위장관암 환자에서 혈청 CA 72-4, CA 19-9 및 CEA의 진단적 의의

장우익 ( Jang U Ig ),김철한 ( Kim Cheol Han ),김현수 ( Kim Hyeon Su ),이종인 ( Lee Jong In ),이동기 ( Lee Dong Gi ),권상옥 ( Kwon Sang Og ),심영학 ( Sim Yeong Hag ),김대성 ( Kim Dae Seong ),윤갑준 ( Yun Gab Jun ),장세진 ( Jang Se 대한내과학회 1992 대한내과학회지 Vol.42 No.6

연구배경 : 종양표지자는 암의 조기진단, 임상적 병기 구분 및 치료효과 판정에 사용될 수 있다. 위장관암에서 alpha-fetoprotein, carcinoembryonic antigen 및 CA 19-9가 중요한 종양표지자로 사용되고 있으나 위암에 대한 적당한 종양표지자가 없는 실정이다. 이에 저자등은 위암에 대한 새로운 종양표지자로 CA 72-4의 역할을 규명하고자 위암을 비롯한 각종 위장관암에서 CA 19-9 및 CEA를 동시 측정하여 비교하였다. 방법 : 대상은 위장관 악성종양환자 273예, 위장관 양성질환자 215예 및 정상대조군 93명이었으며, CA 72-4는 CIS ELSA CA 72-4 RIA kit, CA 19-9는 Abbott CA 19-9 RIA kit 그리고 CEA는 Abbott CEA RIA kit를 이용하여 측정하였으며, 각각의 정상 상한치는 4 U/ml, 37U/ml 그리고 5ng/ml로 하였고 다음과 같은 결과를 얻었다. 결과 : 1) CA 72-4, CA 19-9 및 CEA의 평균치는 악성종양군에서 정상대조군이나 양성질환군보다 높았다(p<0.05). 2) CA 72-4는 장기별 양성질환에서 95~100%의 높은 특이도를 보였으나 CA 19-9는 담도질환에서 54%, CEA는 간장질환에서 63%로 CA 72-4에 비해 낮은 특이도를 보였다. (p<0.05). 3) CA 72-4는 위암에서 민감도가 49%로 CEA(31%) 및 CA 19-9(31%)보다 높았다(p<0.05). 4) CA 72-4는 췌장암 및 담도암에서 민감도가 각각 43%, 44%로서 CA 19-9(각각 79%, 87%)보다 낮았으며 (p<0.05), 대장암에서도 35%로 CEA(74%)보다 매우 낮았다(p<0.05). 5) 8예의 조기위암환자 전예에서 CA 72-4를 비롯한 CA 19-9 및 CEA가 모두 음성이었다. 6) 위암에서 림프절 전이 유무에 따른 CA 72-4의 차이는 없었으나, 원격 전이가 없는 환자군(10%)에 비해 원격전이군(77%)에서 현저하게 높은 양성률을 보였다(p<0.05). 7) 위암의 병기별 CA 72-4의 분포는 4병기에서 83%로 1병기(7%), 2병기(8%) 및 3병기(13%)보다 현저히 높았다(P<0.05). 8) 근치적 위절제술을 시행한 5예의 위암환자에서 수술후 CA 72-4치가 정상 상한치 이하로 감소하였고 항암 약물요법에 반응을 보였던 4예의 진행성 위암환자에서도 약물치료후 현저한 감소가 있었다. 9) CA 72-4는 전이성 대장암 및 췌장암에서 국소 및 국소진행성 대장암 및 췌장암에 비해 현저히 높은 양성률을 보였다. 10) 위암환자에서 CA 72-4와 CA 19-9 또는 CA 72-4와 CEA사이의 상관관계는 없었다. 결론 : 이상과 같이 CA 72-4는 위암에서 CA 19-9 및 CEA 보다 높은 민감도를 보였으며 특히 4병기 위암에서 현저히 높은 민감도를 보이는바 CA 72-4가 양성인 경우 치료방침을 결정하는데 신중한 고려가 필요할 것으로 생각된다. 또한 CA 72-4는 위암에서 수술 혹은 항암 약물 요법의 치료 monitoring에 적절히 사용될 수 있는 종양 표지자로 생각된다. 또한 각종 위장관 질환에서 CA 72-4는 기존의 종양표지자에 비해 높은 특이도를 보이는바 CA 72-4가 양성인 경우 항상 악성종양의 가능성을 고려하여야 한다. Background: Detection of tumor markers could offer an accessible method for screening risk groups in order to achieve an early diagnosis of cancers, to contribute to an adequate staging, and to help evaluate effects of therapy. Alpha-fetoprotein, carcinoembryonic antigen and CA 19-9 are regarded as valuable tumor markers for gastrointestinal cancers. But in spite of the high incidence of gastric cancer in Korea, ideal tumor markers for gastric ancer have proved unrelible. So we investigated whether new tumor marker CA 72-4 is a reliable tumor marker for gastric cancer. And we compared CA 72-4 with CA 19-9 and CEA in the serodiagnosis of gastrointestinal cancers. Methods: Serum CA 72-4, CA 19-9 and CEA were determined radioimmunologically with monoclonal antibodies. A cut-off value of 4 U/ml, 37 U/ml and 5 ng/ml were used, respectively. Results: The results are summarized as follows. 1) The mean value of 72-4, CA 19-9 and CEA in malignant diseases were significantly higher than those of the benign digestive diseases (p<0.05). 2) CA 72-4 had high specificity ranged from 95%-100% in benign digestive disease groups but CA 19-9 (54%) had lower specificity in cholelithiasis(p<0.05) and CEA (63%) in benign liver diseases (p < 0.05). 3) In gastric carcinoma, the sensitivity of CA 72-4 (49%) was higher than that of CA 19-9 (31%, p<0.05) and CEA (31%, p<0.05). 4) The sensitivities of CA 72-4 was inferior to CA 19 -9 in pancreatic cancer (43% versus 79%, p<0.05) and in bile duct cancer (44% versus 87%, p<0.05) and to CEA in colon cancer (35% versus 749& p<0.05). 5) Eight of 45 resected gastric carcinoma patients had TI lesion (early gastric cancer), and CA 72-4, CA 19-9 and CEA were demonstrated all negative results for early gastric cancer. 6) In gastric carcinoma, there was no correlation between CA 72-4 positivity and occurrence of lymph node metastasis but significant difference of CA 72-4 positivity was observed between those with distant metastasis and those without metastasis(p<0.05). 7) The positive ratings in stages Ⅰ, Ⅱ, Ⅲ, and Ⅳ gastric carcinoma were 7% (1 of 14 patients), 8% (1 of 12 patients), 13% (2 of 16 patients), and 83% (24 of 29 patients) respectively and significant higher CA 12-4 positivity was observed in stage IV gastric carcinoma (p<0.05). 8) Elevated levels of serum CA 72-4 decreased to below the cut-off value after radical gastric resection in five patients with resectable gastric carcinoma and decreased also after chemotherapy in four patients with chemo-responsive metastatic gastric carcinoma. 9) Comparing with local or locally advanced colon cancer and pancreatic cancer, high positivity of CA 72-4 was observed in metastatic colon cancer and pancreatic cancer. 10) No significant correlation was observed between CA 72-4 and CA 19-9 or between CA 72-4 and CEA in gastric carcinoma. Conclusion: In conclusion, our data indicates that CA 72-4 is a reliable new tumor marker of disease stages and activity in gastric carcinoma. And CA 72-4 had a very high specificity in benign digestive diseases, so that elevated serum levels of CA 72-4 should always be taken seriously.

살 오징어(Todarodes pacificus) 간췌장 유래 한외여과 Aminopeptidase Retentate Fraction의 특성과 쓴맛 개선효과

김진수 ( Jin-soo Kim ),이정석 ( Jung Suck Lee ),윤인성 ( In Seong Yoon ),강상인 ( Sang In Kang ),박선영 ( Sun Young Park ),정우철 ( U-cheol Jeong ),허민수 ( Min Soo Heu ) 한국수산과학회(구 한국수산학회) 2020 한국수산과학회지 Vol.53 No.1

This study investigated some enzymatic properties and bitterness improvement of an aminopeptidase retentate fraction (ARF) from common squid Todarodes pacificus hepatopancreas extract (HPE), obtained by ultrafiltration with a 10 kDa molecular weight cut off membrane. Endoprotease and aminopeptidase (AP) activity, and the purity of the ARF (>10 kDa) increased by 6.69-18.11 U/mg and 1.5-2.6 fold, respectively, compared to HPE (2.63-9.37 U/mg). The AP activity toward LeuPNA was stable at 20-55°C and pH 5-9, but decreased slightly with increasing concentration of NaCl in the reaction mixture. The ARF was the most active MetPNA and preferentially hydrolyzed Glu, Leu and AlaPNA. The bitterness tryptic casein hydrolysates (BTCHs) were treated with ARF, and the bitterness of ARF-BTCHs significantly decreased with increasing amounts of released amino acids Ala, Val, Met, Ile and Leu, which show strong correlations with bitterness. Therefore, the ARF of T. pacificus HPE obtained by ultrafiltration may have a considerable potential for application in protein hydrolysis and appears to be ideally suited to the purpose of lowing bitterness in protein hydrolysates.

IEEE 802.11b/g 무선랜 기반 SOHO환경에서의 트래픽 측정 및 분석

정우철,김성수,송왕철 제주대학교 공과대학 첨단기술연구소 2006 尖端技術硏究所論文集 Vol.17 No.1

802.11 b and 802.11g are both IEEE standards but they have different performances. Today, SOHO(Small Office Home Office) environment requires wireless channels. Therefore, in this paper, the general performance of wireless channels in SOHO environment is analyzed. Basically, we do the measurements for wireless environment between the host and the host AP. At first, we test the streaming service and then we confirm the service difference to use VOIP phone. We do several experiments to estimate the performance of the services in wireless environment of SOHO.

주요 선진국과의 비교분석을 통한 한국의 중소기업 지원 활성화 방안

서갑성,김철우 朝鮮大學校 經營經濟硏究所 2007 經營經濟硏究 = Management and economics research Vol.30 No.1

한국의 중소기업 발전 형태와 무역구조분석을 통한 수출활성화방안

서갑성,김철우 朝鮮大學校 經營經濟硏究所 2007 經營經濟硏究 = Management and economics research Vol.30 No.1

커튼월 스팬드럴용 BIPV창호의 온도 및 열파괴 가능성 연구

윤종호(Yoon Jong-Ho),오명환(Oh Myung-Hwan),신우철(Shin U-Cheol) 대한건축학회 2012 대한건축학회논문집 Vol.28 No.2

This research investigated the characteristics of glazing temperature and possibility of thermal shock of BIPV windows installed in the spandrel area of the curtain-wall system. The reasons for the thermal shock can be divided into two possible cases such as the degradation of the flexural behavior and thermal failure, which are closely related to glazing surface temperature. Surface temperature is greatly affected by solar heat gain coefficient(SHGC) and the composition of the internal finishing materials at the spandrel. Therefore, analysis of the effect on flexural behavior and thermal shock on the basis of glazing surface temperature characteristics is performed depending on the variation of SHGC and composition of finishing materials. Results reveal that low SHGC glazing and appropriated finishing compositions which are wide air space and high reflectance, high U-value are getting lower temperature. For these reasons, it is suggested that applying the BIPV windows and composition of finishing materials optimized by the results above is an effective way to avoid the thermal shock.

사무소 건물의 창호에너지소비효율등급제 적용성 평가

이수만(Soo Man Lee),김동윤(Dong Yun Kim),안정혁(Jung Hyuk An),이철성(Cheol Seng Lee),신우철(U Cheul Shin) 대한설비공학회 2019 설비공학 논문집 Vol.31 No.10

In this study, we analyzed the annual heating and cooling energy requirements of reference building with 97 certificated windows using TRNSYS 17, to review the applicability of the “Window Energy Consumption Efficiency Rating System” to the office building. The analyzed model was a medium-size office building with lightweight curtain walls and a window-to-wall ratio of 52%. The results are as follow : First, the annual total thermal load was 60,261 to 111,616 kWh and the ratio of heating load to cooling load was 1:9 showing that cooling was the main factor of the thermal load. Second, the total thermal load by SHGC showing an almost perfect linear relationship. The F-test significance probability in the regression model was 0.000 meaning statistical significance and the coefficient of determination was 0.9656 showing high correlation. In contrast, the F-test significance probability in the regression model by U-value was 0.00484 showing statistical significance but the coefficient of determination was 0.0805 showing low correlation. Third, the SHGC of window was the main factor of the total thermal load in the office building. It showed the limitation of subject in “Window Energy Consumption Efficiency Rating System” which was limited to insulation performance and airtight performance. Thus, in to evaluate the window sets in terms of energy saving, the “Window Energy Consumption Efficiency Rating System” with SHGC should be considered.

폐경후 여성에서 2개월간의 호르몬대치요법이 혈청 지질과 Apolipoprotein(a)의 농도에 미치는 영향

민용기 ( Min Yong Gi ),장학철 ( Jang Hag Cheol ),이관우 ( Lee Gwan U ),한인권 ( Han In Gwon ),김치정 ( Kim Chi Jeong ) 대한내과학회 1993 대한내과학회지 Vol.44 No.2

연구배경 : 폐경후 심혈관질환이 증가하며, 에스트로겐을 투여하면 이으 발생이 현저히 감소한다. Apolipoprotein(a)[apo(a)]는 lipoprotein(a)[Lp(a)]를 이루고 있는 당단백질이며 Lp(a)는 죽상경화증의 독립적인 위험인자라는 것이 밝혀져 있다. 폐경기 여성의 혈청apo(a)의 농도를 감소시키기 위한 많은 연구들이 있었으나, 호르몬 대치요법이 폐경기 여성의 혈청apo(a)의 농도에 미치는 영향은 잘 알려져 있지 않다. 이에 저자들은 폐경후 여성에서 2개월간의 에스트로겐 투여에 의한 혈청 지질 및 apo(a)농도의 변화와 이러한 변화에 프로게스토겐 병합요법이 어떠한 영향을 미치는가를 살펴보고자 전향적 연구를 시행하였다. 방법 : 혈청 FSH 농도가 40mIU/ml 이상이거나, 마지막 월경후 12개월 이상이 경과된 여성 272명을 대상으로 하였다. 자궁적출술을 시행하지 않은 여성은 무작위로 group A와 group B의 2군으로 나누어 group A는 25일 간 conjugated equine estrogen (CEE) 0.625mg과 후반 10일간 medroxyprogesterone acetate(MPA) 10mg을 병합 투여하였다. Group B는 25일간 CEE 0.625mg과 후반 10일간 MPA 5mg을 병합 투여하였다. 자궁적출술을 시행한 group C는 CEE 0.625mg 만을 25일간 경구 투여하였다. 각 group에서 이후 5일간은 투약을 중지하였으며 이를 매월 반복하였다. 혈청 콜레스테롤, 중성지방, 저밀도지단백질 콜레스테롤, 초저밀도지단백질 콜레스테롤, 고밀도지단백질 콜레스테롤, apo(a)의 농도를 측정하여 치료전후를 비교하였다. 결과 : 혈청 총콜레스테롤의 농도는 치료전 group A, B, C에서 각각 5.42±0.09mmol/L, 5.59±0.09mmol/L, 5.53±0.13mmol/L 이었고 2개월간의 호르몬대치요법후 group A, B에서 각각 4.93±0.08mmol/L, 5.22±0.08mmol/L로 통계적으로 유의하게 감소하였다(p=0.001). 혈청 저밀도지단백질 콜레스테롤의 농도는 치료전 group A, B, C에서 각각 3.29±0.07mmol/L, 3.41±0.07mmol/L, 3.40±0.10mmol/L 이었고 치료후 group A, B. C에서 각각 3.00±0.06mmol/L(p=0.0001), 3.14±0.06mmol/L, (p=0.0001) 3.18±0.12mmol/L(p=0.05)로 통계적으로 유의하게 감소하였다. 혈청 고밀도지단백질 콜레스테롤의 농도는 치료전 group A, B, C에서 각각 1.72±0.04mmol/L, 1.75±0.04mmol/L, 1.69±0.06mmol/L 이었고 치료후 group C에서만 1.90±0.07mmol/L로 통계적으로 유의하게 증가하였다(p=0.0001). 혈청 중성 지방의 농도는 치료전 group A, B, C에서 각각 1.45±0.08mmol/L, 1.54±0.08mmol/L, 1.68±0.15mmol/L 이었고 치료후 group A, B, C에서 모두 통계적으로 유의한 변화는 없었다. 혈청 초저밀도지단백질 콜레스테롤의 농도는 group A, B, C에서 각각 치료전 0.39±0.03mmol/L, 0.40±0.03mmol/L, 0.45±0.05mmol/L 이었고 치료후 group A, B에서 각각 0.30±0.02mmol/L(p=0.0001), 0.34±0.03mmol/L(p<0.05)로 통계적으로 유의하게 감소하였다. 혈청 apo(a) 농도는 group A, B, C에서 각각 치료전 357.5±33.2U/L, 348.7±28.22U/L, 376.8±54.2U/L 이었고 치료후 group A, B, C에서 각각 264.7±26.1U/L, 291.0±31.8U/L, 228±47.4U/L로 모든 group에서 통게적으로 유의하게 감소하였다(p=0.0001). 결론 : 폐경후 여성에게 호르몬 대치법을 시행하는 것은 혈청 지질과 apo(a)에 유익한 효과를 보이고 있으며, 따라서 심혈관질환 예방의 중요성을 감안할 때 폐경후 여성에게 호르몬대치요법을 시행하는 것이 바람직한 것으로 사료된다. Background : Postmenopausal women have a high risk of cardiovascular disease than premenopausal women and hormone replacement therapy [HRT] reduces the risk of cardiovascular disease. Apolipoprotein(a)[apo(a)] is attached by disulfide linkage to apo B-100 of LDL, forming lipoprotein(a)[Lp(a)]. The level of this lipoprotein is an independent risk factor for atherosclerosis. The serum level of apo(a) is stable and not affected by most dietary interventions and lipid lowering agents. There was little information available about the effect of HRT on levels of Lp(a). This study was conducted to assess the effect of HRT on serum lipids and apo(a) levels in postmenopausal women. Methods : Postmenopausal women with serum FSH level above 40mIU/ml or no menstruation for more than I year were included in the study. They received the combination of conjugnated equine estrogen (CEE) 0.625mg a day for 25 days plus medroxyprogesterone acetate 10mg(group A)or 5mg (group B) a day for the last 10 days followed by 5 days off. Hysterectomized women received CEE 0.625mg a day for 25 days (group C). HRT was repeated for 2 months. The baseline levels of serum total cholesterol, triglyceride, LDL cholesterol, VLDL cholesterol, HDL cholesterol, and apo(a) were compared with posttreatment levels. Results : Serum total cholesterol levels before treatment were 5.42±0.09mmol/L, 5.59±0.09mmol/L, 5.53±0.13mmol/L in group A, B, C respectively. After HRT they were significantly reduced to 4.93±0.08mmo/L, 5.22±0.08mmol/L in group A, B respectively (p=0.0001). Serum LDL cholesterol levels before treatment were 3.29±0.07mmol/L, 3.41±0.07mmol/L, 3.40±0.10mmol/L in gruop A, B, C respectively. After HRT they were significantly reduced to 3.00±0.06mmol/L (p=0.0001). 3.14±0.06mmol/L(p=0.0001), 3.18±0.13mmol/L(p=0.05) in gruop A, B, C respectively. Serum HDL cholesterol levels before treatment were 1.72±0.04mmol/L, 1.75±0.04mmol/L, 1.69±0.06mmol/L in gruop A, B, C respectively. After HRT they were significantly increased to 1.90±0.07mmol/L in gruop C (p=0.0001). Serum triglyceride levels before treatment were 1.45±0.08mmol/L, 1.54±0.08mmol/L, 1.68±0.15mmol/L in gruop A, B, C respectively. After HRT they were not significantly changed. Serum VLDL cholesterol levels before treatment were 0.39±0.03mmol/L, 0.40±0.03mmol/L, 0.45±0.05mmol/L in gruop A, B, C respectively. After HRT they were significantly reduced to 0.30±0.02mmol/L(p=0.0001), 0.34±0.03mmol/L (p<0.05) in gruop A, B respectively. Serum apo(a) levels before treatment were 357.5±33.2U/L, 348.7±28.2U/L, 376.8±54.2U/L in group A, B, C repectively. After HRT they were significantly reduced to 264.7±26.1U/L, 291.0±31.8U/L, 228.8±47.4U/L in group A, B, C reapectively (p=0.0001) Conclusion : These results suggest that HRT for 2 months in postmenopausal women has beneficial effect on serm lipids and apo(a) levels and HRT in postmenopausal women can improve their cardiovascular risk.

Growth of Sea Cucumber Fed Biofloc Made from Fecal Solid of RAS

U-Cheol Jeong,Feng Jin,Ga-Hyun Kang,Jong-Kuk Choi,Byong-dae Choi,Seok-joong Kang 한국수산과학회 양식분과 2014 한국수산과학회 양식분과 학술대회 Vol.2014 No.7

Physio-Chemical Characteristics of Fecal Solids of Recirculating Aquaculture System for Renewal Feed Resource for Sea Cucumber

U-Cheol Jeong,Feng Jin,Ga-Hyun Kang,Jong-Kuk Choi,Byong-dae Choi,Seok-joong Kang 한국수산과학회 양식분과 2014 한국수산과학회 양식분과 학술대회 Vol.2014 No.7