• 제목/요약/키워드: L(+)-lactate

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비 순환기계 중환자의 예후 인자로서의 Troponin-I, Lactate, C-reactive protein의 유용성 (Usefulness of Troponin-I, Lactate, C-reactive protein as a Prognostic Markers in Critically Ill Non-cardiac Patients)

  • 조유지;함현석;김휘종;김호철;이종덕;황영실
    • Tuberculosis and Respiratory Diseases
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    • 제58권6호
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    • pp.562-569
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    • 2005
  • 배 경 : 중환자에서 질환의 중증도 평가체계는 예후를 평가하는데 유용한 것으로 알려져 있다. 하지만 이들은 다소 복잡하고 비용-효과 면이 있어 보다 손쉽게 예후를 예측할 수 있는 troponin-I, lactate, CRP 등과 같은 생화적 지표에 대한 연구가 진행되어 왔다. 본 연구는 비 순환기계 중환자에서 troponin-I, lactate, CRP 수치가 예후 인자로서 유용한지를 알아보고자 하였다. 대상 및 방법 : 2003년 9월부터 2004년 6월까지 경상대학교 병원 내과계 중환자실에 비 순환기계 질환으로 입원한 환자 139명(63.3{\pm}14.7세, 남:여=88:31)을 대상으로 하였다. 중환자실 입원 24시간내 APACHE II, SAPS II와 SOFA 점수를 이용해 질환의 중증도와 다장기부전의 정도를 평가하였고 troponin-I, lactate, CRP 수치를 측정하였다. 중환자 입원 후 재원 10일째와 30일째 생존군과 비 생존군의 troponin-I, lactate, CRP 수치를 서로 비교하였고 troponin-I, lactate, CRP 수치가 정상인 군과 비정상인 군간의 재원 10일째 및 30일째 사망률을 비교하였다. 또한 각 지표와 중증도 평가체계인 SAPS II와 SOFA 점수와의 상관 관계를 조사하였다 결 과 : 재원 10일째 비생존군의 입원 당시 측정한 troponin-I와 CRP 수치는 각각 $4.208{\pm}10.23ng/ml$, $137.69 {\pm}70.18mg/L$로 생존군의 $1.018{\pm}2.58ng/ml$, $98.48{\pm}69.24mg/L$에 비해 유의하게 높았다(p<0.05). 재원 30일째 비생존군의 입원 당시 측정한 troponin-I, lactate, CRP 수치는 각각 $3.36{\pm}8.74ng/ml$, $15.42{\pm}20.57ng/dl$, $131.28{\pm}71.23mg/L$로 생존군의 $0.99{\pm}2.66ng/ml$, $8.02{\pm}9.54ng/dl$, $96.87{\pm}68.83mg/L$에 비해 유의하게 높았다(p<0.05). 입원 당시 측정한 troponin-I, lactate, CRP 수치가 비정상인 군의 재원 10일 사망률은 각각 28.1%, 31.6%, 18.9%로 정상군의 사망률 11.0%, 15.8 %, 0%에 비해 유의하게 높았다(p<0.05). 입원 당시 측정한 troponin-I, lactate, CRP 수치가 비정상인 군의 재원 30일 사망률은 각각 38.6%, 47.4%, 25.8%로 정상군의 사망률 15.9%, 21.7%, 14.3%에 비해 유의하게 높았다(p<0.05). 입원 당시 측정한 troponin-I와 lactate는 SAPS II 점수와 유의한 상관관계가 있었다($r^2=0.254$, $r^2=0.365$, (p<0.05). 결 론 : 입원 당시에 측정한 troponin-I, lactate, CRP 수치는 비 순환기계 중환자의 예후를 예측하는 데 도움이 될 것으로 생각된다.

Serial venous lactate measurement following gastrointestinal surgery in horses

  • Smanik, Lauren E.;Moser, Darla K.;Rothers, Kris P.;Hackett, Eileen S.
    • Journal of Veterinary Science
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    • 제23권5호
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    • pp.66.1-66.8
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    • 2022
  • Background: Prospective clinical study of blood lactate concentration in horses undergoing colic surgery is needed to determine utility in outcome prediction. Objectives: To evaluate venous lactate measurements in horses following colic surgery, including immediately after anesthetic recovery and daily throughout hospitalization, as well as to determine if lactate concentrations were significantly higher in horses that developed postoperative complications or did not survive to hospital discharge. Methods: Horses > 1 year of age undergoing surgery for colic and recovered from general anesthesia were sampled. A portable lactate meter was used to measure venous samples collected immediately following anesthetic recovery and daily throughout hospitalization. Complications arising during hospitalization and survival to hospital discharge were recorded. Results: Fifty one horses were enrolled, ranging in age from 2 to 29 years. Lactate concentration immediately following anesthetic recovery was higher in horses that developed complications during hospitalization (p = 0.046). The odds of developing complications postoperatively were doubled for horses with a venous lactate concentration > 5 mmol/L. Lactate measurements in non-survivors were significantly higher compared to survivors by 96 h postoperatively (p < 0.006). Conclusions: Higher venous lactate concentrations in the postoperative colic period were associated with an increased risk of complications and death. Results suggest horses with higher venous lactate measurements in recovery are more likely to have postoperative complications, with the odds of developing complications doubled for horses with a venous lactate > 5 mmol/L. Evaluation of venous lactate could provide information on prognosis in the postoperative period for horses with surgical colic.

Bacillus cereus에서 유래한 Lactate Dehydrogenase 동질효소 유전자의 대장균 내 발현 및 효소특성 규명 (Enzymatic Characterization of Bacillus cereus Lactate Dehydrogenase Isozymes Expressed in Escherichia coli)

  • 장명운;박정미;이홍균;이소라;김태집
    • 미생물학회지
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    • 제46권2호
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    • pp.213-218
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    • 2010
  • Lactate dehydrogenases (LDHs)는 세포 내의 생화학적 대사경로에서 중요한 역할을 담당하는 효소로서 오랜 동안 많은 관심을 받았다. 본 연구에서는 다양한 미생물 genome database의 탐색을 통해 Bacillus cereus ATCC 14579 genome으로부터 LDH로 추정되는 3종의 유전자를 발견하고, 대장균에서 클로닝 및 대량 발현하였다. 모든 BcLDH 동질효소들의 상동부위 아미노산 잔기 대부분이 기존의 $NAD^+$-의존형 LDH와 높은 상동성을 보였다. 한편 314개의 아미노산으로 이루어진 BcLDH1과 2는 86%의 서열 상동성을 보였으나, BcLDH3와는 49%의 상동성을 나타냈다. 흥미롭게도 BcLDH1만이 $NAD^+$ 조효소 존재 하에서 L-lactate와 pyruvate 간의 상호전환 활성을 나타냈으며, 그 외의 동질효소들은 거의 활성을 보이지 않았다. 결론적으로 BcLDH1은 전형적인 $NAD^+$-의존형이며, L-lactate에 특이적인 dehydrogenase 효소임을 확인하였다.

Simultaneous Determination of Plasma Lactate, Pyruvate, and Ketone Bodies following tert-Butyldimethylsilyl Derivatization using GC-MS-SIM

  • Yoon, Hye-Ran
    • 대한의생명과학회지
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    • 제21권4호
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    • pp.241-247
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    • 2015
  • Lactate and ketone bodies are considered biological markers for ketosis and several inherited metabolic disorders. In the current study, the specific ratios of lactate and ketone bodies as analytical tools for differential diagnosis of various lactic acidosis were devised. The study included a protein precipitation step following tert-butyldimethylsilyl derivatisation. Total run time was approximately 30 min including sample preparation and GS/MS analysis. The limits of detection were below 0.1 pg/mL over the targeted 4 analytes. The calibration curve was linear over the concentration range of $0.001{\sim}250{\mu}g/mL$ for pyruvate, beta-hydroxybutyrate, and acetoacetate ($R^2$ > 0.99). Inter-day accuracy and precision were 87.7~94.8% with RSD of 2.5~5.7% at 2 levels. Absolute recoveries (%) of target analytes were 87.0~98.4%. The method was validated for the quantification of lactate and ketone bodies for differentiation of lactic acidosis.

Chloride and lactate as prognostic indicators of calf diarrhea from eighty-nine cases

  • Gencay Ekinci;Emre Tufekci;Youssouf Cisse;Ilknur Karaca Bekdik;Ali Cesur Onmaz;Oznur Aslan;Vehbi Gunes;Mehmet Citil;Ihsan Keles
    • Journal of Veterinary Science
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    • 제25권3호
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    • pp.38.1-38.16
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    • 2024
  • Importance: Deaths due to neonatal calf diarrhea are still one of the most critical problems of cattle breeding worldwide. Determining the parameters that can predict diarrhea-related deaths in calves is especially important in terms of prognosis and treatment strategies for the disease. Objective: The primary purpose of this study was to determine mortality rates and durations, survival status, and predictive prognosis parameters based on vital signs, hematology, and blood gas analyses in neonatal diarrheic calves. Methods: The hospital automation system retrospectively obtained data from 89 neonatal diarrheic calves. Results: It was found that 42.7% (38/89) of the calves brought with the complaint of diarrhea died during hospitalization or after discharge. Short-term and long-term fatalities were a median of 9.25 hours and a median of 51.50 hours, respectively. When the data obtained from this study is evaluated, body temperature (℃), pH, base excess (mmol/L), and sodium bicarbonate (mmol/L) parameters were found to be lower, and hemoglobin (g/dL), hematocrit (%), lactate (mmol/L), chloride (mmol/L), sodium (mmol/L) and anion gap (mmol/L) parameters were found to be higher in dead calves compared to survivors. Accordingly, hypothermia, metabolic acidosis, and dehydration findings were seen as clinical conditions that should be considered. Logistic regression analysis showed that lactate (odds ratio, 1.429) and CI- (odds ratio, 1.232) concentration were significant risk factors associated with death in calves with diarrhea. Conclusions and Relevance: According to the findings obtained from this study, the determination of lactate and Cl- levels can be used as an adjunctive supplementary test in distinguishing calves with diarrhea with a good prognosis.

Effect of Lactate and Corn Steep Liquor on the Production of Bacterial Cellulose by Gluconacetobacter persimmonis $KJ145^T$

  • Jang, Se-Young;Jeong, Yong-Jin
    • Food Science and Biotechnology
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    • 제14권5호
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    • pp.561-565
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    • 2005
  • In this study, we attempted to assess the effects of lactate and com steep liquor (CSL) on the production of bacterial cellulose (BC) by Gluconacetobacter persimmonis $KJ145^T$. The optimal condition for the production of BC was a lactate concentration of 1% (w/v) and a CSL concentration of 10% (w/v). Under these optimal conditions, 6 days of fermentation produced 6.90 g/L of BC. Both the BC production yield and cell growth increased continuously until the 20th day of fermentation, by which time 17.0 g/L had been produced. In a static culture trial, in which plastic containers were used as fermentation chambers for 6 days of fermentation, the BC production yield in the group initially cultured with 500 mL medium was higher than that of the 750 and 1000 mL media. In addition, the texture of the BC was examined according to its post-treatment in order to determine conditions for optimal textural characteristics. The strength, hardness, and other characteristics of the BC were negatively correlated with sucrose concentration, but were largely positively correlated with NaCl concentration. With regards to the effect of pH on textural change, BC strength and hardness were elevated at pH 2 and 8 but reduced at pH 4 and 6, indicating that the texture of the BC is extremely sensitive to treatment conditions.

Effects of Temperature, pH, and Potassium Lactate on Growth of Listeria monocytogenes in Broth

  • Jin, Sung-Sik;Khen, Bimal Kumar;Yoon, Ki-Sun;Woo, Gun-Jo;Hwan, In-Gyun;Oh, Deog-Hwan
    • Food Science and Biotechnology
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    • 제14권6호
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    • pp.847-853
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    • 2005
  • A total of 60 growth curves were generated with combinations of temperature, pH, and potassium lactate (PL) (60% (v/v) commercial solution) to determine the lag time (LT) and specific growth rate (SGR) of L. monocytogenes in broth. LT and SGR were significantly (P<0.05) affected by temperature, pH, concentration of PL, or the combined interaction of these factors. LT was extended and SGR was reduced significantly (P<0.05) by increased concentration of PL at lower temperature and pH. Listericidal effect was observed in the broth containing 2, 3, and 4% PL at pH 5.0 and $4^{\circ}C$. The antimicrobial activity of PL against L. monocytogenes increased when the pH of the medium was decreased at all temperatures tested. The results suggest that PL has antimicrobial properties to suppress the growth of L. monocytogenes. Potassium lactate has many potential applications as an antimicrobial additive in variety of refrigerated ready-to-eat foods.

홍경천의 과도한 운동스트레스에 대한 방어효과 (Protective Effect of Rhodiola sachalinensis A. Bor on Excessive Exercise Stress)

  • 이연미;홍희도;최상윤
    • Journal of Applied Biological Chemistry
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    • 제56권1호
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    • pp.1-3
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    • 2013
  • 본 연구결과에서 홍경천 추출물은 L6 근육세포에서 산화적 손상으로 인한 세포사멸과 ATP 생성량 감소를 유의적으로 억제하였을 뿐만 아니라 마우스에 2주간 200 mg/kg 농도로 경구투여시 통계적으로 유의하지는 않았으나 treadmill 운동시간을 증가시켰고 glutamic oxaloacetic transaminase, glutamic pyruvic transaminase, lactate dehydrogenase, creatinine, lactate 등의 혈액지표를 개선시켰다. 따라서 홍경천은 과도한 운동 스트레스로 인한 손상을 억제할 수 있는 소재로써의 큰 가능성을 가지고 있는 것으로 판단된다.

여자 프로농구선수의 무산소성 파워 분석 (The Analysis of Anaerobic Power in Professional Female Basketball Players)

  • 장정훈;남형천
    • The Journal of Korean Physical Therapy
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    • 제14권2호
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    • pp.172-180
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    • 2002
  • The purpose of this paper was to make an analysis of anaerobic power in professional female basketball players using the Wingate Test Method with bicycle ergometer. Twenty-three subjects(age $21.6\pm2.8years$, body height $178.0\pm7.4cm$, body weight $70.3\pm7.4kg$) were selected from professional female basketball team whose careers were over 10years and participated in this investigation. Each subject peformed a Wingate anaerobic power test to determine total work, peak power, mean power, fatigue index and blood lactate concentration. The following were obtained from result data analysis; 1. The Total Work of athletes was a $1128.7\pm120.6watt$ 2. The Peak Power of athletes was a $449.5\pm53.1watt$ 3. The Mean Power of athletes was a $369.1\pm39.4watt$ 4. The Fatigue Index of athletes was a $33.5\pm6.9\%$ 5. The blood lactate concentration was $1.85\pm0.85mM/L$ at the normal state and $3.16\pm1.53mM/L$ at the after Wingate test. The blood lactate concentration was $6.96\pm0.81mM/L$ after 3 minute and $6.95\pm1.05mM/L$ after 5 minutes.

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Effects of Calcium Lactate and Chungkukjang on Calcium Status in Rat

  • Lee, Ye-Kyung;Lee, Myung-Ye;Kim, Mee-Kyung;Choe, Won-Kyung;Kim, Soon-Dong
    • Preventive Nutrition and Food Science
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    • 제9권1호
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    • pp.45-52
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    • 2004
  • Effects of dietary calcium lactate (CaL-A) and Chungkukjang (Korean native fermented soybean) on bone mass, calcium status, body weight, serum glucose and cholesterol levels in young male rats were investigated. Chungkukjang was fermented by mixing 4 types of Bacillus sp., and then dried at 45$^{\circ}C$. Calcium lactate was prepared from the ash of black snail. The rats were fed a commercial rat diet for 1 week and then the experimental diets for 4 weeks. Animals were divided into four dietary groups: one calcium-deficient diet (Ca-De) and one of three with calcium supplemented diets (5 g calcium/kg diet) with either calcium phosphate (Ca-P), CaL-A, or CaL-A + Chuntkukjang (CaL-AC). Calcium supplemented diets contained 39 g Ca-P/kg diet and 28 g/kg of calcium lactate in the CaL-A and CaL-AC diets. Body weight gains during the 4 weeks in the Ca-P, CaL-A, CaL-AC and Ca-De groups were 130.45 g,112.50 g, 143.40 g and 10.20 g, respectively. Feed consumption of the groups from high to low was CaL-AC > Ca-P > CaL-A > Ca-De. The Ca-De group had low femur weights and low serum calcium concentrations, while they were comparatively high in CaL-AC, Ca-P and CaL-A groups. The Ca-De groups excreted less calcium in urine than did the other rats, probably due to increased absorption of the mineral in Ca-P, CaL-A and CaL-AC groups. Microscopic observations revealed that there were many regularly spaced holes in the femur of Ca-De group, while there were much smaller regularly spaced holes in Ca-P group. However, no holes in femur were observed in the CaL-A and CaL-AC groups. Bone surfaces were especially smooth and clean in the CaL-AC group. Serum concentrations of glucose and total cholesterol were remarkably lower in the CaL-AC group than in the other supplemented groups. These results suggest that calcium from CaL-A has higher bioavailability than from Ca-P, and dietary Chungkukjang may have a beneficial effect on calcium metabolism.