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Impression of prognosis regarding pathologic stage after preoperative chemoradiotherapy in rectal cancer

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World Journal of Gastroenterology 2015年第2期21卷 563-570页

作者： Kyungyeon hwang In Ja Park Chang sik Yu Seok-Byung Lim Jong Lyul Lee Yong sik Yoon Chan Wook Kim Jin Cheon Kim Department of Colon and Rectal Surgery University of Ulsan College of Medicine and Asan Medical CenterSeoul 138-736South Korea

AIM: To ascertain pathologic stage as a prognostic indicator for rectal cancer patients receiving preoperative chemoradiotherapy(PCRT).METHODS: Patients with mid- and low rectal carcinoma(magnetic resonance imaging- based clinical stage Ⅱ or Ⅲ) between 2000 and 2009 and treated with curative radical resection were identified. Patients were divided into two groups: PCRT and No-PCRT. Recurrence-free survival(RFS) was examined according to pathologic stage and addition of adjuvant ***: Overall, 894 patients were identified. Of these, 500 patients received PCRT. Adjuvant chemotherapy was delivered to 81.5% of the No-PCRT and 94.8% of the PCRT patients. Adjuvant radiotherapy was given to 29.4% of the patients in the No PCRT group. The 5-year RFS for the No-PCRT group was 92.6% for StageⅠ, 83.3% for Stage Ⅱ, and 72.9% for Stage Ⅲ. The 5-year RFS for the PCRT group was 95.2% for yp Stage 0, 91.7% for yp StageⅠ, 73.9% for yp Stage Ⅱ, and 50.7% for yp Stage Ⅲ.CONCLUSION: Pathologic stage can predict prognosis in PCRT patients. Five-year RFS is significantly lower among PCRT patients than No-PCRT patients in pathologic stage Ⅱ and Ⅲ. These results should be taken into account when considering adjuvant treatment for patients treated with PCRT.

关键词： Preoperative Chemoradiotherapy Rectal cancer Patho

Are human dental papilla-derived stem cell and human brain-derived neural stem cell transplantations suitable for treatment of Parkinson’s disease?

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Neural Regeneration Research 2013年第13期8卷 1190-1200页

作者： hyung Ho Yoon Joongkee Min Nari Shin Yong Hwan Kim Jin-Mo Kim Yu-Shik hwang Jun-Kyo Francis Suh Onyou hwang Sang Ryong Jeon Department of Neurological Surgery Asan Medical Center University of Ulsan College of Medicine Department of Biochemistry and Molecular Biology University of Ulsan College of Medicine Department of Computer Science and Engineering University of Notre Dame Notre Dame Center for Bionics of Korea Institute of Science and Technology Department of Maxillofacial Biomedical Engineering Institute of Oral Biology School of Dentistry Kyung Hee University

Transplantation of neural stem cells has been reported as a possible approach for replacing impaired dopaminergic neurons. In this study, we tested the efficacy of early-stage human dental papilla-derived stem cells and human brain-derived neural stem cells in rat models of 6-hydroxydopamine-induced Parkinson＇s disease. Rats received a unilateral injection of 6-hydroxydopamine into right medial forebrain bundle, followed 3 weeks later by injections of PBS, early-stage human dental papilla-derived stem cells, or human brain-derived neural stem cells into the ipsilateral striatum. All of the rats in the human dental papilla-derived stem cell group died from tumor formation at around 2 weeks following cell transplantation. Postmortem examinations revealed homogeneous malignant tumors in the striatum of the human dental papilla-derived stem cell group. Stepping tests revealed that human brain-derived neural stem cell transplantation did not improve motor dysfunction. In apomorphine-induced rotation tests, neither the human brain-derived neural stem cell group nor the control groups （PBS injection） demonstrated significant changes. Glucose metabolism in the lesioned side of striatum was reduced by human brain-derived neural stem cell transplantation. [18F]-FP-CIT PET scans in the striatum did not demonstrate a significant increase in the human brain-derived neural stem cell group. Tyrosine hydroxylase （dopaminergic neuronal marker） staining and G protein-activated inward rectifier potassium channel 2 （A9 dopaminergic neuronal marker） were positive in the lesioned side of striatum in the human brain-derived neural stem cell group. The use of early-stage human dental papilla-derived stern cells confirmed its tendency to form tumors. Human brain-derived neural stem cells could be partially differentiated into dopaminergic neurons, but they did not secrete dopamine.

关键词： neural regeneration stern cells cell transplantation glucose metabolism human brain-derivedneural stem cells human dental papilla-derived stem cells Parkinson's disease positron emissiontomography grants-supported paper neuroregeneration

Prognostic factors in patients with middle and distal bile duct cancers

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World Journal of Gastroenterology 2014年第21期20卷 6658-6665页

作者： hyung Jun Kwon Sang Geol Kim Jae Min Chun Won Kee Lee Yoon Jin hwang Department of Surgery Kyungpook National University Medical CenterDaegu 702-210South Korea Department of Surgery School of MedicineKyungpook National UniversityDaegu 700-422South Korea Department of Preventive Medicine School of Medicine Kyungpook National University Daegu 700-422South Korea

AIM: To identify the influence of the surgery type and prognostic factors in middle and distal bile duct cancers.

关键词： Distal extrahepatic bile duct cancer Lymphovascular invasion Tumor node metastasis Pancreaticoduodenectomy Bile duct resection Prognostic factor

Fabrication of carbon coated gadolinia particles for dual-mode magnetic resonance and fluorescence imaging

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Journal of Advanced Ceramics 2015年第2期4卷 118-122页

作者： Timur Sh.ATABAEV Jong Ho LEE Dong-Wook HAN hyung-Kook KIM Yoon-Hwae hwang Department of Nanomaterials Engineering Pusan National UniversityMiryang 627-706Republic of Korea Department of Cogno-Mechatronics Engineering Pusan National UniversityBusan 609-735Republic of Korea

In the present study,we report a fabrication of dual-mode carbon coated gadolinia C@Gd_(2)O_(3)particles by a facile hydrothermal synthesis method without using any organic *** prepared C@Gd_(2)O_(3)particles have a core-shell structure and a narrow size distribution in the range of 261±27 *** fluorescent properties of the prepared C@Gd_(2)O_(3)particles were accessed by a room-temperature photoluminescence study,while the longitudinal relaxivity(r1)was examined by using a clinical 1.5 T MRI scanner.A murine fibroblast L-929 cell line was used to examine the cytotoxicity and capability of the prepared C@Gd_(2)O_(3)particles for the fluorescent *** obtained results show that the prepared C@Gd_(2)O_(3)particles could be used as a dual-mode contrast agent for magnetic resonance and fluorescence imaging.

关键词： carbon core-shell structure gadolinia particles fluorescence magnetic resonance imaging(MRI)contrast agent

Comparison of a novel bedside portable endoscopy device with nasogastric aspiration for identifying upper gastrointestinal bleeding

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World Journal of Gastroenterology 2014年第25期20卷 8221-8228页

作者： Jong Hwan Choi Jae Hyuk Choi Yoo Jin Lee hyung Ki Lee Wang Yong Choi Eun Soo Kim Kyung sik Park Kwang Bum Cho Byoung Kuk Jang Woo Jin Chung Jae Seok hwang Division of Gastroenterology and Hepatology Department of Internal Medicine Keimyung University School of MedicineDaegu 700-712South Korea

AIM: To compare outcomes using the novel portable endoscopy with that of nasogastric (NG) aspiration in patients with gastrointestinal bleeding.

关键词： Endoscopy Gastrointestinal bleeding Nasogastric aspiration

Artificial Nanoscale Erythrocytes from Clinically Relevant Compounds for Enhancing Cancer Immunotherapy

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Nano-Micro Letters 2020年第7期12卷 156-174页

作者： Wenquan Ou Kang sik Nam Dae Hoon Park Jungho hwang Sae Kwang Ku Chul Soon Yong Jong Oh Kim Jeong Hoon Byeon College of Pharmacy Yeungnam UniversityGyeongsan 38541Republic of Korea School of Mechanical Engineering Yonsei UniversitySeoul 03722Republic of Korea College of Korean Medicine Daegu Haany UniversityGyeongsan 38610Republic of Korea School of Mechanical Engineering Yeungnam UniversityGyeongsan 38541Republic of Korea

Because of enhanced e cacy and lower side e ects,cancer immunotherapies have recently been extensively investigated in clinical trials to overcome the limitations of conventional cancer *** engineering attempts have been made to build nanosystems even including stimulus nanomaterials for the e cient delivery of antigens,adjuvants,or anticancer drugs to improve immunogenic cancer cell death,this requires huge R&D e orts and investment for clinically relevant findings to be approved for translation of the *** this end,in this study,an air–liquid two-phase electrospray was developed for stable bubble pressing under a balance between mechanical and electrical parameters of the spray to continuously produce biomimetic nanosystems consisting of only clinically relevant compounds[paclitaxel-loaded fake blood cell Eudragit particle(Eu-FBCP/PTX)]to provide a conceptual leap for the timely development of translatable chemo-immunotherapeutic *** was pursued as the e cacy of systems for delivering anticancer agents that has been mainly influenced by nanosystem shape because of its relevance to transporting behavior to organs,blood circulation,and cell–membrane *** resulting Eu-FBCP/PTX nanosystems exhibiting phagocytic and micropinocytic uptake behaviors can confer better e cacy in chemo-immunotherapeutics in the absence and presence of anti-PD-L1 antibodies than similar sized PTX-loaded spherical Eu particles(Eu-s/PTX).

关键词： Cancer immunotherapies Air–liquid two-phase electrospray Paclitaxel-loaded fake blood cell Eudragit particle Translatable chemo-immunotherapeutic nanosystems Anti-PD-L1 antibodies

Hypothyroid effects on astrocytes and microglia in the adult rat hippocampus

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Neural Regeneration Research 2009年第12期4卷 1078-1082页

作者： Choong Hyun Lee Jung Hoon Choi In Koo hwang Ki-Yeon Yoo hyung-Cheul Shin Moo-Ho Won Department of Anatomy and Neurobiology and Institute of Neurodegeneration and NeuroregenerationCollege of MedicineHallym University South Korea Institute of Naturat Medicine Hallym University Department ofAnatomy and Cell Biology College of Veterinary Medicine and BK21 Program for Veterinary ScienceSeoul National Unlversity South Korea Institute of Natural Medicine Hallym University Department of Physiology College of MedicineHallym University

BACKGROUND： Thyroid hormones modulate proliferation of astrocytes and microglia depending on maturation stage and localization. Studies have demonstrated that triiodothyronine treatment or thyroidectomy during developmental stages results in morphological alterations and changes in the number of astrocytes and microglia. Little is known about the effects of hypothyroidism on astrocytes and microglia in adults. OBJECTIVE： To investigate the effects of hypothyroidism on morphology and number of astrocytes and microglia in the adult rat hippocampus. DESIGN, TIME AND SETTING： A randomized, controlled, neuroendocrinological, animal study was performed at the College of Medicine, Hallym University, South Korea between May 2008 and April 2009. MATERIALS： Methimazole, rabbit anti-glial fibrillary acidic protein （GFAP） antiserum, and rabbit anti-lba-1 antiserum were purchased from Sigma, USA. Rabbit anti-GFAP polyclonal antibody was provided by Chemicon, USA. Rabbit anti-lba-1 polyclonal antibody was purchased from Wako, Japan. Terminal deoxynucleotidyl transferase dUTP-biotin nick-end-labeling （TUNEL） kit was provided by Roche Molecular Biochemicals, Mannheim, Germany. METHODS： Hypothyroidism was induced in Wistar rats via methimazole administration （0.025%） in drinking water for 5 weeks, starting at 6 months of age. MAIN OUTCOME MEASURES： Following methimazole treatment, hippocampai neuronal death was determined using TUNEL staining. The morphology and number of GFAP and lba-1 immunoreactive cells were detected by immunohistochemistry. Hippocampal GFAP and lba-1 protein levels were detected by Western blot analysis. Serum-free triiodothyronine and thyroxine levels were quantified. RESULTS： TUNEL-positive neurons were not observed in the hippocampus of euthyroid and hypothyroid rats. Compared with the euthyroid rats, the number of GFAP immunoreactive astrocytes was decreased, and serum triiodothyronine and thyroxine levels were significantly decreased. In contrast, the numb

关键词： astrocytes hippocampus hypothyroidism microglia Wistar rats

Surgical palliation of unresectable pancreatic head cancer in elderly patients

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World Journal of Gastroenterology 2009年第8期15卷 978-982页

作者： Sang Il hwang hyung Ook Kim Byung Ho Son Chang Hak Yoo Hungdai Kim Jun Ho Shin Department of Surgery Kangbuk Samsung Hospital Sungkyunkwan University School of Medicine Seoul 110-746 South Korea

AIM: To determine if surgical biliary bypass would provide improved quality of residual life and safe palliation in elderly patients with unresectable pancreatic head cancer. METHODS: Nineteen patients, 65 years of age or older, were managed with surgical biliary bypass (Group A). These patients were compared with 19 patients under 65 years of age who were managed with surgical biliary bypass (Group B). In addition, the results for group A were compared with those obtained from 17 patients, 65 years of age or older (Group C), who received percutaneous transhepatic biliary drainage to evaluate the quality of residual life. RESULTS: Five patients (26.0%) in Group A had complications, including one intraabdominal abscess, one pulmonary atelectasis, and three wound infections. One death (5.3%) occurred on postoperative day 3. With respect to morbidity, mortality, and postoperative hospitalization, no statistically significant difference was noted between Groups A and B. The number of readmissions and the rate of recurrent jaundice were lower in Group A than in Group C, to a statistically significant degree (P = 0.019, P = 0.029, respectively). The median hospital-free survival period and themedian overall survival were also signifi cantly longer in Group A (P = 0.001 and P < 0.001, respectively). CONCLUSION: Surgical palliation does not increase the morbidity or mortality rates, but it does increase the survival rate and improve the quality of life in elderly patients with unresectable pancreatic head cancer.

关键词： Adenocarcinoma Elderly Palliative surgery Pancreas neoplasms

Paeonol attenuates inflammation-mediated neurotoxicity and microglial activation

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Neural Regeneration Research 2013年第18期8卷 1637-1643页

作者： Kyong Nyon Nam Byung-Cheol Woo Sang-Kwan Moon Seong-Uk Park Joo-young Park Jae-Woong hwang hyung-Sup Bae Chang-Nam Ko Eunjoo hwang Lee Graduate School of East-West Medical Science Kyung Hee University Department of Cardiovascular & Neurologic Diseases (Stroke Center) Hospital of Oriental Medicine Kyung Hee University

Chronic activation of microglial cells endangers neuronal survival through the release of various proinflammatory and neurotoxic factors. The root of Paeonia lactiflora Pall has been considered useful for the treatment of various disorders in traditional oriental medicine. Paeonol, found in the root of Paeonia lactiflora Pall, has a wide range of pharmacological functions, including anti-oxidative, anti-inflammatory and neuroprotective activities. The objective of this study was to examine the efficacy of paeonol in the repression of inflammation-induced neurotoxicity and microglial cell activation. Organotypic hippocampal slice cultures and primary microglial cells from rat brain were stimulated with bacterial lipopolysaccharide. Paeonol pretreatment was performed for 30 minutes prior to lipopolysaccharide addition. Cell viability and nitrite （the production of nitric oxide）, tumor necrosis factor-alpha and interleukin-lbeta products were measured after lipopolysaccharide treatment. In organotypic hippocampal slice cultures, paeonol blocked lipopolysaccharide-related hippocampal cell death and inhibited the release of nitrite and interleukin-lbeta. Paeonol was effective in inhibiting nitric oxide release from primary microglial cells. It also reduced the lipopolysaccharide-stimulated release of tumor necrosis factor-alpha and intefleukin-1β from microglial cells. Paeonol possesses neuroprotective activity in a model of inflammation-induced neurotoxicity and reduces the release of neurotoxic and proinflammatory factors in activated microglial cells.

关键词： neural regeneration traditional Chinese medicine brain inflammation interleukin-lbeta microglia neurotoxicity neuroprotection nitric oxide organotypic hippocampal slice culture Paeonia lactifloraPall paeonol tumor necrosis factor-alpha neuroregeneration