• 제목/요약/키워드: Hepatic

검색결과 3,795건 처리시간 0.034초

소아 만성 B형 간염의 Interferon Alfa 치료 후 혈청학적, 조직학적 소견의 변화 (Serological and Histological Changes after Interferon Alfa Therapy in Children with Chronic Hepatitis B)

  • 고재성;정주영;장자준;서정기
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제3권1호
    • /
    • pp.56-62
    • /
    • 2000
  • 목 적: 만성 B형 간염 환자의 치료에 interferon alfa는 효과가 있는 것으로 알려지고 있지만 연구자에 따라 차이가 있으며 소아에서의 치료 후의 조직학적 변화에 대한 연구는 거의 없는 실정이다. 저자들은 소아 만성 B형 간염에서 interferon alfa의 치료 효과와 추적 생검이 가능했던 환자에서의 조직학적 변화에 대해 알아보고자 하였다. 대상 및 방법: 1995년 3월부터 1997년 8월까지 서울대학교병원 소아과에서 6개월 이상 HBsAg과 HBeAg 및 HBV DNA가 양성이었으며 간 조직검사상 만성 간염으로 확진된 환자 35명을 대상으로 recombinant interferon alfa 3~6 MU(평균 $3.4\;MU/m^2$)를 주 3회씩 6개월간 피하주사 하였다. 치료 시작 12개월 이상 혈청학적 변화를 추적 관찰하였다. interferon에 반응이 있는 환자 중 18명에서 치료후 간생검을 실시하여 조직학적 변화를 분석하였다. 결 과: 1) 치료 환자 35명 중 17명(49%)에서 인터페론 치료 시작 6개월에 HBV DNA의 감소가 있었고, 12개월째에 22명(63%)에서 HBeAg 및 HBV DNA의 음전이 생겼으며 18개월까지는 25명(71%)에서 관찰되었다. 반응군에서 혈청 ALT치는 모두 정상화되었고, HBsAg의 음전은 1명에서 관찰되었다. 2) 어머니가 HBsAg 보유자가 아닌 수평감염, 치료전 ALT가 정상의 2배 이상, 간조직의 심한 괴사와 염증이 interferon에 대한 반응이 좋은 예측인자이었다. 3) 치료 후 반응군의 간조직 소견에서 간맥주위괴사, 소엽내 활성도, 간맥내 염증, 간섬유화, total HAI가 유의하게 감소하였다. 결 론: 소아 만성 B형 간염에서 interferon alfa 치료 후 63%에서 반응을 보였으며, 혈청학적 변화는 조직학적 소견의 호전과 연관이 있다. 소아 만성B형 간염 환아에서 interferon 치료는 혈청학적, 생화학적, 조직학적 관해를 유도하는 효과적이고 안전한 치료방법이다.

  • PDF

식물추출혼합물의 니코틴 분해능에 미치는 효과 (Effects of Phyto-Extract Mixture on the Nicotine Decomposition)

  • 정종문;김지훈;이동희;조희재
    • 한국식품위생안전성학회지
    • /
    • 제17권1호
    • /
    • pp.8-14
    • /
    • 2002
  • 천연식물소재 및 한약재 추출제재인 식물추출 혼합제재가 인체내에서 니코틴 분해능에 미치는 영향을 FRCFR5 세포주, Xenopus oocyte, 임상 실험을 통하여 검토하였다. 본 실험은 체내에 잔존하는 니코틴이 식물추출 홉합 제재에 의해 무독한 대사산물인 코티닌으로 분해량이 증가되고 동시에 NNK, NNN, NNA 등과 같은 폐암 유발물질인 니트로사민 유도체 생성 경로가 억제될 것이라는 가정을 전제로 실험을 수행하였다. 본 실험 결과에서 볼 수 있듯이 식물추출 혼합 제재에는 니코틴에서 코티닌으로 전환시키는 대사 활성물질이 함유되어 있다는 사실을 알 수 있으나, 실제로 어떤 유효성분들이 관여하는지 그리고 정확한 작용 기작을 규명하기 위해서는 더 많은 분석 및 생화학적 연구가 앞으로 수행되어야 할 것이다. 간세포에서 유래된 FRCFR5 세포주 실험 결과, 니코틴과 식물추출 혼합 제재가 첨가된 배지에서 니코틴과 물을 첨가한 배지보다 니코틴에서 코티닌으로 전환능력이 약 2∼3배 높게 나타났으며, 이러한 결과는 Xenopus oocyte에 직접 주사한 경우와 거의 비슷한 양상을 보였다. 임상실험 결과 식물추출 혼합 제재음료를 음용하고 담배를 피운 실험군이 물을 음용하고 담배를 피운 대조군에 비해 약 2배 정도 높은 코티닌 함량을 나타내었다. 이는 실험군의 소변 중에 계속적으로 다량의 코티닌이 배출되는 것을 의미하며, 식물추출 혼합 제재 섭취시 체내에 존재하는 니코틴이 코티닌으로 지속적이면서 효과적으로 전환되는 것을 말한다 이상의 생체 내·외 실험에서 알 수 있듯이 식물추출혼합물은 니코틴에서 코티닌 생성을 약 2배정도 증가 시키는 것을 알 수 있었다.

양식장 배출물 발효물의 사료첨가에 따른 넙치, Paralichthys olivaceus의 생화학적 반응 (Biochemical Responses in Olive Flounder, Paralichthys olivaceus Fed Diet Supplemented with Fermented Aquaculture Sewage)

  • 지정훈;문상욱;김세재;이영돈;금유화;강주찬
    • 한국어병학회지
    • /
    • 제18권2호
    • /
    • pp.187-195
    • /
    • 2005
  • 양식 산업의 양적 발달에 따라, 이로 인한 배출수 문제는 환경적 측면에서 관심이 증대되고 있다. 특히, 육상 수조식 넙치 양식장에서 배출되는 배출물을 사료 첨가제로 사용하는 것은 환경오염 감소와 자원의 재활용이라는 측면에서 중요한 의미를 가진다. 따라서, 본 연구는 발효물 첨가에 따른 넙치, Paralichthys olivaceus의 간 및 신장의 생화학적 스트레스 반응을 조사하였다. 배출물 발효 조건 및 첨가 농도에 따른 간 중량지수, 글루타치온 함량 및 글루타치온 의존 효소활성 등을 조사한 결과 50% 발효구와 50% 농축구에서 대조구와 비교하여 각각 glutathione peroxidase 효소활성과 간 중량지수의 유의적 증가가 관찰되었지만, 이를 제외한 실험군 차이는 나타나지 않았다. 이러한 결과로부터 생화학적 측면에서 발효물 첨가가 간 및 신장 기능과 안전성에 영향을 주지 않는 것으로 평가되며, 양식어의 사료 첨가제로서의 환경적 측면에서 고려할 필요성이 대두된다.

The Hypocholesterolemic Effects of Soymilk Fermented with Bacillus subtilis Compared to Soymilk with Cheonggukjang Powder in Apolipoprotein E Knockout Mice

  • Seo, Kyoung-Chun;Kim, Mi-Jin;Hong, Sun-Hee;Cha, So-Yeon;Noh, Jeong-Sook;Kim, Mi-Jeong;Song, Yeong-Ok
    • Preventive Nutrition and Food Science
    • /
    • 제15권2호
    • /
    • pp.83-87
    • /
    • 2010
  • The cholesterol-lowering effects of soymilk fermented with Bacillus subtilis KCCM42923 were studied in apolipoprotein E knockout (ApoE KO) mice and compared to the cholesterol-lowering effects of soymilk to which cheonggukjang powder had been added. ApoE KO mice were divided into 3 groups (n=7/group). Animals were fed either an atherogenic diet only (AD, control group), an AD supplemented with fermented soymilk containing Corni fructus (FSM group), or an AD supplemented with soymik to which cheonggukjang (CGJ) powder had been added at 5% (w/v) (CPS group) for 8 weeks. The amount of FSM or CPS supplementing the AD was 20.8 mL/kg BW. There were no differences in either body weight gain or organ weights among three groups. In the FSM group, the concentration of plasma total cholesterol (TC) and LDL cholesterol (LDLC) were significantly decreased by 26.2% and 30.3% compared with the values of the control group (p<0.05). However, the triglyceride (TG) and HDL-cholesterol (HDLC) levels were not affected. These beneficial effects of FSM on suppressing the increase in plasma cholesterol level by AD were greater than those of CPS, which revealed 15.4% and 16.4% inhibition for TC and LDLC, respectively. However, these differences between FSM and CPS groups were not significantly different. A preventative effect of FSM or CPS on the accumulation of hepatic TC, but not on TG, was observed. FSM and CPS did not demonstrate any effects on fecal lipid excretion. In conclusion, the cholesterol-lowering effects of the soymilk fermented with Bacillus subtilis KCCM42923 were comparable to CGJ powder-added soymilk. These results suggest that drinking FSM might provide beneficial effects on controlling plasma cholesterol levels.

고려엉겅퀴(곤드레)의 영양성분 및 생리활성 (Nutritional Components and Physiological Activities of Cirsium setidens Nakai)

  • 이옥환;김재환;김영현;이영준;이종석;조주현;김봉균;임재각;이부용
    • 한국식품영양과학회지
    • /
    • 제43권6호
    • /
    • pp.791-798
    • /
    • 2014
  • 고려엉겅퀴는 예로부터 구황식품으로 사용되어 식용뿐만 아니라 한방 약재로도 사용되어 왔으며, 최근에는 건강기능식품 원료로서도 각광받고 있다. 본 총설에서는 고려엉겅퀴에 대한 주요 생리활성을 중심으로 요약하였으며, 고려엉겅퀴의 항산화 활성, 간 보호작용, 항염증 활성 및 지표성분 pectolinarin의 다양한 생리활성도 소개하고자 기술하였다. 최근 합성 항산화제를 대체하기 위한 천연항산화제의 필요성이 점차 증가하고 있음에도 불구하고, 효능이 우수한 천연항산화제가 상업화되기 위해서는 천연항산화제에 대한 안전성 및 경제성 등이 확보되어야 할 것으로 사료된다. 고려엉겅퀴는 수천 년 동안 식품으로 사용되어 왔고, 최근에는 다양한 생리활성을 나타내는 바 건강기능식품의 원료로서 사용도가 점차 증가하고 있으며 고려엉겅퀴 추출물의 독성평가가 이루어진다면 추후 개별인정형 건강기능식품으로도 개발될 수 있을 것으로 사료된다.

흰쥐에서 키토올리고당의 장 생태와 지질 상태에 미치는 용량에 따른 효과 (Dose-Response of Chitooligosaccharide on Gut Ecology and Lipid Status in Rats)

  • 김연록;최영선
    • 한국식품영양과학회지
    • /
    • 제42권4호
    • /
    • pp.563-569
    • /
    • 2013
  • 본 연구는 흰쥐에서 저분자량(1~3 kDa) 키토올리고당(chitooligosaccharide, COS)이 장내 미생물에 미치는 항균활성과 지질 개선에 관한 용량-반응 효과를 조사하기 위하여 수행되었다. 4주령 된 Sprague-Dawley 수컷 32마리를 1주일 동안 사육 환경에 적응시킨 후 군당 8마리씩 4군으로 나누어서 고지방식이에 키토올리고당을 0%(대조식이), 0.5%, 2%, 5% 수준으로 첨가한 식이를 5주 동안 자유롭게 급여하였다. 실험식이 5주째에 장 통과시간을 측정하였고, 신선한 분변을 취하여 장내 균수를 측정하였으며, 희생 후 혈장 지질, 간 지질, GPT 활성, 분변 지질을 측정하였다. 체중 증가량과 식이섭취량은 COS 5% 첨가군에서 유의하게 낮았다. 분변 중 bifidobacteria, lactobacilli, bacteroides, total anaerobes, total aerobes 수는 대조군, COS 0.5% 첨가군과 COS 2% 첨가군 사이에 차이가 없었으나, COS 5% 첨가군에서는 모두 유의하게 감소하였다. 혈장 총 콜레스테롤, HDL-C 및 LDL-C 농도는 군간 차이가 없었으나, 중성지방 농도는 COS 2% 첨가군과 COS 5% 첨가군에서 유의하게 낮았으며, 키토올리고당의 용량이 높아질수록 낮았다. 간 조직의 중성지방 농도는 COS 5% 첨가군에서 낮았으며, 반면에 분변의 콜레스테롤 및 중성지방 농도는 COS 5% 첨가군에서 높았으나 담즙산은 차이가 없었다. 결론적으로 저분자량(1~3 kDa) 키토올리고당을 5% 첨가한 식이는 흰쥐의 식이섭취량, 체중증가량, 혈장 중성지방을 낮추어 지질 개선효과를 보였고, 분변의 혐기성균 중에 bacteroides의 균수를 크게 감소시켰으며 bifidobacteria와 lactobacilli 균수도 억제함으로써 장 미생물생태 변화를 초래하였다.

위에 발생한 신경내분비 암종 -18예의 위신경내분비 암종의 임상병리학적 고찰- (Neuroendocrine Carcinoma of the Stomach -A Clinicopathologic Study of 18 Cases-)

  • 김병식;신동규;장세진;최원용;김용진;육정환;오성태
    • Journal of Gastric Cancer
    • /
    • 제3권4호
    • /
    • pp.191-194
    • /
    • 2003
  • Purpose: Neuroendocrine carcinomas of the stomach account for only about $0.3\%$ of all gastric tumors. The prognosis of this disease is very poor compared with the common type of gastric adenocarcinoma. The purpose of this retrospective study was to review the clinicopathologic features of 18 cases of this unusual gastric tumor and to establish a treatment strategy for this tumor. Materials and Methods: Excluding 2 cases of non-curative resection and 1 case of operative mortality, 18 cases of typical neuroendocrine carcinoma who had curative resection from January 1991 to December 2000 at Asan Medical Center were analyzed; 6841 gastric cancer patient were treated surgically during the same period. Results: The mean age at the time of diagnosis was 58.6 years (range: $35\∼75$ yr). Sixteen patients were male, and two were female. Eleven tumors ($61.1\%$) developed in the lower part of the stomach, three ($16.7\%$) in the middle part, and three ($16.7\%$) in the upper part. One tumor involved the entire stomach. Eight cases ($44.4\%$) were Borrmann type 2, and six case ($33.3\%$) were Borrmann type 3. The mean tumor size was 6.94 cm (range: $0.6\∼15$ cm). Nine cases ($50\%$) showed recurrence of the disease, and eight of them died within 20 months. Of the nine recurred cases, 7 cases ($77.8\%$) showed liver metastasis. The mean disease-free interval was 6.8 months (range: $2.5\∼11$ months) after surgical resection, and the mean survival was 17.9 months (range: $8\∼40$ months) for recurrence cases. One patient with liver metastasis was treated with a liver-wedge resection just after diagnosis and was still alive for 37.5 months postoperatively. There were 9 deaths after the median follow- up period of 40 months (range: $8\∼72$ months). Conclusion: Gastric neuroendocrine carcinomas frequently recur at the liver, even in early stage cancer, and have a poor prognosis. We experienced a case of successful control of hepatic metastasis by surgical resection and a case of a small cell carcinoma which was successfully controlled with systemic chemotherapy.

  • PDF

Effects of dietary lycopene on the protection against oxidation of muscle and hepatic tissue in finishing pigs

  • Fachinello, Marcelise Regina;Gasparino, Eliane;Monteiro, Alessandra Nardina Triccia Rigo;Sangali, Cleiton Pagliari;Partyka, Andre Vinicius Sturzenegger;Pozza, Paulo Cesar
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제33권9호
    • /
    • pp.1477-1486
    • /
    • 2020
  • Objective: The objective of this study was to evaluate the effect of different levels of lycopene supplementation on the carcass traits, meat quality, concentration of lipid oxidation products and antioxidant potential in the meat and liver of finishing barrows and gilts. Methods: A total of 40 barrows and 40 gilts were allotted in a completely randomized block design, arranged in a 2×5 factorial scheme, consisting of two sexes (barrows and gilts) and five dietary levels of lycopene (0, 12.5, 25.0, 37.5, and 50.0 mg/kg). In addition, four storage times (0, 24, 48, and 72 h), at 4℃, were added to the model to evaluate the longissimus lumborum muscle. Results: An interaction (p = 0.010) was observed between storage periods and dietary lycopene levels. The unfolding of the interaction (lycopene×period) showed a decreasing concentration of malondialdehyde concentration as the dietary lycopene increased, at all storage periods. No interactions (p>0.050) were observed for the 2,2 diphenyl 1 picrylhydrazyl (DPPH) in the pork. However, the percentage of DPPH radical inhibition reduced (p = 0.001) up to 72 h. Additionally, there was a linear increase (p = 0.001) in the capture of DPPH radicals by antioxidants, as the dietary lycopene increased. No interactions were observed (p>0.05) between the evaluated factors in liver. However, lipid oxidation was reduced by supplementing lycopene in pig diets. The capture of the DPPH radical, resulted increase in the antioxidant power exerted by lycopene in the liver (p = 0.001). The concentrations of the thiobarbituric acid reactive substances and DPPH in the liver were affected by sex (p = 0.001). Conclusion: Dietary supplementation of lycopene reduced the water loss during thawing and was effective in protecting against oxidation of the longissimus lumborum muscle and liver until 72 hours of storage, and the best results were obtained by supplementing with 50.0 mg of lycopene/kg of diet.

Effects of Salmonella typhymurium Lipopolysaccharide Challenge on the Performance, Immune Responses and Zinc Metabolism of Laying Hens Supplemented with Two Zinc Sources

  • Cheng, Tingshui;Guo, Yuming
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제17권12호
    • /
    • pp.1717-1724
    • /
    • 2004
  • The study was conducted to determine the effect of Salmonella typhymurium lipopolysaccharide (LPS) challenge on egg-laying performance, inflammatory response, zinc metabolism in layer fed diets supplemented with organic or inorganic zinc since 3-wk-old. The three dietary treatments were corn-soybean meal basal diet without supplemental zinc or with supplemental zinc at 60 mg/kg zinc from $ZnSO_4$ or zinc amino acid complex (ZnAA). At the age of 58 wk-old, twelve hens from each dietary treatment were allotted into two sub-groups. On day 1, 3, 5, 7 of the $58^{th}$ week of age, six birds of one sub-group were injected intraperitoneally (i.p.) with 2 ml LPS (1.0 $\ell$/ml) or sterile saline. Neither zinc source ${\times}$ immune challenge interaction nor zinc source effect on egg production performance was observed (p>0.05), LPS-challenge decreased egg production (p<0.04) and increased percentage of cracked eggs (p <0.01). With LPS challenged, the fever response of hens fed ZnAA peaked and subsided earlier than in hens fed $ZnSO_4$ or basal diet. Serum IL-1$\beta$ at 3 h was higher (p<0.01), but lower (p<0.001) at 12 h post-challenge with LPS in hens fed ZnAA than $ZnSO_4$. In salinetreated groups, serum IL 1$\beta$ was higher in hens fed ZnAA than the basal diet at 3 h post-injection (p<0.01). LPS-challenged birds had lower serum zinc and higher zinc sequestered in liver and spleen (p<0.001). In saline-treated birds, there was no difference in zinc concentration of serum, liver and spleen among different dietary treatments (p>0.05). Supplementation of 60 mg/kg zinc from either ZnAA or $ZnSO_4$ significantly (p<0.05) elevated metallothionein (MT) concentration in liver and spleen. MT concentration in liver of birds fed ZnAA diet was higher than in those fed $ZnSO_4$ diet (p<0.05). The magnitude of increase of hepatic and splenic MT due to LPS challenge was higher by supplementation of ZnAA than $ZnSO_4$. The results suggest that zinc amino acid complex enhanceed MT synthesis and zinc sequestered in liver and spleen and increased the sensitivity to immune response due to LPS challenge.

Effects of Chromium Yeast on Performance, Insulin Activity, and Lipid Metabolism in Lambs Fed Different Dietary Protein Levels

  • Yan, Xiaogang;Zhang, Wei;Cheng, Jianbo;Wang, Runlian;Kleemann, David O.;Zhu, Xiaoping;Jia, Zhihai
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제21권6호
    • /
    • pp.853-860
    • /
    • 2008
  • This experiment was conducted to study the effects of chromium (Cr), dietary crude protein (CP) level and potential interactions between these two factors on growth rate and carcass response, insulin activity and lipid metabolism in lambs. Forty-eight, 9-week-old weaned lambs (Dorper$\times$Small-tail Han sheep, mean initial body weight = $22.96kg{\pm}2.60kg$) were used in a $2{\times}3$ factorial arrangement of supplemental Cr (0 ppb, Cr0; 400 ppb, Cr1; or 800 ppb, Cr2 from chromium yeast) and CP levels (157 g/d to 171 g/d for each animal, LP; or 189 g/d to 209 g/d for each animal, HP). Growth data and blood samples were collected at the beginning and end of the feed trial, after which the lambs were killed. Both Cr additive groups and the HP group increased final weight and average daily gain, especially the Cr1 and HP group (p<0.01). HP increased pelvic fat weight (p<0.05), fat thickness of the 10th rib (p<0.05), longissimus muscle area (p<0.01) and rate of deposition of intramuscular fat (p<0.01). Supplemental Cr decreased the rate of deposition of intramuscular fat (p<0.05). Fasting insulin level and the ratio of insulin to glucose were lower with Cr1 than other groups, but with no significant difference. Glucose concentration was not affected by any treatment. Nonesterified fatty acids increased in the Cr1 (p<0.05) and HP (p<0.05) conditions and there was a significant $Cr{\times}CP$ interaction (p<0.05). Cr1 decreased triglycerides (p<0.05) and total cholesterol (p = 0.151) and HP increased high-density lipoprotein cholesterol (p<0.05). Cr1 decreased lipoprotein lipase activity in subcutaneous adipose tissue (aLPL, p<0.05) and the ratio of aLPL to lipoprotein lipase activity in skeletal muscle (mLPL, p = 0.079). mLPL and hepatic lipase (hHL) were not affected by any treatment. In the present study, Cr had limited effects on growth rate and carcass response, whereas Cr and CP had some notable effects on plasma metabolites and enzyme activities. Cr has a potential effect on energy modulation between lipid and muscle tissue. In addition, few $Cr{\times}CP$ interactions were observed.