• Nutritional Sciences
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• 제9권1호
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• pp.14-19
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• 2006

Breast cancer may be the consequence of free radical damage, which is partially caused by the excessive intake of dietary fat and imbalances in antioxidant scavenger system;. In this experiment, we examined! the effects of dietary peroxidizability index (PI) values on hepatic thiobmbituric acid reaction substances (TBARS) and antioxidant enzyme activities in rats treated with 7,12-dimethylbenz[$\alpha$]anthracene (DMBA). Female Sprague-Dawley rats were used and 7,12-DMBA (20 mg/kg body weight) was gastrically intubated at seven weeks of age in order to induce mammary tumors (MT). The levels of dietary PI were 36, 81, 126 and 217 (LPI, MLPI, MHPI and HPI), while dietary polyunsaturated/saturated fatty acids ratio was maintained at the same level (1.0). Fat used in the experiment was mixed with soybean oil, com oil, palm oil, perilla oil, sesame oil, fish oil, and beef tallow. Experimental diets were given for the following 20 weeks. We measured tumor numbers and weights, and then assayed the hepatic TBARS levels and antioxidant enzyme activities such as superoxide dismutase (SOD), catalase, glutathione peroxidase, glutathione-S-transferase (GST) and glutathione reductase (GR). The incidence of Mr was the lowest in the MHPI group. The hepatic TBARS level was significantly raised with increasing dietary PI value. The hepatic SOD and GR activities were differed significantly by dietary PI value. The hepatic SOD activity was negatively correlated with dietary PI value and GR activity was the highest in the rats fed the MHPI diet. When the dietary P/S ratio is kept at 1.0, adequate dietary PI value (PI value of 126) may reduce the incidence and growth of Mr, but this benefit may be lost with higher dietary PI value. These results suggest that the awareness of dietary PI values may help to decrease breast cancer incidence and growth.

• Nutritional Sciences
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• 제9권4호
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• pp.248-258
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• 2006

The objective of this study was to investigate the effects of supplementation of an antiobese functional formula (FC-GT) on body weight and lipid metabolism in rats fed a high-fat diet. Three groups of male Sprague-Dawley rats were fed different diets for 6 weeks: normal control (NC), high-fat (HF), and high-fat supplemented with powdered antiobese functional formula (FC-GT) (5% wt/wt) groups. Although body weight was not significantly different among the groups, relative weights of epididymal and perirenal white adipose tissues were significantly lower in the FC-GT group than in the HF group. FC-GT supplementation significantly lowered the plasma total cholesterol and triglyceride concentrations, whereas it elevated the ratio of HDL-C/total-C and improved the atherogenic index. Hepatic cholesterol and triglyceride concentrations were significantly lowered in the FC-GT group compared to the HF group. The accumulation of hepatic lipid droplets and the epididymal white adipocyte size of the FC-GT group were diminished compared to the HF group. Hepatic HMG-CoA reductase activity was significantly lower in the FC-GT group than in the HF group. Plasma GPT activity was significantly lowered in the FC-GT group compared to the HF group. Additionally, fecal weight was significantly increased in the FC-GT group than in the HF group. In addition, contents of fecal triglyceride and cholesterol were significantly higher in the FC-GT group compared to the other groups. The antioxidant activities of hepatic SOD, CAT, and GR were significantly increased in the FC-GT group compared to the HF group. Hepatic mARS and plasma mARS levels were significantly lowered in the FC-GT group compared to the NC group. Accordingly, we conclude that supplementation of FC-GT improves plasma and hepatic lipid levels in high-fat fed rats.

• 대한영상의학회지
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• 제79권6호
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• pp.348-353
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• 2018

간의 가성 림프종은 비종양성 림프구의 절 외 과다증식에 의해 형성되는 드문 양성 종양이다. 검색한 바에 따르면 현재까지 영문으로 46예가 보고되었다. 우리는 75세 여자환자에서 과혈관성 종양으로 오인된 간의 가성 림프종 증례를 보고하고자 한다. 조직검사상 직장의 신경내분비 암종이 진단된 후 시행한 조영증강 전산화단층촬영에서 1.0 cm 크기의 경계가 불분명하고 낮은 감쇄를 보이는 결절이 간에 관찰되었다. 자기공명영상에서는 동맥 조영기에 조영 증강을 보이고, 20분 지연기 조영 영상에서 저신호 강도를 보이며, 확산강조영상에서 고신호 강도를 보였다. Fluorodeoxyglucose (이하 FDG) positron emission tomography (PET)/CT에서는 FDG의 섭취 증가를 보였다. 초음파에서는 저에코성 병변으로 관찰되었고, 초음파 유도 하 조직검사를 통하여 간의 가성 림프종으로 확진 되었다.

• Journal of Nutrition and Health
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• 제56권6호
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• pp.589-601
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• 2023

Purpose: Baicalein, a natural flavone found in herbs, exhibits diverse biological activities. Nonalcoholic steatohepatitis (NASH) is an irreversible condition often associated with a poor prognosis. This study aimed to evaluate the effects of baicalein on the development of NASH in mice. Methods: Male C57BL/6J mice were randomly divided into four groups. Three groups were fed a methionine-choline-deficient (MCD) diet to induce NASH and were simultaneously treated with baicalein (at doses of 50 and 100 mg/kg) or vehicle only (sodium carboxymethylcellulose) through oral gavage for 4 weeks. The control group was fed a methionine-choline-sufficient (MCS) diet without the administration of baicalein. Results: The baicalein treatment significantly reduced serum levels of alanine aminotransferase and aspartate aminotransferase, suggestive of reduced liver damage. Histological analysis revealed a marked decrease in nonalcoholic fatty liver activity scores induced by the MCD diet in the mice. Similarly, baicalein treatment at both doses significantly attenuated the degree of hepatic fibrosis, as examined by Sirius red staining, and hepatocellular death, as examined by the terminal deoxynucleotidyl transferase dUTP nick end labeling assay. Baicalein treatment attenuated MCD-diet-induced lipid peroxidation, as evidenced by lower levels of hepatic malondialdehyde and 4-hydroxynonenal, demonstrating a reduction in oxidative stress resulting from lipid peroxidation. Moreover, baicalein treatment suppressed hepatic protein levels of 12-lipoxygenase (12-Lox) induced by the MCD diet. In contrast, baicalein enhanced the activities of antioxidant enzymes such as superoxide dismutase, catalase, and glutathione peroxidase. Additionally, baicalein treatment significantly reduced hepatic non-heme iron concentrations and hepatic ferritin protein levels in mice fed an MCD diet. Conclusion: To summarize, baicalein treatment suppresses hepatic lipid peroxidation, 12-Lox expression, and iron accumulation, all of which are associated with the attenuation of NASH progression.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권4호
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• pp.236-245
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• 2024

Purpose: The prevalence of nonalcoholic steatohepatitis (NASH) is increasing with the increasing prevalence of childhood obesity. Although NASH has a high risk of progression to liver fibrosis and cirrhosis, few studies have reported noninvasive markers for predicting hepatic fibrosis in children. This study aimed to evaluate and compare the diagnostic accuracies of serologic biomarkers and scoring systems for hepatic fibrosis in obese children with NASH. Methods: A total of 96 children were diagnosed with NASH based on liver biopsy findings and divided into two groups according to the degree of liver fibrosis: mild (stage 0-1) or advanced (stage 2-4). Clinical and laboratory parameters and serum levels of hyaluronic acid and type IV collagen were measured. The aspartate aminotransferase/platelet ratio index (APRI) and fibrosis-4 (FIB-4) score were calculated. Results: Among the noninvasive markers, only serum type IV collagen level and FIB-4 were significantly different between the two groups. The area under the receiver operating curve of each biomarker and scoring system was 0.80 (95% confidence interval [CI]: 0.70-0.90) for type IV collagen at an optimal cutoff of 148 ng/mL (sensitivity 69.8%, specificity 84.6%), followed by 0.69 (95% CI: 0.57-0.83) for APRI, 0.68 (95% CI: 0.56-0.80) for FIB-4, and 0.65 (95% CI: 0.53-0.77) for hyaluronic acid. Conclusion: Type IV collagen as a single noninvasive serologic biomarker for hepatic fibrosis and FIB-4 as a hepatic fibrosis score are beneficial in predicting advanced hepatic fibrosis and determining proper diagnosis and treatment strategies before fibrosis progresses in obese children with NASH.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제6권2호
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• pp.129-139
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• 2003

목 적: 당원병 제1형은 어린 소아연령에서 발현하는 가장 심한 형태의 당원병이다. 장기간 관찰시 일부 환자에서 간선종이 발생하고 드물게 간암이 합병되어 예후에 심각한 영향을 미칠 수 있다고 알려져 있지만, 아직까지 이에 대한 연구가 거의 이루어지지 못하였다. 본 연구에서는 한국의 당원병 제1형 환자들의 추적관찰을 통해 간선종과 간암 발생의 측면에서 당원병 제1형의 장기적인 예후를 살펴보고자 하였다. 방 법: 1982년 3월에서 2003년 2월까지 서울대병원 소아과에서 간 조직 검사 및 효소검사를 통해 당원병 제1형으로 진단된 43명의 환자(제1a형 40명, 제1b형 3명)를 대상으로 하였다. 복부 초음파, 전산화단층촬영 또는 자기공명영상을 시행하여 간선종의 발생여부를 관찰하였으며, 간의 종괴가 확인된 경우 가능하면 조직검사를 시행하여 간선종 및 간암을 확진하였다. 간선종 발생에 관여하는 위험요인을 알아보기 위하여 간선종이 발생한 환자를 연령에 대해 짝짓기를 시행하여 선종군과 비선종군에서 여러 임상 지표를 비교하였다. 결 과: 1) 전체 43명 중 16명(37.2%)에서 간선종이 발생하였는데, 간선종이 처음 발견된 나이는 평균 $14.2{\pm}4.1$세(범위: 7.9~25.7세)였다. 처음 발견시 다발성 선종인 경우는 14례(87.5%)였다. 2) 간선종이 발생하였던 선종군(n=16)과 비선종군(n=16)을 비교하였을 때, 신장질환이 선종군에서는 7명(43.8%)에서 동반되고, 비선종군에서는 1명(6.3%)에서 병발하여 두 군 간에 유의한 차이를 보였다(p=0.037; 교차비 11.667, 95% 신뢰구간=1.227~110.953). 저신장은 선종군 6명(37.5%)과 비선종군의 10명(62.5%)에서 관찰되어 두 군 간에 유의한 차이가 없었다(p=0.157). 당원병 제1형 환자의 대부분에서 생옥수수 전분 치료를 시행하였는데, 생옥수수 전분 치료를 시작한 연령은 선종군이 $9.1{\pm}5.2$세인 반면, 비선종군은 $3.0{\pm}1.8$세로서 통계적으로 유의하게 선종군의 치료 시작 연령이 늦었다(p=0.003). 문맥하공정맥 문합술 시행 당시의 연령 차이가 없는 상태에서(p=0.170), 선종군의 11명(68.8%)과 비선종군의 3명(18.8%)에서 단락수술을 시행 받아 두 군간에 유의한 차이를 보였다(p=0.004; 교차비 9.533, 95% 신뢰구간=1.847~49.204). 고콜레스테롤혈증, 저혈당, 고요산혈증 등의 여부는 두 군 간에 유의한 차이를 보이지 않았다(p=0.833, p=0.273, p=0.550). 3) 25.7세에 간선종이 발견되었던 1명은 26.5세에 간암으로 진단되어 간동맥 항암 화학 색전술을 시행 받았다. 결 론: 간선종은 당원병 제1형 환자들을 장기간 추적관찰 하였을 때 비교적 흔하게 발생하는 합병증으로서, 일부에서 악성화 될 가능성이 있어 중요성이 매우 크다. 당원병 제1형 환자들의 장기적 예후를 위해서는 생옥수수 전분 치료의 조기 도입과 규칙적인 추적관찰을 통한 간선종의 조기 발견이 필요하다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권2호
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• pp.637-642
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• 2014

The pathogenesis of hepatocellular carcinoma (HCC) related to habitual betel quid (BQ) chewing is unclear. Risk of HCCis increased with adverse hepatic fibrosis. This study aimed to assess the impact of chronic viral hepatitis on adverse hepatic fibrosis in HCC related to BQ chewing. This hospital-based case-control study enrolled 200 pairs of age- and gender-matched patients with HCC and unrelated healthy controls. Serologic hepatitis B surface antigen (HBsAg), antibodies to hepatitis C virus (anti-HCV), ${\alpha}$-fetoprotein (AFP), and surrogate markers for significant hepatic fibrosis were measured. Information on substance-use habits was obtained with a questionnaire. By analysis of surrogate markers for hepatic fibrosis, the prevalence of significant hepatic fibrosis in patients chewing BQ was between 45.8% and 91.7%, whereas that for patients without BQ chewing was between 18.4% and 57.9%. The difference was significant (P <0.05 for each surrogate marker). Multivariate analysis indicated that cirrhosis with Child-Pugh C (odds ratio (OR) = 3.28; 95% confidence interval (CI), 1.29-8.37), thrombocytopenia (OR = 3.92, 95% CI, 1.77-8.68), AFP >400 mg/L (OR = 2.21, 95% CI, 1.05-4.66) and male gender (OR = 4.06, 95% CI, 1.29-12.77) were independent factors associated with habitual BQ chewing. In conclusion, adverse hepatic fibrosis and severe liver damage play important roles in the pathogenesis of BQ-related HCC, which could be aggravated by chronic hepatitis B and hepatitis C. BQ-cessation programs and prevention of chronic HBV/HCV infection are needed to prevent HCC related to BQ chewing.

• 한국식품영양과학회지
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• 제31권1호
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• pp.81-86
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• 2002

에탄올 투여에 의한 산화적 손상에 대하여 비타민 A의 보충급여 영향을 조사하고자 흰쥐에게 AIN-76 요구량에 2배 수준으로 retinyl acetate와 $\beta$-carotene을 보충한 식이를 5주간 급여한 후 20% 에탄올 용액(3g/kg B.W)을 급성으로 복강내에 투여하였다. 그런 다음 간조직에서 생성되는 지질과산 화물 함량, 간조직에서의 관련 효소활성도와 항산화비타민의 함량을 분석한 결과는 다음과 같다. 간조직에서의 지질과 산화물 함량은 대조군에 비하여 $\beta$-carotene 공급군에서 유의적인 감소를 나타내었다. 그러나 retinyl acetate 공급군과 $\beta$-carotene 공급군 사이에서의 유의적인 차이를 나타내지 않았다. SOD 활성은 대조군에 비해 retinyl acetate 공급군이 높았고, catalase 활성과 GSH-Px 활성은 실험군 간에 유의적인 차이가 없었다. GST 활성은 에탄올만을 투영한 대조군에 비해 retinyl acetate와 $\beta$-carotene을 공급한 군에서 유의적으로 감소되었다. 간조직 내 retinol 함량은 대조군에 비해 retinyl acetate 공급군에서 유의적으로 높게 나타났으며, 이는 에탄올 급여로 인한 간조직 비타민 A의 소모를 retinyl acetate의 급여로 인해 완화시킨 것으로 여겨진다. 그러나 혈청에서는 실험군 간에 유의적인 차이가 없었다. 간조직내 $\alpha$-tocopherol의 함량은 retinyl acetate와 $\beta$-carotene 공급군에서 증가하는 경향을 나타내었다. 이상의 결과를 종합해 볼 때 금성적인 에탄올의 투여에 대해 retinyl acetate나 $\beta$-carotene을 보충 급여한 경우 항산화효소계 중 superoxide dismutase의 활성이 유도되는 경향을 보였으며, 대표적인 항산화비타민으로 알려진 $\alpha$-tocopherol의 간조직 내 수준이 증가하는 것으로 나타났다.

• Journal of Pharmaceutical Investigation
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• 제26권1호
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• pp.33-41
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• 1996

In order to study the effect of phenobarbital(PB) on the hepatic transport of diltiazem(DTZ), $Ca^{2+}$ channel blocker, we used isolated hepatocytes of rat which was intraperitoneally pretreated with phenobarbital sodium(75 mg/kg) for four days once a day. For the isolation of rat liver cells, a modification of the two step procedure of Seglen was used. DTZ was dissolved in incubation buffer to the final DTZ concentrations of 200, 400, 600, 800 and 1000 ng/ml in order to elucidate the uptake characteristics of DTZ by hepatocytes. Reactions were stopped at 10, 20, 30, 45, 60, 90, 120 and 300 sec. The initial velocity was determined by disappearance of diltiazem in the hepatocyte suspension. On the other hand, to determine the effect of PB on the in vitro hepatic intrinsic clearance of DTZ we obtained the metabolism rates of DTZ in the control and the PB-pretreated rat hepatocyte at various time intervals. According to pretreatment with PB, the size of hepatocyte and the amount of protein per $10^6$ cells were significantly (p<0.01) increased from $26.92{\pm}0.1364\;m$ to $35.31{\pm}1.00\;m$ and from $468{\pm}6.5\;{\mu}g/10^6$ cells to $628.8{\pm}12.1{\mu}g/10^6$ cells, respectively. In the case or hepatic uptake of diltiazem, $K_m$ was not different in the normalization by cell numbers and increased from $2.90\;{\mu}M\;to\;13.89\;{\mu}M$ in the normalization by protein amount. $V_max$ was increased regardless of normalization by protein amount and cell numbers, from $1.21\;{\mu}mole/min \;{\cdot}\;mg\;protein\;to\;3.96\;{\mu}mole/min\;{\cdot}\;mg\;protein\;and\;from\;2.38\;{\mu}mole/min\;{\cdot}\;10^6\;cells\;to\;2.83\;{\mu}mole/min\;{\cdot}\;10^6\;cells$, respectively. The in vitro hepatic intrinsic clearance of DTZ was significantly (p<0.01) increased from $0.640{\pm}0.038\;ml/mim\;{\cdot}\;10^6\;cells\;to\;2.385{\pm}0.212\;ml/min\;{\cdot}\;10^6\;cells$ due to PB-pretreatment. These results suggest that the uptake of DTZ by hepatocyte is extremely fast and PB enhances the hepatic intrinsic metabolic clearance of DTZ.

• 대한의용생체공학회:의공학회지
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• 제18권3호
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• pp.301-306
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• 1997

간암의 조기 발견으로 인해 간 절제술이 많이 행해지고 있다. 그러나 간을 너무 많이 절제할 경우 수술 후 사망하므로 수술후 잔여 간 기능의 정량적 평가는 외과의에게 매우 중요한 파라미터이다. 그러나 현재 사용하는 ICG Rmax나 Lidocaine clearance test는 시간이 많이 걸리고, 복잡하며, 수술 후 잔여 간 기능의 정량적 평가는 불가능하다. 한편 HEF는 측정의 간편성, 신속성, 비관혈성, 정량성 등의 장점이 있으나 정확성에 의문이 제기되어왔다. 그리하여 본 연구에서는 감마카메라 영상으로부터 HEF를 계산하는 소프트웨어를 개발하여 간을 손상시킨 토끼 18마리와 정상 토끼 6마리를 대상으로 HEF의 정확성을 ICG Rmax 및 MEGX와의 상관계수를 구한 결과 각각 0.91 및 0.94이었다. 그리고 정상인과 비정상인을 대상으로 한 실험에서는 정상군의 HEF는 100% 이상, 비정상군의 HEF는 80% 이하로 나타나 정상군과 비정상군의 구별에 좋은 방법임을 확인하였다. 그리고, 잔여 간 기능의 정량적 평가를 위해 비정상군 중 절제 수술을 시행한 후 생존자를 관찰해 본 결과, 수술 전후의 HEF가 각각 60% 이상인 환자들을 대부분 생존하여 HEF가 60%이면 생존 가능성이 높다는 결론을 내릴 수 있었다.