Effect of Total Hip Arthroplasty on Ipsilateral Lower Limb Alignment and Knee Joint Space Width: Minimum 5-Year Follow-up

Choi Yun Seong,Park Jung-Wee,Kim Tae Woo,Kang Kee Soo,Lee Young-Kyun,Koo Kyung-Hoi,Chang Chong Bum 대한의학회 2023 Journal of Korean medical science Vol.38 No.20

Background: This study aimed to 1) assess the effect of total hip arthroplasty (THA) on coronal limb alignment, namely, the hip–knee–ankle angle (HKA), 2) identify factors that determine changes in the HKA, and 3) determine whether alignment changes influence the knee joint space width. Methods: We retrospectively evaluated 266 limbs of patients who underwent THA. Three types of prostheses with neck shaft angles (NSAs) of 132°, 135°, and 138° were used. Several radiographic parameters were measured in the preoperative and final radiographs (at least 5 years after THA). A paired t-test was used to confirm the effect of THA on HKA change. Multiple regression analysis was performed to identify radiographic parameters related to HKA changes following THA and changes in knee joint space width. Subgroup analyses were performed to reveal the effect of NSA change on the HKA change, and the proportion of total knee arthroplasty usage and changes in radiographic parameters between maintained joint space and narrowed joint space groups were compared. Results: The preoperative mean HKA was 1.4° varus and increased to 2.7° varus after THA. This change was related to changes in the NSA, lateral distal femoral angle, and femoral bowing angle. In particular, in the group with a decrease in NSA of > 5°, the preoperative mean HKA was largely changed from 1.4° varus to 4.6° varus after THA. The prostheses with NSA of 132° and 135° also led to greater varus HKA changes than those with an NSA of 138°. Narrowing of the medial knee joint space was related to changes in the varus direction of the HKA, decrease in NSA, increase in femoral offset. Conclusion: A large reduction in NSA can lead to considerable varus limb alignment after THA, which can have adverse effects on the medial compartment of the ipsilateral knee.

심낭삼출을 동반한 CREST증후군 1례

윤덕구,박승국,박근용,전영준,이인규,박창호 啓明大學校 醫科大學 1986 계명의대학술지 Vol.5 No.2

CREST syndrome is variant of scleroderma characterized by calcinosis, Raynaud's phenomena, esophageal dysmotility, sclerodactyly & telangiectasia. In the past, it was believed that CREST patients live longer than scleroderma because rare involvement of internal organ, but recently noted that CREST patients may die early by involvement of internal organ. Recently, authors experience one case of CREST syndrome associated with pericardial effusion, herein presenting our experience and literature and reviewed.

두 가족의 가족성 모야모야병 환자 4례

구자성,노재규,박성호,이한보,이용석,윤창호,송치성,송재우 대한신경과학회 1998 대한신경과학회지 Vol.16 No.4

겔제제로부터 케토프로펜의 방출특성 시험법

김호정,윤미옥,이수정,최현철,김지영,김인화,심창구,강신정 한국약제학회 2002 Journal of Pharmaceutical Investigation Vol.32 No.2

A method that describes the determination of the in vitro release of ketoprofen from gels was suggested. The experimental system of the method consists of a Franz diffusion cell, which contains a pH 7.4 phosphate buffer as a receptor medium, and a 70 μm mesh woven nylon membrane as a diffusion barrier. Under the given condition of the system, the diffusion of ketoprofen across the membrane was rapid enough that the apparent release profile of ketoprofen obtained from the present method could represent the release of the drug from gel preparations. The release of ketoprofen in the present method was reproducible, and the rate increased in proportion to the concentration of ketoprofen in the gel. These suggest that the present method is applicable to the quality evaluation of gel preparations containing ketoprofen.

크론병에 대한 CoPPLX의 방어효과에 대한 연구

이호학,김유림,문창기,이재일,양병윤,김종수,이정민,정재혁,안석진,박상준,김윤권,김소연,김영중,조민구,최영자,장성조 圓光大學校 醫科學硏究所 2005 圓光醫科學 Vol.20 No.1

Streptozotocin으로 유발된 당뇨쥐의 간세포 내 Gi 단백의 양과 기능 변화

옥선명,손현식,홍옥기,이정민,김성래,장상아,윤건호,강무일,차봉연,이광우,손호영,강성구 대한당뇨병학회 2002 Diabetes and Metabolism Journal Vol.24 No.6

연구배경:당뇨병과 인슐린 작용에 있어 Gi 단백의 역할은 정설이 없는 상태이며, 당뇨병의 유병 기간에 따른 Gi 단백의 변화는 잘 알려져 있지 않다. 본 연구에서는 streptozotocind으로 유발된 인슐린의존성 당뇨쥐의 간세포를 대상으로 당뇨병의 유병 기간에 따른 Gi 단백의 기능적 변화와 Gi 단백의 양적인 변화를 α소단위의 종류에 따라 비교함으로서 인슐린 작용 및 당뇨병의 병인에서 Gi 단백의 역할을 평가하고자 하였다. 방법:Sprague­Dawley계 흰쥐 수컷에 streptozotocin을 정맥 주사하여 당뇨병을 유발시킨 후 1, 2, 3 및 5주에 간조직을 differential ultracentrifugation와 gradient centrifrgation방법으로 전세포분쇄물과 중간분쇄물 및 간세포막으로 분획한 다음 Giα의 양적 변화를 평가하기 위해서 Giα1&2, Giα₃에 대한 항체로 western blot을 실시하였고, 기능적 변화를 평가하기 위해서 pertussis toxin­catalyzed ADP­ribosylation과[35S]­GTPγS binding assay를 실시하였다. 결과:당뇨군과 대조군의 간세포에는 Giα², Giα³이 존재하는데 주로 간세포막에 존재하며, 대조군에 비해 당뇨군의 간세포막의 Giα²와 Giα³의 양이 유의하게 높게 측정되었으나 (p<0.01)당뇨병의 유병 기간 증가에 따른 변화는 없었다. Pertussis toxin­catalyzed ADP­ribosylation와[35S]­GPTγS 결합률을 실시한 결과 대조군에 비해서 당뇨군의 간세포막에서 저하되었으나(p<0.01), 당뇨병의 유병 기간 증가에 따른 변화는 없었다. 결론:인슐린의존성 당뇨쥐의 간세포에서 Gi 단백의 양적 및 기능적 변화가 있으나, 당뇨병의 유병 기간과 관계가 없는 것으로 보아, 인슐린 결핍에 의한 인슐린저항성에 대한 보상 반응으로 생각되며, 이는 인슐린 작용 및 당뇨병에서 Gi 단백이 관여함을 알 수 있었다. Background : The functional and expressional changes of Gi proteins in diabetes have been investigated extensively, no agreement has been reached in the results. Moreover, studies using rats with different diabetic duration, and using α subunits (G_ia) of Gi proteins are lacking in literatures. Thus, we assessed the changes according to the duration of diabetes and examined the expressional changes of G_ia and functional changes of G_i proteins in hepatocytes from streptozotocin-induced diabetic rats. Methods : Male Sprague-Dawley rats were injected with streptozotocin to induce diabetes ; 1, 2, 3 and 5 weeks after teh onset of diabetes, livers from the control and diabetic rats were fractionated into homogenate, interface, and plasma membrane. The levels of G_ia 1&2, G_ia 3 were quantified with western blots in each fraction. The functional changes of Gi proteins were evaluated by performing pertussis to xin-catalyzed ADP-ribosylation and measuring GTPγS binding activity. Results : 1) G_ia 2 and G_ia 3 were present mainly in the plasma membrane of hepatocytes in the diabetic and control rats, but the levels of these subunits were significantly higher in the diabetic rats, but the levels of these subunits were significantly higher in the diabetic rates than in the control rats (p<0.01). The levels of these subunits were not affected by the duration of diabetes. 2) In streptozotocin-induced diabetic rats, the levels of ADP-ribosylation of Gi proteins in liver plasma membranes decreased when pertussis toxin-catalyzed ADP-ribosylation was performed with liver tissues. However, the levels of these proteins were not affected by the duration of diabetes. 3) For the GTPγS binding activity of G_i proteins in liver plasma membranes, the diabetic rats showed significantly less activity than the control rats (p<0.01). However, the activity was not affected by the duration of diabetes. The activity was somewhat restored by the insulin treatment of liver plasma membranes in diabetic rats. Conclusion : These results suggest that the insulin-deficient diabetic state induces the quantitative and functional changes in G_i proteins may be the important compensatory reactions for the insulin resistance occurring in the insulin deficient state (J Kor Diabetes Asso 24:666~677, 2000).

Chebulic acid prevents hepatic fibrosis induced by advanced glycation end-products in LX-2 cell by modulating Nrf2 translocation <i>via</i> ERK pathway

Koo, Yun-Chang,Pyo, Min Cheol,Nam, Mi-Hyun,Hong, Chung-Oui,Yang, Sung-Yong,Lee, Kwang-Won Elsevier 2016 Toxicology in vitro Vol.34 No.-

<P><B>Abstract</B></P> <P>Advanced glycation end-products (AGEs) are formed during normal aging, and at an accelerated rate in metabolic syndrome patients. Nonalcoholic steatohepatitis (NASH) can be caused by the AGEs in plasma, while glyceraldehyde-derived AGEs (glycer-AGEs) are significantly higher in the serum of NASH patients. In this study, we investigated the molecular mechanisms of chebulic acid, isolated from <I>Terminalia chebula</I> Retz., in the inhibition of glycer-AGEs induced production of reactive oxygen species (ROS) and collagen accumulation using the LX-2 cell line. Chebulic acid significantly inhibited the induction of ROS and accumulation of collagen proteins by glycer-AGEs. ERK phosphorylation and total nuclear factor E2-related factor 2 (Nrf2) protein expression were induced by chebulic acid in a dose-dependent manner. Chebulic acid was also found to induce translocation of Nrf2 into the nucleus, which was attenuated by inhibition of ERK phosphorylation through treatment with PD98059. Following translocation of Nrf2, chebulic acid induced the protein expressions of catalytic subunit of γ-glutamylcysteine synthetase and glutathione synthesis. Collagen accumulation was also significantly reduced by chebulic acid treatment. The observed effects of chebulic acid were all inhibited by PD98059 treatment. Taken together, these results suggest that chebulic acid prevents the glycer-AGEs-induced ROS formation of LX-2 cells and collagen accumulation by ERK-phosphorylation-mediated Nrf2 nuclear translocation, which causes upregulation of antioxidant protein production.</P> <P><B>Highlights</B></P> <P> <UL> <LI> Effects of glycer-AGEs on hepatic stellate cell line, LX-2 are investigated. </LI> <LI> Chebulic acid activates ERK-phosphorylation-mediated Nrf2 nuclear translocation. </LI> <LI> The Nrf translocation causes up-regulation of antioxidant protein production in LX-2. </LI> <LI> Chebulic acid inhibits formation of ROS and collagen proteins by glycer-AGEs in LX-2. </LI> </UL> </P>

[P8-151] Inhibitory effect of Terminalia chebula Ethyl Acetate Extract on Fibrosis Induced by Carbon Tetrachloride in Rat Liver

Yun-Chang Koo,Chung-Oui Hong,Mi-Hyun Nam,Ji Hoon Kim,Wang Zeng,Sung-Yong Yang,Ji-Young Lee,Kwang-Won Lee 한국식품영양과학회 2010 한국식품영양과학회 학술대회발표집 Vol.2010 No.10

Nanoinjection system for precise direct delivery of biomolecules into single cells

Yun, Chang-Koo,Hwang, Jung Wook,Kwak, Tae Joon,Chang, Woo-Jin,Ha, Sungjae,Han, Kyuboem,Lee, Sanghyun,Choi, Yong-Soo The Royal Society of Chemistry 2019 Lab on a chip Vol.19 No.4

<P>Intracellular delivery of functional molecules such as proteins, transcription factors and DNA is effective and promising in cell biology. However, existing transfection methods are often unsuitable to deliver big molecules into cells or require carriers such as viruses and peptides specific to the target molecules. In addition, the nature of bulk processing does not generally provide accurate dose control of individual cells. The concept of single-cell-based material injection based on electrokinetic pumping through nanocapillaries could overcome these problems, yet the fabrication and operation of nanoscale 3-dimensional structures have remained unsolved. In this research, a hybrid (PDMS/glass) microfluidic chip with a true 3-dimensional nanoinjection structure (called “nanoinjection system”) is presented. The nanoinjection structure was fabricated by femtosecond-laser (fs-laser) ablation in a single solid glass, which showed very successful delivery of red fluorescent protein (RFP) and expression of plasmid DNA in several different types of cells. This system is promising in that the amount of molecules to be delivered is controllable and the processed cells are systematically separated into a harvesting chamber, which can radically improve the purity of the processed cells. In addition, it was confirmed that the cells were healthy even after the molecule injection for a few seconds, indicating that the injection time can be significantly elongated, further improving the delivery efficiency of biomolecules without affecting the cell viability. We envision that the nanoinjection system having the major features of being carrier-free and dose-controllable, having an unlimited injection period, and ease of harvesting will greatly contribute to the next-generation research studies in the fields of cell biology and cell therapeutics.</P>

Effect of Heat Treatment and Glycosylation on in vitro Stability of rrhGM-CSF

Chang-Koo YUN,Kyu-Boem HAN,Youn-Je PARK 한국생물공학회 2012 한국생물공학회 학술대회 Vol.2012 No.4