해양생물자원의 골이식재 적용

임원봉,장유리아,김보선 한국키틴키토산학회 2023 한국키틴키토산학회지 Vol.28 No.2

In this study, we tried to examine the application of marine bioresource for bone graft materials. Bone is the skeletal structure that plays a physiologically pivotal role in the body. Various types of bone graft materials are being used to reconstruct the bone defect during dental and orthopedic surgery, and more optimized materials are being explored continuously. Bone graft materials derived from bioceramics are highly utilized in tissue engineering for bone regeneration, and generally provide hierarchical porosity, bioactivity and osteoconductive properties, and mechanical structures capable of 3D cell culture. These bone graft materials are generally based on porous calcium phosphate particles, which must maintain porosity once at the site of bone loss. However, despite routine use in traumatology and dental applications, biotransplantation requirements such as osteoinductivity and control of dissolution rates have not yet been met. Accordingly, bioceramic studies of marine-derived products are highly likely to become a new source of bone graft considering various marine materials that have not yet been fully identified. In this study, we tried to explore the application potential of major marine bioresources for bone tissue regeneration as bioceramics. In the present study, commercialized products and candidates in the preclinical research stage were reviewed, and major clinical requirements for the application of various available marine resources and the advantages and limitations of currently available bioresource were presented

Regulation of Osteoblast Differentiation by 635 nm Irradiation in MC3T3-E1 Cells Supplemented with High Glucose

임원봉,원재웅,김지선,김인애,고영종,권혁일,김상우,김서연,김옥준,최홍란 대한구강악안면병리학회 2011 대한구강악안면병리학회지 Vol.35 No.1

Diabetic patients tend to exhibit delayed bone formation and osteoblast differentiation, which results in osteopenia. Recently, numerous clinical reports suggest that 635-nm light irradiation improves bone regeneration and wound healing, and reduces pain in patients suffering from diabetes. The purpose of the present study was to test the hypothesis that 635-nm irradiation can influence bone formation by MC3T3-E1 osteoblasts cultured on high concentrations of glucose(25mmol/L D-glucose) in the presence or absence of phorbol 12-myristate 13-acetate(PMA), and to establish an in vitro pathological model of bone formation. The effect of 635-nm irradiation on bone formation was investigated using Alizarin Red S staining, and alkaline phosphatase enzyme activity and calcium deposition assays. In addition, gene expression of the osteogenic markers BMP-2, osterix and osteocalcin were assayed by RT-PCR. Calcium deposition by MC3T3-E1 cells was reduced in the presence of high concentrations of glucose or by PMA supplementation. However, 635-nm irradiation led to an increase in calcium deposition by MC3T3 cells, followed by increased bone mineralization. mRNA expression of BMP-2 and osterix at an early stage and of osteocalcin at a late stage was significantly upregulated by 635-nm irradiation in MC3T3-E1 cells supplemented with high concentrations of glucose. Irradiation at 635 nm increases bone mineralization in MC3T3-E1 cells cultured in vitro on high concentrations of glucose and alters osteogenic gene expression, which accelerates bone formation in hyperglycemic conditions Diabetic patients tend to exhibit delayed bone formation and osteoblast differentiation, which results in osteopenia. Recently, numerous clinical reports suggest that 635-nm light irradiation improves bone regeneration and wound healing, and reduces pain in patients suffering from diabetes. The purpose of the present study was to test the hypothesis that 635-nm irradiation can influence bone formation by MC3T3-E1 osteoblasts cultured on high concentrations of glucose(25mmol/L D-glucose) in the presence or absence of phorbol 12-myristate 13-acetate(PMA), and to establish an in vitro pathological model of bone formation. The effect of 635-nm irradiation on bone formation was investigated using Alizarin Red S staining, and alkaline phosphatase enzyme activity and calcium deposition assays. In addition, gene expression of the osteogenic markers BMP-2, osterix and osteocalcin were assayed by RT-PCR. Calcium deposition by MC3T3-E1 cells was reduced in the presence of high concentrations of glucose or by PMA supplementation. However, 635-nm irradiation led to an increase in calcium deposition by MC3T3 cells, followed by increased bone mineralization. mRNA expression of BMP-2 and osterix at an early stage and of osteocalcin at a late stage was significantly upregulated by 635-nm irradiation in MC3T3-E1 cells supplemented with high concentrations of glucose. Irradiation at 635 nm increases bone mineralization in MC3T3-E1 cells cultured in vitro on high concentrations of glucose and alters osteogenic gene expression, which accelerates bone formation in hyperglycemic conditions.

VR, AR Simulation and 3D Printing for Shoulder and Elbow Practice

임원봉,문영래,Lim, Wonbong,Moon, Young Lae The Institute of Electronics and Information Engin 2016 전자공학회논문지 Vol.53 No.12

최근 의료 영상 기술의 발전은 진단, 수술계획, 또는 교육에 도움이 되는 수술 시뮬레이션을 만들어 왔다. 개선된 고화질 영상과 3차원 시각화는 의료 영상 가용성을 향상시키고 수술, 교육 분야에서 더 잘 이용할 수 있게 되었다. 실제 인간의 시각은 입체이다. 따라서, 외과의사의 판단을 통해 2차원 영상을 스테레오로 재구성하여 처리하는 것이 함께 필요하다. 이러한 과정을 줄이기 위해, 3차원 (3D) 이미지가 사용되어 왔다. 3D 영상은 복잡한 상황에서 외과 의사가 매우 짧은 시간에 판단할 수 있도록 3D 시각화를 강화하여 제공한다. 3D 화상 데이터 세트에 기초하여, 가상 내시경 수술 계획, 실시간 상호 작용 가상 의료 시뮬레이션이 가능하게 되었다. 본 논문은 새로운 이미징 기술의 최근 응용 프로그램을 설명하고 이의 기본과 특별히 주목할만한 의료 3D 복원 기술에 관한 것이다. 최근 CT, MR 및 기타 영상 양식의 기술발전은 흥미로운 새로운 솔루션과 어깨 영상의 활용 가능성을 넓혀왔다. 특히, 의료 기기에서 파생 된 3차원 (3D) 이미지는 고급 정보를 제공한다. 이 프레젠테이션은 어깨와 팔꿈치의 수술실습에서 원리, 3D 영상기술의 잠재적 응용가능성, 시뮬레이션, 3D프린팅을 설명한다. Recent advances in technology of medical image have made surgical simulation that is helpful to diagnosis, operation plan, or education. Improving and enhancing the medical imaging have led to the availability of high definition images and three-dimensional (3D) visualization, it allows a better understanding in the surgical and educational field. The Real human field of view is stereoscopic. Therefore, with just 2D images, stereoscopic reconstruction process through the surgeon's head, is necessary. To reduce these process, 3D images have been used. 3D images enhanced 3D visualization, it provides significantly shorter time for surgeon for judgment in complex situations. Based on 3D image data set, virtual medical simulations, such as virtual endoscopy, surgical planning, and real-time interaction, have become possible. This article describes principles and recent applications of newer imaging techniques and special attention is directed towards medical 3D reconstruction techniques. Recent advances in technology of CT, MR and other imaging modalities has resulted in exciting new solutions and possibilities of shoulder imaging. Especially, three-dimensional (3D) images derived from medical devices provides advanced information. This presentation describes the principles and potential applications of 3D imaging techniques, simulation and printing in shoulder and elbow practice.

사람 피부 섬유아세포와 치은 섬유아세포에서 아라키돈산 처리에 따른 세포외기질 발현의 차이

임원봉,장미선,김지선,고영종,김인애,권혁일,김상우,최홍란,김옥준 대한구강악안면병리학회 2010 대한구강악안면병리학회지 Vol.34 No.2

The pattern of wound healing process differs markedly according to the cell types. Gingival wounds heal more rapidly without scar, however dermal wounds show collagen laid down in thick disorganized patterns and keloid formation. This h as b een s uggested t o be d ue t o the presence of d ifferent E C M components a nd c ytokines a s well a s growth factors. The purpose of this study was to examine the differential expression of genes in connection with keloid formation in gingival fibroblasts (hGFs) and dermal fibroblasts (hDFs) in response to inflammation. In this study, we investigated the differences between hGFs and hDFs in the expression and production of cyclooxygenase (COX-2), prostaglandins E2 (PGE2), transforming growth factor (TGF)-β, collagens, matrix metalloproteinases (MMPs), and tissue inhibitors of matrix metalloproteinases (TIMPs) which play important roles in collagen deposition in wound healing. The hGFs and hDFs were primary cultured and allocated to arachidonic acid (AA) treatment group and control group. Protein and mRNA were extracted right after (0 hr) and 24 hr after AA treatment. At a defined concentration of AA in hGFs and hDFs, MTT assay was performed. The mRNA and protein expression levels of COX-2, TGF-β, collagen 1 and 3, MMP 1 and TIMP 1 were examined by Real-time PCR and Western blots. The amounts of PGE2 were measured by enzyme-linked immunosorbent assay (ELISA).The expression of COX-2 and TGF-β exhibited reduced levels in hGFs , but were increased in hDFs at 24 hr after AA treatment. Production of PGE2 was increased in hGFs and hDFs at right after AA treatment but, not changed at 24 hr after AA treatment. The protein and mRNA expression of collagen 1 and 3 were decreased in hGFs , whereas increased in hDFs at 24 hr AA treatment. Expression of MMP-1 protein was increased in hGFs at 24 hr but, was decreased in hDFs at 24 hr compared with that of control. The protein expression of TIMP-1 was decreased in hGFs but, was increased in hDFs at 24 hr compared with that of control. These observations demonstrate differential expression between gingival and dermal fibroblasts in regulation of collagenolytic capacity by extracellular matrix-associated genes in keloid formation associated with wound repair.

고농도의 포도당이 처리된 MC3T3-E1 세포에서 635 nm 광조사에 의한 골분화에 관한 연구

임원봉,원재웅,김지선,김인애,고영종,권혁일,김상우,김서연,김옥준,최홍란 대한구강악안면병리학회 2011 대한구강악안면병리학회지 Vol.35 No.1

Diabetic patients tend to exhibit delayed bone formation and osteoblast differentiation, which results in osteopenia. Recently, numerous clinical reports suggest that 635-nm light irradiation improves bone regeneration and wound healing, and reduces pain in patients suffering from diabetes. The purpose of the present study was to test the hypothesis that 635-nm irradiation can influence bone formation by MC3T3-E1 osteoblasts cultured on high concentrations of glucose(25mmol/L D-glucose) in the presence or absence of phorbol 12-myristate 13-acetate(PMA), and to establish an in vitro pathological model of bone formation. The effect of 635-nm irradiation on bone formation was investigated using Alizarin Red S staining, and alkaline phosphatase enzyme activ ity and calcium deposition assays. In addition, gene expression of the o steogenic markers BMP-2, osterix and osteocalcin were assayed by RT-PCR. Calcium deposition by MC3T3-E1 cells was reduced in the presence of high concentrations of glucose or by PMA supplementation. However, 635-nm irradiation led to an increase in calcium deposition by MC3T3 cells, followed by increased bone mineralization. mRNA expression of BMP-2 and osterix at an early stage and of osteocalcin at a late stage was significantly upregulated by 635-nm irradiation in MC3T3-E1 cells supplemented with high concentrations of glucose. Irradiation at 635 nm increases bone mineralization in MC3T3-E1 cells cultured in vitro on high concentrations of glucose and alters osteogenic gene expression, which accelerates bone formation in hyperglycemic conditions.

P. gingivalis LPS 가 처리된 치은 섬유아세포에서 고농도 산소 노출에 의한 염증성 cytokine의 변화 분석

임원봉,원재웅,김인애,김지선,고영종,권혁일,김상우,Li Xiaojie,KM Ahsan Kabir,차현록,임대영,김서연,최홍란,김옥준 대한구강악안면병리학회 2010 대한구강악안면병리학회지 Vol.34 No.4

Human gingival fibroblasts (hGFs) were reported to play an important role in inflammatory reactions to lipopolysaccharide (LPS) from P.gingivalis in the periodontal connective tissue. Although the biostimulatory effects of hyperbaric oxygen therapy, such as anti-inflammatory activity, have been reported, the pathological mechanism is not completely understood. This study examined the changes in the inflammatory cytokine profiles, which are produced after exposure to hyperbaric oxygen in P.gingivalis LPS-treated human gingival fibroblasts, and subsequently to examine the mitogen activated protein kinase (MAPK) pathway involved in cytokine production. Gingival fibroblasts with or without P.gingivalis LPS were exposed to hyperbaric oxygen, and the cytokine profiles in the supernatant were observed using a human inflammation antibody array. The expression of cyclooxyginase-2 (COX-2) protein, phosphorylation of extracellular signal-regulated kinase (ERK1/2), p38, and c-Jun-N-terminal kinase (JNK) MAPK by western blot analysis, and the amount of prostaglandin E2 (PGE2) in the supernatant by an enzyme-linked immunoassay were determined. COX-2 protein expression and PGE2productionwereincreasedsignificantlyintheP. gingivalis LPS-treated group, and were decreased by treating P. gingivalis LPS with hyperbaric oxygen. Treatment of P. gingivalis LPS in the gingival fibroblasts led an increase in the amount of pro-inflammatory-related cytokines interleukin-6 (IL-6) and IL-8 released, whereas hyperbaric oxygen inhibits the irrelease. Ananalysis of the MAPK signal transduction showed that hyperbaric oxygen induced a significant decrease in the level of P38 phosphorylation regardless of the presence or absence of LPS. In addition, hyperbaric oxygen promoted JNK phosphorylation, significantly in the presence of LPS. Hyperbaric oxygen can inhibit pro-inflammatory cytokines and mediate the MAPK signal pathway, and appears to be useful as an anti-inflammatory tool.

저출력 광조사의 분자 생물학적 기전

임원봉,최홍란,김병국,김지선,김옥준 대한구강악안면병리학회 2012 대한구강악안면병리학회지 Vol.36 No.1

Low level light therapy (LLLT) is known to accelerate the process of wound healing, bone and cartilage formation, and to decrease tissue necrosis and inflammation. It also can be applicable to acute and chronic injury or degenerative disease. Despite forty- plus years of accumulating exprerience of the clinical efficacy of LLLT, their molecular biologic evidence is not fully elucidated. The aim of this review is to explore the role of the ROS system and its molecular biologic mechanism in related with inflammatory response, anti-apoptosis and angiogenesis during LLLT. We suggest that activation of ROS system explains many (if not most) of the observed response of cells to LLLT in vitro, and is likely to play a pivotal role in the response of animals and patients to LLLT for both experimental and clinical indications and diseases.

상악에서 발생한 법랑모세포섬유치아종

박원홍,임원봉,김지선,김상우,Zheng Hui,Kou Ni,전상미,박지일,최홍란,김옥준 대한구강악안면병리학회 2012 대한구강악안면병리학회지 Vol.36 No.6

Ameloblastic fibro-odontoma has been defined as a lesion similar to ameloblastic fibroma by WHO, as it shows inductive changes which forms enamel and dentin. Ameloblastic fibro-odontoma is a very rare mixed dentition tumor in children, and the symptom shows indolent edema in maxillary and mandibular molar area. The prevalence is two times higher in male than in female, and two times higher in maxilla than in mandible. Radiologically, it shows clear border and characteristics of both fibroma and odontoma histologically. This review reports a case that a 4-year old female visited in dental clinic of this school for edema as chief complaint in Feb, 2012. Emergency surgical curettage was performed right after initial diagnosis as odontoma, then confirmed diagnosis as Ameloblastic fibro- odontoma after biopsy. Currently, after 6 month, no sign of recurrence can be seen. Ameloblastic fibro-odontoma is very rare mixed dentition tumor. Moreover, as it is the case of female maxilla, this case is worth of publishing. Furthermore, accurate diagnosis of Ameloblastic fibro-odontoma is difficult. This review is published for accurate diagnosis through differential diagnosis of several important mixed dentition tumors.

이부에 발생한 지방육아종의 외과적 적출

이상아,임원봉,김지선,김상우,전상미,Hui Zheng,박홍주,국민석,오희균,최홍란,김옥준 대한구강악안면병리학회 2013 대한구강악안면병리학회지 Vol.37 No.5

We present a case of lipogranuloma of the chin in a 17-year-old man. The lesion was revealed as lipogranuloma in radiological and histopathological findings and did not recur after being surgically removed. Lipogranuloma is a granulomatous inflammation with marked sclerosing response to the fatty tissue caused by foreign material injection. Despite lipogranuloma was reported as a complication arising from injection of oil-based substances into soft tissues for the purpose of cosmetic therapy, patient in this case had no history of foreign material injection. We expect that patient had a history of traumatic injury on his right chin that he doesn’t remember. Definitive treatment of lipogranuloma is surgical excision and usually involves secondary reconstruction. Regarding the physical and psychological complications of this practice, prevention is required the most but once occurred accurate history taking and biopsy is important to diagnosis

광주광역시에 거주하는 고령자의 타액 내 병원성 칸디다종의 동정에 관한 연구

고영종,임원봉,김지선,김인애,권혁일,김옥수,김병국,김선미,윤숙자,강병철,임회순,김미숙,김옥준,최홍란 대한구강악안면병리학회 2010 대한구강악안면병리학회지 Vol.34 No.2

Candida albicans and their associated Candida species are opportunistic pathogens which exists as normal flora in the oral cavities of healthy individuals. In response to physiological changes in the host, these yeasts can become pathogenic, resulting in oral candidiasis. The rapid detection and identification of Candida species in clinical laboratories are extremely important for the management of patients with hematogenous candidiasis. The presently available culture and biochemical methods for detection and species identification of Candida are time-consuming and lack the required sensitivity and specificity. In this study, we have established a seminested PCR (snPCR) using universal and species-specific primers for detection of Candida species in saliva. The universal outer primers amplified the 3end of 5.8S ribosomal DNA (rDNA) and the 5end of 28S rDNA, including the internally transcribed spacer 2 (ITS2), generating 350- to 410-bp fragments from the four commonly encountered Candida spp., viz., C. albicans, C. tropicalis, C. glabrata, and C. parapsilosis. The saliva from 331 healthy and, over 50 years of aged people lived in Dong-gu, Gwangu city, was collected. Total DNA were extracted by Hoffman-Winston yeast total DNA prep. method and performed t he s nP CR. R esults appeared to b e negative on 292 people ( 88.2%), however, 2 6 people ( 7.9%) were p ositive Candida albicans, 6 people (1.8%) were positive Candida glabrata, 5 people (1.5%) were positive Candida tropicalis, and only 2 person (0.6%) were positive Candida parapsilosis. These result showed that detection and identification of Candida species could be established by saliva analysis, so that snPCR on saliva is useful method of diagnosis of clinical fields