• 제목/요약/키워드: Blood marker

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가와사끼병의 임상경과에 따른 지혈성 표지의 변화와 임상적 의의 (Change of hemostatic markers according to the clinical state in Kawasaki disease)

  • 김용범;윤유숙;이상윤;길홍량
    • Clinical and Experimental Pediatrics
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    • 제50권12호
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    • pp.1247-1251
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    • 2007
  • 목 적 : 가와사끼병에서 관상동맥의 병변은 잘 알려진 합병증이며 이는 혈소판의 응고성 증가와 혈관 내피세포의 손상이 연관된 것으로 알려져 있다. 그러나 내피세포의 손상과 혈소판 활성화 혹은 응고성 증가와의 관계, 특히 D-dimer나 FDP같은 지혈성 표지(hemostatic marker)의 병기별 변화와 관상동맥병변 발생정도와의 관계 등에 대한 연구는 드물어 본 연구에서 가와사끼병의 임상병기에 따른 지혈성 표지(D-dimer, FDP, antithrombin III)의 변화, 관상동맥병변과의 관련성에 대하여 조사하고자 하였다. 방 법 : 2004년 11월부터 2007년 6월까지 충남대학교병원 소아과에 입원하였던 가와사끼병 환자 74명을 대상군으로 하였고, 대조군 22명은 발열 대조군 11명과 정상대조군 11명으로 나누어 조사하였다. 대상군은 입원 시, IVGG 투여 후, 퇴원 시, 2주, 4- 8주 후에 각각 심장 초음파 및 일반혈액검사, D-dimer, FDP 및 antithrombin III를 포함하는 지혈성 표지에 대한 검사를 시행하였다. 지혈성 표지는 Latex photometric immunoassay를 이용하여 측정하였다. 결 과 : 지혈성 표지에 있어서 D-dimer는 진단 시에 비해 IVGG투여 후 감소하여 2주 후에는 정상으로 회복되었고 이후 지속적으로 감소하였다. 진단 시, IVGG투여 후 모두 유의한 차이가 있었다. 발열 및 정상대조군은 대상군과 유의한 차이가 있었다. FDP는 KD 진단 시와 2주 후 사이에 그리고 발열 및 정상 대조군에 비해 유의한 차이를 보였다. Antithrombin III는 KD 병기에 따라 혹은 대조군 사이에 유의한 차이는 없었다. 관상동맥 병변 유무에 따라 진단 시 D-dimer와 FDP는 유의한 차이를 보였으나, antithrombin III는 유의한 차이가 없었다. 결 론 : 가와사끼병의 임상병기에 따라 지혈성 표지는 변화를 보이며 일부 지혈성 표지는 관상동맥병변 발생의 예측인자로 사용될 수 있다.

제1형 당뇨병 소아 환자에서 동맥경화증의 조기 평가 (Early assessment of atherosclerosis in children with type 1 diabetes)

  • 박소윤;강석정;최광해;박용훈;이영환
    • Clinical and Experimental Pediatrics
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    • 제51권7호
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    • pp.747-753
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    • 2008
  • 목 적 : 제1형 당뇨병은 동맥경화증의 주요 위험인자 중의 하나로 이러한 동맥경화증의 초기 변화가 소아청소년기부터 시작된다는 것은 잘 알려진 사실이다. 성인에서는 초음파를 이용한 경동맥 내중막 두께가 동맥경화증의 독립적인 대리 표식자로 널리 이용되고 있으나, 소아청소년기에 관한 연구는 흔하지 않다. 이에 저자들은 제1형 당뇨병을 가진 소아들을 대상으로 경동맥 내막-중막 두께 및 경동맥 혈관 탄성 지수 측정을 통해 혈관의 동맥경화 상태를 조기에 평가하고, 이러한 혈관의 변화와 여러 동맥경화 위험인자들과의 관련성을 파악하여 조기 동맥경화의 선별 검사로 경동맥 내막-중막 두께의 유용성 등에 대해 알아보고자 본 연구를 시행하였다. 방 법 : 대구지역 3차 병원 소아과에서 제1형 당뇨병으로 진단받고 치료 중인 환자 23명과 동일 연령 및 성별의 건강한 소아, 청소년 19명을 대상으로 신체계측을 하고 공복상태에서 혈청콜레스테롤 및 당화혈색소를 측정하였다. 또한 고해상도 초음파를 이용하여 심장 주기에 따른 우측 경동맥의 내경 및 내중막 두께를 측정하였으며 공식에 따라 경동맥 유순도 및 신전도를 구하였다. 결 과 : 두 군 간의 성별, 연령, 혈압과 혈청콜레스테롤 등은 차이가 없었다. 경동맥 초음파 소견에서 당뇨군의 경동맥 내막-중막 두께는 의미 있게 증가되었으나 유순도와 신전도의 차이는 없었다. 당화혈색소와 고밀도혈청콜레스테롤은 다른 동맥경화의 위험인자와 독립적으로 경동맥 내막-중막 두께에 영향을 미치는 것으로 나타났다. 결 론 : 제1형 소아 당뇨 환아의 경우 정상 환아에 비해 경동맥 내막-중막 두께가 의미 있게 증가되어 있고, 이것이 혈당 조절 정도나 혈청 지질치와 같은 심혈관계의 위험인자와 깊은 상관관계를 나타내는 것으로 보아 소아 당뇨 환아에서 동맥경화의 발생을 조기에 파악하는 선별 검사로서 경동맥 내막-증막 두께는 유용하다고 생각된다.

한우 ADSF/resistin 유전자의 단일 염기 다형과 육질관련형질 상관 분석 (Analysis of the ADSF/resistin Gene Polymorphism Associated with Carcass Traits in Hanwoo)

  • 박지애;강혜경;채은진;서강석;김상훈;윤철희;문양수
    • Journal of Animal Science and Technology
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    • 제49권5호
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    • pp.577-584
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    • 2007
  • 본 연구는 후대검정 한우 295두의 혈액으로부터 genomic DNA를 추출하여 PCR 방법에 의한 증폭과 염기서열 분석을 통하여 ADSF/resistin 유전자의 단일염기다형을 발굴하고 이들과 한우 육질관련형질과의 상관관계를 분석하기 위하여 실시하였다. 확보된 DNA로부터 염기서열을 결정한 결과 promoter와 4개의 exon영역에서는 SNP를 찾지 못하였으나 intron 영역에서 7개의 SNP를 발굴하였다. 발굴된 SNP의 출현 빈도는 0.027에서 0.16까지 그 차이가 많았다. 육질형질과의 상관분석에서 이들 SNP 중 intron 2에서 발굴된 764A ins 만이 근내지방도와 상관관계가 발견되었다(P<0.05). 근내지방도는 유전력이 매우 높기 때문에 이번에 발굴된 ADSF/resistin 유전자의 SNP 764A ins와 같이 유전표지인자를 이용하는 것이 근내 지방도의 개량을 위해 우수한 결과를 가지는 것으로 사료된다. 가축의 경제형질의 경우 다수의 유전자가 관여하기 때문에 한 개의 유전자를 이용한 가축의 선발 또는 개량에 이용한다는 것은 제한적일 수 있다. 따라서 다수의 관련 유전자를 이용한 다형현상과 경제형질과의 연관성 연구가 동반될 때 육질개선 및 가축개량에 실질적인 증대효과가 있을 것으로 사료된다.

Adiponectin induced AMP-activated protein kinase impairment mediates insulin resistance in Bama mini-pig fed high-fat and high-sucrose diet

  • Niu, Miaomiao;Xiang, Lei;Liu, Yaqian;Zhao, Yuqiong;Yuan, Jifang;Dai, Xin;Chen, Hua
    • Asian-Australasian Journal of Animal Sciences
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    • 제30권8호
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    • pp.1190-1197
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    • 2017
  • Objective: Adipose tissue is no longer considered as an inert storage organ for lipid, but instead is thought to play an active role in regulating insulin effects via secretion adipokines. However, conflicting reports have emerged regarding the effects of adipokines. In this study, we investigated the role of adipokines in glucose metabolism and insulin sensitivity in obese Bama mini-pigs. Methods: An obesity model was established in Bama mini-pigs, by feeding with high-fat and high-sucrose diet for 30 weeks. Plasma glucose and blood biochemistry levels were measured, and intravenous glucose tolerance test was performed. Adipokines, including adiponectin, interleukin-6 (IL-6), resistin and tumor necrosis factor alpha ($TNF-{\alpha}$), and glucose-induced insulin secretion were also examined by radioimmunoassay. AMP-activated protein kinase (AMPK) phosphorylation in skeletal muscle, which is a useful insulin resistance marker, was examined by immunoblotting. Additionally, associations of AMPK phosphorylation with plasma adipokines and homeostasis model assessment of insulin resistance (HOMA-IR) index were assessed by Pearce's correlation analysis. Results: Obese pigs showed hyperglycemia, high triglycerides, and insulin resistance. Adiponectin levels were significantly decreased (p<0.05) and IL-6 amounts dramatically increased (p<0.05) in obese pigs both in serum and adipose tissue, corroborating data from obese mice and humans. However, circulating resistin and $TNF-{\alpha}$ showed no difference, while the values of $TNF-{\alpha}$ in adipose tissue were significantly higher in obese pigs, also in agreement with data from obese humans but not rodent models. Moreover, strong associations of skeletal muscle AMPK phosphorylation with plasma adiponectin and HOMA-IR index were obtained. Conclusion: AMPK impairment induced by adiponectin decrease mediates insulin resistance in high-fat and high-sucrose diet induction. In addition, Bama mini-pig has the possibility of a conformable model for human metabolic diseases.

한국 조현병 환자에서 검지-약지 길이비와 발병 연령 및 대사 장애와의 연관성 (The Association of the 2nd to 4th Digit Ratio with the Age of Onset and Metabolic Factors in Korean Patients with Schizophrenia)

  • 김홍래;이중선;주연호;원승희;류승형;홍경수;권준수;이승연;오홍석;최준호;이유상
    • 생물정신의학
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    • 제24권3호
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    • pp.142-148
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    • 2017
  • Objectives The ratio of second to fourth digit length (2D : 4D) could be a potential epigenetic marker of sexual dimorphism reflecting prenatal testosterone exposure. Testosterone is known to affect the development of the brain through an epigenetic mechanism. The purpose of this study was to investigate the effects of exposure to fetal testosterone on the metabolic syndrome based on 2D : 4D of schizophrenia patients and the relationship with the age of onset of schizophrenia. Methods A total of 214 schizophrenia patients participated in this study. The participant's physical and blood tests were performed according to the American National Cholesterol Education Program's Third Amendment of the Metabolic Syndrome Diagnostic Criteria, and the 2D : 4D was measured by the method designed by McFadden. Data were statistically analyzed by t-test, Pearson's correlation analysis and multiple regression model analysis. Results 2D : 4D was significantly higher in female than male in both hands, and there was a statistically significant negative correlation between 2D : 4D and the age of onset of schizophrenia in male. However, 2D : 4D did not show statistically significant correlation with metabolic factors. Conclusions Fetal testosterone suggests the possibility of affecting the age of onset of schizophrenia through the epigenetic mechanism, but there is no clear relationship with metabolic factors.

C-reactive Protein Concentration Is Associated With a Higher Risk of Mortality in a Rural Korean Population

  • Lee, Jung Hyun;Yeom, Hyungseon;Kim, Hyeon Chang;Suh, Il;Kim, Mi Kyung;Shin, Min-Ho;Shin, Dong Hoon;Koh, Sang-Baek;Ahn, Song Vogue;Lee, Tae-Yong;Ryu, So Yeon;Song, Jae-Sok;Choe, Hong-Soon;Lee, Young-Hoon;Choi, Bo Youl
    • Journal of Preventive Medicine and Public Health
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    • 제49권5호
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    • pp.275-287
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    • 2016
  • Objectives: C-reactive protein (CRP), an inflammatory biomarker, has been widely used as a preclinical marker predictive of morbidity and mortality. Although many studies have reported a positive association between CRP and mortality, uncertainty still remains about this association in various populations, especially in rural Korea. Methods: A total of 23 233 middle-aged participants (8862 men and 14 371 women) who were free from cardiovascular disease, cancer, and acute inflammation (defined by a CRP level ${\geq}10mg/L$) were drawn from 11 rural communities in Korea between 2005 and 2011. Blood CRP concentration was analyzed as a categorical variable (low: 0.0-0.9 mg/L; intermediate: 1.0-3.0 mg/L; high: 3.1-9.9 mg/L) as well as a continuous variable. Each participant's vital status through December 2013 was confirmed by death statistics from the National Statistical Office. Cox proportional hazard models were used to assess the independent association between CRP and mortality after adjusting for other risk factors. Results: The total quantity of observed person-years was 57 975 for men and 95 146 for women, and the number of deaths was 649 among men and 367 among women. Compared to the low-CRP group, the adjusted hazard ratio for all-cause mortality of the intermediate group was 1.17 (95% confidence interval [CI], 0.98 to 1.40) for men and 1.27 (95% CI, 1.01 to 1.61) for women, and the corresponding values for the high-CRP group were 1.98 (95% CI, 1.61 to 2.42) for men and 1.41 (95% CI, 1.03 to 1.95) for women. Similar trends were found for CRP evaluated as a continuous variable and for cardiovascular mortality. Conclusions: Higher CRP concentrations were associated with higher mortality in a rural Korean population, and this association was more prominent in men than in women.

흰쥐 해마 CA1 영역에서 H2O2에 의한 장기강화 억제에 대한 발효황금 추출물의 효과 (Effects of Fermented Scutellaria Baicalensis Extract on H2O2 - Induced Impairment of Long-term Potentiation in Hippocampal CA1 Area of Rats)

  • 허준호;;김민선
    • 동의생리병리학회지
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    • 제33권6호
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    • pp.356-362
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    • 2019
  • Scutellaria baicalensis (SB) has widely used in the treatment for various brain diseases in the field of Oriental medicine. Biofermantation of SB can make major chemical constituents of SB to pass blood-brain barrier easily and to have more potent anti-oxidant ability. There is a little information about the contribution of fermented SB (FSB) to the formation or maintenance of the neural plasticity in the hippocampus. The purpose of this study was to evaluate effects of FSB extract on hydrogen peroxide (H2O2) - induced impairments of the induction and maintenance of long-term potentiation (LTP), an electrophysiological marker for the neural plasticity in the hippocampus. From hippocampal slices of rats, the field excitatory postsynaptic potentials (fEPSPs) were evoked by the electrical stimulation to the Schaffer collaterals - commissural fibers in the CA1 areas and LTP by theta-burst stimulation by using 64 - channels in vitro multi-extracellular recording system. In order to induce oxidative stress to hippocampal slices two different concentrations (200, 400 μM) of H2O2 were given to the perfused aCSF before and after the LTP induction, respectively. The ethanol extract of FBS with concentration of 25 ㎍/ml, 50 ㎍/ml was diluted in perfused aCSF that had 200 μM H2O2, respectively. Oxidative stress by the treatment of H2O2 resulted in decrease of the induction rate of LTP in the CA1 area with a dose - dependent manner. However, the ethanol extract of FSB prevented the reduction of the induction rate of LTP caused by H2O2 - induced oxidative stress with a dose - dependent manner. These results may support a potential application of FSB to ameliorate impairments of hippocampal dependent neural plasticity or memory caused by oxidative stress.

요중 카드뮴과 비소의 보정방법 비교 : 요중 크레아티닌과 요비중 (A Comparison of the Adjustment Methods for Assessing Urinary Concentrations of Cadmium and Arsenic: Creatinine vs. Specific Gravity)

  • 김동경;송지원;박정덕;최병선
    • 한국환경보건학회지
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    • 제37권6호
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    • pp.450-459
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    • 2011
  • Objectives: Biomarkers in urine are important in assessing exposures to environmental or occupational chemicals and for evaluateing renal function by exposure from these chemicals. Spot urine samples are needed to adjust the concentration of these biomarkers for variations in urine dilution. This study was conducted to evaluate the suitability of adjusting the urinary concentration of cadmium (uCd) and arsenic (uAs) by specific gravity (SG) and urine creatinine (uCr). Methods: We measured the concentrations of blood cadmium (bCd), uCd, uAs, uCr, SG and N-acetyl-${\beta}$-D-glucosaminidase (NAG) activity, which is a sensitive marker of tubular damage by low dose Cd exposure, in spot urine samples collected from 536 individuals. The value of uCd, uAs and NAG were adjusted by SG and uCr. Results: The uCr levels were affected by gender (p < 0.01) and muscle mass (p < 0.01), while SG levels were affected by gender (p < 0.05). Unadjusted uCd and uAs were correlated with SG (uCd: r = 0.365, p < 0.01; uAs: r = 0.488, p < 0.01), uCr (uCd: r = 0.399, p < 0.01; uAs: r = 0.484, p < 0.01). uCd and uAs adjusted by SG were still correlated with SG (uCd: r = 0.360, p < 0.01, uAs: r = 0.483, p < 0.01). uCd and uAs adjusted by uCr and modified uCr ($M_{Cr}$) led to a significant negative correlation with uCr (uCd: r = -0.367, p < 0.01; uAs: r = -0.319, p < 0.01) and $M_{Cr}$ (uCd: r = -0.292, p < 0.01; uAs: r = -0.206, p < 0.01). However, uCd and uAs adjusted by conventional SG ($C_{SG}$) were disappeared from these urinary dilution effects (uCd: r = -0.081; uAs: r = 0.077). Conclusions: $C_{SG}$ adjustment appears to be more appropriate for variations in cadmium and arsenic in spot urine.

A Protective Effect of Chlorella Supplementation on Cadmium-induced Nephrotoxicity in the Rats

  • Hwang Yoo-Kyeong;Choi Hyun-Jin;Nan Meng;Yoo Jai-Du;Kim Yong-Ho
    • 대한의생명과학회지
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    • 제12권1호
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    • pp.29-33
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    • 2006
  • The uptake of cadmium in animals is mainly accumulated in and affected to the liver and kidney by binding with red blood cells and serum albumin. The process accounts for more than 50% of the total accumulated cadmium in the body. The kidneys may be damaged without regarding the pathway uptake of cadmium. In a group of rats on supplements of 1% chlorella and 40 ppm cadmium, the concentration of cadmium in urine greatly decreased by 66% compared to control group, and the total synthesis of metallothionein decreased by 48.6% compared to control group. However, no previous study has assessed the protective effect on kidney damage induced by cadmium uptake through supplementation with chlorella. This study analyzed the biochemical marker for kidney damage in the rats after uptake of 40 ppm $CdCl_2$ and supplementation of the diet of Sprague Dawley (SD) rats with 1%, 5%, and 10% chlorella during 4 weeks. In a group of SD rats on supplementation with 1% chlorella and uptake of 40 ppm $CdCl_2,\;\beta_2$ microglobulin in the urine was found to be $3.1\pm0.6\;{\mu}g/L$, a decrease of 58% compared to a group of Sp rats on uptake of $CdCl_2$ only, in which the $\beta_2$ microglobulin was found to be $4.9\pm0.7\;{\mu}g/L$. According to the results of histopathological observation, the accumulation of mild and localized chronic inflammatory cells in kidney tissues was observed in 50% of the SD rats on uptake of cadmium only. In contrast, only 30% of the SD rats on supplementation with 1% chlorella and uptake of 40ppm $CdCl_2$, representing a histopathological abnormality, and there were no histopathological abnormalities at all in groups of SD rats on supplementation with 5% or 10% chlorella and uptake of 40 ppm $CdCl_2$. In conclusion, protein, calcium, and iron, which account for more than 50% of the total dried chlorella composition, may contribute to the reduction nephrotoxicity by stimulating both inhibited absorption of cadium and increased excretion of accumulated cadmium in kidneys.

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멜리틴 항균펩타이드를 생산하는 형질전환누에 (Production of the melittin antimicrobial peptide in transgenic silkworm)

  • 김성완;구태원;김성렬;박승원;최광호
    • 한국잠사곤충학회지
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    • 제53권1호
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    • pp.55-60
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    • 2015
  • 본 연구의 목적은 누에형질전환 기술을 이용하여 누에체액에서 melittin 항균펩타이드를 생산하는 것으로서, 본 실험에서는 누에유래의 액틴3 프로모터를 이용하여 melittin 항균펩타이드를 발현시켰다. 누에형질전환체 선발을 위해서는 3xP3 promoter와 EGFP 유전자를 이용하여 선발하였고, 300개의 누에알에 microinjection 하여 F1 세대에서 11 bloods의 누에형질전환체를 선발하였다. 선발된 누에형질전환체는 초기배 단계의 눈과 신경조직, 유충과 번데기 그리고 성충의 눈에서 EGFP 형광단백질이 발현되는 것을 확인할 수 있었다. 또한 G2 세대 누에형질전환체를 5령 5일 유충까지 사육 후, 체액을 채취한 후 전처리 하였다. 이 시료를 항균활성검정을 하였고, 총 10마리의 누에를 선발할 수 있었다. 이렇게 선발 된 누에는 서로 교배를 통해서 계대사육을 하였다. 이러한 과정으로 선발된 G3세대 누에형질전환체를 이용하여 앞의 과정과 동일한 방법으로 항균할성을 검정하였다. 그 결과 대조군으로 사용된 시그마사의 melittin(0.016 mg/ml)과 거의 동일한 항균활성을 나타내었다. 이상의 결과에서 melittin 항균펩타이드를 생산하는 누에형질전환체가 성공적으로 제작되었음을 확인할 수 있었다.