장은선 교수
Eun Sun Jang
서울대학교 · 의학
연구실 소개
장은선 교수 연구실은 간질환, 특히 간세포암(hepatocellular carcinoma, HCC)의 조기 진단 및 생존율 향상을 위한 생물학적 마커 탐색에 주력하고 있습니다. 간염, 간경변, 간기능 검사의 변화 요인 등 간질환의 병태생리학적 기전과 관련된 생체지표 및 생활습관의 영향을 심층적으로 분석하며, 환자의 삶의 질(HRQoL) 향상과도 연계된 임상적 응용을 추구합니다. 특히, 혈액 검사 기반 마커와 초음파 엔도소닉 이미징 기반의 간섬유화 진단 기법의 정밀도 향상에 초점을 맞추고 있습니다.
연구 현황
연구 성과 추이
표시된 성과는 수집된 데이터 기준으로 산출되며, 일부 차이가 있을 수 있습니다.
주요 논문
15AFP was the most useful single biomarker for HCC diagnosis, and the combined measurement of AFP and DKK-1 could maximize the diagnostic yield. Clinical decision should be based on the consideration of various factors affecting the diagnostic performance of each biomarker. Efforts to seek novel HCC biomarkers should be continued.
Coffee consumption, smoking, and alcohol drinking affect the individual components of LFT in different ways, and the above 3 habits each have an impact on LFTs. Therefore, their effects on LFTs should be carefully interpreted, and further study on the mechanism of the effects is warranted.
ElastPQ exhibited better diagnostic performance-without the influence of confounding factors-for assessing hepatic fibrosis in AILD patients than serum fibrosis markers.
HRQoL in Korean patients with chronic HCV infection was low and was affected by cirrhosis severity, SVR, and comorbidity as well as income, which had the strongest effect. Therefore, HRQoL may be improved by antiviral therapy with reasonable costs to prevent cirrhosis progression.
A high lifetime coffee consumption was negatively associated with a HCC development. However, this difference of coffee exposure with the HCC group was reduced in chronic hepatitis B patients by the dominant role of viral replication.
An age of 45 years or older is an independent predictor of less relapse in UC.
In real-world practice, ETV was preferable for older, hepatitis B e-antigen negative patients with underlying comorbidities. Biochemical responses in patients treated with ETV, TAF, and TDF were significantly affected by metabolic factors such as fatty liver, obesity, and DM. However, the mechanism behind the higher biochemical response rate in patients treated with ETV should be investigated further.
The presence of adenoma ≥10 mm or ≥4 adenomas at baseline colonoscopy were significant predictors of recurrent adenoma.
An electronic nose module with a system on chip (SoC) was developed to be used in a gas discrimination system for limited kinds of gas. An array of 4 metal oxide gas sensors with different selectivity patterns was used in order to measure the gases. A BP (Back Propagation) algorithm was designed and implemented on a CPLD of two hundred thousand gates by using the VHDL language for processing input signals from 4 kinds of gas sensors. This module successfully discriminated 4 kinds of gases and di
Oral taurine therapy for 4 weeks improved muscle cramps safely in cirrhotic patients.
Serum TC levels increased in the SVR group after antiviral therapy for CHC; however, this was probably due to an improvement in liver fibrosis rather than the eradication of virus.
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