폐암에서 CYFRA 21-1과 다른 종양표지자의 진단적 의의

이상구,이호현,전병철,김성자,이영현,김문연,하경임 동국대학교 경주대학 1996 東國論集 Vol.15 No.-

폐암의 확실한 조직학적 진단이 어려울 경우 종양표지자의 검사가 보조적인 진단 수단이 되고, 조기 진단이나 경과 관찰에 이용되고 있다. 이에 저자는 CYFRA 21-1이 폐암의 종양표지자로서 효용성이 있는지 판정하고, CYFRA 21-1과 다른 폐암 종양표지자인 SCC Ag, CEA, NSE의 폐암의 조직학적 유형에 따른 민감도와 특이도를 비교하였다. 그리고 병기 진행에 따른 CYFRA 21-1치의 증가 여부를 관찰하고, 4가지 종양표지자를 동시에 측정하였을 때의 진단적 효용성을 비교하고자 하였다. 이 연구는 1994년 12월부터 1995년 11월까지 동국대학병원에 입원한 폐암 환자 40명과 양성 폐질환 환자 40명을 대상으로 하였다. 편평상피세포암 21명, 선암 10명, 소세포암 7명, 대세포암 2명이었다. 혈청 CYFRA 21-1의 cytokeratin 19 분절에 대한 쥐의 두 가지 단일 클론항체(KS 19-1과 BM 19-21)를 이용하는 RIA방법으로 측정하였다. CEA는 MEIA 방법으로, SCC 항원과 NSE는 RIA로 측정 하였다. 1. CYFRA 21-1의 혈중 농도는 폐암군 22.08±43.00ng/mL, 양성 폐질환군 1.14±1.04ng/mL로 폐암군에서 양성 폐질환군보다 유의하게 높았다(P<0.05). 폐암환자군에서 55%의 양성율을 보였고, SCC 항원 30%, CEA 44.7%, NSE 54.5%의 양성율을 나타내 CYFRA 21-1이 가장 높은 양성율을 보였다. 2.CYFRA 21-1은 비소세포암군 23.79±44.49ng/mL, 소세포암군 13.90±33.57ng/mL로 양군에서 유의한 차이를 보였다. 폐암환자군에서 민감도와 특이도는 CYFRA 21-1 55.0%와 96.7%, SCC항원 30.0%와 96.4%, CEA 42.5%와 92.8%, NSE 36.4%, 76.9%로 CYFRA 21-1에서 가장 높은 민감도와 특이도를 보였다. 폐암의 조직학적 유형에 따른 민감도는 편평상피세포암에서 CYFRA 21-1이 61.9%로 CYFRA 21-1의 민감도가 가장 높았고, 선암에서는 CEA가 88.8%로, 소세포암에서는 NSE가 85.7%로 가장 민감도가 높은 것으로 나타났다. 3. 비소세포암군에서 CYFRA 21-1치는 병기가 진행됨에 따라 증가하는 경향을 보였으나 통계학적으로 유의하지는 않았다. 4. 폐암환자에서 단일 종양표지자를 측정하는 것 보다 동시에 여러 종양표지자를 측정하는 것이 특이도는 떨어지나 민감도는 80.0%로 더 높은 것으로 나타났으며 정확도에는 큰 차이가 없었다. 양성 표지나 수에 따른 비교분석시 폐암의 상대 예측도는 두 표지자 양성인 경우가 76.5%, 3가지 표지자와 4가지 모든 표지자에서 양성으로 나온 경우는 100%로 나타났다. 본 연구 결과 CYFRA 21-1은 새로운 폐암의 종양표지자로 기존의 종양표지자 보다 민감도가 높고 비소세포암 특히, 편평상피세포암에 유용한 표지자로 사료되며, 폐암이 의심되는 환자에서 단일 종양 표지자를 측정하는 것 보다 수종의 종양표지자를 동시에 측정하는 것이 진단에 더욱 도움이 되리라 생각된다. Background: Cytokeratin 19 is a subunit of cytokeratin intermediate filament expressed in simple epithelia and their malignant counterparts. A fragment of cytokeratin subunit 19 can be measured in serum with a immunoradiometric assay using two mouse MoAb KS 19-1 and BM 19-21. Thus this cytokeratin 19 fragment is referred to as CYFRA 21-1. The aims of this study are to evaluate the clinical utility of CYFRA 21-1 in the diagnosis of lung cancer and to compare the diagnostic sensitivity and specificity of CYFRA 21-1 with those of CEA, SCC Ag, NSE according to histological type of lung cancer. Methods: In 40 patients with lung cancer(21 with squamous cell carcinoma, 10 with adenocarcinoma, 7 with small cell carcinoma, 2 with large cell carcinoma) and 40 patients with non-malignant lung disease, serum CYFRA 21-1 was measured by solid-phase immunoradiometric assay(CIS Bio International, France). Serum NSE and SCC Ag were measured by immunoradiometric assay, and CEA was measured by microparticle enzyme immunoassay. Results: 1) The mean value of CYFRA 21-1 was 22.08±43.00ng/mL in the lung cancer and 1.11±1.04ng/mL in me non-malignant lung disease group(P<O.O5). 2) Using the cut-off value of 3.3ng/mL, the sensitivity and specificity of CYFRA 21-1 were 55.0%, 96.7% in the lung cancer. The sensitivity of CYFRA 21.1 was 61.9% in squamous cell carcinoma 3) The level of CYFRA 21-1 was increasing tendency with the progression of stage in non-small cell carcinoma but statistically not significant. 4) Simultaneous determination of four tumor markers revealed increased sensitivity to 50.0% in lung cancer. As the number of positive markers was increased, the relative possibility of lung cancer was also increased. If two markers were positive, it increased to 76.5% and three markers were positive, it increased to 100%.5 Conclusions: CYFRA 21-1 is a useful serum marker for patients with lung cancer, especially in squamous cell carcinoma of the lung. The simultaneous measurement of CYFRA 21-1, CEA. SCC Ag and NSE would provide additional information for the diagnosis of lung cancer, especially in patients with high risk group of lung cancer.

Corrosion behavior in high-temperature pressurized water of Zircaloy-4 joints brazed with Zr-Cu-based amorphous filler alloys

Lee, Jung Gu,Lee, Gyoung-Ja,Park, Jin-Ju,Lee, Min-Ku Elsevier 2017 Journal of nuclear materials Vol.488 No.-

<P><B>Abstract</B></P> <P>The compositional effects of ternary Zr-Cu-X (X: Al, Fe) amorphous filler alloys on galvanic corrosion susceptibility in high-temperature pressurized water were investigated for Zircaloy-4 brazed joints. Through an Al-induced microgalvanic reaction that deteriorated the overall nobility of the joint, application of the Zr-Cu-Al filler alloy caused galvanic coupling to develop readily between the Al-bearing joint and the Al-free base metal, finally leading to massive localized corrosion of the joint. Contrastingly, joints prepared with a Zr-Cu-Fe filler alloy showed excellent corrosion resistance comparable to that of the Zircaloy-4 base metal, since the Cu and Fe elements forming fine intermetallic particles with Zr did not influence the electrochemical stability of the resultant joints. The present results demonstrate that Fe is a more suitable alloying element than Al for brazing filler alloys subjected to high-temperature corrosive environments.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Corrosion of Zircaloy-4 joints brazed with Zr-Cu-X filler alloys was investigated. </LI> <LI> Alloyed Al deteriorated the overall nobility of joints by microgalvanic reaction. </LI> <LI> Compositional gradient of Al in joints was the driving force for galvanic corrosion. </LI> <LI> Cu and Fe did not influence the electrochemical stability of joints. </LI> <LI> Zr-Cu-Fe filler alloy yielded excellent high-temperature corrosion resistance. </LI> </UL> </P>

Aging-resistant nanofluids containing covalent functionalized boron nitride nanosheets

Lee, Dongju,Park, Jin-Ju,Lee, Min-Ku,Lee, Gyoung-Ja IOP Pub 2017 Nanotechnology Vol.28 No.40

<P>Developing a thermally stable nanofluid that can maintain good thermo-conductive and flow performance at moderate or elevated temperatures for prolonged periods of time is a great challenge in heat transfer applications. Here, the thermal conductivity and rheological properties as well as their thermal stability characteristics of a nanofluid containing two-dimensional (2D) hexagonal boron nitride nanosheets (h-BNNSs) in ethylene glycol (EG) are presented, in comparison with those for a graphene oxide (GO) nanofluid as a counterpart. In place of a surfactant, hydroxyl functional groups covalently bound to the BNNS surface provided excellent compatibility and stable dispersion of the particles within EG at temperatures up to 90 °C. Owing to the percolation effect of the 2D sheets, the thermal conductivity of the EG base fluid was significantly enhanced by 80% at 5 vol% of BNNS, superior to that of the GO fluid. Moreover, the BNNS fluids exhibited excellent long-term stability at 90 °C for 5 d without loss of their high thermal conductivity, low viscosity and electrical insulating property, whereas the GO fluids underwent thermal degradation with irreversible particle aggregation and increasing viscosity due to the selective chemical reduction of the surface functional groups (i.e., C–O groups) of the GO.</P>

Simultaneous Voltammetric Determination of Zn, Cd and Pb at Bismuth Nanopowder Electrodes with Various Particle Size Distributions

Lee, Gyoung-Ja,Kim, Chang Kyu,Lee, Min Ku,Rhee, Chang Kyu WILEY-VCH Verlag 2010 Electroanalysis Vol.22 No.5

<P>Effect of particle size distribution on sensor characteristics of nano-Bi fixed electrode has been investigated using square wave anodic stripping voltammetry. Bi nanopowders with various particle size distributions were synthesized by gas condensation (GC) method with the change of chamber pressure. As the chamber pressure decreased, the size of Bi nanopowder became smaller with narrower distribution due to a shorter residence time of Bi vapor. The square wave anodic stripping voltammograms (SWASV) showed well-defined and highly reproducible peaks at −1.2 V, −0.8 V and −0.6 V (vs. SCE), which are closely related to the oxidation of Zn, Cd and Pb, respectively. The sensitivity and detection limit of the nano-Bi fixed electrode were quantitatively estimated from the analyses of SWASV. From the results, it is concluded that as the size of Bi nanopowder becomes smaller with narrower particle size distribution, the sensitivity and detection limit of sensor electrode for Zn, Cd and Pb are improved, which is ascribed to the increase in electrochemical-active surface area.</P>

Synthesis of nanocrystalline bismuth and its application to the detection of trace metals.

Lee, Hi Min,Lee, Gyoung-Ja,Uhm, Young Rang,Kim, Hyoun Jin,Lee, Min Ku,Rhee, Chang Kyu American Scientific Publishers 2010 Journal of nanoscience and nanotechnology Vol.10 No.1

<P>Surface modified carbon strip electrode with Bi nanopowder was suggested for a simultaneous analysis of Zn, Cd, and Pb ions by a square wave anodic stripping voltammetry, and the influence of the modifying Bi mass and particle size on the trace metal response was investigated. The Bi nanopowders with various particle size distributions were synthesized by an optimization of the gas condensation condition, in which a refractory crucible was applied for the evaporation of volatile Bi, and then immobilized on the surface of a working electrode. The result of the stripping measurements shows that when the modifying mass and the particle size of the Bi powder were in the range of 2 to 5 microg/cm2 and less than 300 nm, respectively, a well-developed and reproducible stripping response was obtained. The proposed 'mercury-free' carbon strip electrode, modified with Bi nanopowder, is conveniently usable and directly applicable to a trace metal analysis without a pre-deposition of Bi and complicated surface polishing steps.</P>

The effect of pore structures on fractal characteristics of meso/macroporous carbons synthesised using silica template

Lee, Gyoung-Ja,Pyun, Su-Il Elsevier 2005 Carbon Vol.43 No.8

Reliability Evaluation of Nano-Bi/Silver Paste Sensor Electrode for Detecting Trace Metals

Lee, Gyoung-Ja,Kim, Chang Kyu,Lee, Min Ku,Rhee, Chang Kyu American Scientific Publishers 2012 Journal of Nanoscience and Nanotechnology Vol.12 No.7

<P>The reliability of sensor characteristics for a nano-bismuth (Bi)/silver (Ag) paste electrode has been investigated by comparison with Hg/Bi film electrodes in terms of accuracy and precision. Using Ag paste instead of carbon paste as a conducting layer, the sensitivity and detection limit of the sensor electrode were more enhanced due to a lower electrical conductivity of Ag. For the evaluation of detecting ability, the Zn, Cd, and Pb ion concentrations of the prepared standard solutions were experimentally measured on Hg film, Bi film, and nano-Bi electrodes using anodic stripping voltammetry. A nano-Bi electrode can detect Zn, Cd, and Pb ions at 0.1 ppb with higher precision and accuracy compared with Hg film and Bi film electrodes. From the trace analyses of Zn, Cd, and Pb ions in commercial drinking water and river water using a nano-Bi electrode and inductively coupled plasma (ICP) technique, it was concluded that the nano-Bi electrode exhibited excellent sensing characteristics with high reliability, and could detect even traces of Zn, Cd, and Pb ions that were not detected by the ICP method.</P>

An Overview of the Activated Carbon Fibers for Electrochemical Applications

Lee Gyoung-Ja,Pyun Su-Il The Korean Electrochemical Society 2006 한국전기화학회지 Vol.9 No.1

This article is concerned with the overview of the activated carbon fibers. Firstly, this review provides a comprehensive survey of the overall processes for the synthesis of the activated carbon fibers from the carbonaceous materials. Subsequently, the physicochemical properties such as pore structures and surface oxygen functional groups of the activated carbon fibers were discussed in detail. Finally, as electrochemical applications of the activated carbon fibers to electrode materials for electric double-layer capacitor (EDLC), the electrochemical characteristics of the activated carbon fiber electrodes and the various methods to improve the capacitance and rate capability were introduced. In particular, the effect of pore length distribution (PLD) on kinetics of double-layer charging/discharging was discussed based upon the experimental and theoretical results in our work. And then we discussed in detail the applications of the activated carbon fibers to adsorbent materials for purification of liquid and gas.

Surface Modification to Improve Hydrophobicity of Detonation Nanodiamond

Lee, Gyoung-Ja,Kim, Chang Kyu,Bae, Yeonjoo,Rhee, Chang Kyu American Scientific Publishers 2012 Journal of Nanoscience and Nanotechnology Vol.12 No.7

<P>In this work, surface treatment of nanodiamonds (NDs) produced by a detonation technique has been conducted using oleic acid and dodecylamine in order to achieve a stable dispersion in oil. From Fourier transform infrared spectroscopy (FTIR) analyses, it was found that the NDs have various surface functional groups such as -NH2, -COOH, -OH, etc. By inducing covalent bonding between the carboxyl group of oleic acid and the amine group of the ND surface with high chemical reactivity, NDs were well-dispersed in oil for a lengthy period of time. High resolution transmission electron microscopy (HRTEM) images indicate that the surface treatment with oleic acid is highly effective in breaking down the aggregates of NDs into smaller sized particles. The dispersion stabilities of the oils containing as-received NDs and surface treated NDs were compared to each other using Turbiscan measurement.</P>

Enhanced thermal conductivity of nanofluids containing graphene nanoplatelets prepared by ultrasound irradiation

Lee, Gyoung-Ja,Rhee, Chang Kyu Springer-Verlag 2014 JOURNAL OF MATERIALS SCIENCE - Vol.49 No.4