조기분만진통 임부와 만삭 전 조기양막파열 임부의 정맥혈장내 산화 스트레스 지표

김윤하 ( Yoon Ha Kim ),노은지 ( Eun Ji Noh ),백주아 ( Ju A Back ),김종운 ( Jong Woon Kim ),송태복 ( Tae Bok Song ) 대한주산의학회 2015 Perinatology Vol.26 No.4

목적: 조기분만진통 및 만삭 전 조기양막파열 임부의 정맥혈장내 산화능과 항산화능의 차이를 비교하고 산화 스트레스가 조기양막파열의 병태생리에 어떤 역할을 하는가를 규명하고자 하였다.방법: 75명의 임부를 대상으로 정맥혈을 채취하고 원심분리 후 혈장을 얻었다. (1) A군, 정상 임부 24명, (2) B군, 조기분만진통 임부 25명, (3) C군, 만삭 전 조기양막파열 임부 26명. thiobarbituric acid 반응을 이용하여 지질과산화물 농도를 측정하였고, 2,4-dinitrophenylhydrazine 방법을 이용하여 단백질의 carbonyl 기 함량을 측정하였으며, oxygen radical absorbance capacity assay (ORAC)로 총 항산화능을 측정하였다. Mann-Whitney U test, Kruskal Wallis test를 이용하여 분석하였다. 결과: B군과 C군의 정맥혈장내 지질과산화 치는 A군에 비해 의미있게 높았으며(B군: 4.59±0.30, C군: 5.40±0.22 vs. A군: 3.90±0.26 nmol/mg protein, P<0.05), C군의 정맥혈장내 지질과산화 치는 B군에 비해 의미있게 높았다. C군의 정맥혈장내 carbonyl기 함량은 A군에 비해 의미있게 높았으며(C군: 5.68±0.42 vs. A군: 5.43±0.41 nmol/mg protein, P<0.05), A군과 B군간의 carbonyl기 함량에는 차이가 없었다. 항산화능에 있어서는 B군과 C군이 A군에 비해 의미있게 낮았으며(B군: 117.91±0.48, C군: 111.68±1.23 vs. A군: 119.14±1.12 mM/mL, P<0.05), C군이 B군에 비해 의미있게 낮았다(P<0.05). 결론: 만삭 전 조기양막파열시 조기분만진통에 비해 정맥혈장에서 산화적 변화가 증가되어 있었으며 항산화능은 감소되어 있었다. 이는 조기양막파열시 산화적 스트레스가 증가되어 있을 가능성을 시사한다. Purpose: This study was performed to investigate the oxidation and antioxidation capacity in the maternalvenous plasma of preterm labor with intact membranes, and premature rupture of membranes (PPROM), andalso to evaluate their roles in the pathophysiology of PPROM. Methods: Seventy five women in the following categories had venous blood retrieved: (1) Group A, normal pregnancy (n=24). (2) Group B, preterm labor with intact membranes (n=25). (3) Group C, preterm premature rupture of membranes (n=26). Malondialdehyde (MDA) levels as a marker of lipid peroxidation by thiobarbituric acid reaction, protein carbonyl content by 2,4-dinitrophenylhydrazine reaction, and total antioxidant capacity by oxygen radical absorbance capacity assay (ORAC) were measured. Mann-Whitney U test, Kruskal-Wallis test were used for statistical analysis. Results: Lipid peroxide levels in the venous plasma of group B and C were significantly higher than those of group A (group B: 4.59±0.30, group C: 5.40±0.22 vs. group A: 3.90±0.26 nmol/mg protein, P<0.05). Lipid peroxide levels in the venous plasma of group C were significantly higher than those of group B (P<0.05). Protein carbonyl levels in the venous plasma of group C were significantly higher than those of group A (group C: 5.68±0.42 vs. group A: 5.43±0.41 nmol/mg protein, P<0.05). There was no significant difference of protein carbonyl levels in the venous plasma between group A and B. ORAC levels in the venous plasma of group B and C were significantly lower than those of group A (group B: 117.90±0.48, group C: 111.68±1.23 vs. group A: 119.14±1.12 mM/mL, P<0.05). ORAC levels in the venous plasma of group C were significantly lower than those of group B (P<0.05). Conclusion: In the blood of the women with preterm premature rupture of membranes, the lipid peroxidation was increased and the antioxidant capacity was decreased compared to women with normal pregnancy and preterm labor with intact membranes. These results suggest that oxidative stress was increased in preterm premature rupture of membranes.

Pheophorbide a-mediated photodynamic therapy induces autophagy and apoptosis via the activation of MAPKs in human skin cancer cells

YOON, HYO-EUN,OH, SEONE-HEE,KIM, SOO-A,YOON, JUNG-HOON,AHN, SANG-GUN Spandidos Publications 2014 Oncology reports Vol.31 No.1

Pheophorbide a (Pa), a chlorophyll derivative, is a photosensitizer that can induce significant antitumor effects in several types of tumor cells. The present study investigated the mechanism of Pa-mediated photodynamic therapy (Pa-PDT) in the human skin cancer cell lines A431 and G361. PDT significantly inhibited the cell growth in a Pa-concentration-dependent manner. We observed increased expression of Beclin-1, LC3B and ATG5, which are markers of autophagy, after PDT treatment in A431 cells but not in G361 cells. In G361 cells, Pa-PDT strongly induced PARP cleavage and subsequent apoptosis, which was confirmed using Annexin V/Propidium iodide double staining. Pa-PDT predominantly exhibited its antitumor effects via activation of ERK1/2 and p38 in A431 and G361 cells, respectively. An in vivo study using the CAM xenograft model demonstrated that Pa-PDT strongly induced autophagy and apoptosis in A431-transplanted tumors and/or apoptosis in G361-transplanted tumors. These results may provide a basis for understanding the underlying mechanisms of Pa-PDT and for developing Pa-PDT as a therapy for skin cancer.

B 형 간염 백신의 효과 - 산모의 HBeAg 양성 유무에 따라 -

김세종(Sei Jong Kim),윤종만(Chong Mann Yoon),최관수(Gwan Su Choi),김지운(Ji Woon Kim),정남기(nam Ki Joung),장영호(Yung Ho Chang),오은아(Eun A O),양인애(In Ae Yang),유영근(Young Geun Ryoo),이봉섭(Bong Seob Lee) 대한소화기학회 1988 대한소화기학회지 Vol.20 No.1

N/A The preventive efficacy for HBV infection and chronic HBV carrier rate by active and passive immunoprophylaxis was observed in 49 newborn infants whose mothers were healthy HBV carriers with normal ALT activity at delivery. All infants were divided into 3 groups; Group A received HBIG at birth and HB Vaccine (Hepavax- B) at month 0, 1 and 6. Group B received first or second vaccine only. Group C received no vaccine. ALT activity, HBsAg and anti-HBs were tested every 3 months for 18 rnonths after delivery, and the results were analyzed in 3 groups according to the mothers HBeAg positivity. 1) The anti-HBs response was57.1% (16/28) in Group A and 76.9% (10/13) in the control group whose mothers vere normal. The anti-HBs response was 64.3% (9.14) and 57.1% (8/14) according to the mothers HBeAg positivity and negativity. The anti-HBs response was 56.3% (9/16) in male and 66.7% (8/12) in female infants. The anti-HBs response svas higher in female infants and infants a hose mothers were normal or HBeAg positive carriers. 2) Chronic HBV carrier rate in infants of HBeAg positive mothers was 14.3% (2/l4) in Ciroup A, 72.7% (8/11 ) in Group 8, 100% (6/6) in Group c and was statistically significant (p=0.037) (c=0.816). There was no significant difference hetween group A, B, and C in infants of HBeAg negative mothers. 3) The positive rate of HBsAg showed significant difference between Groups A and B, A and C, A and (B+C), (A+B) and C in all 3 monthly follow-up tests in infants of HBeAg positive mothers. But there was no significant difference between (groups A, B, and C in infants of HBeAg negative mothers. The results suggest that the anti-HBs response was lower in infants of HBsAg carrier mothers. The preventive efficacy of vaccine for HBV infection and chronic HBV carrier rate was excellent in infants of HBeAg positive mothers but not significant in infants of HBeAg negative mothers by the active and passive immunoprophylaxis.

으름 열매 식초의 품질특성 및 항산화 활성

이은경(Eun-Kyoung Lee),권우영(Woo-Young Kwon),이지원(Ji-Won Lee),윤진아(Jin-A Yoon),정강현(Kang-Hyun Chung),송병춘(Byeong Chun Song),안정희(Jeung Hee An) 한국식품영양과학회 2014 한국식품영양과학회지 Vol.43 No.8

본 연구에서는 으름 열매를 각각 0, 1, 3, 5 및 7%를 첨가하여 2단계 발효한 으름 열매 식초의 발효 중 이화학적 특성과 항산화 활성에 대하여 조사하였다. 식초의 이화학적 특성은 pH, 총산, 알코올, 총당, 아미노산으로 평가하였고, 항산화 활성은 ABTS?+ 라디칼 소거능, SOD 유사활성능, 환원력으로 평가하였다. 알코올 발효 중 총산과 알코올 함량은 증가하였고 총당 함량은 감소하였다. 초산 발효에서는 총산 함량이 유의적으로 증가하였다. 관능검사 평가에서는 으름 열매7% 첨가군에서 종합적 기호도가 가장 높게 나타났다. 발효1일째보다 발효 13일째에 대조군과 으름 열매 첨가 1%에서는 총 폴리페놀 함량에 유의적 차이가 없었으나 으름 열매첨가군 3, 5, 7%에서 총 폴리페놀 함량이 각각 136.6, 381.59, 415.35 mg/100 g으로 유의적으로 증가됨을 볼 수 있었다. 총 플라보노이드 함량은 발효 1일째보다 발효 13일째에 대조군이 21.73 mg/100 g, 으름 열매 첨가군 1, 3, 5, 7%에서 각각 15.79, 15.15, 26.19, 26.87 mg/100 g으로 발효가 진행됨에 따라 유의적으로 증가하였고 으름 열매 첨가량에 따라서도 유의적으로 증가되었다. 탄닌의 함량도 발효 1일째보다 발효 13일째에 대조군이 0.2042 mg/100 g, 으름 열매 첨가군 1, 3, 5, 7%에서 각각 0.2004, 0.1255, 0.1384, 0.1255 mg/100 g으로 유의적으로 증가됨을 보였다. ABTS?+ 라디칼 소거 활성은 발효 1일째보다 발효 13일 째에 5 mg/mL 농도에서 대조군이 5.87%, 으름 열매 첨가군1, 3, 5, 7%에서 각각 12.59, 25.63, 34.02, 35.25%로 라디칼 소거능이 증가하였고, SOD 유사활성능도 5 mg/mL 농도에서 발효 1일째보다 발효 13일째에 대조군이 8.22%, 으름열매 첨가군 1, 3, 5, 7%에서 각각 17.49, 16.86, 16.89, 15.68% 증가하였다. 환원력은 으름 열매 첨가군 7%에서 발효 1일째에 0.527, 발효 13일째에 1.539로 나타났다. 본 연구 결과에서 항산화 활성은 발효가 진행되는 동안 증가하였고 으름 열매 첨가량에 따라서도 증가하였다. 으름 열매식초가 발효됨에 따라 ABTS?+ 라디칼 소거능, SOD 유사활성능, 환원력이 증가하였으며 이것은 높은 폴리페놀, 플라보노이드, 탄닌의 함량이 밀접하게 관여한 것으로 보인다. 그러므로 으름 열매의 높은 항산화 활성이 식초 및 기타 식품에서 기능성 소재로 이용될 것으로 보여준다. This study investigated the physicochemical properties and antioxidant activity of vinegar added with different levels (0%, 1%, 3%, 5%, and 7%) of Akebia quinata fruit during two-step fermentation. The physicochemical properties of vinegar evaluated were pH, total acidity, alcohol, and total sugar and amino acid contents. The antioxidant activities were based on ABTS radical scavenging activity, SOD-like activity, and reducing power. During alcohol fermentation, total acidity and alcohol contents of vinegar increased, but total sugar contents decreased. During acid fermentation, total acidities of vinegar increased. Vinegar added with 7% A. quinata fruit showed the highest total sensory score. Total polyphenol contents of vinegar added with 0% and 1% A. quinata fruit were not significantly different. However, vinegar added with 3, 5, and 7% A. quinata fruit showed significantly higher total polyphenol contents of 136.6, 381.59, and 415.35 mg/100 g, respectively, after 13 days of fermentation. Further, total flavonoid contents of vinegar added with 0~7% A. quinata fruit significantly increased to 21.73, 15.79, 15.15, 26.19, and 26.87 mg/100 g, respectively, after 13 days of fermentation. In addition, tannin contents of vinegar added with 0~7% A. quinata fruit significantly increased to 0.2042, 0.2004, 0.1255, 0.1384, and 0.1255 mg/100 g, respectively, after 13 days of fermentation. Moreover, ABTS radical scavenging activities of vinegar added with 0~7% A. quinata fruit significantly increased to 5.87, 12.59, 25.63, 34.02, and 35.25, respectively, after 13 days of fermentation at a concentration of 5 mg/mL. Additionally, SOD-like activities of vinegar added with 0~7% A. quinata fruit significantly increased to 8.22, 17.49, 16.86, 16.89, and 15.68%, respectively, after 13 days of fermentation. Reducing power of 7% A. quinata fruit was 0.527 after 1 day and 1.539 at the end of fermentation. Our results demonstrate that antioxidant activity significantly increased during fermentation according to the content of A. quinata. Further, the total polyphenol, flavonoid, and tannin contents were shown to be closely related with antioxidant activities. Thus, A. quinata could be effectively used as a vinegar and functional food material based on its antioxidant activity.

한국인에서 혈소판 당단백 Ⅱb/Ⅲa 유전자 다형성과 관동맥 성형술 후 재 협착과의 관계

이민수,이정우,김보영,임대승,강정아,김정희,김윤철,성보영,최성준,성인환,전은석 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.2

Platelet aggregation is the final pathway of acute coronary syndrome such as acute myocardial infarction and unstable angina. Platelet glycoprotein IIb/IIIa is a membrane receptor for fibrinogen and yon Willebrand factor and it plays an important role in platelet aggregation and in the pathogenesis of acute coronary syndrome. It is known that polymorphism of the gene that encoding platelet glycoprotein IIb/IIIa(PI^A1/A2) is strongly related to acute coronary syndrome in Caucasian, but not in Koreans. We investigated relationship between platelet glycoprotein llb/Illa gene polymorphism and restenosis of coronary artery after angioplasty in Koreans. Total 371 patients(M=251. F=120) were enrolled. Angioplasty group comprised 143 patients who underwent coronary angioplasty, and in the angioplasty group, restenosis group comprised with the 65 patients who had restenotic lesion over 50% of luminal diameter in follow-up coronary angiography. Normal group comprised 153 patients who had no significant angiographic lesion and variant angina group comprised 75 patients who were positive in ergonovine test. Genomic DNA was extracted from peripheral arterial blood. To determine the frequency of P1^A1/A2 genotype, polymerase chain reaction(PCR) was done and the product was restricted with Mspl. 3%. agarrose gel electrophoresis showed restriction fragment length polymorphism. Clinical profile and risk factor were also reviewed. Among all 371 patients of study group, genotype of only one patients in restenosis group if is proven to be PI^A1/A2 heterozygote. All patients of normal study group, no restenosis group, and the other patients in restenosis group have an PI^A1 homozygote genotype. In our study, platelet glycoprotein IIb/Illa polymorphism has no relationship with restenosis of the coronary artery after angioplasty in Koreans. But the genotypic frequency of platelet glycoprotein IIb/IIIa gene polymorphism in Koreans is concordant with that of previous studies.

으름 어린잎 식초의 품질특성과 생리활성

권우영(Woo-Young Kwon),이은경(Eun-Kyoung Lee),윤진아(Jin-A Yoon),정강현(Kang-Hyun Chung),이권재(Kwon-Jai Lee),송병춘(Byeong Chun Song),안정희(Jeung Hee An) 한국식품영양과학회 2014 한국식품영양과학회지 Vol.43 No.7

We investigated the characteristics and biological activities of vinegars added with different levels (0%, 0.5%, 1%, 2%, and 3%) of young leaves of Akebia quinata. During alcohol fermentation, alcohol and total acidity contents of vinegars increased. During acid fermentation, total acidity and amino acid contents increased. Vinegar added with 3% A. quinata leaf showed the highest total sensory score. The contents of total polyphenols, flavonoids, and tannin significantly increased during fermentation according to the amount of A. quinata leaf. After 22 days of fermentation, total polyphenol, total flavonoid, and tannin contents of vinegar added with 3% A. quinata were 4,079.08 mg GAE/100 g, 2,927.08 mg CE/100 g, and 3,618.00 mg TAE/100 g, respectively. ABTS radical scavenging activity of vinegar added with 3% A. quinata was 79.63%. Anti-cancer activities of vinegar added with 3% A. quinata were 48.65% and 52.90% against MCF-7 and HepG2 cells, respectively. Vinegar added with 3% A. quinata showed anti-bacterial activities against Bacillus cereus, Shigella flexneri, Salmonella enterica, Bacillus subtilis, and Klebsiella pneumoniae. Our results demonstrate that the biological activities of vinegar added with 3% A. quinata leaf (22 days of fermentation) were excellent, and their enhanced total polyphenol, flavonoid, and tannin contents were associated with antioxidant, anti-cancer and anti-microbial activities. Thus, A. quinata can be used as a functional material in vinegar and other foods.

경기도 식중독에서 분리된 Clostridium perfringens의 유전적 특성 분석

박성희,최옥경,정진아,김운호,이예은,박광희,윤미혜,Park, Sung-Hee,Choi, Ok-Kyung,Jeong, Jin-A,Kim, Woon-Ho,Lee, Yea-Eun,Park, Kwang-Hee,Yoon, Mi-Hye 한국미생물학회 2016 미생물학회지 Vol.52 No.3

질병관리본부에서 2012년 이후 수인성식품매개질환 실험실 진단실무지침에 cpb2 유전자를 포함시킨 후, 2013-2014년 경기도의 C. perfringens에 의한 식중독이 원인불명을 제외하고 가장 많이 발생되었으며, 그 발생률이 2011-2012년에 비해 큰 폭으로 증가하였다. 따라서 경기도내 유행하는 toxinotype을 파악하고, PFGE, MLST를 통해 이들의 분자역학적 연관성을 연구함으로서 C. perfringens에 의한 식중독 발생 시 역학조사 기초자료로 활용하고자 하였다. 2013-2014년 경기도에서 분리된 120주의 C. perfringens 중 cpe 보유균주는 49주, cpb2 보유균주는 71주였다. 발생건별로 살펴보면, cpe 단독발생건은 2건(10주), cpb2 단독발생건은 7건(45주), cpe, cpb2 혼합발생건은 7건(65주)로 cpb2 단독발생과 cpe, cpb2 혼합발생이 대부분을 차지하였다. Toxinotype PCR 결과, 120주 모두 C. perfringens에 의한 식중독의 주요 타입인 A로 밝혀졌다. PFGE 분석 결과, 53.5-100%의 유사도와 75 유형으로 나뉘었다. 65% 이상을 기준으로 했을 때 5가지 그룹으로 나뉘어졌다. A, C, D, E 그룹은 1개의 균주를 제외하고 모두 cpb2 보유균주로 이루어졌고, B 그룹은 1개의 균주를 제외하고 모두 cpe 보유균주로 구성되었다. 2014년 안산상록구 식중독 4주와 2014년 수원 권선구 식중독 3주를 제외하고, 64 cpb2 보유균주들은 대부분 다양한 유전자패턴을 보였다. 41 cpe 보유균주 중 3개의 균주를 제외하고, 2013년 부천원미구, 성남분당구, 2014년 안산상록구, 평택, 김포, 화성 식중독 모두 각각 동일한 유전자 패턴을 보였다. 2013 수원영통구 식중독은 2가지 cpe 유전형 패턴을 보였다. MLST 분석 결과, 크게 P-cpe 및 cpb2 그룹과 C-cpe 그룹으로 나뉘어 졌고, 세세하게 11개의 cluster로 나뉘어졌다. 경기도에서 분리된 31개 균주 중, 16 cpb2 보유균주와 2014-06-03 cpe 보유균주는 1-7 cluster에 속해있었고, 14 cpe 보유균주는 모두 8-11 cluster에 속해있었다. 하나의 cpe 보유균주를 포함하여 cpb2 보유균주들은 P-cpe 그룹과 건강한 사람에서 분리된 cpb2 그룹들 사이에 산재되어 cluster되었고, cpe 보유균주는 C-cpe 그룹에 속해있었다. 2014-06-03주의 cpe gene은 plasmid에 존재하고, 나머지 cpe 보유균주의 cpe gene은 모두 chromosome에 존재함을 추정 할 수 있었다. PFGE 및 MLST 분석 결과, cpe 보유균주에 비해 cpb2 보유균주가 훨씬 다양하고 복잡한 유전자패턴을 나타내며, cpe 유전자 보유균주의 경우 단일 유전자형이거나 유사도가 높은 유전자형으로 이루어져 있음을 알 수 있었다. cpe 보유균주의 경우 집단식중독의 원인균 파악이 용이하였으나, cpb2 보유균주의 경우 2 발생건을 제외하고 역학적인 연관성이 낮음을 확인 할 수 있었다. Clostridium perfringens is both a ubiquitous environmental bacterium and a major cause of human gastrointestinal disease, and C. perfringens food poisoning ranks among the most common gastrointestinal diseases in developed countries. 120 isolates of C. perfringens were obtained from food-poisoning outbreaks in 2013~2014, Gyeonggi-do. Using PCR, all 120 isolates were identified as C. perfringens type A. Of the tested isolates, 49 isolates carried the cpe gene, 71 isolates carried the cpb2 gene. The outbreak cases of cpb2 and cpe /cpb2 genes were 7 and 7, whereas the outbreak cases of cpe-gene were 2. The epidemiological relationship between C. perfringens isolates has previously been investigated chiefly by pulsed-field gel electrophoresis (PFGE) and multi-locus sequence typing (MLST). The genetics relatedness of the isolates raged from 53.5-100% and 75 district PFGE type were observed. The PFGE results revealed a wide genetic diversity among the 64 cpb2 carrying isolates (except 7 isolates), while 46 cpe-carrying isolates (except 3 isolates) showed a high genetic similarity. The MLST analysis revealed that 14 cpe isolates (cpe-chromosomal isolates) belong to a distinct cluster that is significantly distant from all the other cpb2 isolates (cpe-plasmid carrying and cpe-negative isolates). The isolates carrying a cpb2 appear to be rarely related, and are more variable than chromosomal cpe isolates. The results suggest that the cpe-positive outbreak isolates showed close genetic relation, whereas the cpb2-positive isolates revealed a wide genetic diversity.

수입 및 국내 유통 식품 중의 Ochratoxin A에 관한 조사연구

이동호,강민철,이선화,정동윤,김재이,김형수,김은정,유병옥,김연주,정순아,서영선,김인복,홍무기 식품의약품안전청 2001 식품의약품안전청 연보 Vol.5 No.-

곰팡이 독소 중 현재 식품골전에 r'1 등재되어 있는 ochratoxin A의 규제기준 설정에 대한 기초자료로 활용하기 위한 방안의 일찬으로 곡류, 두류, 견과류 및 장류에 있어서 ochratoxin A의 오염정도를 조사하였다. 실헐방법으로 1차 screening은 ochratoxin test t를, 최종확인은 irnrrlunoaffihie· column을 이용한 HPLC 분석법을 사용하였파. 회수율은 수수를 제외하고 모두 80%이상을 나타내었고 최저겊출 한계치는 0.Sppb였다. 총 121건(보리 9잔, 찹쌀 7건, 백미 8건, 조 9건, 수수10건, 서리태 11건, 녹두 3건, 백태 9건, 동분 5건, 팥 7건, 강낳콩 8건, 땅콩 7건, 호두 7건, 혼합장 11건, 청국장 10건)에 대하여 조사한 결과 1차 screeRing에서 39건의 양성반응을 보였으나 HPLC로 최종 확인 결과 모든 시료에서 불검출 되었다

한국연안에 있는 보름달물해파리의 체내 음속과 밀도 평가

윤은하 ( Eun A Yoon ),황두진 ( Doo Jin Hwang ) 한국어업기술학회 2013 수산해양기술연구 Vol.49 No.4

The sound-speed and density contrasts are important factors in estimating the target strength (TS) of moon jellyfish (Aurelia aurita). In this study, the sound-speed and density contrasts were measured using time-of-flight and neutral buoyancy methods, respectively. The sound-speed contrast of A. aurita was from 0.9966 to 1.0031 (mean±SD, 0.9999±0.0017) and no distinct differences in temperature or pulsation activity and weak were found. The density contrast was from 0.9994 to 1.0004 (mean±SD, 1.0000±0.0002). The density of A. aurita was substantially different but the density contrast of A. aurita was shown to be similar to that in the sampling location. The results can be used to estimate of TS of A. aurita by acoustic model.

관상동맥 스텐트 시술 후의 재협착에 관한 연구

김윤철,이정우,김보영,강정아,임대승,이민수,김정희,성보영,최성준,성인환,전은석 충남대학교 의과대학 지역사회의학연구소 2000 충남의대잡지 Vol.27 No.1

Coronary stent implacement is known as an effective treatment in the intimal dissection after percutaneous transluminal coronary angioplasty and the prevention of restenosis. However, In-stent restenosis still remains a major concern in clinical stenting. The stents were placed in 103 patients from July 1996 to March 1999 and performed follow-up coronary angiograms in 59(57.3%) patients. To identify the clinical, angiographic and procedurerelated variables 'which predict late restenosis within the stented artery, 59 patients(58.3±9.9, M:F= 41:18) were studied. The clinical characteristics of the patients were stable angina in 23(39.0%), unstable angina in 14(23.7%), acute myocardial infarction in 21(35.6%) and old myocardial infarction in 1(1.7%). Coronary stenting was performed in 1 patient(1.7%) for primary lesion, 50 patients(84.7%) for suboptimal results after PTCA, 6 patients(10.2%) for bail-out procedure, and 2 patients(3.4%) for restenotic lesions. All patients were treated with aspirin and ticlopidinc. The follow-up angiograms were obtained at 7±4 months. The overall in-stent restenosis rate was 27.1%. The coronary angiographic findings were 32 single vessel(54.2%), 19 two vessel(32.2%) and 8 three vessel disease(13.6%). The angiographic morphological characteristics were type A in 33(55.9%), type B in 14(23.7%), type C in 12(20. 3%) cases. Variables of 16 patients with restenosis were compared with those of 43 patients without restenosis. Previously known predictors for in-stent restenosis were multiple stenting, stenting for restenotic lesions, residual stenosis after stenting, stenting for total occlusion lesions, reference diameter, balloon to vessel ratio, acute gain and minimal luminal diameter after procedure, design and characteristics of stents, ostial lesion of aorta, high pressure method for stenting, lesion length, diabetes mellitus, size of artheroma, saphenous vein grafts, ulcerlating lesions and calcified lesions. In this study, Reference diameter before stenting(2.43±0.54mm vs. 2.88±0.65mm, p=0.016) and balloon-to-artery ratio(1.28±0.26 vs. 1.11±0.18, p=0.006) were predictors for in-stent restenosis. 1) The overall in-stent restenosis rate was 27.1%. 2) In the analysis of predictors for in-stent restenosis, there was no significant differences in clinical, angiographic factors between group with restenosis and without restenosis. But, Only reference diameter before stenting and balloon-toartery ratio were predictors of late in-stent restenosis. In conclusion, stenting is effective revascularisation method for selected patients with ischemic heart disease, and to minimize in-stent restenosis rate, stent implanting is achieved in a large vessel on the basis of an artery-to-stnet ration of 1:1, if possible.