Colorectal cancer is the third most common cancer in Korea and the third leading cause of death from cancer. Treatment outcomes for colon cancer are steadily improving due to national health screening programs with advances in diagnostic methods, surgical techniques, and therapeutic agents.. The Korea Colon Cancer Multidisciplinary (KCCM) Committee intends to provide professionals who treat colon cancer with the most up-to-date, evidence-based practice guidelines to improve outcomes and help them make decisions that reflect their patients’ values and preferences. These guidelines have been established by consensus reached by the KCCM Guideline Committee based on a systematic literature review and evidence synthesis and by considering the national health insurance system in real clinical practice settings. Each recommendation is presented with a recommendation strength and level of evidence based on the consensus of the committee.

Background: This study evaluated the efficacy and safety of add-on gemigliptin in patients with type 2 diabetes mellitus (T2DM) who had inadequate glycemic control with metformin and dapagliflozin. Methods: In this randomized, placebo-controlled, parallel-group, double-blind, phase III study, 315 patients were randomized to receive either gemigliptin 50 mg (n=159) or placebo (n=156) with metformin and dapagliflozin for 24 weeks. After the 24-week treatment, patients who received the placebo were switched to gemigliptin, and all patients were treated with gemigliptin for an additional 28 weeks. Results: The baseline characteristics were similar between the two groups, except for body mass index. At week 24, the least squares mean difference (standard error) in hemoglobin A1c (HbA1c) changes was –0.66% (0.07) with a 95% confidence interval of –0.80% to –0.52%, demonstrating superior HbA1c reduction in the gemigliptin group. After week 24, the HbA1c level significantly decreased in the placebo group as gemigliptin was administered, whereas the efficacy of HbA1c reduction was maintained up to week 52 in the gemigliptin group. The safety profiles were similar: the incidence rates of treatment-emergent adverse events up to week 24 were 27.67% and 29.22% in the gemigliptin and placebo groups, respectively. The safety profiles after week 24 were similar to those up to week 24 in both groups, and no new safety findings, including hypoglycemia, were noted. Conclusion Add-on gemigliptin was well tolerated, providing comparable safety profiles and superior efficacy in glycemic control over placebo for long-term use in patients with T2DM who had poor glycemic control with metformin and dapagliflozin.

Background: Neurogenic differentiation 1 (NeuroD1) is a representative small cell lung cancer (SCLC) transcription regulator involved in the carcinogenesis and behavior of SCLC.Histone modifications play an important role in transcription, and H3 lysine 4 trimethylation (H3K4me3) is primarily associated with promoter regions. Methods: We investigated the association between single nucleotide polymorphisms (SNPs) in NeuroD1 and H3K4me3 coincident regions, selected using ChIP sequencing (ChIP-seq), and the clinical outcomes of 261 patients with SCLC. Results: Among 230 SNPs, two were significantly associated with both the chemotherapy response and overall survival (OS) of patients with SCLC. RNF145 rs2043268A>G was associated with worse chemotherapy response and OS (under a recessive model, adjusted odds ratio [aOR], 0.50, 95% confidence interval [CI], 0.26–0.94, P = 0.031, and adjusted hazard ratio [aHR], 1.88, 95% CI, 1.38–2.57, P < 0.001). CINP rs762105A>G was also associated with worse chemotherapy response and OS (under a dominant model, aOR, 0.47, 95% CI, 0.23–0.99, P = 0.046, and aHR, 2.03, 95% CI, 1.47–2.82, P < 0.001). ChIP–quantitative polymerase chain reaction and luciferase assay confirmed that the two SNPs were located in the active promoter regions and influenced the promoter activity of each gene. Conclusion To summarize, among SNPs selected using ChIP-seq in promoter regions with high peaks in both NeuroD1 and H3K4me3, RNF145 rs2043268A>G and CINP rs762105A>G were associated with clinical outcomes in patients with SCLC and also affected the promoter activity of each gene.

The purpose of this in vitro study was to evaluate the effect of speed sintering on flexural strength, density, and linear shrinkage of monolithic zirconia. Four hundred Ø18.7×1.7-mm presintered zirconia specimens were divided into 8 groups (n=50) based on the sintering times (speed (60, 90, and 120 min) or normal (540 min)) and temperatures (1400, 1450, 1500, and 1550 ℃). The mechanical properties (Vickers hardness, biaxial flexural strength, and fracture toughness) and physical properties (linear shrinkage, density, and porosity) were examined. The crystallite size of zirconia was calculated using scherer’s formula. The mechanical properties (biaxial flexural strength, Vickers hardness, and fracture toughness) of all specimens increased with increasing sintering times and temperatures. The biaxial flexural strength of the SS groups sintered 1500 ℃ and 1550 ℃ with 120 min showed similar value compared with NS groups. The SS 120 and NS groups showed similar the linear shrinkage percentages at all temperatures. The porosity decreased with increasing sintering times and temperatures in all specimens.The sintered and relative density and the average crystallite size increased with increasing sintering times and temperatures in all specimens. The average crystallite size ranged from 70.1 nm to 129.8 nm. XRD analysis showed the presence of a tetragonal metastable phase in all groups before and after sintering. The biaxial flexural strength values under speed sintering (1500 ℃ and 1550 ℃, 120 min) were similar to those of normal sintering groups.

Translucent monolithic zirconia is widely used because it has continuously enhanced color and translucency. However, when translucent monolithic zirconia are used for esthetic zone like anterior, it has problem to be exposed to color of titanium abutment. The purpose of this study was to evaluate the effect of coloring and cementing of translucent zirconia on the color masking of titanium abutments. The CIE L*, a*, and b* values were measured using a spectrophotometer in three subgroups after coloring with A2 colorant and white opaque colorant, and the color difference and translucency of each group were analyzed. In the A2 colorant application group, the color difference (ΔE* ) between zirconia and zirconia on titanium abutments was not clinically acceptable (ΔE* > 3.3). In the white opaque group and the white opaque plus A2 colorant group, the color difference (ΔE* ) between zirconia and zirconia on titanium abutments was clinically acceptable (1<ΔE* <3.3). The translucency of zirconia was significantly affected by the coloring treatment (P<.001). The Pearson correlation between color difference and translucency parameters was high (r=0.982, R2 =0.965). The white coloring treatment to translucent zirconia affected masking of titanium abutment. The combination of A2 colorant and white opaque colorant increased the color masking effect of titanium abutments and achieved a shade similar to natural teeth. Resin cement adhesion to translucent zirconia did not affect the color masking of titanium zirconia. As the zirconia translucency increases, it had less of an effect on the titanium abutment.

Background/Aims: Genome wide and candidate gene association studies have identified polymorphisms associated with the risk of lung cancer in never-smokers. This study was conducted to evaluate the association between 11 polymorphisms identified in female never smokers and the lung cancer risk in male smokers. Methods: This study included 714 lung cancer patients and 626 healthy controls. The polymorphisms were genotyped using SEQUENOM MassARRAY iPLEX assay or Taq-Man assay. Results: Two polymorphisms were associated with the risk of lung cancer in male smokers, as in female never smokers. Male smokers carrying the rs4975616 variant allele had a significantly decreased risk of lung cancer (in a codominant model: odds ratio, 0.77; 95% confidence interval, 0.61 to 0.96; p = 0.02). The rs9387478 polymorphism also reduced lung cancer risk in male smokers (in a codominant model: odds ratio, 0.85; 95% confidence interval, 0.73 to 0.997; p = 0.046). In a stratified analysis, the association between these polymorphisms and the risk of lung cancer was predominant in lighter smokers and for cases of adenocarcinoma. Conclusions These results suggest that a subset of polymorphisms known to be associated with the risk of lung cancer in female never smokers is also associated with the risk of lung cancer in male smokers.

The purpose of this study was to examine the effect of hardness and optical properties of dental zirconia in accordance to sintering condition and aging. 10.0 mm×10.0 mm×1.5 mm zirconia specimens were prepared using Luxen Enamel E2.According to aging, zirconia specimens were sintered under fifteen different conditions. Specimens were divided into six subgroup and sintered with various durations (4 h, 5 h, 6 h, 7 h, and 12 h) at the various maximum temperature (1,500℃, 1,530℃, and 1,560℃). The hardness was measured four times per specimen using a Micro Vickers hardness tester, CIE L * , a * , b * values of each specimen were measured using a spectrophotometer and the TP values were calculated for translucency comparison.In the specimen with aging, there was a difference in hardness according to the sintering temperature, but there was no difference in hardness according to the sintering time. In the specimen with aging, as sintering temperature increased, CIE L * , a * , b * values decreased, resulting in a decrease in brightness and tendency of green and blue trends. In the specimen with aging, there was no change in L * value with decreasing sintering time and as sintering time decreased, CIE a * , b * values decreased, resulting in tendency of green and blue. In the specimen with aging, even if the sintering time decreases from 12 hours to 5 hours, there was no reduce in TP values.

The purpose of this study was to examine the effect of hardness and optical properties of dental zirconia in accordance to sintering condition and aging. 10.0 mm×10.0 mm×1.5 mm zirconia specimens were prepared using Luxen Enamel E2.According to aging, zirconia specimens were sintered under fifteen different conditions. Specimens were divided into six subgroup and sintered with various durations (4 h, 5 h, 6 h, 7 h, and 12 h) at the various maximum temperature (1,500℃, 1,530℃, and 1,560℃). The hardness was measured four times per specimen using a Micro Vickers hardness tester, CIE L * , a * , b * values of each specimen were measured using a spectrophotometer and the TP values were calculated for translucency comparison.In the specimen with aging, there was a difference in hardness according to the sintering temperature, but there was no difference in hardness according to the sintering time. In the specimen with aging, as sintering temperature increased, CIE L * , a * , b * values decreased, resulting in a decrease in brightness and tendency of green and blue trends. In the specimen with aging, there was no change in L * value with decreasing sintering time and as sintering time decreased, CIE a * , b * values decreased, resulting in tendency of green and blue. In the specimen with aging, even if the sintering time decreases from 12 hours to 5 hours, there was no reduce in TP values.

The protein encoded by the Gene Associated with Retinoid-Interferon-Induced Mortality-19 (GRIM-19) is located in the mitochondrial inner membrane and is homologous to the NADH dehydrogenase 1-alpha subcomplex subunit 13 of the electron transport chain.Multiple sclerosis (MS) is a demyelinating disease that damages the brain and spinal cord.Although both the cause and mechanism of MS progression remain unclear, it is accepted that an immune disorder is involved. We explored whether GRIM-19 ameliorated MS by increasing the levels of inflammatory cytokines and immune cells; we used a mouse model of experimental autoimmune encephalomyelitis (EAE) to this end. Six-to-eight-week-old male C57BL/6, IFNγ-knockout (KO), and GRIM-19 transgenic mice were used; EAE was induced in all strains. A GRIM-19 overexpression vector (GRIM19 OVN) was electrophoretically injected intravenously. The levels of Th1 and Th17 cells were measured via flow cytometry, immunofluorescence, and immunohistochemical analysis. IL-17A and IFNγ expression levels were assessed via ELISA and quantitative PCR. IL-17A expression decreased and IFNγ expression increased in EAE mice that received injections of the GRIM19 OVN. GRIM-19 transgenic mice expressed more IFNγ than did wild-type mice; this inhibited EAE development. However, the effect of GRIM-19 overexpression on the EAE of IFNγ-KO mice did not differ from that of the empty vector. GRIM-19 expression was therapeutic for EAE mice, elevating the IFNγ level. GRIM-19 regulated the Th17/Treg cell balance.

PURPOSE: The purpose of this study was to evaluate the effect of two coloring liquids (aqueous and acid-based coloring liquids) and the position of multilayered zirconia on the flexural strength of multilayered zirconia. MATERIALS AND METHODS: The multilayered zirconia specimens were divided into upper and lower positions. The specimens were divided into three subgroups (n=10): non-shaded, acid-based coloring liquid, and aqueous coloring liquid. The specimens were cut using a milling machine and were immersed in either a acid-based coloring liquid or aqueous coloring liquid 2 times for 5 seconds. The specimens were sintered in a sintering furnace according to the manufacturer's introduction. The flexural strength of the specimen was measured using a universal testing machine and the surface of the specimen was observed using a field emission scanning electron microscope. RESULTS: The flexural strength of multilayered zirconia was 400 – 500 MPa. There was no statistically significant difference among all groups (P>.05).The flexural strength of the multilayered zirconia was not influenced by the kind of coloring liquid used (P>.05). The flexural strength of the multilayered zirconia colored with the coloring liquids was not influenced by its position (P>.05). CONCLUSION: The different coloring liquid application did not affect the flexural strength of multilayered zirconia of all positions.