1.Genipin Inhibits Hypoxia-Induced Accumulation of HIF-1α and VEGF Expressions in Human Cervical Carcinoma Cells
Cho Eui JIN ; Jung Hyun LEE ; Geun Joo KIM ; Tae Hwa LEE
Kosin Medical Journal 2019;34(2):106-116
OBJECTIVES: Hypoxia—a characteristic of almost all types of solid tumors—has been associated with poor outcomes in several human malignancies. Genipin—an active constituent of Gardenia fruit— has been reported to exert an anti-tumor effect in several cancers. In this study, we investigated inhibition of angiogenesis using Genipin-mediated hypoxia-induced hypoxia inducible factor (HIF-1) and VEGF expression in human cervical cancer cells.METHODS: Under normoxic and hypoxic conditions, the expression of HIF-1α and VEGF in cervical cancer HeLa cells was detected by quantitative reverse transcription polymerase chain reaction and western blotting. Luciferase reporter assays were used to investigate the molecular mechanisms underlying the hypoxia-induced survivin activation.RESULTS: Surprisingly, we found that Genipin suppressed the HIF-1α accumulation during hypoxia in human liver cancer cell line (HepG2), human prostate cancer cell line (LNCaP), colon cancer cell line (HCT116), and breast cancer cell line (MDA231). Genipin treatment also significantly reduced hypoxia-induced secretion of VEGF.CONCLUSIONS: Suppression of HIF-1α accumulation following treatment with Genipin under hypoxia was associated with PI3K and MAPK pathways. Taken together, these results suggested that Genipin inhibits HIF-1α expression through inhibition of PI3K and MAPK signaling pathways. These results provide new insights into a potential mechanism of the anticancer properties of Genipin.
Anoxia
;
Blotting, Western
;
Breast Neoplasms
;
Cell Line
;
Colonic Neoplasms
;
Gardenia
;
HeLa Cells
;
Humans
;
Liver Neoplasms
;
Luciferases
;
Polymerase Chain Reaction
;
Prostatic Neoplasms
;
Reverse Transcription
;
Uterine Cervical Neoplasms
;
Vascular Endothelial Growth Factor A
2.Wound Healing Potential of Low Temperature Plasma in Human Primary Epidermal Keratinocytes
Hui Song CUI ; Yoon Soo CHO ; So Young JOO ; Chin Hee MUN ; Cheong Hoon SEO ; June Bum KIM
Tissue Engineering and Regenerative Medicine 2019;16(6):585-593
BACKGROUND: Low temperature plasma (LTP) was recently shown to be potentially useful for biomedical applications such as bleeding cessation, cancer treatment, and wound healing, among others. Keratinocytes are a major cell type that migrates directionally into the wound bed, and their proliferation leads to complete wound closure during the cutaneous repair/regeneration process. However, the beneficial effects of LTP on human keratinocytes have not been well studied. Therefore, we investigated migration, growth factor production, and cytokine secretion in primary human keratinocytes after LTP treatment.METHODS: Primary cultured keratinocytes were obtained from human skin biopsies. Cell viability was measured with the EZ-Cytox cell viability assay, cell migration was evaluated by an in vitro wound healing assay, gene expression was analyzed by quantitative real-time polymerase chain reaction, and protein expression was measured by enzyme-linked immunosorbent assays and western blotting after LTP treatment.RESULTS: Cell migration, the secretion of several cytokines, and gene and protein levels of angiogenic growth factors increased in LTP-treated human keratinocytes without associated cell toxicity. LTP treatment also significantly induced the expression of hypoxia inducible factor-1α (HIF-1α), an upstream regulator of angiogenesis. Further, the inhibition of HIF-1α expression blocked the production of angiogenic growth factors induced by LTP in human keratinocytes.CONCLUSION: Our results suggest that LTP treatment is an effective approach to modulate wound healing-related molecules in epidermal keratinocytes and might promote angiogenesis, leading to improved wound healing.
Anoxia
;
Biopsy
;
Blotting, Western
;
Cell Migration Assays
;
Cell Movement
;
Cell Survival
;
Cytokines
;
Enzyme-Linked Immunosorbent Assay
;
Gene Expression
;
Hemorrhage
;
Humans
;
In Vitro Techniques
;
Intercellular Signaling Peptides and Proteins
;
Keratinocytes
;
Plasma
;
Real-Time Polymerase Chain Reaction
;
Skin
;
Wound Healing
;
Wounds and Injuries
3.Neuregulin 1/ErbB4 signaling attenuates neuronal cell damage under oxygen-glucose deprivation in primary hippocampal neurons
Ji Young YOO ; Han Byeol KIM ; Seung Yeon YOO ; Hong Il YOO ; Dae Yong SONG ; Tai Kyoung BAIK ; Jun Ho LEE ; Ran Sook WOO
Anatomy & Cell Biology 2019;52(4):462-468
Anoxia
;
Brain
;
Brain Ischemia
;
Cell Death
;
Cognition
;
Hippocampus
;
Ischemia
;
Neuregulin-1
;
Neurons
;
Neuroprotection
;
Neuroprotective Agents
4.Adverse events of conscious sedation using midazolam for gastrointestinal endoscopy
Jeeyoung JUN ; Jong In HAN ; Ae Lee CHOI ; Youn Jin KIM ; Jong Wha LEE ; Dong Yeon KIM ; Minjin LEE
Anesthesia and Pain Medicine 2019;14(4):401-406
BACKGROUND: This study was conducted to identify the types and incidence of adverse events associated with midazolam, which is the most widely used drug to induce conscious sedation during gastrointestinal endoscopy, and to analyze the factors associated with hypoxemia and sedation failure.METHODS: Of 87,740 patients who underwent gastrointestinal endoscopy between February 2015 and May 2017, the electronic medical records of 335 who reportedly developed adverse events were retrospectively reviewed, and analysis was performed to determine the risk factors for hypoxemia and sedation failure, the two most frequent adverse events among those manifested during gastrointestinal endoscopy.RESULTS: The overall adverse event rate was 0.38% (n = 335); hypoxemia was most frequent, accounting for 40.7% (n = 90), followed by sedation failure (34.8%, n = 77), delayed discharge from the recovery room (22.1%, n = 49), and hypotension (2.2%, n = 5). Compared with the control group, the hypoxemia group did not show any significant differences in sex and body weight, but mean age was significantly older (P < 0.001) and a significantly lower dose of midazolam was administered (P < 0.001). In the group with sedation failure, the mean rate was higher in men (P < 0.001) and a significantly higher dose of midazolam was administered (P < 0.001), but no age difference was found.CONCLUSIONS: Midazolam-based conscious sedation during gastrointestinal endoscopy can lead to various adverse events. In particular, as elderly patients are at higher risk of developing hypoxemia, midazolam dose adjustment and careful monitoring are required in this group.
Aged
;
Anoxia
;
Body Weight
;
Conscious Sedation
;
Electronic Health Records
;
Endoscopy, Gastrointestinal
;
Humans
;
Hypotension
;
Incidence
;
Male
;
Midazolam
;
Recovery Room
;
Retrospective Studies
;
Risk Factors
5.New prehospital scoring system for traumatic brain injury to predict mortality and severe disability using motor Glasgow Coma Scale, hypotension, and hypoxia: a nationwide observational study
Min Chul GANG ; Ki Jeong HONG ; Sang Do SHIN ; Kyoung Jun SONG ; Young Sun RO ; Tae Han KIM ; Jeong Ho PARK ; Joo JEONG
Clinical and Experimental Emergency Medicine 2019;6(2):152-159
OBJECTIVE: Assessing the severity of injury and predicting outcomes are essential in traumatic brain injury (TBI). However, the respiratory rate and Glasgow Coma Scale (GCS) of the Revised Trauma Score (RTS) are difficult to use in the prehospital setting. This investigation aimed to develop a new prehospital trauma score for TBI (NTS-TBI) to predict mortality and disability.METHODS: We used a nationwide trauma database on severe trauma cases transported by fire departments across Korea in 2013 and 2015. NTS-TBI model 1 used systolic blood pressure < 90 mmHg, peripheral capillary oxygen saturation < 90% measured via pulse oximeter, and motor component of GCS. Model 2 comprised variables of model 1 and age >65 years. We assessed discriminative power via area under the curve (AUC) value for in-hospital mortality and disability defined according to the Glasgow Outcome Scale with scores of 2 or 3. We then compared AUC values of NTS-TBI with those of RTS.RESULTS: In total, 3,642 patients were enrolled. AUC values of NTS-TBI models 1 and 2 for mortality were 0.833 (95% confidence interval [CI], 0.815 to 0.852) and 0.852 (95% CI, 0.835 to 0.869), respectively, while AUC values for disability were 0.772 (95% CI, 0.749 to 0.796) and 0.784 (95% CI, 0.761 to 0.807), respectively. AUC values of NTS-TBI model 2 for mortality and disability were higher than those of RTS (0.819 and 0.761, respectively) (P < 0.01).CONCLUSION: Our NTS-TBI model using systolic blood pressure, motor component of GCS, oxygen saturation, and age was feasible for prehospital care and showed outstanding discriminative power for mortality.
Anoxia
;
Area Under Curve
;
Blood Pressure
;
Brain Injuries
;
Capillaries
;
Fires
;
Glasgow Coma Scale
;
Glasgow Outcome Scale
;
Hospital Mortality
;
Humans
;
Hypotension
;
Korea
;
Mortality
;
Observational Study
;
Oxygen
;
Quality Improvement
;
Respiratory Rate
6.The role of oxidative stress and hypoxia in renal disease
Tomoko HONDA ; Yosuke HIRAKAWA ; Masaomi NANGAKU
Kidney Research and Clinical Practice 2019;38(4):414-426
Oxygen is required to sustain aerobic organisms. Reactive oxygen species (ROS) are constantly released during mitochondrial oxygen consumption for energy production. Any imbalance between ROS production and its scavenger system induces oxidative stress. Oxidative stress, a critical contributor to tissue damage, is well-known to be associated with various diseases. The kidney is susceptible to hypoxia, and renal hypoxia is a common final pathway to end stage kidney disease, regardless of the underlying cause. Renal hypoxia aggravates oxidative stress, and elevated oxidative stress, in turn, exacerbates renal hypoxia. Oxidative stress is also enhanced in chronic kidney disease, especially diabetic kidney disease, through various mechanisms. Thus, the vicious cycle between oxidative stress and renal hypoxia critically contributes to the progression of renal injury. This review examines recent evidence connecting chronic hypoxia and oxidative stress in renal disease and subsequently describes several promising therapeutic approaches against oxidative stress.
Anoxia
;
Diabetic Nephropathies
;
Kidney
;
Kidney Failure, Chronic
;
Oxidative Stress
;
Oxygen
;
Oxygen Consumption
;
Reactive Oxygen Species
;
Renal Insufficiency, Chronic
7.High-flow nasal oxygenation for anesthetic management
Korean Journal of Anesthesiology 2019;72(6):527-547
High-flow nasal oxygenation (HFNO) is a promising new technique for anesthesiologists. The use of HFNO during the induction of anesthesia and during upper airway surgeries has been initiated, and its applications have been rapidly growing ever since. The advantages of this technique include its easy set-up, high tolerability, and its abilities to produce positive airway pressure and a high fraction of inspired oxygen and to influence the clearance of carbon dioxide to some extent. HFNO, via a nasal cannula, can provide oxygen both to patients who can breathe spontaneously and to those who are apneic; further, this technique does not interfere with bag-mask ventilation, attempts at laryngoscopy for tracheal intubation, and surgical procedures conducted in the airway. In this review, we describe the techniques associated with HFNO and the advantages and disadvantages of HFNO based on the current state of knowledge.
Airway Management
;
Anesthesia
;
Anoxia
;
Carbon Dioxide
;
Catheters
;
Humans
;
Intubation
;
Intubation, Intratracheal
;
Laryngoscopy
;
Oxygen
;
Ventilation
8.Propofol with and without Midazolam for Diagnostic Upper Gastrointestinal Endoscopies in Children
Ulas Emre AKBULUT ; Seyfi KARTAL ; Ufuk DOGAN ; Gulgun Elif AKCALI ; Serap KALAYCI ; Hulya KIRCI
Pediatric Gastroenterology, Hepatology & Nutrition 2019;22(3):217-224
PURPOSE: Various publications on the use of sedation and anesthesia for diagnostic procedures in children have demonstrated that no ideal agent is available. Although propofol has been widely used for sedation during esophagogastroduodenoscopy in children, adverse events including hypoxia and hypotension, are concerns in propofol-based sedation. Propofol is used in combination with other sedatives in order to reduce potential complications. We aimed to analyze whether the administration of midazolam would improve the safety and efficacy of propofol-based sedation in diagnostic esophagogastroduodenoscopies in children. METHODS: We retrospectively reviewed the hospital records of children who underwent diagnostic esophagogastroduodenoscopies during a 30-month period. Demographic characteristics, vital signs, medication dosages, induction times, sedation times, recovery times, and any complications observed, were examined. RESULTS: Baseline characteristics did not differ between the midazolam-propofol and propofol alone groups. No differences were observed between the two groups in terms of induction times, sedation times, recovery times, or the proportion of satisfactory endoscopist responses. No major procedural complications, such as cardiac arrest, apnea, or laryngospasm, occurred in any case. However, minor complications developed in 22 patients (10.7%), 17 (16.2%) in the midazolam-propofol group and five (5.0%) in the propofol alone group (p=0.010). CONCLUSION: The sedation protocol with propofol was safe and efficient. The administration of midazolam provided no additional benefit in propofol-based sedation.
Anesthesia
;
Anoxia
;
Apnea
;
Child
;
Conscious Sedation
;
Endoscopy
;
Endoscopy, Digestive System
;
Endoscopy, Gastrointestinal
;
Heart Arrest
;
Hospital Records
;
Humans
;
Hypnotics and Sedatives
;
Hypotension
;
Laryngismus
;
Midazolam
;
Propofol
;
Retrospective Studies
;
Vital Signs
9.Spinal anesthesia and postoperative epidural analgesia in a patient with congenital central hypoventilation syndrome: a case report
Yongjoon CHOI ; Sunam LEE ; Jiyeon LEE ; Seongwon WOO
Korean Journal of Anesthesiology 2019;72(4):375-380
BACKGROUND: Congenital central hypoventilation syndrome (CCHS) is a rare disorder characterized by alveolar hypoventilation and autonomic dysregulation. Patients with CCHS have adequate ventilation while awake but exhibit hypoventilation while asleep. More severely affected patients exhibit hypoventilation both when awake and when asleep. CASE: Here, we report a case of successful spinal anesthesia and postoperative epidural analgesia in a patient with CCHS who underwent orthostatic surgery. CONCLUSIONS: In patients with CCHS, anesthesia is used with the goal of minimizing respiratory depression to avoid prolonged mechanical ventilation. Regional anesthesia should be considered where appropriate. Continuous oxygen saturation and end-tidal carbon dioxide monitoring must be available.
Analgesia, Epidural
;
Anesthesia
;
Anesthesia, Conduction
;
Anesthesia, Spinal
;
Anoxia
;
Carbon Dioxide
;
Humans
;
Hypoventilation
;
Oxygen
;
Respiration, Artificial
;
Respiratory Insufficiency
;
Ventilation
10.Whole body ultrasound in the operating room and intensive care unit
André DENAULT ; David CANTY ; Milène AZZAM ; Alexander AMIR ; Caroline E GEBHARD
Korean Journal of Anesthesiology 2019;72(5):413-428
Whole body ultrasound can be used to improve the speed and accuracy of evaluation of an increasing number of organ systems in the critically ill. Cardiac and abdominal ultrasound can be used to identify the mechanisms and etiology of hemodynamic instability. In hypoxemia or hypercarbia, lung ultrasound can rapidly identify the etiology of the condition with an accuracy that is equivalent to that of computed tomography. For encephalopathy, ocular ultrasound and transcranial Doppler can identify elevated intracranial pressure and midline shift. Renal and bladder ultrasound can identify the mechanisms and etiology of renal failure. Ultrasound can also improve the accuracy and safety of percutaneous procedures and should be currently used routinely for central vein catheterization and percutaneous tracheostomy.
Anoxia
;
Brain Diseases
;
Catheterization
;
Catheters
;
Critical Care
;
Critical Illness
;
Hemodynamics
;
Intensive Care Units
;
Intracranial Hypertension
;
Lung
;
Operating Rooms
;
Renal Insufficiency
;
Tracheostomy
;
Ultrasonography
;
Urinary Bladder
;
Veins

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