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이현교,황규열,박순덕,어영,김주원,윤갑준,리원연 대한임상미생물학회 2015 Annals of clinical microbiology Vol.18 No.2
A total of 1,132 pleural fluid culture results obtained from October 2012 to July 2014 were analyzed to elucidate the microbiological characteristics according to transudative and exudative pleural fluid. The pleural fluid cultures were performed using aerobic and anaerobic blood culture bottles. The blood and pleural fluid for total protein, lactate dehydrogenase, and glucose measurement were submitted to laboratory at the same time with pleural fluid cultures. The rates for culture positivity, anaerobes isolation, and polymicrobials between transudative and exudative pleural fluid were 5.2% vs. 10.4%, 14.8% vs. 7.8%, and 14.8% vs. 10.9%. (Ann Clin Microbiol 2015;18:-55)
S-145 : A Case of Cystic Arterial Pseudoaneurysm as the Initial Presentation of Hemobilia
이현교,송태준 대한내과학회 2013 대한내과학회 추계학술대회 Vol.2013 No.1
The proportion of hemobilia among Upper Gastrointestinal bleeding is rare, and Approximately two thirds of hemobilia cases result from medical interventions. As the etiology of hemobilia, Pseudoaneurysm of the cystic artery is extremely rare condition. We present this unusual condition in a 65-year-old man whose chief complaint was melena. A Physical examination reveals no clear evidence of cholecystitis and Liver function test showed obstructive jaundice. In imaging study including Abdominal ultrasonography, Abdominopelvic CT, there were multiple GB stone, sludge and we could not clarify the presence of cholecystitis and common bile duct obstruction, inflammation. The patient underwent Upper endoscopy, and We could see blood at 2nd portion of duodenum, so that we decided to perform a ERCP with suspect of hemobilia. The results demonstrates bulging ampulla which was filled with blood clot. Infundibullotomy with use of needle knife was conducted, and much of the blood clot, and freshy bleeding continued. We diagnosed him as having hemobilia, and angiography was performed immediately. The microscopic specimen showed chronic inflammation characterized with massive infiltration of macrophages, histocytes, and lymphoproliferative cells We could learn the lesson that we should not overlook vessel problem as the rare cause of hemobilia through this case, and could treat emergent embolization and followed by elective cholecystectomy.
이현교,김혜영,양재호,Lee, Hyon-Gyo,Kim, Hae-Young,Yang, Jae-Ho 한국해양바이오학회 2007 한국해양바이오학회지 Vol.2 No.2
산업의 발달과 함께 환경오염에 대한 국민적인 관심도는 날로 증가하고 있다. PCB는 우리 주변에 널리 퍼져 있고 먹이사슬을 통해 체내에도 축적되어 인체의 위해성이 우려되는 대표적인 환경오염물질이다. PCB의 노출은 성장기의 두뇌에서 가장 큰 신경독성을 나타내며 영아 및 유아는 상대적으로 높게 노출되어 위험집단으로 분류된다. 본 연구는 PCB의 신경독성에 구조-활성관계가 미치는 영향을 분석하고 PCB에 의한 독성을 최소화 할 수 있는 방안으로서 해양활성물질의 사용가능성을 이해하고자 하였다. PCB노출에 따른 신경세포의 신호전달 체계변화를 분석하기 위하여 Protein Kinase C (PKC)의 변화를 측정하였다. PKC의 전체적인 활성을 [$^3H$]PDBu로 분석한 결과 ortho-position(PCB-105, -123)을 가지고 있는 PCB가 non-ortho (pCB-77, -81) 구조보다 신경에 미치는 영향은 더 높았다. Westem blot 결과 PKC isofonn 중에는 PKC-beta II 및 epsilon의 경우 ortho-position PCB에서 더 높은 활성을 보였다. 이러한 PKC의 변화는 성장기 신경세포에서 신호전달기작의 변화에 많은 영향을 미치므로 이를 예방하거나 차단 할 수 있는 물질을 발견하고자 다양한 키토산을 처리하였다. 그 결과 1백만 달톤 이상의 고분자 키토산의 경우 PCB에 의한 신호전달 기작 변화를 억제할 수 있음을 보였다. 본 연구는 환경오염 등에 의한 독성예방에 키토산의 활용가능성을 제시하였다. Environmental contamination becomes a great public concern as our society gets industrialized rapidly. The present study examine the role of chitosan in a effort to intervene the environmental pollutant-induced toxicity. PCB-induced neurotoxicity with respect to the PKC signaling was examined. Since the developing neuron is particularly sensitive to PCB-induced neurotoxicity, we isolated cerebellar granule cells derived from 7-day old SD rats and grew cells in culture for additional 7 days to mimic PND-14 conditions. PCB showed the alteration of PKC signaling pathway. The alteration was structure-dependent. Mono-ortho-substituted congeners at a high dose showed a significant increase of total PKC activity at [$^3H$]PDBu binding assay, indicating that mono-ortho-substituted congeners are more neuroactive than non-ortho-substituted congeners in neuronal cells. PKC isoforms were immunoblotted with respective monoclonal antibodies. PKC-beta II and -epsilon were activated with mono-ortho-substituted congeners exposure. The result suggests that the position with ortho has a higher potential of altering the signaling pathway. Alteration of PKC was blocked with treatment of high molecular weight of chitosan. The study demonstrated that the ortho position in PCBs are important in assessing the structure-activity relationship. The results suggest a potential use of marine bioactive materials as a means of nutritional intervention to prevent the harmful effects of pollutant-derived toxicity.
Salinomycin reduces stemness and induces apoptosis on human ovarian cancer stem cell
이현교,신소진,정혜원,권상훈,차순도,이진의,조치흠 대한부인종양학회 2017 Journal of Gynecologic Oncology Vol.28 No.2
Objective: Cancer stem cells (CSCs) represent a subpopulation of undifferentiated tumorigenic cells thought to be responsible for tumor initiation, maintenance, drug resistance, and metastasis. The role of CSCs in drug resistance and relapse of cancers could significantly affect outcomes of ovarian cancer patient. Therefore, therapies that target CSCs could be a promising approach for ovarian cancer treatment. The antibiotic salinomycin has recently been shown to deplete CSCs. In this study, we evaluated the effect of salinomycin on ovarian cancer stem cells (OCSCs), both alone and in combination with paclitaxel (PTX). Methods: The CD44+CD117+CSCs were obtained from the ascitic fluid of patients with epithelial ovarian cancer by using an immune magnetic-activated cell sorting system. OCSCs were treated with PTX and salinomycin either singly or in combination. Cell viability and apoptosis assays were performed and spheroid-forming ability was measured. The expression of sex determining region Y-box 2 (SOX2) and octamer-binding transcription factor 3/4 (OCT3/4) mRNA was determined using reverse transcription polymerase chain reaction, and protein expression was observed using western blot analysis. Results: Treatment with salinomycin alone reduced the stemness marker expression and spheroid-forming ability of OCSCs. Treatment with PTX alone did not decrease the viability of OCSCs. Treatment with a combination of salinomycin decreased the viability of OCSCs and promoted cell apoptosis. The enhancement of combination treatment was achieved through the apoptosis as determined by annexin V/propidium iodide (PI) staining, caspase-3 activity, and DNA fragmentation assay. Conclusion: Based on our findings, combining salinomycin with other anti-cancer therapeutic agents holds promise as an ovarian cancer treatment approach that can target OCSCs.