Heymann nephritis에서 24시간 요 단백 량, 사구체 족돌기 구조와 염증 관련 인자들과의 관련성에 대한 연구

설미영,유수영 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

불임 고환 생검례의 병리학적 연구

이선경,설미영 부산의대 1991 부산의대잡지 - 부산대학교 의과대학 Vol.31 No.2

Intrapulmonary Cystic Lymphangioma in a 2-month-old Infant

Lim Young Tak,Choi Kyung Un,Sol Mee Young,Kim Young Dae,Kim Kyun Il,Lee Kyung Min,Lee Jin Suk,Lee Chang Hun 대한의학회 2004 Journal of Korean medical science Vol.19 No.3

추출용액에 따른 유산균 발효 땅두릅의 항염증 효과

우영민(Young Min Woo),김옥주(Ok Ju Kim),조은솔(Eun Sol Jo),조민영(Min Young Jo),안미영(Mee Young Ahn),이상현(Sang-Hyeon Lee),하종명(Jong-Myung Ha),김안드레(Andre Kim) 한국생명과학회 2018 생명과학회지 Vol.28 No.12

본 연구는 추출 용매별 땅두릅 추출물과 Lactobacillus plantarum으로 발효한 후 용매별로 추출한 땅두릅 발효추출물을 이용하여 항염증 효과를 측정한 연구이다. 땅두릅은 중추신경 계통에 대한 흥분작용이 있고 혈압강하 작용이 알려져 있으며 관절염, 감기, 신경통, 류마티스, 피부가려움증 등에 쓰인다. LPS (lipopolysaccharide)로 염증을 유도한 마우스 유래 macrophage에서의 NO 생성 및 염증관련인자의 발현에 미치는 영향을 검토하여 항염증 소재로서의 이용 가능성을 확인하였다. 건조 땅두릅을 water, ethanol, hexane, ethyl acetate, butanol을 이용하여 추출한 추출물들과 L. plantarum으로 발효한 후 추출한 추출물들에서 RAW264.7 대식세포에 대한 독성 여부를 측정하였고, 세포에 대한 독성이 나타나지 않는 농도에서 추출물의 항염증 활성을 확인하였다. 본 실험에 사용된 추출물은 LPS로 유도된 NO 생성을 유의적으로 억제하였으며, 주요 염증 유발인자인 COX-2와 iNOS의 발현 또한 유의적으로 억제하는 효과를 나타냈다. 염증관련 cytokine인 IL-1β, IL-6 및 TNF-α의 생성량 또한 유의적으로 감소시켰다. 이상의 결과로부터 땅두릅을 L. plantarum으로 발효한 후 water, ethanol, butanol로 추출하였을 때 염증억제 효과가 있는 기능성 식품 소재로서의 개발 가능성이 있을 것으로 사료된다. We investigated the anti-inflammatory activities of various organic solvent extracts with and without Lactobacillus plantarum fermentation of Aralia continentalis Kitagawa which has hypotensive effects in addition to excitatory effects on the central nervous system. It has been used to treat arthritis, colds, neuralgia, rheumatism, and itchy skin. Our extracts were tested for their anti-inflammatory potential on NO production and the expression of inflammatory factors in lipopolysaccharide-stimulated RAW264.7 macrophages. Extracts with and without L. plantarum fermentation were prepared using water, ethanol, hexane, ethyl acetate, and butanol. The RAW264.7 cells were tested for toxicity and the anti-inflammatory activity of each extract was determined at a concentration with no toxicity to the cells. The extracts used in this study significantly inhibited both the production of NO and the mRNA expression of COX-2 and iNOS, the major inflammatory factors. The production of inflammation-related cytokines IL-1β, IL-6, and TNF-α was also significantly reduced. These results suggest that the extracts involving fermentation by L. plantarum can inhibit cytokines by controlling the expression of inflammatory cytokine genes. It is considered that the water, ethanol, and butanol extracts after fermentation with L. plantarum could be useful as functional natural materials with anti-inflammatory effects.

고혈당증과 신적출 후 신증의 실험적 흰쥐 모형에서 신사구체의 형태계측학적 연구 - 사구체 경화증의 발달 과정과 기전에 관한 연구 -

심영웅 ( Young Woong Shim ),설미영 ( Mee Young Sol ),이경민 ( Kyeong Min Lee ),최경운 ( Kyung Un Choi ),김지연 ( Jee Yeon Kim ),이진숙 ( Jin Sook Lee ),박도윤 ( Do Youn Park ),이창훈 ( Chang Hoon Lee ),서강석 ( Kang Suek Suh ) 대한신장학회 2002 Kidney Research and Clinical Practice Vol.21 No.6

목적 : 당뇨병의 가장 흔한 합병증의 당뇨병성 신중에서 현저한 조직 변화인 사구체의 섬유화와 이와 유사한 조직 소견을 보이는 다른 질병들과의 관련성 및 섬유화 기전의 기전의 일단을 밝히기 위하여 연구를 시행하였다. 방 법 : 당뇨병성 신증과 신 조직 일부 소실 후 발생하는 신 적출 후 신증, 생리적 노령화로 인한 사구체 섬유화 등에서 섬유화가 일어나는 시기와 부위, 섬유화의 정도와 시간 경과에 따른 변화 등을 조사하기 위하여 실험 동물 모형을 이용하여 형태계측학적 연구를 하였다. 수컷 Sprague-Dowley (이하 S-D) 흰쥐에 streptozotocin을 꼬리 정맥으로 투여하여 당뇨병성 신증 모델을 만들고, S-D 백서의 우측 신장을 절제하여 과여과 모형을 만들었다. 시술 후 일정 기간이 지난 후 시기별로 희생시켜 Sirius red 염색 표본을 만들어 시구체 단면적과 실질의 섬유화 정도를 측정하고, 전자현미경으로 얻은 사구체 소견에서 메산지움 기질의 면적, 사구체 기저막의 두께, 근위우곡세뇨관 기저막의 두께 등을 조사하였다. 이들에서 질병 시기에 따른 변화, 두 실험군 사이의 차이, 정상 대조군 및 생리적 노화 대조군과의 차이 등을 분석하였다. 결 과 : 당뇨병성 신증 모델에서 사구체 단면적은 실험8주 이후 24주까지 전 예에서 정상 대조군에 비해 크기가 의의있게 증가하였고 신 실질과 사구체 내의 섬유화는 실험 2주 째부터 대조군에 비해 의의있는 교원질 양의 증가가 있었다. 사구체 기저막은 streptozotocin 투여 1주에 희생시킨 군에서도 의의있는 두께의 증가가 있었고, 세뇨관 기저막도 3주에 측정한 군에서부터 현저한 두께의 증가가 있었다. 우측신 절제를 시행한 모형에서 사구체 평면적은 실험 7주군에서 커진 소견이 나타났고 16주 이후의 군대에서는 현저한 크기의 증가 소견이 있었다. 신실질과 사구체의 교원질 염색 소견에서 2주 이후 전 기간에 걸쳐 교원질 양의 증가가 있었고, 사구체 기저막과 세뇨관 기저막 두께는 술 후 2주에 희생시킨 군부터 두께가 의의있게 증가하였다. 생리적 노화과정을 거친 군에서도 사구체의 섬유화가 나타났는데 당뇨병 모형과 신적출 모형에 비해 그 정도는 덜하였다. 당뇨병 모형과 신적출 모형 사이의 사구체 조직 변화는 실험 기간이 긴 군들에서 사구체 평면적의 크기, 교원질 양의 증가, GBM과 TBM의 두께 등이 두 군 모두 현저한 증가를 보였고 신적출 모형에서 실험 최종 기간이 같지 않아 실험 수치의 비교가 의미가 없을 것으로 생각된다. 결 론 : 이상의 성적에 의거하면 신사구체와 간질의 섬유화, GBM과 TBM의 두께 증가는 당뇨병성 신증만의 특징적인 조직 변화는 아니고 신 실질 일부 소실이 일어나는 사구체 질환에서 공통적으로 일어나는 소견이다. 그러므로 본 연구의 대상이 된 당뇨병성 신중, 신적출 후 신증, 그리고 생리적 노화 과정 등에서 공통적으로 나타나는 사구체 모세관의 혈역동학적 변화가 사구체의 섬유화에 병인기전을 밝히는데 중요한 요소가 될 것으로 사료된다. Objective :Diabetic nephropathy and ablation nephropathy are characterized by sclerotic processes in the glomeruli. To elucidate the site, degree and time-honored changes of glomerular sclerosis, morphometric analysis was performed using the experimental animals models. Methods : The animals used were male Sprague-Dowley rats and separated into 4 groups as young mormal control, old control, streptozotocin-injected group, and right nephrectornized group. Chronologically kidney specimens were obtained after each treatment and processed to evaluated histologic changes. To evaluated the glomerular area, interstitial fibrosis and glomerular tuft fibrosis, the kidney specimens were fixed in Buin`s solution, paraffin-embedded and 2 ㎛ sections were Sirius red stained. To study the mesangial area, mesangial matrix area, glomerular basement membrane, and tubular basement membrane, the specimens were fixed in 2,5% glutaraldehyde, epon-embedded, double-stained and examined under the transmission electron microscope. All the specimens were analyzed morphometrically using the Image Pro Plus software. The obtained morphometric data were statistically analyzed to evaluate the differences of fibrotic processes and degree between experimental groups. Results : Diabetic group revealed statistically significant increase of glomerular area from 8th week after streptozotocin injection to 24th week of experimental date. The parenchymal fibrosis and glomerular tuft fibrosis was prominent from the 2nd week of injection and steadily increased until the end of experimental date. The thickness of glomerular basement membrane was significantly increased even at the first week of injection and the tubular basement membrane also increased in thickness at the 3rd week of experiment. Ablation nephropathy model made by right nephrectomy showed increased glomerular area at the 7th week of ablation and the degree were intensified after 16th week of experimental date. The amount of stainable collagen in the renal parenchyme and glomerular tuft increased in the second week kidney sample and steadily increased thereafter until the end of experimental date. The increase of thickness of GBM and TBM also started to appear at the second week of operation. The old control also revealed fibrosis but the degree was less than the diabetic and ablation groups. Both diabetic and ablation nephropathy groups exhibited extensive increase of glomerular area, stainable collagen, thickness of GBM and TBM at the end of experimental date and the ablation group revealed more extensive evidences of fibrosis without statistical significance. Comparison between the experimental groups were meaningless because the duration of the experimental manipulation was not the same. Conclusion: Glomerular and renal interstitial sclerosis and thickening of GBM and TBM are not the specific lesions of the diabetic glomerulopathy and are the common histologic changes occur in the kidney of partial parenchymal loss of any etiology. And it is suggested by this study that the common hemodynamic change involving the diabetic nephropathy, ablation nephropathy and physiologic aging is one of the important pathogenetic factors of glomerular sclerosis.

The effect of Lactobacillus plantarum hydrolysates promoting VEGF production on vascular growth and hair growth of C57BL/6 mice

Woo, Young Min,Kim, Ok Ju,Jo, Eun Sol,Jo, Min Young,Ahn, Mee Young,Lee, Young-Ho,Li, Chun-ri,Lee, Sang-Hyeon,Choi, Jae-Suk,Ha, Jong Myung,Kim, Andre Springer (Biomed Central Ltd.) 2019 Journal of analytical science & technology Vol.10 No.1

추출 용매에 따른 Lactobacillus plantarum 발효 우슬의 항염증 효과 증진

조은솔 ( Eun Sol Jo ),우영민 ( Young Min Woo ),김옥주 ( Ok Ju Kim ),조민영 ( Min Young Jo ),안미영 ( Mee Young Ahn ),이재화 ( Jae-hwa Lee ),하종명 ( Jong-myung Ha ),김안드레 ( Andre Kim ) 한국공업화학회 2019 공업화학 Vol.30 No.2

본 연구에서는 우슬(Achyranthes japonica, AJ)과 Lactobacillus plantarum으로 발효한 우슬(AJ-LP)을 5가지 용매(물, 에탄올, 헥산, 아세트산에틸, 부탄올)로 추출하여 RAW264.7 세포에서 항염증 활성에 미치는 영향을 확인하였다. Lipopolysaccharide (LPS)로 유도된 RAW264.7 세포에서 nitric oxide (NO) 및 cytokine 생성을 측정하였으며 western blot으로 cyclooxygenase-2 (COX-2)와 nitric oxide synthase (iNOS)의 발현 정도를 관찰하였다. 세포 독성은 CCK assay를 통해 확인하였으며 독성을 가지지 않는 농도인 100 μg/mL로 실험을 진행하였다. NO 생성 저해 활성 결과 AJ-LP를 에탄올(E)로 추출한 시료가 LPS만 처리한 control군에 비해 약 74%로 저해율이 가장 높았으며 염증관련 cytokine인 Interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and Interleukin-1β (IL-1β)의 결과에서도 약 57, 70, 74%의 저해율로 우수한 효능을 보였다. COX-2와 iNOS 발현결과 AJ군에서 대조군(20-hydroxyecdysone)의 저해율이 가장 높은 것으로 나타났다. AJ-LP군에서 COX-2 발현량은 헥산(H)으로 추출한 시료가 대조군에 비해 약 16%로 감소하였고 iNOS 발현량은 부탄올(B)으로 추출한 시료가 약 7%로 감소하였다. 이상의 결과들에서 우슬보다 L. plantarum으로 발효한 우슬이 천연물 소재로서의 활용 가능성이 높음을 시사하였다. In this study, we used extracts obtained from five different solvents (water, ethanol, hexane, ethyl acetate, butanol) of Achyranthes japonica (AJ) and also AJ fermented with Lactobacillus plantarum (LP) to confirm effects on the anti-inflammatory activity in RAW264.7 cells. Experiments of measuring nitric oxide (NO) and cytokine production were performed in lipopolysaccharide (LPS)-induced RAW264.7 cells, and the expression of both cyclooxygenase-2 (COX-2) and inducible nitric oxide synthase (iNOS) was observed by a western blot method. The cytotoxicity of RAW264.7 was confirmed by the cell counting kit (CCK) assay at a concentration of 100 μg/mL, which has no toxicity. As a result of the inhibition of NO production, the inhibition rate of AJ-LP extracted with ethanol samples was about 74% higher than that of using the control group. Interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), and Interleukin-1β (IL-1β), which are inflammatory cytokines, also showed an excellent efficacy with inhibition rates of about 57, 70, and 74%, respectively. Comparing to the results of COX-2 and iNOS expression in the AJ group, the inhibition rate of 20-hydroxyecdysone was the highest than others. On the other hand, the COX-2 expression level of AJ-LP group decreased about 16% compared to that of the control group, and the iNOS expression level was also decreased about 7%. These results suggest that the extract of AJ fermented from L. plantarum can be used as an anti-inflammatory natural material.

Invasine Ductal Carcinoma with Osteoclast-Like Giant Cell in a Young Woman

강현정,최경운,곽희숙,설미영,김지연,Kang, Hyun-Jeong,Choi, Kyung-Un,Kwak, Hee-Suk,Sol, Mee-Young,Kim, Jee-Yeon The Korean Society for Cytopathology 2007 대한세포병리학회지 Vol.18 No.1

Mammary carcinoma with osteoclast-like giant cells is an unusual neoplasm characterized by giant cells, mononuclear stromal cells, and hemorrhage accompanying a low grade carcinoma. We present the cytological findings in a case of invasive ductal carcinoma with osteoclast-like giant cells that was initially confused with a fibroadenoma, due to its well-demarcated and soft mass and the young age of the patient. A 28-year-old female presented with a 4.5 cm, well demarcated, soft and nontender mass in the right breast. Fine needle aspiration cytology (FNAC) showed a combination of low grade malignant epithelial cell clusters and osteoclast-like giant cells. The atypical epithelial cells were present in cohesive sheets and clusters. Osteoclast-like giant cells and bland-looking mononuclear cells were scattered. An histological examination revealed the presence of an invasive ductal carcinoma with osteoclast-like giant cells. We report here the cytological findings of this rare carcinoma in a very young woman. The minimal atypia of the epithelial cells and its soft consistency may lead to a false negative diagnosis in a young woman. The recognition that osteoclastlike giant cells are rarely present in a low grade carcinoma, but not in benign lesion, can assist the physician in making a correct diagnosis.

IgA 신증 (WHO 3급 이상)과 국소성 분엽성 사구체 경화증의 비교

설미영,신동훈,김익두 부산대학교 병원 암연구소 2007 부산대병원학술지 Vol.- No.21

Purpose: IgA nephropathy WHO class 3-5 and focal segmental glomerulosclerosis have similar histologic features. This study was to compare the histologic features and laboratory results of both diseases to clarify the similarities and dissimilarities of both diseases and to provide guides for the treatment and prediction of the disease progression. Methods: Eighty seven cases of IgA nephropathies(WHO class 3-5) and 63 cases of focal segmental glomerulosclerosis without evidence of IgA nephropathy or other systemic diseases, diagnosed at Pusan National University hospital were included in this study. Histologic features were reevaluated by the archives of slides stained by H-E, Masson’s trichrome, PAS and Methenamin silver technique, immunofluorescent results and the electron microscopic feaures of each cases were reevaluated by the photographs stored in the computer files. Laboratory results at the biopsy were reviewed. Results: Mean age at the diagnosis were 30 years old in IgA nephropathy group and 40 years old in focal segmental sclerosis group with male predominance in both disease group. This results were similar to the most reported Cases. Serum BUN, creatinine and total cholesterol, and 24 hour urine protein excretion results were higher in focal segmental sclerosis group than IgA nephropathy group. Serum albumin levels were lower in focal segmental sclerosis group. This results means degrees of renal parenchymal damage and loss of renal function were severe in focal segmental glomerulosclerosis group compared to the IgA nephropathy group. Incidences of global sclerosis and arteriosclerosis were higher in focal segmental sclerosis group and the incidence of focal segmental sclerosis were higher in IgA nephropathy group. Histiologic features of podocyte proliferation, expansion and sclerosis of mesangial matrix,and tubular atrophy with interstitial fibrosis and inflammatory cell infiltration were similar in two groups. Comparative analysis between high class IgA nephropathy(class 4-5) and focal segmental glomerulosclerosis revealed highεr level of serum total cholesterol, higher numbers of glomeruli with synechia, and higher degrees of interstitial fibrosis with inflammatory cell infiltration in focal segmental glomerulosclerosis group with statistical significance. In comparison between IgA nephropathy(class 3-5) and focal segmental glomerulosclerosis, higher incidence of urinary protein excretion above 3gm/24hour and more percentages of glomeruli with severe glomerulosclerosis were noted in the focal segmental glomerulosclerosis with statistical significance. Conclusion: Focal segmental glomerulosclerosis has more risk factors for the progression of renal damage and renal function loss than the IgA nephropathy(WHO 3-5) inspite of many histologic and laboratory features of similarities.

각종 간 질환에 있어서 혈청 총 담즙산치에 관한 연구

설미영,김준연,이은엽,김순호 대한병리학회 1985 Journal of Pathology and Translational Medicine Vol.19 No.1