Alteration of Biochemical Responses in Activated Human Neutrophils by ATP and Adenosine

박성수,이정수,Park, Sung-Soo,Lee, Chung-Soo The Korean Society of Pharmacology 1990 대한약리학잡지 Vol.26 No.1

안정 상태 및 활성화된 중성 백혈구에서 ATP는 superoxide 라디칼 생성을 자극하였으나 adenosine은 약간 억제하였다. ATP에 대한 활성화된 중성 백혈구의 반응이 안정상태의 중성 백혈구에서보다 크게 나타났다. 칼슘이 제거된 반응액에서 superoxide 라디칼 생성에 대한 adenosine의 억제효과가 관찰되었으나 ATP는 영향을 주지않았다. Superoxide 라디칼 생성에 대한 ATP의 자극 효과는 adenosine에 의하여 용량에 따라 억제되었다. ATP와 adenosine은 NADPH oxidase 활성도에 영향을 주지 않았다. ATP 또는 adenosine에 의한 superoxide 라디칼 생성의 변경은 다른 triphosphate nucleotide나 nucleoside에 의한 것보다 현저하였다. 활성화된 중성 백혈구에서 ATP와 ADP는 칼슘이온의 흡수를 더 자극하였고 세포질 유리 칼슘농도를 증가시켰으나, adenosine은 칼슘이온의 이동을 억제하였다. APT에 의한 세포질 유리 칼슘이온 농도의 증가는 verapamil에 의하여 효과적으로, tetrodotoxin에 의하여 약간 억제되었다. ATP에 노출된 활성화된 중성 백혈구에서의 superoxide 라디칼 생성에 대한 verapamil 과 tetrodotoxin의 억제 효과는 ATP의 영향이 없는 활성화된 중성 백혈구에서보다 크게 나타났다. Tetraethylammonium chloride는 superoxide 생성에 뚜렷한 영향을 미치지 못했다. CCCP, 2,4-dinitrophenol, diphenylhydantoin과 procaine은 활성화된 중성 백혈구에서 superoxide 라디칼의 생성을 억제하였다. 이들 가운데 CCCP만이 ATP의 자극 효과를 억제하였다. ATP는 활성화된 중성 백혈구에서의 sulfhydryl기의 손실을 더 자극하였으나 adenosin의 영향은 관찰되지 않았다. 이상의 결과로부터 중성 백혈구의 기능적 반응은 부분적으로 purine에 의하여 조절될 것으로 시사되었다. ATP와 adenosine은 칼슘 흡수와 그리고 아마도 세포막 인산화 반응 및 용해성 sulfhydryl기의 산화에 대한 영향을 통하여 활성화된 중성 백혈구의 반응을 더 변경 시킬 수 있을 것으로 추정된다. In both resting and opsonized zymosan activated neutrophils, ATP stimulated superoxide generation, whereas adenosine inhibited it slightly. The superoxide generation in activated neutrophils to ATP was greater than that of resting neutrophils. In $Ca^{++}$ free medium, inhibitory effect of adenosine on superoxide generation was detectable, whereas ATP did not have any effect. The stimulatory effect of ATP on superoxide generation was inhibited by adenosine in a dose dependent manner. Neither ATP nor adenosine had any effect on NADPH oxidase acitivity. Effects of ATP or adenosine on superoxide generation were more prominent than that by other triphosphate nucleotides or nucleosides. ATP and ADP further stimulated $Ca^{++}$ uptake and increased cytosolic free $Ca^{++}$ level in neutrophils activated by opsonized zymosan, but adenosine inhibited a $Ca^{++}$ mobilization. Verapamil effectively and tetrodotoxin slightly inhibited an increase of cytosolic free $Ca^{++}$ level induced by ATP. Inhibitory effect of either verapamil or tetrodotoxin on superoxide generation in the ATP plus opsonized zymosan-activated neutrophils was greater than in the cells activated by opsonized zymosan alone. Tetraethylammonium chloride had no apparent effect on superoxide generation. CCCP, 2,4-dinitrophenol, diphenylhydantoin and procaine all inhibited superoxide generation in neutrophils activated by opsonized zymosan. Among these, CCCP only inhibited a stimulatory effect of ATP. ATP further stimulated a loss of sulfhydryl groups in activated neutrophils, whereas adenosine had no effect on it. These results suggest that functional responses of neutrophils may be regulated at least partly by purines. ATP and adenosine may further after functional responses of activated neutrophils through their effect on $Ca^{++}$ uptake, membrane phosphorylation and oxidation of soluble sulfhydryl groups.

모바일 환경을 위한 멀티모달 미들웨어의 설계 및 구현

박성수,안세열,김원우,구명완,박성찬,Park, Seong-Soo,Ahn, Se-Yeol,Kim, Won-Woo,Koo, Myoung-Wan,Park, Sung-Chan 대한음성학회 2006 말소리 Vol.60 No.-

W3C announced a standard software architecture for multimodal context-aware middleware that emphasizes modularity and separates structure, contents, and presentation. We implemented a distributed multimodal interface system followed the W3C architecture, based on SCXML. SCXML uses parallel states to invoke both XHTML and VoiceXML contents as well as to gather composite or sequential multimodal inputs through man-machine interactions. We also hire Delivery Context Interface(DCI) module and an external service bundle enabling middleware to support context-awareness services for real world environments. The provision of personalized user interfaces for mobile devices is expected to be used for different devices with a wide variety of capabilities and interaction modalities. We demonstrated the implemented middleware could maintain multimodal scenarios in a clear, concise and consistent manner by some experiments.

지정의(指定醫) 진단내용(診斷內容)에 대(對)한 검토(檢討) (결함 발견율을 중심으로)

박성수,Park, Sung-Soo 한국생명보험의학회 1999 保險醫學會誌 Vol.18 No.-

치과용 소형 C자형 투시장치를 이용한 하악 연조직에 위치한 부러진 기구의 제거: 증례보고

박성수,양훈주,황순정,Park, Sung-Soo,Yang, Hoon-Joo,Hwang, Soon-Jung 대한악안면성형재건외과학회 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.6

Intraoperative breakage of instruments can be occurred unexpectedly. To prevent damage of neighboring important anatomic structures and consequent complications, broken instruments should be removed as soon as possible. There have been several methods to remove broken instruments. One of them is the Carm fluoroscopy which is commonly used for locating metal foreign bodies. However, its application for removal of broken instruments in the oral and maxillofacial area is not common. In our experiences with the removal of two broken instruments in mandibular area, the newly developed dental mini C-arm was used to find broken instrument in soft tissue, because it gives real-time in situ information for the intraoperative location. We report two cases with broken instruments, a broken dental needle in the pterygomandibular space and a broken straight bur in the mandibular angle area. They were identified and could be removed safely using a dental mini C-arm.

위험선택과 종양표식자 - CEA와 AFP에 대해서 -

박성수,이신휘,Park, Sung-Soo,Lee, Shin-Whi 한국생명보험의학회 1998 保險醫學會誌 Vol.17 No.-

당사에서는 악성 종양에 대한 위험선택의 수단으로써 1997년 1월부터 종양표식자 중 CEA와 AFP 검사를 사의 진단에 한하여 실시하고 있다. 검사의 실시조건은 의사의 진찰소견으로 필요하다고 인정되는 경우와 관련병력의 고지가 있는 경우로 한하였다. 1997년 1월부터 10월말까지 실시한 건에 대해서만 분석을 하였으며 CEA 534건, AFP 608건를 실시하였다. 그 결과 기준치를 초과하는 경우는 CEA 33건, AFP 23건이었다. 표준체로 판정된 경우의 CEA의 평균치는 1.5ng/ml, AFP는 2.6ng/ml였다. CEA와 AFP의 검사결과나 그 이외의 원인으로 사절체의 판정을 받은 경우의 CEA의 평균치는 3.2ng/ml AFP의 경우는 20.7ng/ml로 나타났다. 본연구에서는 생명보험회사에서 종양표식자 검사의 의미를 검토해 보고자 하였다.

의학적 위험선택

박성수,Park, Sung-Soo 한국생명보험의학회 1999 保險醫學會誌 Vol.18 No.-

우량체 보험의 위험평가

박성수,Park, Sung-Soo 한국생명보험의학회 2000 保險醫學會誌 Vol.19 No.-

Type II Cell 분리체로부터 Surfactant 인지질의 분비를 매개하는 신호변환 기전

박성수,Park, Sung-Soo 대한결핵및호흡기학회 1996 Tuberculosis and Respiratory Diseases Vol.43 No.2

Secretion of surfactant phospholipid can be stimulated by a variety of agonists acting via at least three different signal transduction mechanisms. These include the adenylate cyclase system with activation of cAMP-dependent protein kinase; activation of protein kinase C either directly or subsequent to activation of phosphoinositide-specific phospholipase C and generation of diacylglycerols and inositol trisphosphate; and a third mechanism that involves incresed $Ca^{2+}$ levels and a calmodulin-dependent step. ATP stimulates secretion via all three mechanisms. The protein kinase C pathway is also coupled to phopholipase D which, acting on relatively abundant cellular phospholipids, generates diacylglycerols that further activate protein kinase C. Sustained protein kinase C activation can maintain phosphatidylcholine secretion for a prolonged period of time. It is likely that interactions between the different signaling pathways have an important role in the overall physiological regulation of surfactant secretion.

다발성 조기위암의 임상적 고찰

박성수,류근원,송태진,목영재,김종석,김승주,Park Sung Soo,Ryu Keun Won,Song Tae Jin,Mok Young Jae,Kim Chong Suk,kim Seung Joo 대한위암학회 2001 대한위암학회지 Vol.1 No.3

Purpose: Multiple early gastric cancers were found in $6.9\∼11.7\%$ of patients with early gastric cancer. The goal of this study was to clarify the clinicopathologic features of and to investigate treatment strategy for multiple early gastric cancer. Materials and Methods: Of 967 patients with an gastric adenocarcinoma who were treated by surgical resection during the period of $1993\∼1998$ at the Department of Surgery, Korea University College of Medicine, 267 patients had early gastric cancer. A retrospective analysis of the clinicopathologic differences between the main and the accessory lesions in multiple early gastric cancer was carried out. A comparative analysis was also conducted between solitary early gastric cancer and multiple early gastric cancer. Results: Of 267 patients with early gastric cancer, multiple early gastric cancers were found in 12 patients ($4.5\%$), including 10 men and 2 women. Eleven patients with multiple early gastric cancer had one accessory lesion and 1 patient had 2 accessory lesions. Of the 13 accessory lesions, 7 ($53.8\%$) were located in the same region as the main lesion. The most frequent combination of macroscopic types for the main lesion and the accessory lesion were depressed and depressed types (6 cases, $46.1\%$). The most frequent histologic type of main lesion was a well differentiated adenocarcinoma in 7 ($58.3\%$) of the 12 cases; the accessory lesion was also well differentiated in 4 of those 7 cases. Of the 13 accessory lesions, 4 ($30.8\%$) had been overlooked preoperatively; most of them were located in the lower third of the stomach and were IIb or IIc type and measured less than 1 cm in diameter. Lymph node metastasis was detected in 1 patient ($8.3\%$). The clinicopathologic features of multiple early gastric cancer were not different from those of solitary early gastric cancer. Conclusion: In multiple early gastric cancer, the main and the accessory lesions showed similar differentiation, and lymph node metastasis was less frequent than in solitary early gastric cancer. Therefore, limited procedures, including endoscopic mucosal resection, may be indicated if each lesion of the multiple early gastric cancer fits the criteria for treatment strategy.

Borrmann 제4형 위암의 치료성적

박성수,김성훈,김승주,김종석,목영재,Park, Sung-Soo,Kim, Sung-Hoon,Kim, Seung-Joo,Kim, Chong-Suk,Mok, Young-Jae 대한위암학회 2003 대한위암학회지 Vol.3 No.4

Purpose: The prognosis for Borrmann type 4 gastric cancer is dismal although therapies for gastric cancer have been developed. We investigated the outcomes for Borrmann type 4 gastric cancers compared to those for other types of cancer. Materials and Methods: Between 1993 and 2000, 777 patients with advanced gastric cancer underwent surgical resection at the Department of Surgery, Korea University Hospital. The clinicopathologic features of 138 patients with Borrmann type 4 carcinomas of the stomach were retrospectively reviewed from the database of gastric cancer. The results were compared with those of 639 patients with other types of gastric carcinomas. Results: Patients with Borrmann type 4 carcinomas tended to be younger and to have larger tumors. The location, the depth of invasion, lymph node metastasis, and distant metastasis were significantly different between the two groups. Patients with Borrmann type 4 carcinomas had a more advanced stage than patients with other types of carcinomas. The analysis of the treatment factors revealed that total gastrectomies were more frequent in the group with Borrmann type 4 carcinomas and that the curative resection rate of patients with Borrmann type 4 gastric carcinomas was lower than that of patients with other types of gastric carcinomas (P<0.001). The 5-year survival rate for Borrmann type 4 gastric cancer was $19.4\%$ and that for other types was $52.9\%$ (P=0.001). In curative cases, the 5-year survival rates were $32.8 \%$ for patients with Borrmann type 4 gastric carcinomas and $63.4\%$ for other types of carcinomas (P=0.001). Conclusion: Borrmann type IV gastric cancer has more advanced features and a poorer prognosis than other types of gastric cancer. Improving the prognosis for patients with Borrmann type 4 gastric cancer requires early detection and a curative resection.