatching rates of mouse embryo. Also, in human IVF system when co-cultured with HACs, it improved both the quality of human embryos and the pregnancy rate.

체외배양 생쥐정소세포에서 합성에스트로겐이 P450 등위효소의 발현에 미치는 영향

이호준,김묘경,고덕성,김길수,강희규,김동훈,Lee, Ho-Joon,Kim, Myo-Kyung,Ko, Duck-Sung,Kim, Kil-Soo,Kang, Hee-Kyoo,Kim, Dong-Hoon 대한생식의학회 2001 Clinical and Experimental Reproductive Medicine Vol.28 No.2

Objective: To know the effects of xenoestrogen on spermatogenesis, we investigated the expression of cytochrome P450s enzymes (CYPscc, $CYP_{17{\alpha}}$, CYP19) and $3{\beta}$-HSD genes involved in steroidogenesis. Methods: Mouse testicular cells were prepared from 15-day-old ICR mice which had only pre-meiotic germ cells by enzyme digestion using collagenase and trypsin. Testicular cells were cultured in DMEM supplemented with FSH (0.1 IU/ml) and 10% FBS or medium with estrogen ($E_2$), bisphenol-A (BPA), octylphenol (OP; $10^{-9},\;10^{-7},\;10^{-6},\;10^{-5},\;10^{-4}M$, respectively) and aroclor 1254 (A1254) known as PCBs for 48 hours. The gene expression of cytochrome P450 enzymes were examined by semi-quantitive RT-PCR. The production of estrogen and testosterone was examined by RIA. Results: As results, expression of CYPscc mRNA was not significantly decreased, but $3{\beta}$-HSD and $CYP_{17{\alpha}}$. mRNA were significantly dose-dependent decreased. And production of testosterone and estrogen were not different except BPA and OP group ($10^{-5}M$). Conclusion: BPA, OP and A1254 might inhibit steroidogenesis by decreasing CYPscc, $3{\beta}$-HSD and $CYP_{17{\alpha}}$. mRNA expression in the mouse testis. These results suggest that BPA, OP and PCBs like as an endocrine disruptors inhibit the productions of steroidogenic enzymes and decrease the production of T and E by negative feedback mechanism. Therefore, these might disrupt steroidogenesis in Leydig cells of testis and would disturb testicular function and subsequently impair spermatogenesis.

동결보존에 의한 인간배아의 생존률과 임신에 관한 연구

이호준,이승재,노성일,백혜란,김문규,Lee, Ho-Joon,Lee, Seung-Jae,Roh, Sung-Il,Paik, Hye-Ran,Kim, Moon-Kyoo 대한생식의학회 1990 Clinical and Experimental Reproductive Medicine Vol.17 No.2

This study was done to verify factors affecting viability after cryopreservation and pregnancy rate after frozen-thawed embryo transfer into uterus. Embryos were cryopreserved slow freezing and slow thawing and used DMSO as cryoprotectant. The results were to follows. 1. Viability of frozen-thawed embryos were 75.5% (94/105), which compared with viability of embryos according to cell stage, $2{\sim}5$ cell was 68.4% and $6{\sim}16$ cell 80.4% were significant differences (p<0.05). 2. No significant difference in duration of cryopreservation on effects affecting pregnancy rate was observed. 3. Number of embryo transfered into uterus was significant differences (p<0.05). 4. Four pregnancies resulted following replacement of 35 frozen-thawed.

체외수정시술시 미세조작술에 의한 수정률 향상과 임신에 관한 연구

이호준,최규완,전종영,박종민,권혁찬,김문규,Lee, Ho-Joon,Choi, Kyoo-Wan,Jun, Jong-Yung,Park, Jong-Min,Kwon, Hyuck-Chan,Kim, Moon-Kyoo 대한생식의학회 1990 Clinical and Experimental Reproductive Medicine Vol.17 No.1

The purpose of this study is to improve fertilization rate in IVF-ET program of patients with male infertility used micromanipulation technique, partial zona dissection (PZD) or micro-insemination by sperm transfer (MIST). The results were as follows 1. The fertilization rate of non-micromanipulated oocytes and micromanipulated (PZD) oocytes were 12.5% (n=2) and 42.2% (n=19), respectively, and showed significant differences between two groups (p<0.05). 2. The fertilization rate of micromanipulated (MIST) oocytes was 30% (n=27). 3. The damage rate of Group 1 (PZD) and Group 2 (MIST) were 15.7% (3/19) and 29.6% (8/27), respectively. 4. One pregnancy resulted following replacement of micromanipulated (MIST) embryos in 4 patients.

최근 외환ㆍ금융위기와 원유도입 안정대책의 추진

이호준,Lee, Ho-Jun 대한석유협회 1998 석유와 에너지 Vol.1998 No.2

고해상도 레이더용 다중산란점 발생장치의 설계 및 제작

이호준,김윤진,윤승구,정해창,공덕규,이재웅,변영진,Lee, Ho-Joon,Kim, Youn-Jin,Yoon, Seung-Gu,Jeong, Hae-Chang,Kong, Deok-Kyu,Yi, Jae-Woong,Byun, Young-Jin 한국군사과학기술학회 2016 한국군사과학기술학회지 Vol.19 No.5

We designed the multiple scattering points generation system to simulate an actual situation of target signal for high range resolution radar system. This provides replicating the target signals and controlling the status of target signals for radar system. This is composed transmit antenna and multi target generator. Transmit antenna is waveguide array antenna and multi target generator has signal distribution module and control & power module. Multi target generator is able to provide the high isolation and variable output power. Moreover, in order to monitor all output signals of the multi target generator, the flows of signals are programed in control & power module. The performance is demonstrated using experimented results of high range resolution radar.

디스플레이 공정용 메탈윈도우 유도결합플라즈마 식각장치에 대하여

이호준,Lee, Ho-Jun 한국정보디스플레이학회 2017 인포메이션 디스플레이 Vol.18 No.6