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Kim DY, Kim HR, Shim JH, Park CS, Kim SK, Kim YJ. Significance of serum and tissue carcinoembryonic antigen for the prognosis of gastric carcinoma patients. J Surg Oncol 2000. [PMID: 10951413 DOI: 10.1002/1096-9098(200007)74:3<185:aid-jso4>3.3.co;2-s] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
BACKGROUND AND OBJECTIVES Carcinoembryonic antigen (CEA) has been widely accepted as a tumor marker useful in the diagnosis and management of colorectal carcinoma. When CEA levels are positive in patients with gastric carcinoma, they could be useful prognostic indicators. The value of CEA as a tumor marker for gastric carcinoma, however, remains a matter of controversy. The purpose of this study was to determine whether preoperative serum CEA value and tissue CEA staining are useful prognostic indicators for gastric carcinoma. METHODS We measured preoperative serum CEA levels by radioimmunoassay and stained tissue CEA production by tumor cells from gastric carcinomas using immunohistochemical staining in patients with gastric carcinoma. RESULTS The patients with preoperative serum CEA levels >10.0 ng/mL had a more prominent serosal invasion, much more lymph node involvement, more advanced stage and more poorly differentiated than did the patients with preoperative serum CEA levels <5.0 ng/mL. The survival rate of patients with serum CEA levels >10.0 ng/mL was poorer than those of patients with serum CEA levels between 5.0 and 10.0 ng/mL, and those of patients with serum CEA levels <5.0 ng/mL (P < 0.05). The preoperative serum CEA levels and tumor CEA-positivity were correlated (P < 0.05). In patients with lymph node metastases, the CEA-positivity (78.0%) was higher than in patients without lymph node metastasis (63.2%) (P < 0.05). A correlation was also found between the depth of tumor invasion and tissue CEA-positivity (P < 0.001). The postoperative survival rate was significantly better in the CEA-negative staining group (78.0%) than in the CEA-positive staining group (60.0%). CONCLUSIONS These data suggest that preoperative serum CEA levels and staining for CEA in gastric carcinoma tissue sections may have a predictive value in determining prognostic information for patients with resectable gastric carcinoma.
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402
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Yoo SE, Kim SK, Lee SH, Kim NJ, Lee DW. The conformation and activity relationship of benzofuran type of angiotensin II receptor antagonists. Bioorg Med Chem 2000; 8:2311-6. [PMID: 11026543 DOI: 10.1016/s0968-0896(00)00164-4] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
As a continuing effort to establish the structure and activity relationship in a benzofuran type of angiotensin II antagonist, we synthesized various regioisomers and performed a series of QSAR analyses. The conformational analyses of target isomers were carried out using molecular mechanics and fine-tuned using the information from the NMR NOE experiment. The conformations of compounds with a good binding activity are quite similar to that of DuP753, a prototype of AII antagonist, suggesting that these compounds also bind to the same site of AII receptor. We then studied the compounds with a varied length of the hydroxyl group bearing side chain to find out the optimum distance between the hydroxyl group and the imidazole ring. The CoMFA with these compounds gave acceptable statistical measures (cross-validated r2 and conventional r2 to be 0.881 and 0.974, respectively) and the map was well consistent with the previously proposed pharmacophore.
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403
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Lee JH, Kim SK, Kim JM. Growth with surface curvature on quenched potentials. PHYSICAL REVIEW. E, STATISTICAL PHYSICS, PLASMAS, FLUIDS, AND RELATED INTERDISCIPLINARY TOPICS 2000; 62:3299-3302. [PMID: 11088828 DOI: 10.1103/physreve.62.3299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2000] [Indexed: 05/23/2023]
Abstract
A discrete growth model driven by the Laplacian of the surface curvature in quenched random media is discussed. The interface width W at the saturated regime obeys scaling W approximately Lalpha with alpha approximately 2.3, where L is the system size. Starting from an initial sine wave condition of a selected wavelength, we measure an autocorrelation function, and obtain the dynamic critical exponent z approximately 3.1. The model is expected to be described by the quenched Mullins-Herring equations.
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404
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Reinke V, Smith HE, Nance J, Wang J, Van Doren C, Begley R, Jones SJ, Davis EB, Scherer S, Ward S, Kim SK. A global profile of germline gene expression in C. elegans. Mol Cell 2000; 6:605-16. [PMID: 11030340 DOI: 10.1016/s1097-2765(00)00059-9] [Citation(s) in RCA: 465] [Impact Index Per Article: 19.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We used DNA microarrays to profile gene expression patterns in the C. elegans germline and identified 1416 germline-enriched transcripts that define three groups. The sperm-enriched group contains an unusually large number of protein kinases and phosphatases. The oocyte-enriched group includes potentially new components of embryonic signaling pathways. The germline-intrinsic group, defined as genes expressed similarly in germlines making only sperm or only oocytes, contains a family of piwi-related genes that may be important for stem cell proliferation. Finally, examination of the chromosomal location of germline transcripts revealed that sperm-enriched and germline-intrinsic genes are nearly absent from the X chromosome, but oocyte-enriched genes are not.
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405
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Fujiwara MC, Adamczak A, Bailey JM, Beer GA, Beveridge JL, Faifman MP, Huber TM, Kammel P, Kim SK, Knowles PE, Kunselman AR, Maier M, Markushin VE, Marshall GM, Martoff CJ, Mason GR, Mulhauser F, Olin A, Petitjean C, Porcelli TA, Wozniak J, Zmeskal J. Resonant formation of d&mgr;t molecules in deuterium: An atomic beam measurement of muon catalyzed dt fusion. PHYSICAL REVIEW LETTERS 2000; 85:1642-1645. [PMID: 10970578 DOI: 10.1103/physrevlett.85.1642] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/29/2000] [Revised: 05/18/2000] [Indexed: 05/23/2023]
Abstract
Resonant formation of d&mgr;t molecules in collisions of muonic tritium ( &mgr;t) on D2 was investigated using a beam of &mgr;t atoms, demonstrating a new direct approach in muon catalyzed fusion studies. Strong epithermal resonances in d&mgr;t formation were directly revealed for the first time. From the time-of-flight analysis of 2036+/-116 dt fusion events, a formation rate consistent with 0.73+/-(0.16)(meas)+/-(0.09)(model) times the theoretical prediction was obtained. For the largest peak at a resonance energy of 0.423+/-0.037 eV, this corresponds to a rate of (7.1+/-1.8)x10(9) s(-1), more than an order of magnitude larger than those at low energies.
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406
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Choi DW, Kim SY, Kim SK, Kim YC. Factors involved in hepatic glutathione depletion induced by acute ethanol administration. JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH. PART A 2000; 60:459-469. [PMID: 12607907 DOI: 10.1080/00984100050079520] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Factors implicated in changes of the hepatic glutathione concentration following acute ethanol administration were examined in rats. Adult female rats were treated with either ethanol (4 g/kg, p.o.) or an isocaloric glucose solution. The hepatic reduced glutathione (GSH) concentration decreased rapidly after ethanol intake with a maximum diminution, approximately 50% of the control value, being observed at t = 6 h. The hepatic GSH concentration gradually increased, and finally rebounded at 24 h after ethanol ingestion. The dose of ethanol induced a transient increase in the oxidized glutathione (GSSG)/GSH ratio, which was associated with a significant reduction in GSH rather than elevation in GSSG [corrected]. The activity of gamma-glutamylcysteine synthetase (GCS), the rate-limiting enzyme for glutathione synthesis, and the cysteine concentration in liver were also measured. The GCS activity was depressed to approximately 80% of the control value at t = 2.5 h followed by rapid recovery, but no difference in the hepatic cysteine concentration between control and ethanol treated rats was observed for 24 h, suggesting that the reduction in glutathione synthesis may not play a major role in the significant depletion of this tripeptide in liver. The total glutathione concentration was measured both in prehepatic and posthepatic inferior vena cava blood. The glutathione concentration in posthepatic blood was approximately twice as high as that of prehepatic blood in control rats. Acute ethanol administration doubled the elevation of glutathione in posthepatic blood measured at t = 2.5 h. The sinusoidal efflux of glutathione estimated from the increase in blood glutathione concentration was greater than the total amount of its depletion in the liver of rats treated with ethanol. The results suggest that in the liver of rats treated acutely with ethanol, glutathione efflux plays the most important role in the reduction of this tripeptide, which would be aggravated by a transient decrease in glutathione synthesis and by increased consumption in association with its metabolism.
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407
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Kim DE, Park SH, Kim SK, Nam HW, Lee YS, Chung JK, Roh JK. Hypoglycemia-induced cerebellar dysfunction and quantitative positron emission tomography study. Neurology 2000; 55:418-22. [PMID: 10932278 DOI: 10.1212/wnl.55.3.418] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE To describe an unusual case of hypoglycemia-induced bilateral cerebellar dysfunction. BACKGROUND The cerebellum is known to be resistant to hypoglycemia, and selective cerebellar dysfunction caused by hypoglycemia has not been reported. Previous studies showed that the ratio between the rate constants for glucose uptake and phosphorylation (K1 and k3) is reversed in the cerebellum compared with the cerebral cortex; higher K1 in the cerebellum and higher k3 in the cerebral cortex. METHODS Quantitative dynamic PET scanning with labeled fluorodeoxyglucose (18F-FDG) was performed to prove altered glucose kinetics in the cerebellum of a patient who presented with episodic cerebellar dysfunction associated with hypoglycemia. Four control subjects underwent the same study. RESULTS The ratio between K1 and k3 was not reversed in the cerebellum of our patient (K1 = 0.082, k3 = 0.192). On the contrary, the ratio was reversed in the control subjects (mean K1 = 0.109, mean k3 = 0.080). In addition, the patient's cerebellar metabolic rate of glucose (rCMRglu = 27.9 micromol/100 g/minute) and the rate constant of glucose egress (k2 = 0.543) were relatively increased compared with those of control subjects (mean rCMRglu = 21.9 micromol/100 g/minute, mean k2 = 0.352). CONCLUSIONS In a case of episodic bilateral cerebellar dysfunction caused by hypoglycemia, quantitative dynamic PET study demonstrated decreased glucose uptake-to-utilization ratio and increased leak of glucose in the cerebellum. The cerebellum is not invariably resistant to hypoglycemia.
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408
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Nam DH, Wang KC, Kim YM, Chi JG, Kim SK, Cho BK. The effect of isochromosome 17q presence, proliferative and apoptotic indices, expression of c-erbB-2, bcl-2 and p53 proteins on the prognosis of medulloblastoma. J Korean Med Sci 2000; 15:452-6. [PMID: 10983696 PMCID: PMC3054657 DOI: 10.3346/jkms.2000.15.4.452] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Medulloblastoma accounts for 20 to 25% of all intracranial neoplasms in children. The significance of the presence of isochromosome 17q (i(17q)), proliferative potential, apoptotic activity, and expression of c-erbB-2, bd-2, and p53 proteins in predicting long-term survival of patients with medulloblastomas was investigated. Twenty children were divided into two groups (favorable and poor outcome groups). Ten children with favorable outcome (FO) were disease-free during the follow-up period (median: 61.5 months). The other ten children with poor outcome (PO) died of disease progression, having a median survival of 18 months. Fluorescent in situ hybridization (FISH) for i(17q), terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL), and immunohistochemistry for Ki-67, c-erbB-2, bcl-2, and p53 proteins was performed in these patients. Nine out of 17 children showed i(17q). There was no difference in the rate of positive i(17q) between the FO and PO groups. The presence of i(17q) was not significantly related to biological factors that we investigated. Unlike the prominent presence of the proliferative potential and p53 expression in children with PO, apoptotic activity and expression of c-erbB-2 and bcl-2 had no correlation with the outcome.
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409
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Kwon HC, Kim SK, Chung WK, Cho MJ, Kim JS, Kim JS, Moon SR, Park WY, Ahn SJ, Oh YK, Yun HG, Na BS. Effect of pentoxifylline on radiation response of non-small cell lung cancer: a phase III randomized multicenter trial. Radiother Oncol 2000; 56:175-9. [PMID: 10927136 DOI: 10.1016/s0167-8140(00)00221-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
PURPOSES The objectives of this prospective clinical trial were to determine whether pentoxifylline improves the radiation response and survival in patients with non-small cell lung cancer. MATERIALS AND METHODS From July 1993 through October 1994, 64 patients with histologically confirmed Stage I, II and III non-small cell lung cancer were randomly divided into pentoxifylline (Pento)+Radiotherapy (RT) group and RT alone group. Out of the 64 patients, only 47 patients who had measurable tumors on chest X-ray views were analyzed and divided into Pento+RT group (n=27) and RT alone group (n=20). Total tumor dose of 65-70 Gy was delivered as conventional fractionated radiation schedules. Pento was given to the patients 3 x 400 mg/day with a daily dose of 1200 mg during RT. RESULTS Complete response (CR), partial response (PR), and stable in Pento+RT group were three (11%), 13 (48%), and 11 (41%), respectively, as compared with corresponding values of three (15%), 13 (65%), and four (20%) in the RT alone group. The median time to relapse in the Pento+RT group was 11 months which was 2 months longer than for the RT alone group (P>0.05). All the patients in both groups showed lower than or equal to grade 2 dysphagia, odynophagia, pulmonary fibrosis, and pneumonitis. The median survival was 18 months in the Pento+RT group and 7 months in the RT alone group. The 1-year survival rate was 60% in the Pento+RT group and 35% in the RT alone group, the 2-year survival rate was 18% in the Pento+RT group and 12% in the RT alone group. But these differences were not statistically significant (P>0.05). CONCLUSION We concluded that Pento is a modestly effective radiation response modifier and provide benefit in the treatment of non-small cell lung cancer.
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410
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Lim S, Kim SK, Park KS, Kim SY, Cho BY, Yim MJ, Lee HK. Effect of exercise on the mitochondrial DNA content of peripheral blood in healthy women. Eur J Appl Physiol 2000; 82:407-12. [PMID: 10985594 DOI: 10.1007/s004210000238] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Exercise decreases insulin resistance and increases maximal exercise capacity as estimated from maximal oxygen uptake (VO2max). Recent reports have demonstrated that the mitochondrial DNA (mtDNA) content of blood is correlated with VO2max in healthy subjects (mean age 31 years) and is inversely correlated with insulin resistance parameters. The aim of this study was to determine the effect of regular exercise on the mtDNA content in the peripheral blood of 16 healthy young women of mean age 24.8 (SD 6.2) years and 14 healthy older women of mean age 66.7 (SD 5.8) years. The exercise programme lasted for 10 weeks and consisted of three sessions a week, each of 1 h and aiming to attain 60%-80% of VO2max. The mtDNA content of peripheral blood was measured by competitive polymerase chain reaction. The VO2max had significantly increased following the exercise programme [from 33.1 (SD 3.4) to 35.2 (SD 3.4) ml x kg(-1) min(-1) in the young and from 24.3 (SD 5.3) to 30.3 (SD 7.3) ml x kg(-1) x min(-1) in the older women, both P < 0.05]. Exercise decreased systolic blood pressure, and concentrations of triglyceride, low density lipoprotein-cholesterol (LDL-C), glucose and insulin in the blood of the young and of total cholesterol, LDL-C and glucose in that of the older women. High density lipoprotein-cholesterol (HDL-C) in the young women was increased by exercise. The mtDNA content significantly increased following the exercise programme in both groups [from 27.1 (SD 17.9) to 52.7 (SD 44.6) amol x 5 ng(-1) genomic DNA in the young and from 15.3 (SD 10.2) to 32.1 (SD 30.0) amol x 5 ng(-1) genomic DNA in the older women, both P < 0.05]. There was a significant positive correlation between the change in mtDNA content and the change in VO2max (r = 0.74 in the young and r = 0.71 in the older women, both P < 0.01). In conclusion, 10 weeks of moderate intensity, regular exercise increased the mtDNA content in peripheral blood and decreased insulin resistance parameters. This data suggests that increase in the mtDNA content may be associated with increased insulin sensitivity.
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411
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Kim SK, Hebrok M, Li E, Oh SP, Schrewe H, Harmon EB, Lee JS, Melton DA. Activin receptor patterning of foregut organogenesis. Genes Dev 2000; 14:1866-71. [PMID: 10921901 PMCID: PMC316826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Foregut development produces a characteristic sequence of gastrointestinal and respiratory organs, but the signaling pathways that ensure this developmental order remain largely unknown. Here, mutations of activin receptors ActRIIA and ActRIIB are shown to disrupt the development of posterior foregut-derived organs, including the stomach, pancreas, and spleen. Foregut expression of genes including Shh and Isl1 is shifted in mutant mice. The endocrine pancreas is particularly sensitive to the type and extent of receptor inactivation. ActRIIA(+/-)B(+/-) animals lack axial defects, but have hypoplastic pancreatic islets, hypoinsulinemia, and impaired glucose tolerance. Thus, activin receptor-mediated signaling regulates axial patterning, cell differentiation, and function of foregut-derived organs.
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412
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Abstract
Three recent papers have reported the surprising finding that Cdc42 and Rac1, both of which are known to be involved in maintaining apico-basolateral polarity of epithelial cells, can each bind to a protein complex containing Par6, Par3 and PKCzeta. These latter three proteins have known functions in the polarization of mother cells before asymmetric cell division in Caenorhabditis elegans. These latest results indicate a possible link between the mechanisms used to maintain cell polarity and to set up asymmetric cell divisions.
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413
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Lee SK, Lee SH, Kim SK, Lee DS, Kim H. The clinical usefulness of ictal SPECT in temporal lobe epilepsy: the lateralization of seizure focus and correlation with EEG. Epilepsia 2000; 41:955-62. [PMID: 10961620 DOI: 10.1111/j.1528-1157.2000.tb00278.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
PURPOSE To analyze the relationship between ictal electroencephalography (EEG) and ictal single-photon emission computed tomography (SPECT) and to evaluate the diagnostic usefulness of ictal SPECT as an independent presurgical evaluation technique. METHODS Sixty-eight patients with temporal lobe epilepsy who underwent temporal lobectomy with good surgical outcome were included in this study. Ictal SPECT was performed during video-EEG monitoring. The ictal EEG was analyzed in 5-second intervals from the initiation of the ictal rhythm. Lateralized EEG dominance was determined by the amplitude, frequency, or regional patterns of ictal rhythm for each 5-second interval. The total ictal EEG was divided into three periods: preinjection (maximum, 30 seconds), the initial part of the postinjection period (30 seconds), and the latter part of the postinjection period (30 to 60 seconds). The results of ictal SPECT were compared with the lateralized EEG dominance of each period and at seizure onset. RESULTS Fifty-four of 68 ictal EEGs correctly lateralized seizure focus ipsilateral to the side of surgery. Ictal SPECT correctly lateralized the epileptogenic temporal lobe in 61 of 68 patients (mean injection time, 29.8 seconds from onset). Multivariate analysis indicated that only the EEG dominance of the preejection period correlated significantly with the concordant hyperperfusion of ictal SPECT. Correct lateralization of ictal SPECT occurred in 10 of 14 patients with nonlateralized ictal EEG. CONCLUSIONS Preinjection neuronal activity seems to be important for the accurate interpretation of the hyperperfused patterns of ictal SPECT. Ictal SPECT is an independent and confirmatory presurgical evaluation technique.
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414
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Lee E, Jeong EJ, Min SJ, Hong S, Lim J, Kim SK, Kim HJ, Choi BG, Koo KC. Radical cyclization of beta-aminoacrylates: synthesis of (-)-indolizidine 223AB. Org Lett 2000; 2:2169-71. [PMID: 10891258 DOI: 10.1021/ol006094z] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
[reaction: see text] (-)-Indolizidine 223AB was synthesized via radical cyclization of the beta-aminoacrylate derivative of a trans-2,5-disubstituted pyrrolidine. The trans-2,5-disubstituted pyrrolidine substrate was prepared by radical cyclization of a Ses-protected beta-aminoacrylate.
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415
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Kim DY, Kim HR, Shim JH, Park CS, Kim SK, Kim YJ. Significance of serum and tissue carcinoembryonic antigen for the prognosis of gastric carcinoma patients. J Surg Oncol 2000; 74:185-92. [PMID: 10951413 DOI: 10.1002/1096-9098(200007)74:3<185::aid-jso4>3.0.co;2-0] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
BACKGROUND AND OBJECTIVES Carcinoembryonic antigen (CEA) has been widely accepted as a tumor marker useful in the diagnosis and management of colorectal carcinoma. When CEA levels are positive in patients with gastric carcinoma, they could be useful prognostic indicators. The value of CEA as a tumor marker for gastric carcinoma, however, remains a matter of controversy. The purpose of this study was to determine whether preoperative serum CEA value and tissue CEA staining are useful prognostic indicators for gastric carcinoma. METHODS We measured preoperative serum CEA levels by radioimmunoassay and stained tissue CEA production by tumor cells from gastric carcinomas using immunohistochemical staining in patients with gastric carcinoma. RESULTS The patients with preoperative serum CEA levels >10.0 ng/mL had a more prominent serosal invasion, much more lymph node involvement, more advanced stage and more poorly differentiated than did the patients with preoperative serum CEA levels <5.0 ng/mL. The survival rate of patients with serum CEA levels >10.0 ng/mL was poorer than those of patients with serum CEA levels between 5.0 and 10.0 ng/mL, and those of patients with serum CEA levels <5.0 ng/mL (P < 0.05). The preoperative serum CEA levels and tumor CEA-positivity were correlated (P < 0.05). In patients with lymph node metastases, the CEA-positivity (78.0%) was higher than in patients without lymph node metastasis (63.2%) (P < 0.05). A correlation was also found between the depth of tumor invasion and tissue CEA-positivity (P < 0.001). The postoperative survival rate was significantly better in the CEA-negative staining group (78.0%) than in the CEA-positive staining group (60.0%). CONCLUSIONS These data suggest that preoperative serum CEA levels and staining for CEA in gastric carcinoma tissue sections may have a predictive value in determining prognostic information for patients with resectable gastric carcinoma.
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416
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Kim SK, Chang SC, Lee EJ, Chung WS, Kim YS, Hwang S, Lee JS. Involvement of brassinosteroids in the gravitropic response of primary root of maize. PLANT PHYSIOLOGY 2000; 123:997-1004. [PMID: 10889248 PMCID: PMC59062 DOI: 10.1104/pp.123.3.997] [Citation(s) in RCA: 62] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/02/1999] [Accepted: 03/15/2000] [Indexed: 05/18/2023]
Abstract
Exogenously applied brassinolide (BL, 10(-9)-10(-5) M) increased gravitropic curvature in maize (Zea mays) primary roots. The BL-enhanced gravitropic curvature was clearly promoted in the presence of indole-3-acetic acid (IAA, 10(-10)-10(-8) M), indicating that BL is interactive with IAA during the gravitropic response. The interactive effect between BL and IAA was completely diminished by treatment of p-chlorophenoxy isobutric acid, an auxin action antagonist. The activation of the gravitropic response by BL in the absence and in the presence of IAA was nullified by application of 2, 3,5-triiodobenzoic acid, a polar auxin transport inhibitor. The data indicate that brassinosteroids (BRs) might be involved in auxin-mediated processes for the gravitropic response. Gas chromotography-selected ion-monitoring analysis revealed that maize primary roots contained approximately 0.3 ng g(-1) fresh weight castasterone as an endogenous BR. Exogenously applied castasterone also increased the gravitropic response of maize roots in an IAA-dependent manner. This study provides the first evidence, to our knowledge, for occurrence and gravitropic activity of BRs in plant roots.
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417
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Kim SK, Wang KC, Kim DG, Paek SH, Chung HT, Han MH, Ahn Y, Cho BK. Clinical feature and outcome of pediatric cerebrovascular disease: a neurosurgical series. Childs Nerv Syst 2000; 16:421-8. [PMID: 10958551 DOI: 10.1007/pl00007286] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
To investigate the clinical features and surgical outcome of pediatric cerebrovascular disease (CVD), we retrospectively reviewed 280 children (up to 15 years of age) who underwent neurosurgical procedures for CVD between 1979 and 1998. Open surgery (n=448), endovascular procedures (n=22), and stereotactic radiosurgery (n=14) were the main neurosurgical procedures adopted. Clinical features and surgical outcomes were described according to the etiology of the CVD and the number of years of management. The mean duration of follow-up was 34 months. The mean age was 7.1 years, and the male-to-female ratio was 1.2:1. The most frequent CVD was moyamoya disease (62%). The surgical mortality related to CVD was 0.7%. Eighty-seven percent had Karnofsky Performance Scale scores of more than 70. We demonstrate increasing detection rates and improving outcomes in recent years. The clinical course in this study shows that recovery from CVD in children is good after neurosurgical procedures.
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418
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Choi YJ, Kim SK, Kim SH, Lee KS, Choi KY. Saccharomyces cerevisiae Ste5 is important for induction and substrate specificity of Fus3 MAP kinase in the pheromone signaling pathway. Mol Cells 2000; 10:301-8. [PMID: 10901168] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023] Open
Abstract
The pheromone pathway is one of the mitogen activated protein kinase (MAPK) signaling pathways identified in Saccharomyces cerevisiae and is involved in both G1 cell cycle arrest and mating of cells. Fus3 functions at a branching point for G1 cell cycle arrest and mating responses in the signaling cascade, and the Fus3 MAPK uses components of both G1 arrest and mating routes as substrates. The Ste5 is a scaffold protein of the MAPK module and is essential for the activation of Fus3. However, it is not known how Ste5 is involved in the specific activation of Fus3 in G1 arrest and mating. In this study, we characterized several G1 arrest defective Ste5 mutants to better understand the roles of Ste5 in the regulation of Fus3. The level of Fus3 increased by treatment with alpha-factor. However, the alpha-factor effects were not readily apparent in the observation of yeast cells containing G1 arrest defective ste5 mutant. This suggests that Ste5 plays an essential role in Fus3 induction. Fus3 immune kinase assay of G1 arrest defective ste5 transformants revealed that Ste5 is important for substrate specificity of Fus3 for G1 arrest and/or mating.
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Abbott B, Abolins M, Abramov V, Acharya BS, Adams DL, Adams M, Akimov V, Alves GA, Amos N, Anderson EW, Baarmand MM, Babintsev VV, Babukhadia L, Baden A, Baldin B, Banerjee S, Bantly J, Barberis E, Baringer P, Bartlett JF, Bassler U, Bean A, Belyaev A, Beri SB, Bernardi G, Bertram I, Bezzubov VA, Bhat PC, Bhatnagar V, Bhattacharjee M, Blazey G, Blessing S, Boehnlein A, Bojko NI, Borcherding F, Brandt A, Breedon R, Briskin G, Brock R, Brooijmans G, Bross A, Buchholz D, Buescher V, Burtovoi VS, Butler JM, Carvalho W, Casey D, Casilum Z, Castilla-Valdez H, Chakraborty D, Chan KM, Chekulaev SV, Chen W, Cho DK, Choi S, Chopra S, Choudhary BC, Christenson JH, Chung M, Claes D, Clark AR, Cobau WG, Cochran J, Coney L, Connolly B, Cooper WE, Coppage D, Cullen-Vidal D, Cummings MA, Cutts D, Dahl OI, Davis K, De K, Del Signore K, Demarteau M, Denisov D, Denisov SP, Diehl HT, Diesburg M, Di Loreto G, Draper P, Ducros Y, Dudko LV, Dugad SR, Dyshkant A, Edmunds D, Ellison J, Elvira VD, Engelmann R, Eno S, Eppley G, Ermolov P, Eroshin OV, Estrada J, Evans H, Evdokimov VN, Fahland T, Feher S, Fein D, Ferbel T, Fisk HE, Fisyak Y, Flattum E, Fleuret F, Fortner M, Frame KC, Fuess S, Gallas E, Galyaev AN, Gartung P, Gavrilov V, Genik RJ, Genser K, Gerber CE, Gershtein Y, Gibbard B, Gilmartin R, Ginther G, Gobbi B, Gómez B, Gómez G, Goncharov PI, González Solís JL, Gordon H, Goss LT, Gounder K, Goussiou A, Graf N, Grannis PD, Green JA, Greenlee H, Grinstein S, Grudberg P, Grünendahl S, Guglielmo G, Gupta A, Gurzhiev SN, Gutierrez G, Gutierrez P, Hadley NJ, Haggerty H, Hagopian S, Hagopian V, Hahn KS, Hall RE, Hanlet P, Hansen S, Hauptman JM, Hays C, Hebert C, Hedin D, Heinson AP, Heintz U, Heuring T, Hirosky R, Hobbs JD, Hoeneisen B, Hoftun JS, Ito AS, Jerger SA, Jesik R, Joffe-Minor T, Johns K, Johnson M, Jonckheere A, Jones M, Jöstlein H, Jun SY, Juste A, Kahn S, Kajfasz E, Karmanov D, Karmgard D, Kehoe R, Kim SK, Klima B, Klopfenstein C, Knuteson B, Ko W, Kohli JM, Kostritskiy AV, Kotcher J, Kotwal AV, Kozelov AV, Kozlovsky EA, Krane J, Krishnaswamy MR, Krzywdzinski S, Kubantsev M, Kuleshov S, Kulik Y, Kunori S, Landsberg G, Leflat A, Lehner F, Li J, Li QZ, Lima JG, Lincoln D, Linn SL, Linnemann J, Lipton R, Lu JG, Lucotte A, Lueking L, Lundstedt C, Maciel AK, Madaras RJ, Manankov V, Mani S, Mao HS, Markeloff R, Marshall T, Martin MI, Martin RD, Mauritz KM, May B, Mayorov AA, McCarthy R, McDonald J, McKibben T, McMahon T, Melanson HL, Merkin M, Merritt KW, Miao C, Miettinen H, Mihalcea D, Mincer A, Mishra CS, Mokhov N, Mondal NK, Montgoemry HE, Mostafa M, da Motta H, Nagy E, Nang F, Narain M, Narasimham VS, Neal HA, Negret JP, Negroni S, Norman D, Oesch L, Oguri V, Olivier B, Oshima N, Padley P, Pan LJ, Para A, Parashar N, Partridge R, Parua N, Paterno M, Patwa A, Pawlik B, Perkins J, Peters M, Piegaia R, Piekarz H, Pope BG, Popkov E, Prosper HB, Protopopescu S, Qian J, Quintas PZ, Raja R, Rajagopalan S, Reay NW, Reucroft S, Rijssenbeek M, Rockwell T, Roco M, Rubinov P, Ruchti R, Rutherfoord J, Santoro A, Sawyer L, Schamberger RD, Schellman H, Schwartzman A, Sculli J, Sen N, Shabalina E, Shankar HC, Shivpuri RK, Shpakov D, Shupe M, Sidwell RA, Singh H, Singh JB, Sirotenko V, Slattery P, Smith E, Smith RP, Snihur R, Snow GR, Snow J, Snyder S, Solomon J, Song XF, Sorín V, Sosebee M, Sotnikova N, Souza M, Stanton NR, Steinbrück G, Stephens RW, Stevenson ML, Stichelbaut F, Stoker D, Stolin V, Stoyanova DA, Strauss M, Streets K, Strovink M, Stutte L, Sznajder A, Tarazi J, Taylor W, Tentindo-Repond S, Thomas TL, Thompson J, Toback D, Trippe TG, Turcot AS, Tuts PM, van Gemmeren P, Vaniev V, Varelas N, Volkov AA, Vorobiev AP, Wahl HD, Wang H, Warchol J, Watts G, Wayne M, Weerts H, White A, White JT, Whiteson D, Wightman JA, Willis S, Wimpenny SJ, Wirjawan JV, Womersley J, Wood DR, Yamada R, Yamin P, Yasuda T, Yip K, Youssef S, Yu J, Yu Z, Zanabria M, Zheng H, Zhou Z, Zhu ZH, Zielinski M, Zieminska D, Zieminski A, Zutshi V, Zverev EG, Zylberstejn A. Probing Balitsky-Fadin-Kuraev-Lipatov dynamics in the dijet cross section at large rapidity intervals in pp collisions at sqrt[s]=1800 and 630 GeV. PHYSICAL REVIEW LETTERS 2000; 84:5722-5727. [PMID: 10991039 DOI: 10.1103/physrevlett.84.5722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/1999] [Indexed: 05/23/2023]
Abstract
Inclusive dijet production at large pseudorapidity intervals (Deltaeta) between the two jets has been suggested as a regime for observing Balitsky-Fadin-Kuraev-Lipatov (BFKL) dynamics. We have measured the dijet cross section for large Deltaeta in pp collisions at sqrt[s]=1800 and 630 GeV using the D0 detector. The partonic cross section increases strongly with the size of Deltaeta. The observed growth is even stronger than expected on the basis of BFKL resummation in the leading logarithmic approximation. The growth of the partonic cross section can be accommodated with an effective BFKL intercept of alphaBFKL(20 GeV)=1.65+/-0.07.
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Abbott B, Abolins M, Abramov V, Acharya BS, Adams DL, Adams M, Ahn S, Akimov V, Alves GA, Amos N, Anderson EW, Baarmand MM, Babintsev VV, Babukhadia L, Baden A, Baldin B, Banerjee S, Bantly J, Barberis E, Baringer P, Bartlett JF, Bassler U, Belyaev A, Beri SB, Bernardi G, Bertram I, Bezzubov VA, Bhat PC, Bhatnagar V, Bhattacharjee M, Blazey G, Blessing S, Boehnlein A, Bojko NI, Borcherding F, Brandt A, Breedon R, Briskin G, Brock R, Brooijmans G, Bross A, Buchholz D, Buescher V, Burtovoi VS, Butler JM, Carvalho W, Casey D, Casilum Z, Castilla-Valdez H, Chakraborty D, Chan KM, Chekulaev SV, Chen W, Cho DK, Choi S, Chopra S, Choudhary BC, Christenson JH, Chung M, Claes D, Clark AR, Cobau WG, Cochran J, Coney L, Connolly B, Cooper WE, Coppage D, Cullen-Vidal D, Cummings MA, Cutts D, Dahl OI, Davis K, De K, Del Signore K, Demarteau M, Denisov D, Denisov SP, Diehl HT, Diesburg M, Di Loreto G, Draper P, Ducros Y, Dudko LV, Dugad SR, Dyshkant A, Edmunds D, Ellison J, Elvira VD, Engelmann R, Eno S, Eppley G, Ermolov P, Eroshin OV, Estrada J, Evans H, Evdokimov VN, Fahland T, Feher S, Fein D, Ferbel T, Fisk HE, Fisyak Y, Flattum E, Fleuret F, Fortner M, Frame KC, Fuess S, Gallas E, Galyaev AN, Gartung P, Gavrilov V, Genik RJ, Genser K, Gerber CE, Gershtein Y, Gibbard B, Gilmartin R, Ginther G, Gobbi B, Gómez B, Gómez G, Goncharov PI, González Solís JL, Gordon H, Goss LT, Gounder K, Goussiou A, Graf N, Grannis PD, Green DR, Green JA, Greenlee H, Grinstein S, Grudberg P, Grünendahl S, Guglielmo G, Gupta A, Gurzhiev SN, Gutierrez G, Gutierrez P, Hadley NJ, Haggerty H, Hagopian S, Hagopian V, Hahn KS, Hall RE, Hanlet P, Hansen S, Hauptman JM, Hays C, Hebert C, Hedin D, Heinson AP, Heintz U, Heuring T, Hirosky R, Hobbs JD, Hoeneisen B, Hoftun JS, Hsieh F, Ito AS, Jerger SA, Jesik R, Joffe-Minor T, Johns K, Johnson M, Jonckheere A, Jones M, Jöstlein H, Jun SY, Kahn S, Kajfasz E, Karmanov D, Karmgard D, Kehoe R, Kim SK, Klima B, Klopfenstein C, Knuteson B, Ko W, Kohli JM, Koltick D, Kostritskiy AV, Kotcher J, Kotwal AV, Kozelov AV, Kozlovsky EA, Krane J, Krishnaswamy MR, Krzywdzinski S, Kubantsev M, Kuleshov S, Kulik Y, Kunori S, Landsberg G, Leflat A, Lehner F, Li H, Li J, Li QZ, Lima JG, Lincoln D, Linn SL, Linnemann J, Lipton R, Lu JG, Lucotte A, Leuking L, Lundstedt C, Maciel AK, Madaras RJ, Manankov V, Mani S, Mao HS, Markeloff R, Marshall T, Martin MI, Martin RD, Mauritz KM, May B, Mayorov AA, McCarthy R, McDonald J, McKibben T, McMahon T, Melanson HL, Merkin M, Merritt KW, Miao C, Miettinen H, Mincer A, Mishra CS, Mokhov N, Mondal NK, Montgomery HE, Mostafa M, da Motta H, Nagy E, Nang F, Narain M, Narasimham VS, Neal HA, Negret JP, Negroni S, Norman D, Oesch L, Oguri V, Olivier B, Oshima N, Owen D, Padley P, Para A, Parashar N, Partridge R, Parua N, Paterno M, Patwa A, Pawlik B, Perkins J, Peters M, Piegaia R, Piekarz H, Pischalnikov Y, Pope BG, Popkov E, Prosper HB, Protopopescu S, Qian J, Quintas PZ, Raja R, Rajagopalan S, Reay NW, Reucroft S, Rijssenbeek M, Rockwell T, Roco M, Rubinov P, Ruchti R, Rutherfoord J, Santoro A, Sawyer L, Schamberger RD, Schellman H, Schwartzman A, Sculli J, Sen N, Shabalina E, Shankar HC, Shivpuri RK, Shpakov D, Shupe M, Sidwell RA, Singh H, Singh JB, Sirotenko V, Slattery P, Smith E, Smith RP, Snihur R, Snow GR, Snow J, Snyder S, Solomon J, Song XF, Sorín V, Sosebee M, Sotnikova N, Souza M, Stanton NR, Steinbrück G, Stephens RW, Stevenson ML, Stichelbaut F, Stoker D, Stolin V, Stoyanova DA, Strauss M, Streets K, Strovink M, Stutte L, Sznajder A, Tarazi J, Tartaglia M, Thomas TL, Thompson J, Toback D, Trippe TG, Turcot AS, Tuts PM, van Gemmeren P, Vaniev V, Varelas N, Volkov AA, Vorobiev AP, Wahl HD, Warchol J, Watts G, Wayne M, Weerts H, White A, White JT, Wightman JA, Willis S, Wimpenny SJ, Wirjawan JV, Womersley J, Wood DR, Yamada R, Yamin P, Yasuda T, Yip K, Youssef S, Yu J, Yu Y, Zanabria M, Zheng H, Zhou Z, Zhu ZH, Zielinski M, Zieminska D, Zieminski A, Zutshi V, Zverev EG, Zylberstejn A. Measurement of the W-->taunu production cross section in pp collisions at square root s=1.8 TeV. PHYSICAL REVIEW LETTERS 2000; 84:5710-5715. [PMID: 10991037 DOI: 10.1103/physrevlett.84.5710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/1999] [Indexed: 05/23/2023]
Abstract
We report on a measurement of sigma(pp-->W+X)B(W-->taunu) in pp collisions at sqrt[s]=1.8 TeV at the Fermilab Tevatron. The measurement is based on an integrated luminosity (lum) of 18 pb-1 of data collected with the D0 detector during 1994-1995. We find that sigma(pp-->W+X)B(W-->taunu)=2.22+/-0.09 (stat)+/-0. 10 (syst)+/-0.10 (lum) nb. Lepton universality predicts that the ratio of the tau and electron electroweak charged current couplings to the W boson, gWtau/gWe, be unity. We find gWtau/gWe=0.980+/-0.031, in agreement with lepton universality.
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421
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Kim SK, Cho DJ, Kim JW, Chung JE, Yang YH. Adverse pregnancy outcome following post-chorionic villus sampling amniocentesis compared to chorionic villus sampling. J Obstet Gynaecol Res 2000; 26:209-13. [PMID: 10932984 DOI: 10.1111/j.1447-0756.2000.tb01313.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To assess the adverse pregnancy outcome of post-chorionic villus sampling (CVS) amniocentesis and chorionic villus sampling. METHODS Adverse pregnancy outcomes of 32 post-CVS amniocentesis cases and 264 CVS only cases were compared. The base-line characteristics were comparable in the 2 groups. RESULTS One (3.1%) chromosomal abnormality was detected in the post-CVS amniocentesis group, compared to 5 (1.8%) in the CVS only group (p > 0.05). The fetal loss rate (spontaneous abortions and stillbirths) among continuing pregnancies was 3.2% in the post-CVS amniocentesis group and 3.5% in the CVS only group (p > 0.05). No statistically significant difference was found in the incidence of neonatal death, preterm delivery, fetal growth restriction, or congenital anomalies between the 2 groups. CONCLUSION Adverse pregnancy outcome occurred at a similar frequency in the post-CVS amniocentesis group as in the CVS only group. Therefore, a subsequent amniocentesis after CVS can be considered as a safe procedure that does not introduce any additional adverse pregnancy outcome compared to that of CVS only.
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Abstract
Laser keratomileusis and excimer laser photorefractive keratectomy in situ are widely used therapies for treating myopia. The corrections of refractive error by glasses or contact lens result in a relatively equal refractive correction on both eyes. However, refractive surgery on a single eye can cause a focus disparity between both eyes and may result in the impairment of fusion leading to strabismus. This article aims to report a case where diplopia and esotropia occurred 1 month after laser keratomileusis (LASIK) in situ for the correction of myopia.
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423
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Kim JS, Rhee Y, Kang SM, Ko WK, Kim YS, Lee JG, Park JM, Kim SK, Kim SK, Lee WY, Chang J. A case of endobronchial aspergilloma. Yonsei Med J 2000; 41:422-5. [PMID: 10957902 DOI: 10.3349/ymj.2000.41.3.422] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Pulmonary aspergillosis may be classified under three categories, depending upon whether the host is atopic or immunocompromised: invasive aspergillosis, allergic bronchopulmonary aspergillosis (ABPA) or aspergilloma. However, it is not always possible to effectively categorize this disease. We experienced a case of endobronchial aspergilloma, which was difficult to categorize, in a healthy male patient. The chest X-ray and computed tomography showed an ill-defined nodule mimicking lung cancer. Fiberoptic bronchoscopy revealed an aspergilloma without cavity formation in the left lower laterobasal segmental bronchial orifice. The aspergilloma was removed and the patient's symptoms were relieved. We present this unusual case with a review of the literature.
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Shim WJ, Kahng SH, Hong SH, Kim NS, Kim SK, Shim JH. Imposex in the rock shell, Thais clavigera, as evidence of organotin contamination in the marine environment of Korea. MARINE ENVIRONMENTAL RESEARCH 2000; 49:435-451. [PMID: 11285722 DOI: 10.1016/s0141-1136(99)00084-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Imposex was measured in the rock shell, Thais clavigera, from the coast of the Korean peninsula. Frequency of imposex was 0% at two reference sites, but at 47 out of 61 sites, frequency of imposex was recorded as 100%. The degree of imposex was relatively high at the sites near a harbor and a shipyard. Tributyltin (TBT) and triphenyltin (TPT) concentrations in T. clavigera ranged from 5 to 508 ng/g and from 3 to 2460 ng/g, respectively. A significant positive relationship was found between degree of imposex and organotin concentration, whereas a significant negative relationship was obtained between female-to-male sex ratio and the degree of imposex. During a field transplantation of T. clavigera from a pristine area to a port, TBT and TPT were accumulated in T. clavigera, and imposex was induced. T. clavigera shows considerable potential as a bioindicator species of the adverse effects of TBT and TPT contamination.
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Kim SK, Wang KC, Hwang YS, Kim KJ, Kim IO, Lee DS, Yi Y, Cho BK. Pediatric intractable epilepsy: the role of presurgical evaluation and seizure outcome. Childs Nerv Syst 2000; 16:278-85; discussion 286. [PMID: 10883371 DOI: 10.1007/s003810050514] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Surgical experience with long-term follow-up is limited in childhood intractable epilepsy, compared with adult epilepsy. To assess the role of each presurgical evaluation modality and to identify prognostic factors for favorable seizure control after epilepsy surgery, 38 children with intractable epilepsy who underwent surgery were retrospectively reviewed. Among the available preoperative evaluation modalities, PET and neuropsychological testing showed the highest rates of positive results, whereas MRI was the most concordant with EEG findings. During a follow-up period of at least 12 months, 26 of the 38 patients showed favorable seizure control (Engel classifications I and II). The best seizure control was achieved in patients with a temporal resection and discrete lesion on magnetic resonance imaging. In spite of the invasive study, the less satisfactory results followed an extratemporal resection. We conclude that epilepsy surgery benefits children with intractable epilepsy and that the role of invasive study should be reestablished according to the area of resection and presence of discrete lesion on MRI.
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