• 제목/요약/키워드: Acute effects

검색결과 2,279건 처리시간 0.032초

유방암 동물모델에서의 저강도 집속초음파를 이용한 마이크로버블 및 마이크로버블-나노물질 복합체 기반 항암제 전달 효율 검증 (Effects of Anticancer Drug Delivery based on Microbubble and Microbubble-Nanoparticle Complex using Low-Intensity Focused Ultrasound in Breast Cancer Animal Model)

  • 백희규;하신우;허형규;정병진;한문;문형원;김상균;이학종;박주영
    • 대한의용생체공학회:의공학회지
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    • 제40권2호
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    • pp.39-47
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    • 2019
  • Ultrasound sonication along with microbubble (MB) could enhance drug delivery to promote the absorption of anticancer drugs into cancers in a noninvasive and targeted manners. In this study, we verify the acute drug delivery enhancement (within an hour) of two representative focused ultrasound driven drug delivery enhancement methods (MB and Doxorubicin-coated Nanoparticle complex (MB-NP) based). Experiments were conducted using in vivo mouse model with MDA-MB-231 breast cancer cell line. Ultrasound generated by single-element 1 MHz focused ultrasound transducer was delivered in pulsed sonication consisted of 0.125 msec bursts at a pulse repetition frequency of 2 Hz for 20 seconds without a significant increase in local temperature (less than $0.1^{\circ}C$) or hemorrhage. Doxorubicin concentrations in tumors were improved by 1.97 times in the case of MB-NP, and 1.98 times by using Doxorubicin and MB separately. These results indicate anticancer drug delivery based on MB and MB-NP can significantly improve the effect of anticancer drugs delivered to tumors in a short time period by using low-intensity focused ultrasound.

Percutaneous Vertebroplasty versus Conservative Treatment Using a Transdermal Fentanyl Patch for Osteoporotic Vertebral Compression Fractures

  • Oh, Younggyu;Lee, Byungjou;Lee, Subum;Kim, Junghwan;Park, Jinhoon
    • Journal of Korean Neurosurgical Society
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    • 제62권5호
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    • pp.594-602
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    • 2019
  • Objective : Although surgical intervention, such as percutaneous vertebroplasty (PVP), is the standard treatment for osteoporotic vertebral compression fractures (OVCFs), its effectiveness and safety are unclear. Therefore, this study compared the safety and efficacy of conservative treatment with that of PVP for acute OVCFs. Methods : Patients with single-level OVCFs who were treated conservatively with a transdermal fentanyl patch (TFP) or with PVP between March 2013 and December 2017 and followed-up for more than 1 year were retrospectively evaluated. Patients with pathologic fractures, fractures of more than two columns, or a history of PVP were excluded. Clinical outcomes (visual analog scale [VAS] scores) and radiographic factors were evaluated, including changes in the compression rate of the corresponding vertebral body at onset and after 12 months, sagittal Cobb angle at onset and after 6 and 12 months, and the incidence of adjacent compression fractures. Results : Of the 131 patients evaluated, 75 were treated conservatively using TFPs and 56 underwent PVP. We divided the patients into TFP and PVP groups. Their baseline characteristics (including sex, level of fracture, and bone mineral density T-scores) were similar, but the TFP group was significantly younger. The overall VAS score for pain showed a greater decrease during the first month (1 week after PVP) in the PVP group but remained similar in the two groups thereafter. The compression rate after 12 months increased in the TFP group but decreased in the PVP group. Five patients in the PVP group, but none in the TFP group, experienced adjacent compression fractures within 12 months. Conclusion : We compared clinical and radiological outcomes between the TFP and PVP groups. The immediate pain reduction effect was superior in the PVP group, but the final clinical outcome was similar. Although the PVP group had a better-preserved compression rate than the TFP group for 1 year, the development of adjacent fractures was significantly higher. Although TFPs seemed to be beneficial in reducing the failure rate of conservative treatment, the possibility of side effects (22.6%, 17 out of 75 patients, in this study) should be carefully monitored.

Effect of different short-term high ambient temperature on chicken meat quality and ultra-structure

  • Zhang, Minghao;Zhu, Lixian;Zhang, Yimin;Mao, Yanwei;Zhang, Mingyue;Dong, Pengcheng;Niu, Lebao;Luo, Xin;Liang, Rongrong
    • Asian-Australasian Journal of Animal Sciences
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    • 제32권5호
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    • pp.701-710
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    • 2019
  • Objective: This study investigated the effect of different acute heat stress (HS) levels on chicken meat quality and ultra-structure. Methods: Chickens were randomly divided into 7 groups to receive different HS treatments: i) $36^{\circ}C$ for 1 h, ii) $36^{\circ}C$ for 2 h, iii) $38^{\circ}C$ for 1 h, iv) $38^{\circ}C$ for 2 h, v) $40^{\circ}C$ for 1 h, vi) $40^{\circ}C$ for 2 h, and vii) un-stressed control group ($25^{\circ}C$). Blood cortisol level, breasts initial temperature, color, pH, water holding capacity (WHC), protein solubility and ultra-structure were analyzed. Results: HS temperatures had significant effects on breast meat temperature, lightness ($L^*$), redness ($a^*$), cooking loss and protein solubility (p<0.05). The HS at $36^{\circ}C$ increased $L^*{_{24h}}$ value (p<0.01) and increased the cooking loss (p<0.05), but decreased $a^*{_{24h}}$ value (p<0.05). However, as the temperature increased to $38^{\circ}C$ and $40^{\circ}C$, all the values of $L^*{_{24h}}$, cooking loss and protein denaturation level decreased, and the differences disappeared compared to control group (p>0.05). Only the ultimate $pH_{24h}$ at $40^{\circ}C$ decreased compared to the control group (p<0.01). The pH in $36^{\circ}C$ group declined greater than other heat-stressed group in the first hour postmortem, which contributed breast muscle protein degeneration combining with high body temperature, and these variations reflected on poor meat quality parameters. The muscle fiber integrity level in group $40^{\circ}C$ was much better than those in $36^{\circ}C$ with the denatured position mainly focused on the interval of muscle fibers which probably contributes WHC and light reflection. Conclusion: HS at higher temperature (above $38^{\circ}C$) before slaughter did not always lead to more pale and lower WHC breast meat. Breast meat quality parameters had a regression trend as HS temperature raised from $36^{\circ}C$. The interval of muscle fibers at 24 h postmortem and greater pH decline rate with high body temperature in early postmortem period could be a reasonable explanation for the variation of meat quality parameters.

비활동성 여성의 고강도 인터벌 운동과, 중강도 지속적 운동이 감정적 반응과 신경전달물질에 미치는 영향 (The Effects of High-intensity Interval Exercise and Moderate-intensity Continuous Exercise on Emotional Response and Neurotransmitters in Low-active Women)

  • 최재일
    • 한국체육학회지인문사회과학편
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    • 제58권4호
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    • pp.447-459
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    • 2019
  • 이 연구는 비활동 여성 30명을 대상으로 중강도 지속 운동(moderate-intensity continuous exercise; MICE)과 고강도 인터벌 운동(high-intensity interval exercise; HIIE) 시 감정적 반응과 신경전달물질의 차이를 규명하기 위해 실시되었다. 두 집단 모두 설계된 일회성 트레드밀 운동을 실시하였고, 동일한 운동을 1주일 간격으로 총 3회 반복 실시하였다. MICE는 환기역치(VT) 50% 수준에서 5분간 준비운동 후 90%VT 수준에서 25분간 지속운동을 실시하였고 다시 50%VT 수준에서 5분간 정리운동을 실시하였다. HIIE는 115%VT 수준에서 2분간 6회 반복하였고, 중간의 운동성 회복은 85%VT 수준에서 2분간 4회 반복하였다. 통계분석결과 MICE는 첫 번째 실험에서 운동 중 감정반응과 운동 후 즐거움에 대해 긍정적으로 나타났지만 세 번째 실험에서는 부정적으로 나타났다. 반대로 HIIE는 첫 번째 실험에서 운동 중 감정반응과 운동후 즐거움에 대해 부정적으로 나타났지만 세 번째 실험에서는 긍정적으로 나타났다. 신경전달물질의 경우 3번의 실험에서 두 집단 모두 운동전에 비해 운동 10분 후 유의하게 증가한 것으로 나타났다. 종합해볼 때 비활동 여성에게 HIIE 운동이 운동순응을 높이는 전략이 될 수 있다고 판단된다.

Long-Term Durability of Infliximab for Pediatric Ulcerative Colitis: A Retrospective Data Review in a Tertiary Children's Hospital in Japan

  • Shimizu, Hirotaka;Arai, Katsuhiro;Takeuchi, Ichiro;Minowa, Kei;Hosoi, Kenji;Sato, Masamichi;Oka, Itsuhiro;Kaburaki, Yoichiro;Shimizu, Toshiaki
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제24권1호
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    • pp.7-18
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    • 2021
  • Purpose: The long-term efficacy and safety of infliximab (IFX) in children with ulcerative colitis (UC) have not been well-evaluated. Here, we reviewed the long-term durability and safety of IFX in our single center pediatric cohort with UC. Methods: This retrospective study included 20 children with UC who were administered IFX. Results: For induction, 5 mg/kg IFX was administered at weeks 0, 2, and 6, followed by every 8 weeks for maintenance. The dose and interval of IFX were adjusted depending on clinical decisions. Corticosteroid (CS)-free remission without dose escalation (DE) occurred in 30% and 25% of patients at weeks 30 and 54, respectively. Patients who achieved CS-free remission without DE at week 30 sustained long-term IFX treatment without colectomy. However, one-third of the patients discontinued IFX treatment because of a primary nonresponse, and one-third experienced secondary loss of response (sLOR). IFX durability was higher in patients administered IFX plus azathioprine for >6 months. Four of five patients with very early onset UC had a primary nonresponse. Infusion reactions (IRs) occurred in 10 patients, resulting in discontinuation of IFX in four of these patients. No severe opportunistic infections occurred, except in one patient who developed acute focal bacterial nephritis. Three patients developed psoriasis-like lesions. Conclusion: IFX is relatively safe and effective for children with UC. Clinical remission at week 30 was associated with long-term durability of colectomy-free IFX treatment. However, approximately two-thirds of the patients were unable to continue IFX therapy because of primary nonresponse, sLOR, IRs, and other side effects.

Saponins from Panax japonicus ameliorate age-related renal fibrosis by inhibition of inflammation mediated by NF-κB and TGF-β1/Smad signaling and suppression of oxidative stress via activation of Nrf2-ARE signaling

  • Gao, Yan;Yuan, Ding;Gai, Liyue;Wu, Xuelian;Shi, Yue;He, Yumin;Liu, Chaoqi;Zhang, Changcheng;Zhou, Gang;Yuan, Chengfu
    • Journal of Ginseng Research
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    • 제45권3호
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    • pp.408-419
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    • 2021
  • Background: The decreased renal function is known to be associated with biological aging, of which the main pathological features are chronic inflammation and renal interstitial fibrosis. In previous studies, we reported that total saponins from Panax japonicus (SPJs) can availably protect acute myocardial ischemia. We proposed that SPJs might have similar protective effects for aging-associated renal interstitial fibrosis. Thus, in the present study, we evaluated the overall effect of SPJs on renal fibrosis. Methods: Sprague-Dawley (SD) aging rats were given SPJs by gavage beginning from 18 months old, at 10 mg/kg/d and 60 mg/kg/d, up to 24 months old. After the experiment, changes in morphology, function and fibrosis of their kidneys were detected. The levels of serum uric acid (UA), β2-microglobulin (β2-MG) and cystatin C (Cys C) were assayed with ELISA kits. The levels of extracellular matrix (ECM), matrix metalloproteinases (MMPs), tissue inhibitors of metalloproteinases (TIMPs), inflammatory factors and changes of oxidative stress parameters were examined. Results: After SPJs treatment, SD rats showed significantly histopathological changes in kidneys accompanied by decreased renal fibrosis and increased renal function; As compared with those in 3-month group, the levels of serum UA, Cys C and β2-MG in 24-month group were significantly increased (p < 0.05). Compared with those in the 24-month group, the levels of serum UA, Cys C and β2-MG in the SPJ-H group were significantly decreased. While ECM was reduced and the levels of MMP-2 and MMP-9 were increased, the levels of TIMP-1, TIMP-2 and transforming growth factor-β1 (TGF-β1)/Smad signaling were decreased; the expression level of phosphorylated nuclear factor kappa-B (NF-κB) was down-regulated with reduced inflammatory factors; meanwhile, the expression of nuclear factor erythroid 2-related factor 2-antioxidant response element (Nrf2-ARE) signaling was aggrandized. Conclusion: These results suggest that SPJs treatment can improve age-associated renal fibrosis by inhibiting TGF-β1/Smad, NFκB signaling pathways and activating Nrf2-ARE signaling pathways and that SPJs can be a potentially valuable anti-renal fibrosis drug.

실제 임상현장에서의 간이식 환자 대상 Everolimus와 저용량 Tacrolimus 병용요법의 유효성 및 안전성 평가 (Real-World Efficacy and Safety of Everolimus with Low Dose Tacrolimus in Liver Transplantation Recipients)

  • 장서윤;김보람;전수정;최경숙;이은숙;이주연;김은경;한호성;조재영
    • 한국임상약학회지
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    • 제31권1호
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    • pp.44-52
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    • 2021
  • Background: Post-transplant immunosuppression with calcineurin inhibitors (CNIs) is associated with kidney function impairment while mammalian target of rapamycin (mTOR) inhibitors, such as everolimus, can be used for its renal-sparing effects. In this study, we compared the efficacy and safety of everolimus with low dose tacrolimus (EVR+Low TAC) and conventional dose tacrolimus (TAC) in liver transplantation recipients. Methods: Medical records of recipients who received liver transplantation at Seoul National University Bundang Hospital from January 1st 2009 to December 31st 2018 were retrospectively reviewed. Cohort entry date was defined as the day everolimus was initiated and tacrolimus dosage was reduced. All patients were followed up for 1 year. Indicator of efficacy was the incidence of rejection and safety was evaluated by incidence of drug adverse events including renal function. Results: Among 118 patients, there were 40 patients (33.9%) in EVR+Low TAC group. Incidence of rejection, including both biopsy proven acute rejection and clinical rejection, was similar in two groups [7.5% (n=3) vs. 6.4% (n=5), p=1.000]. Renal dysfunction was less frequent in EVR+Low TAC [17.5% (n=7) vs. 35.9% (n=28), p=0.038]. However, incidence rates of dyslipidemia, oral ulcer were more frequent in EVR+Low TAC [45.0% (n=18) vs. 21.8% (n=17), p=0.009; 15.0% (n=6) vs. 1.3% (n=1), p=0.006]. Conclusions: In terms of prevention of rejection, EVR+Low TAC was as effective as TAC and had renal-sparing effect but was associated with increased risk of dyslipidemia and oral ulcer. This study demonstrates that EVR+Low TAC could be an alternative to liver transplant recipients with nephrotoxicity after administration of conventional dose tacrolimus.

둥근성게(Mesocentrotus nudus)를 이용한 과불화화합물의 생태독성평가 (Ecotoxicity Evaluation of PFCs using Marine Invertebrate, Sea Urchin (Mesocentrotus nudus))

  • 최훈;이주욱;이승민;전형주;허승;황운기
    • 한국해양생명과학회지
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    • 제6권2호
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    • pp.80-87
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    • 2021
  • 본 연구에서는 과불화합물 PFOA와 PFOS potassium salt가 Mesocentrotus nudus의 10 min-수정률과 48 h-정상유생발생률에 미치는 독성영향을 반수영향농도, 무영향농도, 최소영향농도 등의 독성값 계산을 통해 확인하였다. PFOA와 PFOS potassium salt에 대한 10 min-수정률의 EC50 값은 각각 1346.43 mg/l와 536.18 mg/l로 나타났으며, 48 h-정상유생발생률의 EC50 값은 각각 42.67 mg/l와 17.81 mg/l로 나타났다. 최근 연구에 의하면, 환경 내의 PFOA와 PFOS의 농도는 지속적으로 감소하였으며, 성게류에게 급성독성을 나타낼 정도는 아닌 것으로 나타났다. 하지만 생물체내에서는 여전히 높은 농도로 관측되고 있다. 결국, PFOA와 PFOS는 생물체의 생애전주기에 걸쳐 체내 축적이 가능하기 때문에, 연안환경에 서식하는 해양생물을 이용한 생애전주기적 만성독성 연구가 필요할 것이다.

화학 물질의 안자극 시험용 세포 기반 미세유체 칩의 제작 및 응용 (Fabrication and application of cell-based microfluidic chip for eye-irritation test of chemicals)

  • 조수진;이석우
    • 분석과학
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    • 제34권6호
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    • pp.275-283
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    • 2021
  • 본 연구에서는 화학 물질의 급성 안자극 시험을 수행하기 위한 세포 기반 미세유체 칩의 개발과 응용에 관한 연구를 수행하였다. 포토리소그래피와 소프트리소그래피 공정을 이용하여 미세유체 칩을 제작하였으며, 칩은 배양 면적이 다른 3개의 세포 배양 구획으로 이루어져 있다. 세포 기반 안자극 시험은 토끼 각막 상피 세포를 사용하여 수행하였다. 미세유체 칩에 배양된 세포에 화학 물질 수용액을 처리한 후 일정한 간격으로 세포를 관찰하고, 생존율 곡선을 기반으로 세포 사멸에 대한 속도 상수를 계산하였다. 세포-세포 사이의 연접, 세포-기판 사이의 부착, 초기 세포 수 변화가 세포 사멸 속도에 미치는 영향을 조사하여 미세유체 칩의 성능을 검증하였다. 안자극 시험의 표준물질인 sodium dodecylsulfate (SDS) 수용액의 다양한 농도 조건에서 안자극 시험을 수행하였다. 화학 물질의 수용액에 300초 동안 노출시킨 세포의 생존율을 이용하여 안자극을 시험하였다. 최종적으로 미세유체 칩의 각 구획에 대한 가중치를 기반으로 독성 점수(toxicity score, TS) 산출식을 얻었다. 본 연구에서 개발한 세포 기반 미세유체 칩은 화장품과 제약에 사용되는 화학 물질의 안자극 시험에 활용될 수 있을 것이다.

수인성 니켈 급성 노출이 붕어, Carassius carassius의 반수치사농도, 혈액학적 성상 및 혈장 성분에 미치는 독성 영향 (Toxic Effects on Lethal Concentration 50%, Heamatological Parameters and Plasma Components of Crucian carp, Carassius carassius by Acute Waterborne Nickel Exposure)

  • 주창훈;조아현;홍수민;정지호;유연아;조석원;송재희;김준환
    • 한국해양생명과학회지
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    • 제7권2호
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    • pp.102-112
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    • 2022
  • 본 실험은 붕어(Crucian carp, Carassius carassius)(무게 39.7±3.1 g, 전장 14.8±0.5 cm)의 수인성 니켈 0, 10, 20, 40, 80 및 160 mg Ni2+/l 농도로 96시간 급성 노출을 실시하였다. 수인성 니켈에 노출된 붕어의 반수치사농도(LC50)는 117.69 mg Ni2+/l으로 나타났다. 혈액학적 성상에서 RBC count는 수인성 니켈 96시간 급성 노출 중 48시간에서 유의적으로 증가한 반면, 96시간에서 유의적 감소가 나타났다. MCV와 MCH는 96시간에서 80 mg Ni2+/l 농도에서 유의적으로 증가했다. Calcium, magnesium, glucose, cholesterol, total protein, AST, ALT 및 ALP 와 같은 혈장 성분은 수인성 니켈 노출에 의해 유의적 변화가 나타났다. 이 연구의 결과는 수인성 니켈 노출에 따른 붕어의 생존율, 혈액학적 성상 및 혈장 성분의 변화를 확인하고 이는 수인성 니켈의 독성에 의한 것으로 판단했다.