Effect of 2-Deoxy-D-Glucose on Metabolic Status, Proliferative Capacity and Growth Rate of FSall Tumor

Hyesook Chang(장혜숙) , Eun Kyung Choi최은경) , Jeong Gill Cho(조정길) , Tae-Hwan Lim(임태환) , Tae-Keun Lee(이대근) ,Yun Yi(이윤) ,Young Joo Cho(조영주) , Gon Sup Kim(김곤섭) 대한방사선종양학회 1991 Radiation Oncology Journal Vol.9 No.1

2-DDG가 쥐의 섬유육종(FSall)에 미치는 영향에 대한 연구로 에너지 신진대사는 체내에서의 ³¹P - 자기공명 분광기를 이용하여 관찰하였고 세포 증식 능력은 유세포 분석기를 사용하여 연구하였다. 성장속도는 개의 세포를 C₃Hj/Sed 쥐의 발등에 이식한 후 3차원적으로 측정하여 관찰하였다. 2-DDG를 투여한 경우에는 이식후 12일에 복강내로 주사하였다. 이식후 12일의 종양의 평균 크기는 250㎣이었다. FSall 종양의 성장속도는 semilog graph의 기울기와 종양의 doubling time으로 측정하였다. 2-DDG를 투여한 후 성장속도가 감속되었다. 5~12일 사이의 성장속도의 기울기가 0.828, 종양의 Idubling time이 0.84일이고 대조군에서는 13~28일 사이의 기울기가 0.218, doubling time이 3.2일인 반면 2-DDG 투여군에서는 성장속도의 기울기가 0.135이고 doubling time이 5.1일이었다. ³¹P-자기공명 분광기를 이용하여 2-DDG의 영향을 분석해 본 결과 2-DDG 투여후 종양증식 속도의 감속과 더불어 phosphomonester (PME)와 inorganic phosphate (Pi)의 증가속도가 감소하였다. 이것은 2-DDG 투여후 세포의 괴사가 감소하였다는 의미가 있다. 유세포 분석기를 이용하여 종양의 증식 능력을 분석한 결과는 2-DDG 투여후 S-phase와 G₂+M phase의 DNA 분포가 크게 증가하였다. 이것은 2-DDG 투여후 세포가 좀더 방사선에 민감한 cycle로 진행함을 의미하는 것으로 해석할 수 있다. 이에 저자들은 2-DDG가 FSall 종양세포에 미치는 흥미있는 결과를 토대로 방사선 치료에 미치는 영향과 실제 이용 가능성에 대하여 더 연구하고자 한다. The effect of 2-deoxy-d-glucose (2-DDG) on C₃H mouse fibrosarcoma(FSall) was studied, Metabolic status, especially for energy metabolism, was studied using in vivo P-MRS, prolifer-ative capacity was observed on flow cytometry(FC) and growth rate was measured after trans-plantation of viable tumor cells in the dorsum of foot of C₃Hf/Sed mice. One gram of 2-DDG per kg of body weight was injected intraperitoneally on 12th day of implantation. Average tumor size on 12th day of implantion was 250㎣. Growth rate of FSall tumor was measured by tumor doubling time and slope on semilog plot. After 2-DDG injection, growth rate slowed down. Tumor doubling time between tumor age 5-12 days was 3.2 days with slope 0.218 in control group. After 2-DDG injection, tumor doubling time was elongated to 5.1 days with slope 0.136. The effect of 2-DDG studied in vivo P-MRS suggested that the increase of phosphomonoes-ter (PME) and inorganic phosphate (Pi) by increasing size of tumor, slowed down after 2-DDG injection. Flow cytometry showed significantly increased S-phase and G₂ + M phase fraction suggesting increased proliferative capacity of tumor cells in the presence of 2-DDG. Authors observed an interesting effect of 2-DDG on FSall tumor and attempt to utilize as an adjunct for radiotherapy.

도금전류밀도 및 도금액 온도에 따른 비시안계 Au 범프의 표면 형상과 높이 분포도

최은경,오태성,Choi, Eun-Kyung,Oh, Tae-Sung,Englemann, G. 한국마이크로전자및패키징학회 2006 마이크로전자 및 패키징학회지 Vol.13 No.4

Surface roughness and wafer-level thickness distribution of the non-cyanide Au bumps were characterized with variations of the electroplating current density and the bath temperature. The Au bumps, electroplated at $3mA/cm^{2}\;and\;5mA/cm^{2}$, exhibited the surface roughness of $80{\sim}100nm$ without depending on the bath temperature of $40^{\circ}C\;and\;60^{\circ}C$. The Au bumps, electroplated with $8mA/cm^{2}$ at $40^{\circ}C\;and60^{\circ}C$, exhibited the surface roughness of 800nm and $80{\sim}100nm$, respectively. Wafer-level thickness deviation of the Au bumps became larger with increasing the current density from $3mA/cm^{2}\;to\;8mA/cm^{2}$. More uniform thickness distribution of the Au bumps was obtained at a bath temperature of $60^{\circ}C$ than that of $40^{\circ}C$. 도금전류밀도와 도금액 온도에 따른 비시안계 Au 범프의 표면 거칠기 및 웨이퍼 레벨에서 Au 범프의 높이 분포도를 분석하였다. $3mA/cm^{2}$와 $5mA/cm^{2}$에서 도금한 Au 범프는 $40^{\circ}C$와 $60^{\circ}C$의 도금액 온도에 무관하게 $80{\sim}100nm$의 낮은 표면 거칠기를 나타내었다. $8mA/cm^{2}$로 도금시 $40^{\circ}C$에서 도금한 Au 범프는 표면 거칠기가 800nm 정도로 크게 증가하였으나, $60^{\circ}C$에서 형성한 Au 범프는 $80{\sim}100nm$의 표면 거칠기를 나타내었다. 도금전류밀도가 $3mA/cm^{2}$에서 $8mA/cm^{2}$로 증가함에 따라 웨이퍼 레벨에서 Au 범프의 높이 편차가 증가하였으며, 도금액 온도가 $40^{\circ}C$보다 $60^{\circ}C$일 때 웨이퍼 레벨에서 더 균일한 범프 높이의 분포도를 얻을 수 있었다.

The Analysis of Failure Pattern in Locally Advanced Stomach Cancer Treated with Surgery and Post-Op Chemotherapy: To Explore The Role of Post-Op Irradiation

최은경,장혜숙,서처원,이규형,이정신,김상희,김명환,민영열,김진천,이승규,박건춘,Choi, Eun-Kyung,Chang, Hye-Sook,Suh, Cheol-Won,Lee, Kyoo-Hyung,Lee, Jung-Shin,Kim, Sang-Hee,Kim, Hae-Ryun,Kim, Myung-Hwan,Min-Young-Il,Kim, Jin-Cheon,Lee, S The Korean Society for Radiation Oncology 1991 Radiation Oncology Journal Vol.9 No.2

수수로가 항암요법만으로 치료한 국소 진행된 위암환자에서 치료실패의 양상을 분석해봄으로써 수술후 방사선치료의 가능성을 알아보기 위하여 1989년 6월부터 1990년 8월까지 치료받은 107명의 환자를 대상으로 후향적 분석을 시행하였다. 제2기 ($T_2N_1,\;T_3N_0$)환자는 20이었으며 제3기 ($T_3N_1,\;T_3N_2$(환자는 87명이었다 16명은 수술후 추적이 어려워 91명에 대한 분석을 시행하였다. 모든 환자는 근치적 절제술을 시행받았고 이중 57명은 수술후 항암요법을 시행하고 24명은 계속적 추적 관찰만을 하였다. 국소재발율은 항암 요법 시행군에서는 $321\%$, 추적관찰군에서는 $24\%$로 차이가 없었고 원격전이는 항암요법 시행군에서는 $12\%$ 추적관찰군에서는 $26\%$로 항앙요법 시행군에서 원격 전이가 적어지는 것을 관찰할 수 있었다. 국소 재발환자의 $52\%$는 anastomosis site에서 재발하였고 원격 전이시 가장 많이 침범되는 장기는 간이었다. 아직 추적 관찰 기간이 짧으나 수술후 방사선 치료가 최소한 $20\%$이상의 환자에서 도움이 될것으로 생각된다. A Retrospective study to analyze the failure pattern in locally advanced stomach cancer, treated with radical surgery and post-op chemotherapy was perfomed. Among 107 patients who underwent radical gastrectomy in Asan Medical Center between June 1989 and August 1990. there were 20 stage II(T2NO, T2N1) and 87 stage III(T3N1, T3N2) and 91 patients were eligible for study. 57 patients treated with 6 cycles of postop adjuvant chemotherapy. Among 57 patients treated with postop adjuvant chemotherapy, local failure occurred in $21\%$ and distant failure in $12\%$. Among 34 patients who were not treated with postop chemotherapy, local failure occurred in $24\%$ and distant failure in $26\%$. Among 29 failures including 13 locoregional, 9 distant metastasis and 7 locoregional and distant metastasis, 11 cases recurred in the anastomotic site, 3 in the gastric bed,7 in the regional lymph nodes and peritoneal seeding occurred in 6 cases. The true incidences of gastric bed, nodal and peritoneal failures may be higher in the longer follow-up or reoperative or autopsy series. Our data sugest that postop chemocherapy is beneficial by reducing distant failure rate. Our data suggest that postop chemocherapy is beneficial by reducing distant failure rate. Postop adjuvant locoregional radiotherapy in addition to the systemic adjuvant therapy may reduce the local failure rate and potentially benefit in at least $20\%$ of patients who developed the local failure only.

Hyperfractionated Radiotherapy and Concurrent Chemotherapy for Stage III Unresectable Non Small Cell Lung Cancer : Preliminary Report for Response and Toxicity

최은경,김종훈,장혜술,김상위,서철원,이규형,이정신,김상희,고윤석,김우성,김동순,김원동,송군식,Choi, Eun-Kyung,Kim, Jong-Hoon,Chang, Hye-Sook,Kim, Sang-We,Suh, Cheol-Won,Lee, Kyoo-Hyung,Lee, Jung, Shin,Kim, Sang-Hee,Ko, Youn-Suk,Kim, Woo-Sung The Korean Society for Radiation Oncology 1995 Radiation Oncology Journal Vol.13 No.2

목적 : 절제 불가능한 제 3기 비소세포성 폐암에서 다분할 방사선 치료와 MVP 복합 항암요법의 동시 치료에 의한 종양관해율, 급성부작용, 생존기간에 미치는 효과를 알아보기 위하여 1993년 8월부터 전향성 연구(Prospective study)를 시작하였다. 방법: 본 연구는 제 III기의 비소세포성 폐암중 절제가 불가능한 환자를 대상으로 하여 다분할 방사선치료(120 cGy/fx, BID)를 6,480 cGy 시행하며 동시에 방사선치료 제1일과 28일에 2회의 MVP (Mitomycin C $6mg/m^2,$ Vinblastine $6mg/m^2,$ Cisplatin $60mg/m^2$) 복합 항암 요법을 시행하였다. 1994년 11월까지 등록된 62명의 환자에 대한 분석을 시행하였다. 병기는 IIIa 환자가 6명이고 나머지 56명은 IIIb 환자였으며 이중 흉막액이 있었던 환자는 11명, 쇄골상 임파선 전이가 있었던 환자는 10명으로 대부분의 환자가 IIIb 중에서도 진행된 환자였다. 조직학적 유형은 편평 상피암이 41명으로 $66\%$ 선암도 11명으로 $18\%$를 차지하였다. 결과: 52명의 환자중 끝까지 치료를 마친 환자는 48명으로 이 study의 compliance는 $77\%$이었다. 48명의 환자중 2명은 치료중 치료와 관계된 백혈구 감소로 인한 폐렴으로 사망하였다. 치료의 효과를 판정할 수 있었던 46명의 환자중 완전 관해(CR)는 10명으로 $22\%$의 높은 완전 관해율을 보였다. 부분 관해(PR)는 24명 $(52\%)$ 으로 다분할 방사선 치료와 동시 병행 MVP 항암요법에 의한 부분관해 이상의 관해율은 $74\%$ 이었다. 급성부작용 판정이 가능했던 46명중 가장 빈도가 높은 금성 부작용은 백혈구 감소로 1차 항암요법후 10명이 Grade 3, 4명이 Grade 4의 백혈구 감소를 보였으며 2차 항암요법에는 11명이 Grade 3, 9명이 Grade 4의 백혈구 감소를 보여 치료기간이 3일에서 5일 정도 지연되는 결과를 나타냈고 이중 2명은 폐렴으로 인한 패혈증으로 사망하였다. 치료중 체중감소를 보인 환자는 26명 $(54\%)$ 이었으며 이중 9명에서는 치료전에 비해 $10\%$ 이상의 체중감소를 보였다. 치료 1개월후 찍은 CT상 6명에서는 Grade 1의 방사선 폐렴이 관찰되었고 3명에서는 Grade 2로 Steroid 치료후 호전되었다. 결론: 이상의 결과 다분할 방사선 치료와 MVP 항암요법의 동시 치료가 이전의 항암요법후 다분할 방사선 치료하는 Sequential 방법에 비하여 높은 관해율을 보이고 특히 $22\%$의 높은 완전 관해율이 관찰되어 이 연구를 계속 진행함으로써 더 좋은 결과를 얻을 것으로 생각되며 급성 부작용에 대하여는 입원을 통한 Nutrition support와 G-CSF 등을 이용하여 백혈구 감소를 막을 수 있을 것으로 생각된다. Lung cancer study group at Asan Medical Center has conducted the second prospective study to determine the efficacy and feasibility of MVP chemotherapy with concurrent hyperfractionated radiotherapy for Patients with stage III unresectable non-small cell lung cancer(NSCLC). All eligible Patients with stage III unresectable NSCLC were treated with hyperfractionated radiotherapy(120 cGy/fx BID. 6480 cGy/54fx) and concurrent 2 cycles of MVP(Mitomycin C $6mg/m^2,$ d2 & d29.Vinblastine $6mg/m^2,$ d2 & d29, Cisplatin $60mg/m^2,$ dl & d28) chemotherapy. Between Aug. 1993 and Nov. 1994, 62 patients entered this study; $6(10\%)$ had advanced stage IIIa and $56(90\%)$ had IIIb disease including 11 with pleural effusion and 10 with supraclavicular metastases. Among 62 patients, $48(77\%)$ completed planned therapy. Fourteen patients refused further treatment during chemoradiotherapy. Of 46 patients evaluable for response, $34(74\%)$ showed major response including $10(22\%)$ with complete and $24(52\%)$ with partial responses. Of 48 patients evaluable for toxicity, $13(27\%)$ showed grade IV hematologic toxicity but treatment delay did not exceed 5 days Two patients died of sepsis during chemoradiotherapy. Severe weight loss(more than $10\%)$ occurred in 9 patients$(19\%)$ during treatment. Nine patients$(19\%)$ developed radiation pneumonitis Six of these patients had grade 1 (mild) Pneumonitis with radiographic changes within the treatment fields Three other patients had grade 11 Pneumonitis, but none of these patients had continuous symptoms after steroid treatment. Concurrent chemoradiotherapy for patients with advanced NSCLC was well tolerated with acceptable toxicity and achieved higher response rates than the first study, but rather low compliance $rate(77\%)$ in this study is worrisome. We need to improve nutritional support during treatment and to use G-CSF to improve leukopenia and if necessary. supportive care will be given as in patients, Longer follow-up and larger sample size is needed to observe survival advantage.

유전체 코호트 연구의 윤리적 고려 사항

최은경,김옥주,Choi, Eun-Kyung,Kim, Ock-Joo 대한예방의학회 2007 예방의학회지 Vol.40 No.2

During the last decade, genomic cohort study has been developed in many countries by linking health data and genetic data in stored samples. Genomic cohort study is expected to find key genetic components that contribute to common diseases, thereby promising great advance in genome medicine. While many countries endeavor to build biobank systems, biobank-based genome research has raised important ethical concerns including genetic privacy, confidentiality, discrimination, and informed consent. Informed consent for biobank poses an important question: whether true informed consent is possible in population-based genomic cohort research where the nature of future studies is unforeseeable when consent is obtained. Due to the sensitive character of genetic information, protecting privacy and keeping confidentiality become important topics. To minimize ethical problems and achieve scientific goals to its maximum degree, each country strives to build population-based genomic cohort research project, by organizing public consultation, trying public and expert consensus in research, and providing safeguards to protect privacy and confidentiality.

Modified Five Field Technique for Primary and Postop Breast Cancer Irradiation

최은경,장혜숙,이병용,Choi, Eun-Kyung,Chang, Hye-Sook,Yi, Byong-Yong The Korean Society for Radiation Oncology 1991 Radiation Oncology Journal Vol.9 No.2

유방암의 근치적 또는 수술후 방사선 조사시 치료해야 할 부위는 유방과 주위임파 조직으로 매우 복잡한 3차인적 구조이다. 여러 방향의 조사에 의한 조사부위의 중복을 피하고 부작용을 최소화하기위한 여러 방법이 시도돼 왔으나 계산과정이나 치료방법이 매우 복잡하여 여러가지 문제점이 있었다. 이에 저자들은 Asymmetric jaw를 이용하고 gantry, collimator와 couch를 적절히 회전시켜 조사야가 만나는 부분에서 beam의 divergence를 없애줌으로써 가장 이상적으로 치료할 수 있는 방법을 소개하고자 한다. 5문 조사 방법은 다음과 같은 장점을 가진다. 1. 모든 조사야의 set up이 같은 위치에서 시행되므로 환자의 위치변동에 의한 target volume의 변화를 막을수 있다. 2. Half beam block을 사용하지 않아도 된다. 3. 조사야가 만나는 선(match line)에서 beam의 divergence가 없으므로 정확하다. 4. 계산이 쉽고 환자 set up이 용이하다. 5. 매일 치료를 같은 방법으로 정화하게 반복할 수 있다. In breast cancer, the treatment volume presents a relatively complex three dimensional structure. Effective radiation therapy requires the delivery of adequate dose to a large target volume using complex beam arrangements. The technique proposed here is our department's method using asymmetric jaw with appropriate couch, collimator and gantry rotation. This technique has the following advantages: 1) all treatments are given in a single clinical set up 2) it does not require half beam blocks 3) it produces exact geomatric match 4) it is very convenient and easy to use 5) it has daily reproducibility.

단삼(丹蔘)이 간성상세포의 섬유화 억제에 미치는 영향

최은경,이장훈,김영철,우홍정,Choi, Eun-Kyung,Lee, Jang-Hoon,Kim, Young-Chul,Woo, Hong-Jung 대한한방내과학회 2008 大韓韓方內科學會誌 Vol.29 No.2

Objectives : This study was performed to investigate the anti-fibrogenic effect of Salvia miltiorrhiza on rat hepatic stellate cells. Materials and Methods : Hepatic stellate cells(HSC-T6) were treated with various concentrations of Salvia miltiorrhiza extract for 24 hours. It was extracted either with distilled water or 50% EtOH. After the treatment, cell viability, proliferation, procollagen levels and the mRNA of the collagen type 1a2 and ASMA were measured Results : The viability and proliferation of the hepatic stellate cells were decreased as concentration increased. The mRNA expression decreased consistently with the volume of the secreted procollagen with the extraction made with distilled water. This indicates the herb has inhibitory effect on fibrogenesis of the liver by regulating one of the fibrosis associated genes in transcription. However it increased in 50% EtOH extraction, which shows that a more stable reaction is expected of the extraction made with distilled water than the extraction made with 50% EtOH. The production of procollagen was decreased by a low-concentration treatment with Salvia miltiorrhiza, but increased by a high concentration. It seemed that the cells were responding to Salvia miltiorrhiza in low- concentration, thus producing smaller amounts of collagen. When the drug was administered in high enough concentration to give direct toxicity to cells, an overproduction of collagen was observed. Conclusion : These results suggest that Salvia miltiorrhiza is a possible candidate for the treatment of cirrhotic patients as well as for patients with chronic hepatitis when extracted with water in the proper concentrations.

어린이집 친환경서비스 개선 표준화

최은경(Eun Kyung Choi),이재학(Jaihak Lee),허경옥(Kyungok Huh) 표준인증안전학회 2013 표준인증안전학회지 Vol.3 No.1

본 연구에서는 어린이집 친환경 서비스 개선을 위한 표준화사례를 제시하였다. 구체적으로 친환경 보육시설, 친환경 먹거리, 친환경 놀잇감, 생태프로그램의 표준화를 제시하여 향후 보다 많은 아이들이 자연의 소중함과 풍요로움을 경험할 수 있도록 하고 나아가 우리나라 어린이집의 친환경 서비스를 확산시키고자 하였다. 본 연구는 어린이집 표준화의 사례를 제시함으로서 향후 다양한 생활서비스 분야의 표준화를 촉진하고 또한 그 사례를 공유할 수 있는 계기를 마련하는데 기여하고자 하였다. This paper presents a standardization case on the improvement of environmental-friendly service at nursery. More specifically, through the environmental-friendly care facility, food, toys and ecological program, children can experience the importance and fertility of nature. Moreover, environmental-friendly service at nursery is to be spread nationwide. This study also contributes to share the example as well as promoting the standardization in the field of various life service by providing a case at nursery.

2000년대 글로벌 전염병 거버넌스의 변화

최은경(Eun Kyung CHOI),이종구(LEE Jong-Koo) 대한의사학회 2016 醫史學 Vol.25 No.3

This paper focus upon the changes of global infectious disease governance in 2000s and the transformation of infectious disease control system in South Korea. Traditionally, infectious disease was globally governed by the quarantine regulated by the international conventions. When an infectious disease outbreak occurred in one country, each country prevented transmission of the disease through the standardized quarantine since the installation of international sanitary convention in 1892. Republic of Korea also organized the infectious disease control system with quarantine and disease report procedure after the establishment of government. Additionally, Korea National Health Institute(KNIH) was founded as research and training institute for infectious disease. However, traditional international health regulation system faced a serious challenge by the appearance of emerging and re-emerging infectious disease in 1990s. As a result, global infectious disease governance was rapidly changed under the demand to global disease surveillance and response. Moreover, global health security frame became important after 2001 bioterror and 2003 SARS outbreak. Consequently, international health regulation was fully revised in 2005, which included not only infectious disease but also public health emergency. The new international health regime was differently characterized in several aspects; reinforcement of global cooperation and surveillance, enlargement of the role of supranational and international agencies, and reorganization of national capacity. KNIH was reorganized with epidemic control and research since late 1990s. However, in 2004 Korea Center for Disease Control and Prevention(KCDC) was established as a disease control institution with combining quarantine and other functions after 2003 SARS outbreak. KCDC unified national function against infectious disease including prevention, protection, response and research, as a national representative in disease control. The establishment of KCDC can be understood as the adoption of new international health regulation system based upon SARS experience.

三島小説における女の美

崔殷景(Choi Eun-Kyung) 대한일어일문학회 2008 일어일문학 Vol.39 No.-