236 results on '"Sunhoo Park"'
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2. Organ dose reconstruction for the radiation epidemiological study of Korean radiation workers: The first dose evaluation for the Korean Radiation Worker Study (KRWS)
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Tae-Eun Kwon, Areum Jeong, Wi-Ho Ha, Dalnim Lee, Songwon Seo, Junik Cho, Euidam Kim, Yoonsun Chung, and Sunhoo Park
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Radiation health risk ,Occupational exposure ,Personal dose equivalent ,Organ absorbed dose ,Nuclear engineering. Atomic power ,TK9001-9401 - Abstract
The Korea Institute of Radiological and Medical Sciences has started a radiation epidemiological study, titled ''Korean Radiation Worker Study,'' to evaluate the health effects of occupational exposure to radiation. As a part of this study, we investigated the methodologies and results of reconstructing organ-specific absorbed doses based on personal dose equivalent, Hp(10), reported from 1984 to 2019 for 20,605 Korean radiation workers. For the organ dose reconstruction, representative exposure scenarios (i.e., radiation energy and exposure geometry) were first determined according to occupational groups, and dose coefficients for converting Hp(10) to organ absorbed doses were then appropriately taken based on the exposure scenarios. Individual annual doses and individual cumulative doses were reconstructed for 27 organs, and the highest values were observed in the thyroid doses (on average 0.77 mGy/y and 10.47 mGy, respectively). Mean values of individual cumulative absorbed doses for the red bone marrow, colon, and lungs were 7.83, 8.78, and 8.43 mSv, respectively. Most of the organ doses were maximum for industrial radiographers, followed by nuclear power plant workers, medical workers, and other facility workers. The organ dose database established in this study will be utilized for organ-specific risk estimation in the Korean Radiation Worker Study.
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- 2023
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3. Determination of counting efficiency considering the biodistribution of 131I activity in the whole-body counting measurement
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MinSeok Park, Jaeryong Yoo, Minho Kim, Won Il Jang, and Sunhoo Park
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Whole-body counter ,Monte Carlo simulation ,Computational phantom ,Counting efficiency ,Radioiodine ,Nuclear engineering. Atomic power ,TK9001-9401 - Abstract
Whole-body counters are widely used to assess internal contamination after a nuclear accident. However, it is difficult to determine radioiodine activity due to limitations in conventional calibration phantoms. Inhaled or ingested radioiodine is heterogeneously distributed in the human body, necessitating time-dependent biodistribution for the assessment of the internal contamination caused by the radioiodine intake. This study aims at calculating counting efficiencies considering the biodistribution of 131I in whole-body counting measurement. Monte Carlo simulations with computational human phantoms were performed to calculate the whole-body counting efficiency for a realistic radioiodine distribution after its intake. The biodistributions of 131I for different age groups were computed based on biokinetic models and applied to age- and gender-specific computational phantoms to estimate counting efficiency. After calculating the whole-body counting efficiencies, the efficiency correction factors were derived as the ratio of the counting efficiencies obtained by considering a heterogeneous biodistribution of 131I over time to those obtained using the BOMAB phantom assuming a homogeneous distribution. Based on the correction factors, the internal contamination caused by 131I can be assessed using whole-body counters. These correction factors can minimize the influence of the biodistribution of 131I in whole-body counting measurement and improve the accuracy of internal dose assessment.
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- 2023
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4. Radiation risk perception and its associated factors among residents living near nuclear power plants: A nationwide survey in Korea
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Hyoju Sung, Jung Un Kim, Dalnim Lee, Young Woo Jin, Hyemi Jo, Jae Kwan Jun, Sunhoo Park, and Songwon Seo
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Risk communication ,Radiation anxiety ,Residents ,Risk perception ,Nuclear engineering. Atomic power ,TK9001-9401 - Abstract
There has been increased interest in researching risk perception of radiation to implement successful risk communication, particularly given the recent worldwide nuclear policy movement regarding nuclear energy. This study aimed to investigate characteristics of risk perception among residents living near normally operating nuclear power plants in South Korea by identifying factors associated with risk perception. A survey was conducted with face-to-face interviews for 1200 residents aged 20–84 years by gender- and age-stratified random sampling. Risk perception was associated with trust perception in nuclear safety, but was not highly correlated with benefit perception for utilizing nuclear power. Relatively high risk perception was observed in women, older age groups, and residents not having experience of nuclear-related education or work. This association remained after adjusting for other factors including benefit perception, trust perception, and psychological distress. In addition to these individual characteristics, risk perception was also associated with a residential district's own unique context, indicating that a strategy of risk communication should be developed differently for residents facing nuclear-related circumstances. Given that risk perception can be changed, depending on social values such as safety culture and economic setting, further studies are required to understand the changing characteristics of radiation risk perception.
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- 2022
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5. The miR‐126‐5p and miR‐212‐3p in the extracellular vesicles activate monocytes in the early stage of radiation‐induced vascular inflammation implicated in atherosclerosis
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You Yeon Choi, Areumnuri Kim, Younghyun Lee, Yang Hee Lee, Mineon Park, Eunguk Shin, Sunhoo Park, BuHyun Youn, and Ki Moon Seong
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endothelium ,extracellular vesicle ,miRNAs ,monocytes ,radiation exposure ,Cytology ,QH573-671 - Abstract
Abstract People exposed to radiation in cancer therapy and nuclear accidents are at increased risk of cardiovascular outcomes in long‐term survivors. Extracellular vesicles (EVs) are involved in radiation‐induced endothelial dysfunction, but their role in the early stage of vascular inflammation after radiation exposure remains to be fully understood. Herein, we demonstrate that endothelial cell‐derived EVs containing miRNAs initiate monocyte activation in radiation‐induced vascular inflammation. In vitro co‐culture and in vivo experimental data showed that endothelial EVs can be sensitively increased by radiation exposure in a dose‐dependent manner, and stimulate monocytes releasing monocytic EVs and adhesion to endothelial cells together with an increase in the expression of genes encoding specific ligands for cell‐cell interaction. Small RNA sequencing and transfection using mimics and inhibitors explained that miR‐126‐5p and miR‐212‐3p enriched in endothelial EVs initiate vascular inflammation by monocyte activation after radiation exposure. Moreover, miR‐126‐5p could be detected in the circulating endothelial EVs of radiation‐induced atherosclerosis model mice, which was found to be tightly correlated with the atherogenic index of plasma. In summary, our study showed that miR‐126‐5p and miR‐212‐3p present in the endothelial EVs mediate the inflammatory signals to activate monocytes in radiation‐induced vascular injury. A better understanding of the circulating endothelial EVs content can promote their use as diagnostic and prognostic biomarkers for atherosclerosis after radiation exposure.
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- 2023
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6. Virtual calibration of whole-body counters to consider the size dependency of counting efficiency using Monte Carlo simulations
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MinSeok Park, Han Sung Kim, Jaeryong Yoo, Chan Hyeong Kim, Won Il Jang, and Sunhoo Park
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Counting efficiency ,Whole-body counter ,Monte Carlo simulation ,Computational phantom ,Nuclear engineering. Atomic power ,TK9001-9401 - Abstract
The counting efficiencies obtained using anthropomorphic physical phantoms are generally used in whole-body counting measurements to determine the level of internal contamination in the body. Geometrical discrepancies between phantoms and measured individuals affect the counting efficiency, and thus, considering individual physical characteristics is crucial to improve the accuracy of activity estimates. In the present study, the counting efficiencies of whole-body counting measurements were calculated considering individual physical characteristics by employing Monte Carlo simulation for calibration. The NaI(Tl)-based stand-up and HPGe-based bed type commercial whole-body counters were used for calculating the counting efficiencies. The counting efficiencies were obtained from 19 computational phantoms representing various shapes and sizes of the measured individuals. The discrepancies in the counting efficiencies obtained using the computational and physical phantoms range from 2% to 33%, and the results indicate that the counting efficiency depends on the size of the measured individual. Taking into account the body size, the equations for estimating the counting efficiencies were derived from the relationship between the counting efficiencies and the body-build index of the subject. These equations can aid in minimizing the size dependency of the counting efficiency and provide more accurate measurements of internal contamination in whole-body counting measurements.
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- 2021
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7. Reliability and Validity of a Nationwide Survey (the Korean Radiation Workers Study)
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Dalnim Lee, Wan Young Lim, Soojin Park, Young Woo Jin, Won Jin Lee, Sunhoo Park, and Songwon Seo
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Agreement ,Epidemiology ,Occupational exposure ,Radiation ,Self report ,Public aspects of medicine ,RA1-1270 - Abstract
Background: This study aimed to evaluate the reliability and validity of the self-administered questionnaire for Korean radiation workers. Methods: From May 24, 2016, to June 30, 2017, 20,608 participants completed the questionnaire, providing information on sociodemographics, lifestyle, work history and practices, medical radiation exposure, and medical history, which was linked to the National Dose Registry and the National Cancer Registry. The validity of the questionnaire was evaluated using the responses of 20,608 workers, and reliability was evaluated using the responses of 3043 workers who responded to the survey twice. Results: Responses concerning demographic characteristics and lifestyle showed reliability with a moderate-to-high agreement (kappa: 0.43–0.99), whereas responses concerning occupation and medical radiation exposure had a wide range of agreement (kappa: 0.05–0.95), possibly owing to temporal variability during employment. Regarding validity, responses to the question about the first year of employment had an excellent agreement with the national registry (intraclass correlation coefficient = 0.9); however, responses on cancer history had a wide range of agreement (kappa: 0.22–0.85). Conclusion: Although the reliability and validity of the questionnaire were not distinguished by demographic characteristics, they tended to be low among participants whose occupational radiation exposure was minimal. Overall, the information collected can be reliable for epidemiological studies; however, caution must be exercised when using information such as medical exposure and work practices, which are prone to temporal variability.
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- 2021
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8. Non-cancer disease prevalence and association with occupational radiation exposure among Korean radiation workers
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Soojin Park, Dal Nim Lee, Young Woo Jin, Eun Shil Cha, Won-Il Jang, Sunhoo Park, and Songwon Seo
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Medicine ,Science - Abstract
Abstract Radiation-induced cancer risks have known stochastic effects; however, regarding non-cancer diseases, evidence of risk at low radiation doses remains unclear. We aimed to identify underlying characteristics concerning non-cancer disease prevalence and determine associations with radiation dose among Korean radiation workers. Using a nationwide baseline survey, 20,608 workers were enrolled. Data concerning participant demographics, occupational characteristics, lifestyle, and lifetime prevalence of non-cancer diseases were linked to a national dose registry. We compared non-cancer disease prevalences in the Korean general population with those in this cohort and undertook a dose–response analysis concerning the cumulative dose. Hyperlipidemia (10.6%), circulatory (9.6%), and respiratory (4.1%) system diseases, followed by thyroid diseases (3.5%), had the highest prevalences, with hyperlipidemia, thyroid diseases, and hepatitis prevalence being higher in the cohort than in the general population. Radiation doses were associated with elevated prevalences of most diseases; however, associations were attenuated and not significant after adjusting for confounders, except for musculoskeletal system diseases (prevalence odds ratio [POR]/10 mSv, 1.03; 95% confidence interval [CI] 1.00–1.07) and cataracts (POR/10 mSv, 1.04; 95% CI 1.00–1.07). Further studies are warranted to investigate the causality of those non-cancer diseases involving more varied confounders such as physical and psychosocial stresses and ultraviolet light.
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- 2021
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9. StemRegenin 1 Mitigates Radiation-Mediated Hematopoietic Injury by Modulating Radioresponse of Hematopoietic Stem/Progenitor Cells
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You Jung Hwang, Dong-Yeop Shin, Min-Jung Kim, Hyosun Jang, Soyeon Kim, Hyunwon Yang, Won Il Jang, Sunhoo Park, Sehwan Shim, and Seung Bum Lee
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StemRegenin 1 ,hematopoietic injury ,hematopoietic stem/progenitor cells ,radiation response ,radiomitigation ,Biology (General) ,QH301-705.5 - Abstract
Hematopoietic injury resulting from the damage of hematopoietic stem/progenitor cells (HSPCs) can be induced by either nuclear accident or radiotherapy. Radiomitigation of HSPCs is critical for the development of medical countermeasure agents. StemRegenin 1 (SR1) modulates the maintenance and function of HSPCs under non-stress conditions. However, the impact of SR1 in radiation-induced hematopoietic injury both in vivo and in vitro remains unknown. In this study, we found that treatment with SR1 after irradiation of C57BL/6 mice significantly mitigates TBI-induced death (80% of SR1-treated mice survival vs. 30% of saline-treated mice survival) with enhanced recovery of peripheral blood cell counts, with the density and cell proliferation of bone marrow components as observed by Hematoxylin and Eosin (H&E) and Ki-67 staining. Interestingly, in vitro analysis of human HSPCs showed that SR1 enhanced the population of human HSPCs (CD34+) under both non-irradiating and irradiating conditions, and reduced radiation-induced DNA damage and apoptosis. Furthermore, SR1 attenuated the radiation-induced expression of a member of the pro-apoptotic BCL-2 family and activity of caspase-3. Overall, these results suggested that SR1 modulates the radioresponse of HSPCs and might provide a potential radiomitigator of hematopoietic injury, which contributes to increase the survival of patients upon irradiation.
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- 2023
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10. ABCA1-Mediated EMT Promotes Papillary Thyroid Cancer Malignancy through the ERK/Fra-1/ZEB1 Pathway
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Ji-Hye Park, Jae-Kyung Myung, Sun-Joo Lee, Hyewon Kim, Soyeon Kim, Seung-Bum Lee, Hyosun Jang, Won-Il Jang, Sunhoo Park, Hyunwon Yang, Sehwan Shim, and Min-Jung Kim
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papillary thyroid carcinoma ,distant metastasis ,ABCA1 ,epithelial–mesenchymal transition ,oncogene ,Cytology ,QH573-671 - Abstract
Papillary thyroid cancer (PTC) is the most prevalent histological type of thyroid cancer (TC) worldwide. Although tumor metastasis occurs in regional lymph nodes, distant metastasis (DM) may also occur. Radioactive iodine (RAI) therapy is an effective treatment for TC; however, resistance to RAI occurs in patients with DM. Therefore, in this study, we investigated the efficacy of DM-related biomarkers as therapeutic targets for PTC therapy. ABCA1 expression was higher in aggressive BCPAP cells than in other PTC cells in terms of migration and invasion capacity. The knockdown of ABCA1 substantially decreased the expression of the epithelial–mesenchymal transition (EMT) marker, N-cadherin, and EMT regulator (ZEB1), resulting in suppressed migration and invasion of BCPAP cells. ABCA1 knockdown also reduced ERK activity and Fra-1 expression, which correlated with the effects of an ERK inhibitor or siRNA-mediated inhibition of ERK or Fra-1 expression. Furthermore, ABCA1-knocked-down BCPAP cells suppressed cell migration and invasion by reducing Fra-1 recruitment to Zeb1 promoter; lung metastasis was not observed in mice injected with ABCA1-knocked-down cells. Overall, our findings suggest that ABCA1 regulates lung metastasis in TC cells.
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- 2023
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11. Metallothionein 2 activation by pravastatin reinforces epithelial integrity and ameliorates radiation-induced enteropathy
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Seo Young Kwak, Won Il Jang, Seungwoo Park, Sang Sik Cho, Seung Bum Lee, Min-Jung Kim, Sunhoo Park, Sehwan Shim, and Hyosun Jang
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Radiation-induced enteropathy ,Epithelial integrity ,Pravastatin ,Minipigs ,Metallothionein 2 ,Medicine ,Medicine (General) ,R5-920 - Abstract
ABSTRACT: Background: Radiotherapy or accidental exposure to ionizing radiation causes severe damage of healthy intestinal tissues. Intestinal barrier function is highly sensitive to ionizing radiation, and loss of epithelial integrity results in mucosal inflammation, bacterial translocation, and endotoxemia. Few studies have of epithelial integrity as a therapeutic target to treat radiation toxicity. Here, we examined the effects of pravastatin (PS) and the molecular mechanisms underlying epithelial integrity on radiation-induced enteropathy. Methods: The radio-mitigative effects of PS were evaluated in a minipig model by quantifying clinical symptoms, and performing histological and serological analyses and mRNA sequencing in intestinal tissues. To evaluate the role of intercellular junctions on radiation damage, we used tight junction regulator and metallothionein 2 (MT2) as treatments in a mouse model of radiation-induced enteropathy. Caco-2 monolayers were used to examine functional epithelial integrityand intercellular junction expression. Finding: Using a minipig model of pharmaceutical oral bioavailability, we found that PS mitigated acute radiation-induced enteropathy. PS-treated irradiated minipigs had mild clinical symptoms, lower intestinal inflammation and endotoxin levels, and improved gastrointestinal integrity, compared with control group animals. The results of mRNA sequencing analysis indicated that PS treatment markedly influenced intercellular junctions by inhibiting p38 MAPK signaling in the irradiated intestinal epithelium. The PS-regulated gene MT2 improved the epithelial barrier via enhancement of intercellular junctions in radiation-induced enteropathy. Interpretation: PS regulated epithelial integrity by modulating MT2 in radiation-damaged epithelial cells. These findings suggested that maintenance of epithelial integrity is a novel therapeutic target for treatment of radiation-induced gastrointestinal damage. Funding: As stated in the Acknowledgments
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- 2021
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12. Platelet-rich plasma activates AKT signaling to promote wound healing in a mouse model of radiation-induced skin injury
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Janet Lee, Hyosun Jang, Sunhoo Park, Hyunwook Myung, Kyuchang Kim, Hyewon Kim, Won-Suk Jang, Sun-Joo Lee, Jae Kyung Myung, and Sehwan Shim
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Radiation ,Keratin-14 ,Platelet-rich plasma ,Regeneration ,Skin ,Medicine - Abstract
Abstract Background The skin is impacted by every form of external radiation therapy. However, effective therapeutic options for severe, acute radiation-induced skin reactions are limited. Although platelet-rich plasma (PRP) is known to improve cutaneous wound healing, its effects in the context of high-dose irradiation are still poorly understood. Methods We investigated the regenerative functions of PRP by subjecting the dorsal skin of mice to local irradiation (40 Gy) and exposing HaCaT cells to gamma rays (5 Gy). The cutaneous benefits of PRP were gauged by wound size, histologic features, immunostains, western blot, and transepithelial water loss (TEWL). To assess the molecular effects of PRP on keratinocytes of healing radiation-induced wounds, we evaluated AKT signaling. Results Heightened expression of keratin 14 (K14) was documented in irradiated HaCaT cells and skin tissue, although the healing capacity of injured HaCaT cells declined. By applying PRP, this capacity was restored via augmented AKT signaling. In our mouse model, PRP use achieved the following: (1) healing of desquamated skin, acutely injured by radiation; (2) activated AKT signaling, improving migration and proliferation of K14 cells; (3) greater expression of involucrin in keratin 10 cells and sebaceous glands; and (4) reduced TEWL, strengthening the cutaneous barrier function. Conclusions Our findings indicate that PRP enhances the functions of K14 cells via AKT signaling, accelerating the regeneration of irradiated skin. These wound-healing benefits may have merit in a clinical setting.
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- 2019
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13. Centella asiatica-Derived Endothelial Paracrine Restores Epithelial Barrier Dysfunction in Radiation-Induced Enteritis
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Seo Young Kwak, Won Il Jang, Seung Bum Lee, Min-Jung Kim, Sunhoo Park, Sang Sik Cho, Hyewon Kim, Sun-Joo Lee, Sehwan Shim, and Hyosun Jang
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Centella asiatica ,radiation-induced enteritis ,epithelial barrier dysfunction ,epidermal growth factor ,endothelial paracrine ,Cytology ,QH573-671 - Abstract
Radiation-induced enteritis is frequently observed following radiotherapy for cancer or occurs due to radiation exposure in a nuclear accident. The loss of the epithelial integrity leads to ‘leaky gut’, so recovery of damaged epithelium is an important strategy in therapeutic trials. Centella asiatica (CA), a traditional herbal medicine, is widely used for wound healing by protecting against endothelial damage. In this study, we investigated the radio-mitigating effect of CA, focusing on the crosstalk between endothelial and epithelial cells. CA treatment relieved radiation-induced endothelial dysfunction and mitigated radiation-induced enteritis. In particular, treatment of the conditioned media from CA-treated irradiated endothelial cells recovered radiation-induced epithelial barrier damage. We also determined that epidermal growth factor (EGF) is a critical factor secreted by CA-treated irradiated endothelial cells. Treatment with EGF effectively improved the radiation-induced epithelial barrier dysfunction. We also identified the therapeutic effects of CA-induced endothelial paracrine in a radiation-induced enteritis mouse model with epithelial barrier restoration. Otherwise, CA treatment did not show radioprotective effects on colorectal tumors in vivo. We showed therapeutic effects of CA on radiation-induced enteritis, with the recovery of endothelial and epithelial dysfunction. Thus, our findings suggest that CA is an effective radio-mitigator against radiation-induced enteritis.
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- 2022
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14. Cytological Features That Differentiate Follicular Neoplasm from Mimicking Lesions
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Kanghee Han, Hwa-Jeong Ha, Joon Seog Kong, Jung-Soon Kim, Jae Kyung Myung, Jae Soo Koh, Sunhoo Park, Myung-Soon Shin, Woo-Tack Song, Hye Sil Seol, and Seung-Sook Lee
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Follicular neoplasm ,Fine needle aspiration cytology ,Differential diagnosis ,Pathology ,RB1-214 - Abstract
Background It is difficult to correctly diagnose follicular neoplasms (FNs) on fine-needle aspiration cytology (FNAC) because it shares many cytological features with other mimicking lesions. The aim of this study was to identify the cytological features that differentiate FNs from mimicking lesions. Methods We included the cytological slides from 116 cases of thyroid FN diagnosed on FNAC, and included their subsequent histological diagnoses. We evaluated the cytological architectural pattern and nuclear features of the lesions according to their histological groups. Results The final histological diagnoses of the 116 cases varied, and included 51 FNs (44%), 47 papillary thyroid carcinomas (40%) including follicular variant, and seventeen cellular nodular hyperplasias (15%). Regardless of the final histological diagnosis, microfollicular pattern was observed in most cases. On the other hand, trabecular pattern was identified in 34% of FNs, but not in any other lesions. Additionally, elongated nuclei and ground glass chromatin were found in only some papillary thyroid carcinomas. Conclusions This study shows that the trabecular pattern is a representative cytological feature of FNs that can be used to distinguish FNs from mimicking lesions. In addition, nuclear shape and chromatin pattern can be used to further confirm the diagnosis of FNs from mimicking lesions through FNAC.
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- 2018
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15. Radiation-related occupational cancer and its recognition criteria in South Korea
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Songwon Seo, Dalnim Lee, Ki Moon Seong, Sunhoo Park, Soo-Geun Kim, Jong-Uk Won, and Young Woo Jin
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Radiation exposure ,Occupational cancer ,Recognition ,Korea ,Industrial medicine. Industrial hygiene ,RC963-969 - Abstract
Abstract Ionizing radiation is a well-known carcinogen, and is listed as one carcinogenic agent of occupational cancer. Given the increase in the number of workers exposed to radiation, as well as the increase in concern regarding occupational cancer, the number of radiation-related occupational cancer claims is expected to increase. Unlike exposure assessment of other carcinogenic agents in the workplace, such as asbestos and benzene, radiation exposure is usually assessed on an individual basis with personal dosimeters, which makes it feasible to assess whether a worker’s cancer occurrence is associated with their individual exposure. However, given the absence of a threshold dose for cancer initiation, it remains difficult to identify radiation exposure as the root cause of occupational cancer. Moreover, the association between cancer and radiation exposure in the workplace has not been clearly established due to a lack of scientific evidence. Therefore, criteria for the recognition of radiation-related occupational cancer should be carefully reviewed and updated with new scientific evidence and social consensus. The current criteria in Korea are valid in terms of eligible radiogenic cancer sites, adequate latent period, assessment of radiation exposure, and probability of causation. However, reducing uncertainty with respect to the determination of causation between exposure and cancer and developing more specific criteria that considers mixed exposure to radiation and other carcinogenic agents remains an important open question.
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- 2018
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16. Importance of Individual Ghost Cells in Fine-Needle Aspiration Cytology Diagnosis of Pilomatricoma
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Kanghee Han, Hwa-Jeong Ha, Joon Seog Kong, Jae Kyung Myung, Sunhoo Park, Jung-Soon Kim, Myung-Soon Shin, Hye Sil Seol, Jae Soo Koh, and Seung-Sook Lee
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Pilomatricoma ,Fine-needle aspiration cytology ,Ghost cells ,Pathology ,RB1-214 - Abstract
Background Although histological diagnosis of pilomatricoma is not difficult because of its unique histological features, cytological diagnosis through fine-needle aspiration cytology (FNAC) is often problematic due to misdiagnoses as malignancy. Methods We reviewed the cytological features of 14 cases of histologically-proven pilomatricoma from Korea Cancer Center Hospital, with a discussion on the diagnostic pitfalls of FNAC. Results Among 14 cases of pilomatricoma, 10 (71.4%) were correctly diagnosed through FNAC, and two (14.3%) were misdiagnosed as carcinoma. Cytologically, all cases had easily recognizable clusters of basaloid cells and foreign body-type multinucleated cells. Although ghost cells were also found in all cases, some were inconspicuous and hardly recognizable due to their small numbers. Conclusions An accurate diagnosis of pilomatricoma in FNAC is feasible with consideration of clinical information and close examination of ghost cells.
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- 2018
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17. The Significance of TROP2 Expression in Predicting Mutations in Papillary Thyroid Carcinoma
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Joon Seog Kong, Hyeon Jin Kim, Min-Jung Kim, Areumnuri Kim, Dalnim Lee, Kanghee Han, Sunhoo Park, Jae Soo Koh, and Jae Kyung Myung
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TROP2 ,mutation ,Papillary thyroid carcinoma ,Pathology ,RB1-214 - Abstract
Background Trophoblast antigen 2 (TROP2) is a human trophoblast cell-surface glycoprotein that is overexpressed in several types of epithelial cancers, and is suggested to be associated with an unfavorable prognosis. BRAF mutations are the most common genetic alteration in papillary thyroid carcinoma (PTC). We evaluated the correlation between TROP2 expression and BRAF mutation in PTC. Methods First, we carried out pyrosequencing for BRAF mutations and immunohistochemistry for TROP2 expression with a tissue microarray consisting of 52 PTC cases. Membranous staining in at least 5% of tumor cells was designated as positive staining and we analyzed the relationship between TROP2 expression and diverse clinicopathological factors, including BRAF mutation. Second, we tested TROP2 mRNA expression in three thyroid cancer cell lines with BRAF mutations (BCPAP, SNU790, and 8505C) and a normal thyroid cell line. Additionally, we checked TROP2 protein levels in a normal thyroid cell line after introduction of the BRAF V600E mutation. Results In this study, 21 of 26 cases with BRAF mutation showed TROP2 immunoreactivity, whereas all 26 cases without BRAF mutation showed no immunoreactivity for TROP2 with a statistically significant difference (p
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- 2018
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18. Baicalein Mitigates Radiation-Induced Enteritis by Improving Endothelial Dysfunction
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Hyosun Jang, Janet Lee, Sunhoo Park, Joong Sun Kim, Sehwan Shim, Seung Bum Lee, Sung-Honn Han, Hyunwook Myung, Hyewon Kim, Won-Suk Jang, Sun-Joo Lee, and Jae kyung Myung
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baicalein ,intestinal inflammation ,endothelial cells ,adherent molecules ,irradiation ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Background and Aims: Radiation-induced intestinal injury occurred in application of radiotherapy for abdominal and pelvic cancers or in nuclear accidents. Radiation-induced enteritis may be considered an ideal model of gastrointestinal inflammation. The endothelium is a crucial component of inflammation, and the endothelial dysfunction following radiation exposure induces the intestinal proinflammatory response and progression of radiation enteritis. Baicalein (5,6,7-trihydroxyflavonoid) is a flavonoid from Scutellaria baicalensis used in oriental herbal medicine. Baicalein has been found to have multiple beneficial properties including antioxidant, anti-inflammatory, anti-allergic, and anti-cancer activities. Here, we investigated the therapeutic effects of baicalein on endothelial dysfunction in radiation-induced intestinal inflammation.Materials and Methods: We performed histological analysis, bacterial translocation, and intestinal permeability assays and also assessed infiltration of leukocytes and inflammatory cytokine expression using a mouse model of radiation-induced enteritis. In addition, to investigate the effect of baicalein in endothelial dysfunction, we analyzed endothelial-derived adherent molecules in human umbilical vein endothelial cells (HUVECs) and irradiated intestinal tissue.Results: Histological damage such as shortening of villi length and impaired intestinal crypt function was observed in the radiation-induced enteritis mouse model. Intestinal damage was attenuated in baicalein-treated groups with improvement of intestinal barrier function. Baicalein inhibited the expression of radiation-induced adherent molecules in HUVECs and intestine of irradiated mouse and decreased leukocyte infiltration in the radiation-induced enteritis.Conclusions: Baicalein could accelerate crypt regeneration via recovery of endothelial damage. Therefore, baicalein has a therapeutic effect on radiation-induced intestinal inflammation by attenuating endothelial damage.
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- 2019
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19. Establishment of Hepatocellular Cancer Induced Pluripotent Stem Cells Using a Reprogramming Technique
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Han Joon Kim, Jaemin Jeong, Sunhoo Park, Young-Woo Jin, Seung-Sook Lee, Seung Bum Lee, and Dongho Choi
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liver neoplasms ,induced pluripotent stem cells ,reprogramming ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Background/AimsCancer is known to be a disease by many factors. However, specific results of reprogramming by pluripotency-related transcription factors remain to be scarcely reported. Here, we verified potential effects of pluripotent-related genes in hepatocellular carcinoma cancer cells.Methods : To better understand reprogramming of cancer cells in different genetic backgrounds, we used four liver cancer cell lines representing different states of p53 (HepG2, Hep3B, Huh7 and PLC). Retroviral-mediated introduction of reprogramming related genes (KLF4, Oct4, Sox2, and Myc) was used to induce the expression of proteins related to a pluripotent status in liver cancer cells.Results : Hep3B cells (null p53) exhibited a higher efficiency of reprogramming in comparison to the other liver cancer cell lines. The reprogrammed Hep3B cells acquired similar characteristics to pluripotent stem cells. However, loss of stemness in Hep3B-iPCs was detected during continual passage.Conclusion : sWe demonstrated that reprogramming was achieved in tumor cells through retroviral induction of genes associated with reprogramming. Interestingly, the reprogrammed pluripotent cancer cells (iPCs) were very different from original cancer cells in terms of colony shape and expressed markers. The induction of pluripotency of liver cancer cells correlated with the status of p53, suggesting that different expression level of p53 in cancer cells may affect their reprogramming.
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- 2017
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20. Radiation-Activated PI3K/AKT Pathway Promotes the Induction of Cancer Stem-Like Cells via the Upregulation of SOX2 in Colorectal Cancer
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Ji-Hye Park, Young-Heon Kim, Sehwan Shim, Areumnuri Kim, Hyosun Jang, Su-Jae Lee, Sunhoo Park, Songwon Seo, Won Il Jang, Seung Bum Lee, and Min-Jung Kim
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colorectal cancer ,cancer-stem like cells ,radioresistance ,SOX2 ,PI3K/AKT ,Cytology ,QH573-671 - Abstract
The current treatment strategy for patients with aggressive colorectal cancer has been hampered by resistance to radiotherapy and chemotherapy due to the existence of cancer stem-like cells (CSCs). Recent studies have shown that SOX2 expression plays an important role in the maintenance of CSC properties in colorectal cancer. In this study, we investigated the induction and regulatory role of SOX2 following the irradiation of radioresistant and radiosensitive colorectal cancer cells. We used FACS and western blotting to analyze SOX2 expression in cells. Among the markers of colorectal CSCs, the expression of CD44 increased upon irradiation in radioresistant cells. Further analysis revealed the retention of CSC properties with an upregulation of SOX2 as shown by enhanced resistance to radiation and metastatic potential in vitro. Interestingly, both the knockdown and overexpression of SOX2 led to increase in CD44+ population and induction of CSC properties in colorectal cancer following irradiation. Furthermore, selective genetic and pharmacological inhibition of the PI3K/AKT pathway, but not the MAPK pathway, attenuated SOX2-dependent CD44 expression and metastatic potential upon irradiation in vitro. Our findings suggested that SOX2 regulated by radiation-induced activation of PI3K/AKT pathway contributes to the induction of colorectal CSCs, thereby highlighting its potential as a therapeutic target.
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- 2021
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21. Major Clues and Pitfalls in the Differential Diagnosis of Parathyroid and Thyroid Lesions Using Fine Needle Aspiration Cytology
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Hwa Jeong Ha, Eun Ju Kim, Jung-Soon Kim, Myung-Soon Shin, Insup Noh, Sunhoo Park, Jae Soo Koh, and Seung-Sook Lee
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parathyroid lesion ,thyroid lesion ,fine needle aspiration cytology ,diagnostic pitfalls ,Medicine (General) ,R5-920 - Abstract
Background: It is difficult to distinguish parathyroid lesions (PLs) from thyroid lesions using fine needle aspiration cytology (FNAC) because of their proximity and their similar cytomorphological features. Methods: FNAC smears of 46 patients with pathologically proven PLs that were histologically diagnosed as parathyroid adenoma (PA, n = 35), parathyroid hyperplasia (PH, n = 3), atypical parathyroid adenoma (APA, n = 1), and parathyroid carcinoma (PC, n = 7) were retrospectively reviewed and analyzed. Results: Our initial cytological diagnoses indicated correct diagnoses in 31 of 46 PL patients (67%). The 15 erroneous diagnoses were 5 patients with non-specific benign disease (11%), 4 with nodular hyperplasia of the thyroid (9%), 5 with atypical cells (11%), and 1 with a metastatic papillary thyroid carcinoma (2%). Follicular pattern, papillary structures, colloid-like material, and macrophages, which often suggest thyroid lesions, were also present in some PLs. We found that branching capillaries along the papillary structures, stippled nuclear chromatin, and frequent occurrence of naked nuclei were useful for determining a parathyroid origin. Conclusions: It is important to be aware that PLs are frequently mistaken for thyroid lesions based on FNAC. The specific and unique characteristics of PLs identified here may be helpful in diagnosis.
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- 2020
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22. Pravastatin Attenuates Acute Radiation-Induced Enteropathy and Improves Epithelial Cell Function
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Hyosun Jang, Janet Lee, Sunhoo Park, Hyunwook Myung, Jihoon Kang, Kyuchang Kim, Hyewon Kim, Won-Suk Jang, Sun-Joo Lee, Sehwan Shim, and Jae K. Myung
- Subjects
pravastatin ,radiation-induced enteropathy ,intestinal epithelial cells ,oxidative stress ,irradiation ,Therapeutics. Pharmacology ,RM1-950 - Abstract
Background and Aim: Radiation-induced enteropathy is frequently observed after radiation therapy for abdominal and pelvic cancer or occurs secondary to accidental radiation exposure. The acute effects of irradiation on the intestine might be attributed to inhibition of mitosis in the crypts, as the loss of proliferative functions impairs development of the small intestinal epithelium and its barrier function. Especially, oxidative damage to intestinal epithelial cells is a key event in the initiation and progression of radiation-induced enteropathy. Pravastatin is widely used clinically to lower serum cholesterol levels and has been reported to have anti-inflammatory effects on endothelial cells. Here, we investigated the therapeutic effects of pravastatin on damaged epithelial cells after radiation-induced enteritis using in vitro and in vivo systems.Materials and Methods: To evaluate the effects of pravastatin on intestinal epithelial cells, we analyzed proliferation and senescence, oxidative damage, and inflammatory cytokine expression in an irradiated human intestinal epithelial cell line (InEpC). In addition, to investigate the therapeutic effects of pravastatin in mice, we performed histological analysis, bacterial translocation assays, and intestinal permeability assays, and also assessed inflammatory cytokine expression, using a radiation-induced enteropathy model.Results: Histological damage such as shortening of villi length and impaired intestinal crypt function was observed in whole abdominal-irradiated mice. However, damage was attenuated in pravastatin-treated animals, in which normalization of intestinal epithelial cell differentiation was also observed. Using in vitro and in vivo systems, we also showed that pravastatin improves the proliferative properties of intestinal epithelial cells and decreases radiation-induced oxidative damage to the intestine. In addition, pravastatin inhibited levels of epithelial-derived inflammatory cytokines including IL-6, IL-1β, and TNF-α in irradiated InEpC cells. We also determined that pravastatin could rescue intestinal barrier dysfunction via anti-inflammatory effects using the mouse model.Conclusion: Pravastatin has a therapeutic effect on intestinal lesions and attenuates radiation-induced epithelial damage by suppressing oxidative stress and the inflammatory response.
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- 2018
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23. Factors associated with the risk perception and purchase decisions of Fukushima-related food in South Korea.
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Dalnim Lee, Songwon Seo, Min Kyoung Song, Hyang Ki Lee, Sunhoo Park, and Young Woo Jin
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Medicine ,Science - Abstract
Following the Fukushima nuclear power plant accident, the risk level perceived by Koreans on the radioactive contamination of Japanese food that is being distributed in Korea remains high. Many of these perceptions are based on subjective risk perception rather than an objective measure with scientific evidence, which makes communicating risks more difficult; therefore, it is critical to understand factors associated with risk perception for effective risk communication. In this study, we identified variables that are associated with buying tendencies and opinions about the regulatory policy of Japanese seafood after the accident. A survey was conducted with 1045 adults aged over 20 years in Korea. The majority (68.8%) responded that they would not purchase Japanese seafood when radioactivity levels in the food were non-detectable. Moreover, 82.2% responded that the current levels of import restrictions on Japanese seafood must be maintained. Despite many concerns regarding the exposure to radiation and the effects from food products following the Fukushima accident, the opportunities to encounter and to collect correct information remain limited and average radioactive knowledge scores were low (3.63 out of 9). Of the various characteristics associated with purchase decisions and agreement on the current import restraints of Japanese seafood, trust levels in the government and the mass media for providing information on radioactivity were major factors that influenced risk perception. While the scope of this study was limited to seafood, it is very closely tied to daily lives, where we revealed differences about risk perceptions and agreement on import restraints of Japanese seafood per a complex mixture of individual characteristics and the surrounding environment. These results provide useful information to understand the risk perception of the potential radioactive contamination of food and to predict the public's responses to food consumption and import restraint policies due to nuclear accidents in neighboring countries.
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- 2017
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24. Perception of low dose radiation risks among radiation researchers in Korea.
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Ki Moon Seong, TaeWoo Kwon, Songwon Seo, Dalnim Lee, Sunhoo Park, Young Woo Jin, and Seung-Sook Lee
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Medicine ,Science - Abstract
Expert's risk evaluation of radiation exposure strongly influences the public's risk perception. Experts can inform laypersons of significant radiation information including health knowledge based on experimental data. However, some experts' radiation risk perception is often based on non-conclusive scientific evidence (i.e., radiation levels below 100 millisievert), which is currently under debate. Examining perception levels among experts is important for communication with the public since these individual's opinions have often exacerbated the public's confusion. We conducted a survey of Korean radiation researchers to investigate their perceptions of the risks associated with radiation exposure below 100 millisievert. A linear regression analysis revealed that having ≥ 11 years' research experience was a critical factor associated with radiation risk perception, which was inversely correlated with each other. Increased opportunities to understand radiation effects at < 100 millisievert could alter the public's risk perception of radiation exposure. In addition, radiation researchers conceived that more scientific evidence reducing the uncertainty for radiation effects < 100 millisievert is necessary for successful public communication. We concluded that sustained education addressing scientific findings is a critical attribute that will affect the risk perception of radiation exposure.
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- 2017
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25. Biliary Granular Cell Tumor
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Changwon Jung, Ilyeong Heo, Sang Bum Kim, Sunhoo Park, and Soo Youn Cho
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Pathology ,RB1-214 - Published
- 2015
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26. Design and Simulation of the Linear Individual Blade Control Laws for Vibratory Loads Reduction in a Medium-size Rotorcraft
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Sang Joon Shin, Byeonguk Im, Kunhyuk Kong, Gwangin Go, Sunhoo Park, Seung-Hoon Kang, and Haeseong Cho
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Materials Science (miscellaneous) ,Business and International Management ,Industrial and Manufacturing Engineering - Published
- 2023
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27. Characteristics and Trends of Occupational Radiation Doses among Korean Radiation Workers (1984–2020)
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Eunbi Noh, Dalnim Lee, Sunhoo Park, Sun Dong Ju, Ji-Hye Kim, and Songwon Seo
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Epidemiology ,Health, Toxicology and Mutagenesis ,Radiology, Nuclear Medicine and imaging - Published
- 2023
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28. Bias-corrected Hp(10)-to-Organ-Absorbed Dose Conversion Coefficients for the Epidemiological Study of Korean Radiation Workers
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Areum Jeong, Tae-Eun Kwon, Wonho Lee, and Sunhoo Park
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Radiation ,Health, Toxicology and Mutagenesis ,Public Health, Environmental and Occupational Health ,Radiology, Nuclear Medicine and imaging - Abstract
Background: The effects of radiation on the health of radiation workers who are constantly susceptible to occupational exposure must be assessed based on an accurate and reliable reconstruction of organ-absorbed doses that can be calculated using personal dosimeter readings measured as Hp(10) and dose conversion coefficients. However, the data used in the dose reconstruction contain significant biases arising from the lack of reality and could result in an inaccurate measure of organ-absorbed doses. Therefore, this study quantified the biases involved in organ dose reconstruction and calculated the bias-corrected Hp(10)-to-organ-absorbed dose coefficients for the use in epidemiological studies of Korean radiation workers.Materials and Methods: Two major biases were considered: (a) the bias in Hp(10) arising from the difference between the dosimeter calibration geometry and the actual exposure geometry, and (b) the bias in air kerma-to-Hp(10) conversion coefficients resulting from geometric differences between the human body and slab phantom. The biases were quantified by implementing personal dosimeters on the slab and human phantoms coupled with a Monte Carlo method and considered to calculate the bias-corrected Hp(10)-to-organ-absorbed dose conversion coefficients.Results and Discussion: The bias in Hp(10) was significant for large incident angles and low energies (e.g., 0.32 for right lateral at 218 keV), whereas the bias in dose coefficients was significant for the posteroanterior (PA) geometry only (e.g., 0.79 at 218 keV). The bias-corrected Hp(10)-to-organ-absorbed dose conversion coefficients derived in this study were up to 3.09-fold greater than those from the International Commission on Radiological Protection publications without considering the biases.Conclusion: The obtained results will aid future studies in assessing the health effects of occupational exposure of Korean radiation workers. The bias-corrected dose coefficients of this study can be used to calculate organ doses for Korean radiation workers based on personal dose records.
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- 2022
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29. Effects of Design Parameters on Coaxial Rotorcraft with Propellers on Wing Tips
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Byeonguk Im, Sunhoo Park, Taeyoung Chun, Jewan Ryeom, and SangJoon Shin
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Aerospace Engineering - Published
- 2022
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30. Supplementary Data from Inhibition of Y Box Binding Protein 1 Suppresses Cell Growth and Motility in Colorectal Cancer
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Jae Kyung Myung, Sunhoo Park, Min-Jung Kim, Young-heon Kim, Sehwan Shim, and Areumnuri Kim
- Abstract
We cited references containing drug structure and included source of drugs
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- 2023
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31. Data from Inhibition of Y Box Binding Protein 1 Suppresses Cell Growth and Motility in Colorectal Cancer
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Jae Kyung Myung, Sunhoo Park, Min-Jung Kim, Young-heon Kim, Sehwan Shim, and Areumnuri Kim
- Abstract
Although chemo- or radiotherapy is usually performed in patients with colorectal cancer, the response is highly variable in locally rectal cancer. Therefore, additional studies are needed on predictable markers and the molecular mechanisms of chemo- and radiotherapy. Y box binding protein 1 (YB1) is an oncoprotein that is aberrantly expressed in many cancers, including colorectal cancer. However, to date there are no targeting agents or strategies to inhibit YB1 expression. Here, we investigate the oncogenic function of YB1 in colorectal cancer and methods to control its expression. We observed that YB1 expression level is correlated with colorectal cancer survival rate. Moreover, YB1 overexpression was associated with colorectal cancer lymph node metastasis and invasion. We also found that radiation exposure increased YB1 expression, which led to radioresistant colorectal cancer, mediated through the activation of cancer stem cell marker CD44 and PI3K/AKT/mTOR signaling. This study revealed, by both in vitro and in vivo assays, that depletion of YB1 could reduce cell proliferation and motility in colorectal cancer. We further demonstrated that the PI3K/mTOR inhibitor BEZ235 suppressed YB1 expression and enhanced the cytotoxicity of radiation. In addition, combined treatment with BEZ235 and radiation showed a significant antitumor response in an in vivo mouse xenograft model. Taken together, our results provide evidence that the activation of YB1 is a major factor in radioresistance and suggest that targeting YB1-mediated signaling is a promising therapeutic strategy for colorectal cancer.
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- 2023
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32. Risk Assessment of a Drone Under the Gust and its Precise Flight Simulation
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DongYeol Lee, SunHoo Park, and SangJoon Shin
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- 2022
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33. Reliability and Validity of a Nationwide Survey (the Korean Radiation Workers Study)
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Songwon Seo, Dalnim Lee, Soo-Jin Park, Won Jin Lee, Young Woo Jin, Wan Young Lim, and Sunhoo Park
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medicine.medical_specialty ,Chemical Health and Safety ,Radiation ,Intraclass correlation ,business.industry ,Epidemiology ,Public Health, Environmental and Occupational Health ,Occupational exposure ,Nationwide survey ,Cancer registry ,Agreement ,Environmental health ,medicine ,Original Article ,Medical history ,Work history ,Public aspects of medicine ,RA1-1270 ,Safety, Risk, Reliability and Quality ,business ,Safety Research ,Reliability (statistics) ,Kappa ,Self report - Abstract
Background This study aimed to evaluate the reliability and validity of the self-administered questionnaire for Korean radiation workers. Methods From May 24, 2016, to June 30, 2017, 20,608 participants completed the questionnaire, providing information on sociodemographics, lifestyle, work history and practices, medical radiation exposure, and medical history, which was linked to the National Dose Registry and the National Cancer Registry. The validity of the questionnaire was evaluated using the responses of 20,608 workers, and reliability was evaluated using the responses of 3043 workers who responded to the survey twice. Results Responses concerning demographic characteristics and lifestyle showed reliability with a moderate-to-high agreement (kappa: 0.43–0.99), whereas responses concerning occupation and medical radiation exposure had a wide range of agreement (kappa: 0.05–0.95), possibly owing to temporal variability during employment. Regarding validity, responses to the question about the first year of employment had an excellent agreement with the national registry (intraclass correlation coefficient = 0.9); however, responses on cancer history had a wide range of agreement (kappa: 0.22–0.85). Conclusion Although the reliability and validity of the questionnaire were not distinguished by demographic characteristics, they tended to be low among participants whose occupational radiation exposure was minimal. Overall, the information collected can be reliable for epidemiological studies; however, caution must be exercised when using information such as medical exposure and work practices, which are prone to temporal variability.
- Published
- 2021
34. Virtual calibration of whole-body counters to consider the size dependency of counting efficiency using Monte Carlo simulations
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Sunhoo Park, Min Seok Park, Chan Hyeong Kim, Jaeryong Yoo, Han Sung Kim, and Won Il Jang
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Dependency (UML) ,Computational phantom ,Whole-body counter ,020209 energy ,Counting efficiency ,Monte Carlo method ,TK9001-9401 ,02 engineering and technology ,Body size ,030218 nuclear medicine & medical imaging ,Computational physics ,03 medical and health sciences ,0302 clinical medicine ,Nuclear Energy and Engineering ,0202 electrical engineering, electronic engineering, information engineering ,Calibration ,Range (statistics) ,Nuclear engineering. Atomic power ,Whole-Body Counters ,Monte Carlo simulation ,Mathematics - Abstract
The counting efficiencies obtained using anthropomorphic physical phantoms are generally used in whole-body counting measurements to determine the level of internal contamination in the body. Geometrical discrepancies between phantoms and measured individuals affect the counting efficiency, and thus, considering individual physical characteristics is crucial to improve the accuracy of activity estimates. In the present study, the counting efficiencies of whole-body counting measurements were calculated considering individual physical characteristics by employing Monte Carlo simulation for calibration. The NaI(Tl)-based stand-up and HPGe-based bed type commercial whole-body counters were used for calculating the counting efficiencies. The counting efficiencies were obtained from 19 computational phantoms representing various shapes and sizes of the measured individuals. The discrepancies in the counting efficiencies obtained using the computational and physical phantoms range from 2% to 33%, and the results indicate that the counting efficiency depends on the size of the measured individual. Taking into account the body size, the equations for estimating the counting efficiencies were derived from the relationship between the counting efficiencies and the body-build index of the subject. These equations can aid in minimizing the size dependency of the counting efficiency and provide more accurate measurements of internal contamination in whole-body counting measurements.
- Published
- 2021
35. Aerodynamic Interference Analysis for a Nonoverlapping Multirotor UAV Based on Dynamic Vortex Tube.
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SunHoo Park, Byeonguk Im, Dongyeol Lee, and SangJoon Shin
- Subjects
- *
VORTEX tubes , *DRONE aircraft , *COMPUTATIONAL fluid dynamics , *ROTORCRAFT , *INTERFERENCE (Aerodynamics) , *AERIAL spraying & dusting in agriculture - Abstract
With the wide application of unmanned aerial vehicles, interest in multirotor configurations has increased. The unique features of multirotor configuration have been intensely investigated, including aerodynamic interference, which is particularly important because it influences the vibration, noise, and handling quality of rotorcraft. Most previous studies have used high-fidelity approaches, such as computational fluid dynamics to identify such interference. However, such an approach is inappropriate for real-time flight simulations. In this study, an improved aerodynamic interference analysis based on a dynamic vortex tube was established for performance prediction in real-time flight simulation. A simple and effective formulation is proposed for integration with rotor aerodynamics to evaluate the interference of multirotor configurations. The present analysis is validated on various multirotor configurations. An investigation of interference in a multirotor unmanned aerial vehicle (UAV) is then presented. The analysis results exhibit good agreement with experimental results and high-fidelity predictions. Although the accuracy of the proposed analysis is lower than that of experimental studies and high-fidelity analyses, it is sufficient for capturing interference trends. The proposed analysis can account for aerodynamic interference in the flight simulation of a multirotor UAV. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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36. A reduced‐sucrose diet increases the sensitivity of Drosophila melanogaster to radiation
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Songwon Seo, Ki Moon Seong, Jina Park, Kyung Jin Min, Young Woo Jin, Younghyun Lee, You Yeon Choi, Yongjoong Kim, and Sunhoo Park
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Sexual dimorphism ,chemistry.chemical_compound ,Sucrose ,biology ,chemistry ,Life span ,Insect Science ,Sensitivity (control systems) ,Drosophila melanogaster ,Drosophila (subgenus) ,biology.organism_classification ,Ecology, Evolution, Behavior and Systematics ,Cell biology - Published
- 2021
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37. Extended Beam Analysis for Compound Rotorcraft Fuselage Design
- Author
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SunHoo Park, SangJoon Shin, TaeYoung Chun, Jewan Yeom, and Byeonguk Im
- Published
- 2020
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38. Zileuton Alleviates Radiation-Induced Cutaneous Ulcers via Inhibition of Senescence-Associated Secretory Phenotype in Rodents
- Author
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Mineon Park, Jiyoung Na, Seo Young Kwak, Sunhoo Park, Hyewon Kim, Sun-Joo Lee, Won-Suk Jang, Seung Bum Lee, Won Il Jang, Hyosun Jang, and Sehwan Shim
- Subjects
cutaneous radiation ulcer ,p38 ,senescence ,zileuton ,5-lipoxygenase ,Organic Chemistry ,Rodentia ,General Medicine ,Fibroblasts ,Catalysis ,Computer Science Applications ,Inorganic Chemistry ,Phenotype ,Animals ,Hydroxyurea ,Senescence-Associated Secretory Phenotype ,Physical and Theoretical Chemistry ,Molecular Biology ,Spectroscopy ,Cellular Senescence ,Ulcer - Abstract
Radiation-induced cutaneous ulcers are a challenging medical problem for patients receiving radiation therapy. The inhibition of cell senescence has been suggested as a prospective strategy to prevent radiation ulcers. However, there is no effective treatment for senescent cells in radiation ulcers. In this study, we investigated whether zileuton alleviated radiation-induced cutaneous ulcer by focusing on cell senescence. We demonstrate increased cell senescence and senescence-associated secretory phenotype (SASP) in irradiated dermal fibroblasts and skin tissue. The SASP secreted from senescent cells induces senescence in adjacent cells. In addition, 5-lipoxygenase (5-LO) expression increased in irradiated dermal fibroblasts and skin tissue, and SASP and cell senescence were regulated by 5-LO through p38 phosphorylation. Finally, the inhibition of 5-LO following treatment with zileuton inhibited SASP and mitigated radiation ulcers in animal models. Our results demonstrate that inhibition of SASP from senescent cells by zileuton can effectively mitigate radiation-induced cutaneous ulcers, indicating that inhibition of 5-LO might be a viable strategy for patients with this condition.
- Published
- 2022
39. Metformin Protects the Intestinal Barrier by Activating Goblet Cell Maturation and Epithelial Proliferation in Radiation-Induced Enteropathy
- Author
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Hyosun Jang, Soyeon Kim, Hyewon Kim, Su Hyun Oh, Seo Young Kwak, Hyun-Woo Joo, Seung Bum Lee, Won Il Jang, Sunhoo Park, and Sehwan Shim
- Subjects
Organic Chemistry ,General Medicine ,radiation-induced enteropathy ,metformin ,intestinal stem cells ,goblet cells ,intestinal barrier ,Metformin ,Catalysis ,Computer Science Applications ,Intestines ,Mice, Inbred C57BL ,Inorganic Chemistry ,Intestinal Diseases ,Mice ,Animals ,Goblet Cells ,Intestinal Mucosa ,Physical and Theoretical Chemistry ,Molecular Biology ,beta Catenin ,Spectroscopy ,Cell Proliferation - Abstract
Radiotherapy or accidental exposure to high-dose radiation can cause severe damage to healthy organs. The gastrointestinal (GI) tract is a radiation-sensitive organ of the body. The intestinal barrier is the first line of defense in the GI tract, and consists of mucus secreted by goblet cells and a monolayer of epithelium. Intestinal stem cells (ISCs) help in barrier maintenance and intestinal function after injury by regulating efficient regeneration of the epithelium. The Wnt/β-catenin pathway plays a critical role in maintaining the intestinal epithelium and regulates ISC self-renewal. Metformin is the most widely used antidiabetic drug in clinical practice, and its anti-inflammatory, antioxidative, and antiapoptotic effects have also been widely studied. In this study, we investigated whether metformin alleviated radiation-induced enteropathy by focusing on its role in protecting the epithelial barrier. We found that metformin alleviated radiation-induced enteropathy, with increased villi length and crypt numbers, and restored the intestinal barrier function in the irradiated intestine. In a radiation-induced enteropathy mouse model, metformin treatment increased tight-junction expression in the epithelium and inhibited bacterial translocation to mesenteric lymph nodes. Metformin increased the number of ISCs from radiation toxicity and enhanced epithelial repair by activating Wnt/β-catenin signaling. These data suggested that metformin may be a potential therapeutic agent for radiation-induced enteropathy.
- Published
- 2022
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40. Improved urine analysis for polonium, natural uranium, and thorium isotopes and background survey in collected samples of normal people
- Author
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Seokwon Yoon, Wi Ho Ha, Moon Ki Jo, Yejin Kim, Jung min Kim, and Sunhoo Park
- Subjects
Health, Toxicology and Mutagenesis ,Sample (material) ,Radiochemistry ,Public Health, Environmental and Occupational Health ,chemistry.chemical_element ,Thorium ,Urine ,Natural uranium ,Normal people ,Pollution ,Analytical Chemistry ,Nuclear Energy and Engineering ,chemistry ,Environmental science ,Radiology, Nuclear Medicine and imaging ,Sample preparation ,Spectroscopy ,Isotopes of thorium ,Polonium - Abstract
A sequential analysis procedure for urine samples was developed and validated focusing on 210Po, natural uranium, and thorium radioisotopes. The amount of sample for analysis and counting time were estimated to meet the criteria of minimum detectable activity, which was referenced from the ICRP. The analysis procedure was modified via sequential extraction and was validated using certified reference samples. The time required for sample preparation by this method was compared with those by other methods. Forty-four urine samples collected from participants were analyzed, and the results were compared with those obtained in other studies.
- Published
- 2019
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41. Combined Administration of Pravastatin and Metformin Attenuates Acute Radiation-Induced Intestinal Injury in Mouse and Minipig Models
- Author
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Jung Moon Kim, Hyewon Kim, Su Hyun Oh, Won Il Jang, Seung Bum Lee, Mineon Park, Soyeon Kim, Sunhoo Park, Sehwan Shim, and Hyosun Jang
- Subjects
Inorganic Chemistry ,pravastatin ,metformin ,radiation-induced intestinal injury ,minipigs ,epithelial regeneration ,inflammation ,Organic Chemistry ,General Medicine ,Physical and Theoretical Chemistry ,Molecular Biology ,Spectroscopy ,Catalysis ,Computer Science Applications - Abstract
Radiation-induced gastrointestinal (GI) damage is one of the critical factors that serve as basis for the lethality of nuclear accidents or terrorism. Further, there are no Food and Drug Administration-approved agents available to mitigate radiation-induced intestinal injury. Although pravastatin (PS) has been shown to exhibit anti-inflammatory and epithelial reconstructive effects following radiation exposure using mouse and minipig models, the treatment failed to improve the survival rate of high-dose irradiated intestinal injury. Moreover, we previously found that metformin (MF), a common drug used for treating type 2 diabetes mellitus, has a mitigating effect on radiation-induced enteropathy by promoting stem cell properties. In this study, we investigated whether the combined administration of PS and MF could achieve therapeutic effects on acute radiation-induced intestinal injury in mouse and minipig models. We found that the combined treatment markedly increased the survival rate and attenuated histological damage in a radiation-induced intestinal injury mouse model, in addition to epithelial barrier recovery, anti-inflammatory effects, and improved epithelial proliferation with stem cell properties. Furthermore, in minipig models, combined treatment with PS and MF ameliorates gross pathological damage in abdominal organs and attenuated radiation-induced intestinal histological damage. Therefore, the combination of PS and MF effectively alleviated radiation-induced intestinal injury in the mouse and minipig models. We believe that the combined use of PS and MF is a promising therapeutic approach for treating radiation-induced intestinal injury.
- Published
- 2022
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42. Centella Asiatica Ameliorates Radiation-induced Epithelial Barrier Dysfunction by Secreting Epidermal Growth Factor in Endothelial Cells
- Author
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Sunhoo Park, Sang Sik Cho, Seung Bum Lee, Hyosun Jang, Seo Young Kwak, Won Il Jang, Sun Joo Lee, Hye Won Kim, Sehwan Shim, and Min-Jung Kim
- Subjects
Epithelial barrier ,Centella ,biology ,Chemistry ,Epidermal growth factor ,Radiation induced ,biology.organism_classification ,Cell biology - Abstract
BackgroundRadiation-induced intestinal damage is frequently observed following radiotherapy for abdominal and pelvic cancer or occurs due to radiation exposure in a nuclear accident. In an effort to overcome radiation-induced normal tissue damage, a variety of radio-mitigator candidates have been investigated. The loss of the epithelium and its barrier function leads to ‘leaky gut’, so recovery of damaged epithelium is an important strategy in therapeutic trials. Centella asiatica (CA), a traditional herbal medicine in Chinese culture, is widely used for wound healing by protecting against endothelial damage. In this study, we investigated the radio-mitigating effect of CA, focusing on crosstalk between endothelial and epithelial cells.ResultsCA treatment attenuated radiation-induced endothelial dysfunction in human umbilical vein endothelial cells and mitigated radiation-induced enteropathy in a mouse model. In particular, treatment of the conditioned media from CA-treated irradiated endothelial cells recovered loss of epithelial integrity by regulating zonula occludens 1 and desmoglein 2 in radiation exposure. We also determined that epidermal growth factor (EGF) is a critical factor secreted by CA-treated irradiated endothelial cells. Treatment with EGF, which can mimic the effect of CA-induced secretion in irradiated endothelial cells, effectively improved the radiation-induced epithelial barrier dysfunction. In addition, blockade of EGF in CA-induced endothelial secretome impeded epithelial barrier recovery. Finally, we identified the therapeutic effects of CA-induced endothelial secretome in a radiation-induced enteropathy mouse model with epithelial barrier restoration.Conclusions We have shown therapeutic effects of CA on radiation-induced enteropathy, with the recovery of endothelial and epithelial dysfunction, focusing on the crosstalk between endothelial cells and epithelial cells. Thus, our finding suggest that CA is an effective radio-mitigator against radiation-induced enteropathy.
- Published
- 2021
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43. Estimation of the historical radiation dose of Korean radiation workers, 1961-1983
- Author
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Jiyeong Kim, Sunhoo Park, Dalnim Lee, Won Jin Lee, Songwon Seo, Young Woo Jin, and Soojin Park
- Subjects
Estimation ,business.industry ,Radiation dose ,Public Health, Environmental and Occupational Health ,General Medicine ,Radiation Dosage ,Ionizing radiation ,Cohort Studies ,Environmental health ,Occupational Exposure ,Cohort ,Republic of Korea ,Dosimetry ,Medicine ,Humans ,Occupational exposure ,Health risk ,business ,Radiometry ,Waste Management and Disposal - Abstract
Accurate dosimetry plays a key role in evaluating the radiation-induced health risks of radiation workers. The National Dose Registry in Korea contains the dose records of radiation workers in nuclear-related occupations since 1984. Thus, radiation doses for workers before 1984 are often sparse or missing. This study aimed to estimate the historical radiation dose before 1984 for radiation workers in Korea based on dose reconstruction models. The dose reconstruction models were derived from the nationwide self-administered questionnaire survey and the personal badge doses for workers in the cohort of the Korean Radiation Worker Study. The mean estimated annual doses between 1984 and 2016 from the dose reconstruction model were 4.67–0.6 mSv, which closely matched the reported doses of 4.51–0.43 mSv. The mean estimated annual doses between 1961 and 1983 based on the exposure scenarios developed by factors associated with radiation doses ranged from 11.08 to 4.82 mSv. The mean estimated annual doses of individuals in the cohort from 1961 to 1983 ranged from 11.15 to 4.88 mSv. Although caution needs to be exercised in the interpretation of these estimations due to uncertainty owed to the nature of extrapolation beyond the range of observed data, this study offers a sense of the radiation doses for workers during Korea’s early period of radiation-related activities, which can be a useful piece of information for radiation-induced health risk assessments.
- Published
- 2021
44. Overexpression of dopamine receptor D2 promotes colorectal cancer progression by activating the β-catenin/ZEB1 axis
- Author
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Sehwan Shim, Seung-Sook Lee, Sunhoo Park, Joon Seog Kong, Areumnuri Kim, Min Jung Kim, and Hyunjung Lee
- Subjects
Male ,Cancer Research ,Colorectal cancer ,Metastasis ,Mice ,Cell, Molecular, and Stem Cell Biology ,Cell Movement ,Cytotoxic T cell ,ZEB1 ,beta Catenin ,Mice, Inbred BALB C ,Pimozide ,General Medicine ,Middle Aged ,Tumor Burden ,Up-Regulation ,Survival Rate ,Oncology ,Disease Progression ,Female ,RNA Interference ,Original Article ,Colorectal Neoplasms ,HT29 Cells ,Signal Transduction ,Mice, Nude ,colorectal cancer ,Transfection ,In vivo ,Dopamine receptor D2 ,medicine ,Animals ,Humans ,metastasis ,Aged ,Cell Proliferation ,Cell growth ,business.industry ,Receptors, Dopamine D2 ,Cancer ,Zinc Finger E-box-Binding Homeobox 1 ,Original Articles ,medicine.disease ,HCT116 Cells ,Xenograft Model Antitumor Assays ,digestive system diseases ,Catenin ,Cancer research ,DRD2 ,Dopamine Antagonists ,business - Abstract
Colorectal cancer (CRC) is a recurring cancer that is often resistant to conventional therapies and therefore requires the development of molecular‐based therapeutic approaches. Dopamine receptor D2 (DRD2) is associated with the growth of many types of tumors, but its oncogenic role in CRC is unclear. Here, we observed that elevated DRD2 expression was associated with a poor survival rate among patients with CRC. Depletion of DRD2 suppressed CRC cell growth and motility by downregulating β‐catenin/ZEB signaling in vitro and in vivo, whereas overexpression of DRD2 promoted CRC cell progression. Inhibition of DRD2 by the antagonist pimozide inhibited tumor growth and lymph node metastasis in vivo and enhanced the cytotoxic effects of conventional agents in vitro. Taken together, our findings indicate that targeting the DRD2/β‐catenin/ZEB1 signaling axis is a potentially promising therapeutic strategy for patients with CRC., We provided targeting the DRD2/β‐catenin/ZEB1 signaling axis as a potentially promising therapeutic strategy for patients with CRC.
- Published
- 2021
45. PINX1 promotes malignant transformation of thyroid cancer through the activation of the AKT/MAPK/β-catenin signaling pathway
- Author
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JiHoon, Kang, Ji-Hye, Park, Jun Suk, Kong, Min Jung, Kim, Seung-Sook, Lee, Sunhoo, Park, and Jae Kyung, Myung
- Subjects
endocrine system diseases ,Original Article - Abstract
Although thyroid cancer is the most prevalent endocrine malignancy, overall patients with thyroid cancer have a good long-term survival. However, a small percentage of patients with progressive thyroid cancer have poor outcomes, and the genetic drivers playing a key role thyroid cancer progression are mostly unknown. Here, we investigated the role of the PINX1 in thyroid cancer progression. Interestingly, PINX1 expression was significantly higher in ATC than in PTC in both patients and cell lines. When PINX1 was knockdown in ATC cells, cell proliferation rates, colony formation capacity, and cell cycle progression were significantly reduced. Furthermore, cell motility and the expression of EMT drivers were reduced by PINX1 downregulation. In contrast, the overexpression of PINX1 in PTC cells significantly increased those phenotypes of tumor progression, which demonstrates that PINX1 could promote tumor proliferation and malignant transformation in both PTC and ATC cells. To further understand whether PINX1 is also involved in the progression of PTC to ATC, we examined PI3K/AKT, MAPK, and β-catenin signaling activation after PINX1 modulation. Decreased PINX1 expression reduced the levels of p-AKT, p-ERK, p-p38, and β-catenin in ATC cells, but the increase of PINX1 expression upregulated the phosphorylation of AKT, ERK, and p38 and the levels of β-catenin in PTC cells. These results were all confirmed in xenograft mouse tumors. Our findings suggest that PINX1 regulates thyroid cancer progression by promoting cell proliferation, EMT, and signaling activation, and support the hypothesis that PINX1 could be a prognostic marker and a therapeutic target of thyroid cancer.
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- 2021
46. Real-Time Flight Simulation for Multirotor UAV Integrated with the Dynamic Inflow Aerodynamics
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SunHoo Park, JeongUk Yoo, SiHun Lee, and SangJoon Shin
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Computer science ,business.industry ,Inflow ,Aerodynamics ,Aerospace engineering ,business ,Multirotor ,Flight simulator - Abstract
A real-time flight simulation for multirotor unmanned aerial vehicles (UAV) is performed in combination with dynamic inflow aerodynamics. The present combination procedure includes rotor/fuselage aerodynamics and trim analysis. The rotor aerodynamics is based on dynamic inflow aerodynamics, which is appropriate for the analysis of multirotor UAVs. The present simulation uses an appropriate formulation for fuselage aerodynamics. Trim analysis was conducted for climb and forward flight to determine the physical constraints of the UAV. Based on this procedure, a simulation was performed and validated against the flight test. It was found that the accuracy of flight simulation increased if the simulation is performed in combination with dynamic inflow aerodynamics. Using this methodology, the dynamic characteristics that affect the performance of UAVs were investigated.
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- 2021
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47. Radiation-Activated PI3K/AKT Pathway Promotes the Induction of Cancer Stem-Like Cells via the Upregulation of SOX2 in Colorectal Cancer
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Hyosun Jang, Sehwan Shim, Areumnuri Kim, Young Heon Kim, Su Jae Lee, Ji Hye Park, Songwon Seo, Sunhoo Park, Min Jung Kim, Seung Bum Lee, and Won Il Jang
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Colorectal cancer ,MAP Kinase Signaling System ,Population ,SOX2 ,colorectal cancer ,Radiation Tolerance ,Article ,Phosphatidylinositol 3-Kinases ,Downregulation and upregulation ,Cell Movement ,Radioresistance ,Cell Line, Tumor ,Medicine ,Humans ,Neoplasm Invasiveness ,education ,lcsh:QH301-705.5 ,PI3K/AKT/mTOR pathway ,education.field_of_study ,PI3K/AKT ,Radiation ,biology ,business.industry ,SOXB1 Transcription Factors ,CD44 ,Cancer ,General Medicine ,medicine.disease ,Up-Regulation ,radioresistance ,Hyaluronan Receptors ,lcsh:Biology (General) ,biology.protein ,Cancer research ,Neoplastic Stem Cells ,cancer-stem like cells ,business ,Proto-Oncogene Proteins c-akt ,Signal Transduction - Abstract
The current treatment strategy for patients with aggressive colorectal cancer has been hampered by resistance to radiotherapy and chemotherapy due to the existence of cancer stem-like cells (CSCs). Recent studies have shown that SOX2 expression plays an important role in the maintenance of CSC properties in colorectal cancer. In this study, we investigated the induction and regulatory role of SOX2 following the irradiation of radioresistant and radiosensitive colorectal cancer cells. We used FACS and western blotting to analyze SOX2 expression in cells. Among the markers of colorectal CSCs, the expression of CD44 increased upon irradiation in radioresistant cells. Further analysis revealed the retention of CSC properties with an upregulation of SOX2 as shown by enhanced resistance to radiation and metastatic potential in vitro. Interestingly, both the knockdown and overexpression of SOX2 led to increase in CD44+ population and induction of CSC properties in colorectal cancer following irradiation. Furthermore, selective genetic and pharmacological inhibition of the PI3K/AKT pathway, but not the MAPK pathway, attenuated SOX2-dependent CD44 expression and metastatic potential upon irradiation in vitro. Our findings suggested that SOX2 regulated by radiation-induced activation of PI3K/AKT pathway contributes to the induction of colorectal CSCs, thereby highlighting its potential as a therapeutic target.
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- 2020
48. Inhibition of EphA2 by Dasatinib Suppresses Radiation-Induced Intestinal Injury
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Areumnuri Kim, Sehwan Shim, Seung Sook Lee, You Yeon Choi, Ki Moon Seong, and Sunhoo Park
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Male ,0301 basic medicine ,Cell Membrane Permeability ,intestinal injury ,Ligands ,Tyrosine-kinase inhibitor ,lcsh:Chemistry ,0302 clinical medicine ,Radiation, Ionizing ,Leukocytes ,dasatinib ,Phosphorylation ,Endothelial dysfunction ,Receptor ,lcsh:QH301-705.5 ,Spectroscopy ,Chemistry ,Receptor, EphA2 ,Ephrin-A1 ,General Medicine ,EPH receptor A2 ,Computer Science Applications ,Intestines ,Dasatinib ,030220 oncology & carcinogenesis ,Signal transduction ,medicine.symptom ,medicine.drug ,medicine.drug_class ,Down-Regulation ,Inflammation ,EphA2 ,Article ,Catalysis ,Inorganic Chemistry ,03 medical and health sciences ,Cell Adhesion ,Human Umbilical Vein Endothelial Cells ,medicine ,Animals ,Humans ,Physical and Theoretical Chemistry ,Radiation Injuries ,Molecular Biology ,Organic Chemistry ,Erythropoietin-producing hepatocellular (Eph) receptor ,medicine.disease ,Mice, Inbred C57BL ,radiation ,030104 developmental biology ,lcsh:Biology (General) ,lcsh:QD1-999 ,Cancer research ,Endothelium, Vascular - Abstract
Radiation-induced multiorgan dysfunction is thought to result primarily from damage to the endothelial system, leading to a systemic inflammatory response that is mediated by the recruitment of leukocytes. The Eph&ndash, ephrin signaling pathway in the vascular system participates in various disease developmental processes, including cancer and inflammation. In this study, we demonstrate that radiation exposure increased intestinal inflammation via endothelial dysfunction, caused by the radiation-induced activation of EphA2, an Eph receptor tyrosine kinase, and its ligand ephrinA1. Barrier dysfunction in endothelial and epithelial cells was aggravated by vascular endothelial&ndash, cadherin disruption and leukocyte adhesion in radiation-induced inflammation both in vitro and in vivo. Among all Eph receptors and their ligands, EphA2 and ephrinA1 were required for barrier destabilization and leukocyte adhesion. Knockdown of EphA2 in endothelial cells reduced radiation-induced endothelial dysfunction. Furthermore, pharmacological inhibition of EphA2&ndash, ephrinA1 by the tyrosine kinase inhibitor dasatinib attenuated the loss of vascular integrity and leukocyte adhesion in vitro. Mice administered dasatinib exhibited resistance to radiation injury characterized by reduced barrier leakage and decreased leukocyte infiltration into the intestine. Taken together, these data suggest that dasatinib therapy represents a potential approach for the protection of radiation-mediated intestinal damage by targeting the EphA2&ndash, ephrinA1 complex.
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- 2020
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49. 480 Surgery for rectosigmoid peritonectomy in advanced ovarian cancer: surgical technique of visceral segmental serosectomy and 8-year experience
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Sunhoo Park, H S Kim, and J-W Kim
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medicine.medical_specialty ,Advanced ovarian cancer ,business.industry ,Rectosigmoid Colon ,medicine.disease ,Bowel surgery ,Surgery ,Suture (anatomy) ,Peritonectomy ,medicine ,Stage iib ,Ovarian cancer ,business ,Mesorectal - Abstract
Introduction Tumors infiltrating rectosigmoid colon is commonly found during cytoreduction in ovarian cancer. Low anterior resection (LAR) or visceral serosal segmentectomy (VSS) can be performed for removing tumors on the rectosigmoid colon. LAR is associated with decreased bowel function, and conservatively ablating tumors on rectosigmoid colon by VSS might be safe without compromising the quality of life. Methods From Jan 2013 to June 2020, we performed 83 cases of stage IIB to IVB ovarian cancer surgery with resection of tumors involving the rectosigmoid colon. Also, VSS was considered when the length of the tumor extent of the rectosigmoid colon was less than 18 cm, and there was no evidence of mucosal invasion, and in the other cases, LAR was performed. Results First, the rectosigmoid colon is mobilized, and then, mesorectal excision was done, and VSS can be performed. Exposure of the muscle layer or mucosal layer can be repaired. After that, tagging suture is done at the edge, and the resected serosa area is folded and form a bowel loop. A bubble leak test was performed after the serosal repair is completed. Among 83 patients, there were no differences in clinicopathologic characteristics between LAR (n=39) and VSS (n=44) group. In terms of surgical extent, LAR showed more combined procedures related to bowel surgery. Also, there were no differences in survival, recurrence pattern, and surgical complications. Conclusions Visceral Segmental Serosectomy is feasible and can be safely performed without significant complications and comparable survival outcomes.
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- 2020
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50. Increased Incidence of Thyroid Cancer in Occupational Radiation Epidemiology: Attribution to Screening among Radiation Workers
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Eun Shil Cha, Sunhoo Park, Songwon Seo, Dal Nim Lee, Young Woo Jin, and Soo-Jin Park
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Adult ,Male ,endocrine system ,medicine.medical_specialty ,Neoplasms, Radiation-Induced ,endocrine system diseases ,Thyroid screening ,Population ,Biophysics ,Radiation Dosage ,Risk Assessment ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Occupational Exposure ,Epidemiology ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Thyroid Neoplasms ,Overdiagnosis ,education ,Thyroid cancer ,Early Detection of Cancer ,education.field_of_study ,Radiation ,business.industry ,Incidence (epidemiology) ,Middle Aged ,medicine.disease ,Confidence interval ,Occupational Diseases ,030220 oncology & carcinogenesis ,Female ,Attribution ,business - Abstract
In most studies on radiation workers, the incidence of thyroid cancer was determined to be higher than among the general population; this is generally assumed to be due to overdiagnosis through thyroid screening. However, there is a lack of evidence on the association between thyroid screening and increased thyroid cancer incidence in most occupational studies. In this study, we compared thyroid cancer screening rates between the general population and radiation workers with various occupations and examined the relationship between these rates and thyroid cancer incidence. We compared thyroid screening rates between radiation workers and the general population with age- and sex-standardized screening ratios (SSRs) using data from two national surveys conducted during 2015-2017 in Korea, and assessed the correlation between these ratios and age- and sex-standardized incidence ratios (SIRs) for thyroid cancer. Screening rates were higher among radiation workers than among the general population, with an overall SSR of 1.58 (95% confidence interval: 1.54-1.62). When various types of occupations were compared, those with an increased SSR also had an increased SIR. SSRs remained high even when the screening period was restricted to the year preceding the survey (the year after the establishment of guidelines for thyroid cancer screening aimed at reducing overdiagnosis). In conclusion, the increased incidence of thyroid cancer among radiation workers compared to that among the general population can be attributed mainly to increased thyroid screening rates. Additional efforts are needed to reduce unnecessary thyroid cancer screening in occupational populations, particularly in those with better access to healthcare, in terms of clinical rationale and for assessing the true increase in thyroid cancer incidence.
- Published
- 2020
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