7, 12-Dimethylbenzanthrancene로 유도된 햄스터의 협낭암모델에서 p53 변이 단백의 발현과 Proliferating Cell Nuclear Antigen에 의한 세포증식능의 변화

이상숙,謝民强,박준식 경북대학교 병원 1998 경북대학교병원의학연구소논문집 Vol.2 No.1

사람의 구강암의 발생기전을 밝히고자 햄스터의 협낭암모델을 이용한 연구가 광범위하게 이루어지고 있다. 두경부의 편평세포암종을 예방하고 조기 발견을 위해서는 이런 종양의 병인을 좀더 깊이 이해하고 위험도를 인지하기 위한 생화학적 또는 유전학적 표지자의 개발이 필요한 실정이다. 본 실험의 결과를 종합해 보면 DMBA도포로 인하여 햄스터 협낭에 정상점막부터 과형성, 이형성 및 편평세포암종의 발생을 시기별로 관찰할 수 있었다. 이는 두경부암의 '영역 암화'와 '다단계 과정'을 지지하는 소견임을 알 수 있었다. 면역조직학적 기법에 의해 p53 변이는 햄스터의 전기암 병소인 과형성부터 나타난 병변이 이형성를 거쳐 편평세포암종으로 진행될수록 빈도가 증가되어 이 종양의 비교적 초기에 p53 변이가 생겨 DMBA로 유도된 햄스터의 편평세포암종의 발생 및 진전에 p53 유전자의 변이가 관여함을 알 수 있었다. 세포의 증식능을 알 수 있는 PCNA 양성인 세포수는 대조군의 정상조직보다 실험군의 전구암 병소에서 더 많았다. 전구암 병소중 이형성이 중정도 이상인 경우 더욱 많이 염색되었다. 그러나 과형성, 과각화증, 이형성와 유두종에서 매우 다양한 PCNA의 발현을 보였다. 편평세포암종에서 전구암 병소보다 더욱 많은 수의 PCNA 양성세포가 관찰되어 병변이 진행될수록 종양의 증식능도 높아짐을 알 수 있었다. 이와 같이 햄스터의 협낭암 발생에 p53 변이가 세포증식능의 증가와 수반되어 암발생의 비교적 초기부터 나타나 p53 변이와 증가된 PCNA 증식능은 두경부암의 재발이나 제2원발암의 발생 위험도를 측정할 수 있는 한 중요한 표지자가 된다고 생각되었다. Squamous cell carcinoma(SCC) of Syrian golden hamster buccal pouch is the best animal model that is histogenetically and morphologically similar to events involved in the development of SCC in human oral cavity. Mutation of the p53 gene is a common event in many human cancers and is also found in certain rodent tumors. Thirty-five SCCs of the buccal pouch of Syrian hamster induced by topical treatment of 7, 12-dimethylbenzanthrancene(DMBA) for 16 weeks were sectioned and examined for potential alterations of p53 expression and PCNA by immunohistochemical methods. Twenty normal control hamsters without DMBA treatment and 25 each hamsters with DMBA treatment for 4 and 8 weeks were also examined. In the mucosa of normal control animals, there was no p53 expression. In hyperplastic mucosal lesions(4 weeks DMBA exposure), the p53 positivity was limited to the basal cell layer and in dysplatic lesions(8 weeks DMBA exposure), the p53 positivity was expanded to the parabasal and superficial layers. In SCCs, p53 staining was diffusely positive in all 35 hamsters. The staining patterns and distribution for p53 protein immunostaining were similar to those of the PCNA staining. These results suggest that p53 and PCNA alterations occur in a multistep fashion during Syrian hamster oral cavity carcinogenesis. Since mutation of the p53 gene and increased PCNA activity appear to be an important step in the pathogenesis of DMBA-induced hamster cheek pouch SCC, one may surmise that similar pathogenetic changes may occur in hauman oral cavity SCC. Therefore, p53 alteration and PCNA positivity can be utilized for risk assessment and may serve as biomarkers for oral carcinogenesis in both Syrian hamsters and humans.(Korean J Otolaryngol 38 : 9,1995)

Intranasal Endoscopic Management of Cerebrospinal Fluid Rhinorrhea

Xie, Min Qiang,Li, Yuan,Xu, Geng Korean Rhinologic Society 1998 Journal of rhinology Vol.5 No.2

Intranasal Endoscopic Management of Cerebrospinal Fluid Rhinorrhea

Min Qiang Xie,Yuan Li,Geng Xu 대한비과학회 1998 Journal of rhinology Vol.5 No.2

Background:Management of patients with cerebrospinal fluid (CSF) rhinorrhea remains controversial. Objective:Thetherapeutic effect of endoscopic repair of CSF rhinorrhea was evaluated. Method:Sixteen patients with CSF rhinorrhea involvingthe anterior skull base underwent intranasal endoscopic management between 1991 and 1998. Repair materials includedfree nasal mucosa, muscle tissue and myofascia. Results:Of the sixteen patients, ten were results of head trauma, three wereresults of endoscopic surgery, two were at the postoperative stage of meningoma, and one was at the postoperative stage of hypophysealadenoma. Fourteen patients had one fistula and the others two. During follow-ups lasting five months to six years, all ofthe cases were successfully treated without complication either intra- or post-operatively on the first attempt. Conclusion:Theendoscopic technique provides a safe and effective means for repairing many patients with CSF rhinorrhea. Some key points tokeep in mind when applying this techniques are to prepare a fresh graft recipient site and to embed free muscle into the intracranialcavity through the entrance of the dural defect.

The horizontal stability of an FLNG with different turret locations

Xie, Zhi-Tian,Yang, Jian-Min,Hu, Zhi-Qiang,Zhao, Wen-Hua,Zhao, Jing-Rui The Society of Naval Architects of Korea 2015 International Journal of Naval Architecture and Oc Vol.7 No.2

The horizontal stability of a Single-Point Moored (SPM) Floating Liquefied Natural Gas (FLNG) facility is investigated. Both numerical and experimental studies have been conducted for this SPM FLNG. The numerical simulations feature well the experimental data. The effects of the turret locations are studied based on the validated numerical model. Statistic results of the vessel's motions with different turret locations are conducted and compared. The results show that the longitudinal location of the turret has a significant influence on the horizontal stability, which has a strong relationship with the yaw and roll motions. The calculated top tensions on the hawsers also develop a regular change as changing the turret's location. The investigation will provide a brief of principles with more details for the design of the ongoing project.

Efficacy and Safety of a Steroid-Free Immunosuppressive Regimen after Liver Transplantation for Hepatocellular Carcinoma

Qiang Wei,Xiao Xu,Chao Wang,Runzhou Zhuang,Li Zhuang,Lin Zhou,Haiyang Xie,Jian Wu,Min Zhang,Yan Shen,Weilin Wang,Shusen Zheng 거트앤리버 소화기연관학회협의회 2016 Gut and Liver Vol.10 No.4

Background/Aims: We aimed to evaluate the efficacy and safety of an immunosuppressive regimen without steroids after liver transplantation (LT) for hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC). Methods: Sixty-six HCC patients who underwent an immunosuppressive regimen without steroids after LT were enrolled in the steroid-free group. The preoperative characteristics and postoperative outcomes of these patients were compared with those of 132 HCC recipients who were placed on an immunosuppressive regimen using steroids (steroid group). The incidence of acute rejection, HBV recurrence, infection, and new-onset diabetes mellitus and the overall and tumor-free survival rates were compared between the two groups. Results: Differences were not observed in the 1-year (83.3% vs 97.0%, p=0.067), 3-year (65.4% vs 75.8%, p=0.067) or 5-year (56.3% vs 70.7%, p=0.067) patient survival rates or in the 1-year (62.1% vs 72.7%, p=0.067), 3-year (49.8% vs 63.6%, p=0.067) or 5-year (48.6% vs 63.6%, p=0.067) tumor-free survival rates between the two groups, respectively. In the steroid-free group, the patients who fulfilled the Milan criteria had higher overall and tumor-free survival rates than those in the steroid group (p<0.001). The prevalence of HBV recurrence (3.0% vs 13.6%, p=0.02) was significantly lower in the steroid-free group compared with the steroid group. Conclusions: After LT, an immunosuppressive regimen without steroids could be a safe and feasible treatment for HBVrelated HCC patients, thus resulting in the reduction of HBV recurrence. Based on the observed survival rates, patients who fulfill the Milan criteria may derive benefits from steroidfree immunosuppression.

Prevalence and Genotype Distribution of Human Papillomavirus Infections in Women Attending Hospitals in Chaozhou of Guangdong Province

Chen, Qiang,Luo, Zhao-Yun,Lin, Min,Lin, Qi-Li,Chen, Chan-Yu,Yang, Chun,Xie, Long-Xu,Li, Hui,Zheng, Jia-Kun,Yang, Li-Ye,Ju, Gui-Zhi Asian Pacific Journal of Cancer Prevention 2012 Asian Pacific journal of cancer prevention Vol.13 No.4

Background: Human papillomavirus (HPV) infection is the main cause of cervical cancer. Limited epidemiologic data of HPV prevalence are available for women attending hospitals in southern China. This study aimed to evaluate the profiles of HPV infection and cytology status in gynecological outpatients in Chaozhou City. Methods: A total of 2833 eligible women were enrolled. The HPV GenoArray test was used for HPV detection and genotyping. Nearly one half of the HPV positive women received liquid-based cytology test. Logistic regression analysis was performed to assess the predictable effects of age and genotype for categories of abnormal cytology. Results: The prevalence of overall, high-risk, and low-risk HPV infection were 24.5%, 19.5% and 8.4%, respectively. A U-shaped age-specific prevalence curve was observed in overall HPV and high-risk HPV, but not in low-risk HPV, which declined with age increasing. The 6 most common high-risk HPV type in descending order, were types 52, 16, 58, 18, 68, and 33. Age and HPV genotype were both important determinants of abnormal cytology incidence, the older women (>45 years) and those infected with HPV type 16 and/or 18 having the highest risk for abnormal cytology. Conclusion: Our findings support the hypothesis that second-generation HPV prophylactic vaccines including HPV-52 and -58 may offer higher protection for women residing in Chaozhou and neighboring cities in Guangdong.

An Efficient Parallel Infilling Strategy and Its Application in Sheet Metal Forming

Yan-Min Xie,Yuan-Heng Guo,Fei Zhang,Yue-Peng Yue,Mei-Qiang Feng,Jiang-Bo Zhao 한국정밀공학회 2020 International Journal of Precision Engineering and Vol.21 No.8

Infilling strategies play an important role in kriging based optimization, especially when computationally expensive simulations are involved. In order to improve the efficiency of constructing a high-precision kriging model, an improved expected improvement criterion (IEI) and a parallel infilling strategy are proposed based on the maximum expected improvement (EI) criterion. In the proposed parallel infilling strategy, new sample points are generated by employing IEI criterion coupled with EI criterion. During the improved sampling process, redundant and pseudo sample are deleted in order to avoid failure of constructing a kriging model. An improved weighted particle swarm optimization (WPSO) algorithm is proposed to improve optimization efficiency. The proposed parallel infilling strategy is applied to nonlinear function optimization and variable blank holder force (VBHF) optimization in a double-c stamped part. Based on the LHD and software DYNAFORM, kriging models between the VBHF and forming quality are constructed. Compared with the initial kriging models, the meat relative error of kriging models with the proposed parallel infilling strategy for the wrinkling and average thinning rate are reduced by 95% and 55%, respectively. The optimal VBHF is obtained by the WPSO. The results show that, cracking has been completely eliminated and wrinkling has been decreased, greatly improving the forming quality of the double-c stamped part.

The horizontal stability of an FLNG with different turret locations

Zhi-Tian Xie,Jian-Min Yang,Zhi-Qiang Hu,Wen-Hua Zhao,Jing-Rui Zhao 대한조선학회 2015 International Journal of Naval Architecture and Oc Vol.7 No.2

The horizontal stability of a Single-Point Moored (SPM) Floating Liquefied Natural Gas (FLNG) facility is investigated. Both numerical and experimental studies have been conducted for this SPM FLNG. The numerical simulations feature well the experimental data. The effects of the turret locations are studied based on the validated numerical model. Statistic results of the vessel’s motions with different turret locations are conducted and compared. The results show that the longitudinal location of the turret has a significant influence on the horizontal stability, which has a strong relationship with the yaw and roll motions. The calculated top tensions on the hawsers also develop a regular change as changing the turret’s location. The investigation will provide a brief of principles with more details for the design of the ongoing project.

Allogeneic Hemopietic Stem Cell Transplants for the Treatment of B Cell Acute Lymphocytic Leukemia

Dong, Wei-Min,Cao, Xiang-Shan,Wang, Biao,Lin, Yun,Hua, Xiao-Ying,Qiu, Guo-Qiang,Gu, Wei-Ying,Xie, Xiao-Bao Asian Pacific Journal of Cancer Prevention 2014 Asian Pacific journal of cancer prevention Vol.15 No.15

Objective: Explore the feasibility of allo-hemopietic stem cell transplants in treating patients with B cell acute lymphocytic leukemia. Methods: Between september 2006 and February 2011, fifteen patients with B cell acute lymphocytic leukemia (ALL) were treated by allo-hemopietic stem cell transplants (HSCT). Stem cell sources were peripheral blood. Six patients were conditioned by busulfan (BU) and cyclophosphamide (CY) and nine patients were conditioned with TBI and cyclophosphamide (CY). Graft versus host disease (GVHD) prophylaxis regimen consisted of cyclosporine A (CSA), methotrex ate (MTX) and mycophenolatemofetil (MMF). Results: Patients received a median of $7.98{\times}10^8{\cdot}kg^{-1}$ ($5.36-12.30{\times}10^8{\cdot}kg^{-1}$) mononuclear cells (MNC). The median time of ANC> $0.5{\times}10^9/L$ was day 12 (10-15), and PLT> $20.0{\times}10^9/L$ was day 13 (11-16). Extensive acute GVHD occurred in 6 (40.0%) patients, and extensive chronic GVHD was recorded in 6 (40.0%) patients. Nine patients were alive after 2.5-65 months follow-up. Conclusion: Allogeneic stem cell transplant could be effective in treating patients with B cell acute lymphocytic leukemia.

Comparison of Liver Transplantation and Liver Resection for Hepatocellular Carcinoma Patients with Portal Vein Tumor Thrombus Type I and Type II

Jia-Yu Lv,Ning-Ning Zhang,Ya-Wei Du,Ying Wu,Tian-Qiang Song,Ya-Min Zhang,Yan Qu,Yu-Xin Liu,Jie Gu,Ze-Yu Wang,Yi-Bo Qiu,Bing Yang,Da-Zhi Tian,Qing-Jun Guo,Li Zhang,Ji-San Sun,Yan Xie,Zheng-Lu Wang,Xin 연세대학교의과대학 2021 Yonsei medical journal Vol.62 No.1

Purpose: The aim of this study was to compare the efficacy of liver transplantation (LT) and liver resection (LR) for hepatocellularcarcinoma (HCC) patients with portal vein tumor thrombus (PVTT) and to investigate risk factors affecting prognosis. Materials and Methods: A total of 94 HCC patients with PVTT type I (segmental PVTT) and PVTT type II (lobar PVTT) were involvedand divided into LR (n=47) and LT groups (n=47). Recurrence-free survival (RFS) and overall survival (OS) were comparedbefore and after inverse probability of treatment weighting (IPTW). Prognostic factors for RFS and OS were explored. Results: Two treatment groups were well-balanced using IPTW. In the entire cohort, LT provided a better prognosis than LR. Among patients with PVTT type I, RFS was better with LT (p=0.039); OS was not different significantly between LT and LR(p=0.093). In subgroup analysis of PVTT type I patients with α-fetoprotein (AFP) levels >200 ng/mL, LT elicited significantly longermedian RFS (18.0 months vs. 2.1 months, p=0.022) and relatively longer median OS time (23.6 months vs. 9.8 months, p=0.065). Among patients with PVTT type II, no significant differences in RFS and OS were found between LT and LR (p=0.115 and 0.335,respectively). Multivariate analyses showed treatment allocation (LR), tumor size (>5 cm), AFP and aspartate aminotransferase(AST) levels to be risk factors of RFS and treatment allocation (LR), AFP and AST as risk factors for OS. Conclusion: LT appeared to afford a better prognosis for HCC with PVTT type I than LR, especially in patients with AFP levels>200 ng/mL.