• Tuberculosis and Respiratory Diseases
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• 제46권6호
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• pp.811-816
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• 1999

Background : Nausea and vomiting associated with chemotherapy are common side effects which remain difficult to control. Acute phase nausea and vomiting (0-24 hours after induction of chemotherapy) parallels plasma serotonin release, which explains the effectiveness of $5-HT_3$ receptor antagonists. Serotonin released from gastrointestinal enterochromaffin cells may mediate chemotherapy-induced emesis. In this study, we analyzed urinary excretion of 5-HIAA, the main metabolite of serotonin. Methods : Eight men and four women were studied in their cisplatin chemotherapy cycle. Urinary 5-hydroxyindoleaoetic aicd (HIAA) levels were determined before and during a 24-hour period under ondansetron prophylaxis. Results : Urinary 5-HIAA excretion for a 24-hour period was increased in all patients after induction of cisplatin (P=0.002). Conclusion : Cisplatin chemotherapy is associated with serotonin release in the acute phase. Our finding may provide evidence for a relationship between emesis and serotonin following cisplatin chemotherapy.

• 생물정신의학
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• 제8권1호
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• pp.116-122
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• 2001

Objectives : Schizophrenia manifests a variety of interindividual differences in therapeutic response to antipsychotics. This might be attributable to dopamine and serotonin receptors that a important target for various antipsychotics, and the $D_3$ receptor(DRD3) alleles they carry. The purpose of our study was to investigate whether the plasma levels of homovanillic acid(HVA) and 5-hydroxyindoleacetic acid(HIAA), and the polymorphism of DRD3 can be held as a predictor of treatment response in chronic schizophrenic patients. Methods : Therapeutic response for 116 korean schizophrenia patient treated during 48 weeks were assessed by PANSS used as the clinical symptom rating scales. The levels of concentration of HVA and 5-HIAA were examined by HPLC at baseline and at 48 weeks. We classified the polymorphism of DRD3 receptor using amplifying by polymerase chain reaction(PCR). Results : Neither concentrations of HVA and 5-HIAA nor genotype of dopamine 3 receptor were not significantly associated with the therapeutic response. But, the patients who has A1 alleles of DRD3 gene showed poor therapeutic responses. Conclusion : A1 allele of DRD3 gene is associated with poor prognosis of chronic schizophrenia.

• 동의신경정신과학회지
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• 제3권1호
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• pp.25-45
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• 1992

Many phychiatrists have reported that the change of serotonin concentration would cause mental disorder and affect the pathological conditions such as schizophrenia, depression and eating behabior. The end product of serotonin metabolism was excreted as 5-HIAA in urine. Serum lipids, according to the report, were concerned with obesity, said it was. This study aims to observe the changes of plasma serotonin, urinary 5-HIAA and serum lipids, making use of Fat Cell Mass rate of 27 normal persons and 42 psychosomatic patients. For this, I also observed the change of serotonin, 5-HIAA and lipids of the psychosomatic patients by the use of 3 kinds of herbs as treatment medication on the basis of physical symptoms and the results were obtained as follows; 1. Urinary 5-HIAA is correlated with the body water rate(r=0.381), while reversely correlated with the Fat Cell Mass rate(r=-0.330). 2. Compared the control group with the patients group for the serum lipids value, they showed the significant results ; $146.4{\pm}5.71$ mg/dl and $166.9{\pm}6.56$ mg/dl in the total cholestrol value over- weights, $471.2{\pm}42.99$ mg/dl in the total lipid value, and $158.1{\pm}6.50$ mg/dl and $181.1{\pm}6.30$ mg/dl in the phospholipid of the obesity, respectively. 3. With comparison of each group to other group to the others for Fat Cell Mass rate, the total cholesterol showed the significant differences when the Fat Cell Mass rate was 20% or more, HDL-cholesterol value when 30% or more, and triglyceride when 30% or more, respectively. 4. there was significant variations in the relations between Fat Cell Mass rate and body water, which body mass index was increased as the body water was decreased. 5. Fat Cell Mass rate was correlated with Cholesterol(r = 0.420), triglyceride (r = 0.443), and $\beta$-lipoprotein(r = 0.450) of serum lipids, while reversely correlated with HDL -Cholesterol(r = -0.354) and urinary 5- HIAA had the correlation coefficient of -0.330. 6. What related with body water rate urinary 5-HIAA (r = 0.381) and $\beta$-lipoprotein(r = -0.405). 7. there were significant changes in the total cholesterol value and HDL-Cholesterol Value of serum lipids after dose of Ondamtang, significant increase in the 5-HIAA value after dose of Samulansintang, and significant devrease in the Trigylceride value of serum lipids after dose of Shihosogansan. As a result, it was seen that there was direct correlations among the Fat Cell Mass, urinary 5-HIAA, and serum lipids and stress from the mental conditions was not correlated directly to Serotonin, 5-HIAA, and serum lipids. I would like to conclude, therefore, that the detailed study should be performed on the function of serotonin of hypothalamus.

• Journal of Nutrition and Health
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• 제27권2호
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• pp.153-161
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• 1994

We fed high trypotophan diet(3.5% tryptophan/diet(w/w) to mice for 7 days and treated then with 3 hour immobilization(IMMB) stress to investigate tryptophan metabolism and immunomodulation. The levels of serum tryptophan, brain tryptophan, serotonin(5HT) and 5-hydroxyindoleacetic acid(5HIAA) in the tryptophan diet fed animals were higher than those of the normal diet fed animals. Feeding tryptophan supplemented diet to stressed animal significantly decreased the levels of serum and brain tryptophan and 5HT levels. However, the amount of 5HIAA which is the metabolite of serotonin was increased in brain. Plasma corticosterone level was increased by the stress in both groups but the degree of this increase was smaller in high tryptophan fed animals. The relative numbers of CD8+ T cells, CD4+ T cells and B cells in spleen were decreased in high tryptophan diet fed and stressed animals compared to control diet fed and no stressed animals. CD8+ T cells decreased more than CD4+ T cells. The decrease of CD8+ T cells in high tryptophan fed and stressed animals was similar to that in high tryptophan fed animals or normal diet fed and stressed animals. Stress and tryptophan supplement acted synergistically to decrease the number of B cells. This study suggests that stress and tryptophan supplement could modify the number of lymphocyte cells, and indicates that the interaction of stress and tryptophan supplement on immune fuction depends on the types of immune cells.

• Journal of Nutrition and Health
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• 제36권6호
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• pp.570-576
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• 2003

스트레스에 의해서 생체는 에너지 대사를 증가시키며, 에너지 대사의 증가는 높은 반응성의 ROS를 생성한다. ROS는 높은 반응성으로 인해 지질, 단백질 등을 과산화시켜 원래의 활성을 잃게 한다. 이런 ROS에 대해서 높은 소거능을 지닌 vitamin I의 투여는 스트레스로 인한 생체내 산화적 손상을 억제할 수 있을 것으로 생각된다. 이런 효능을 확인하기 위하여 실험용 흰 쥐에게 4주간의 noise 및 고정화 스트레스를 가한 결과, 스트레스를 가함으로서 체중증가량을 감소시켰으며, 스트레스 지표 물질인 5-HIAA와 혈청내 유리 지방산의 증가 및 뇌조직의 산화적 손상이 증가되어 정상적으로 스트레스가 가해졌음을 확인할 수 있었다. 또한, vitamin E 투여군의 경우 혈청내에서의 vitamin E 농도가 유의적으로 증가하여 정상적인 vitamin E의 투여도 이루어졌음을 확인하였다. Vitamin E의 투여는 스트레스로 인한 체중 증가량의 감소를 억제하였으며, 또한 뇌조직의 단백질 및 지질의 산화적 손상을 억제하는 효능을 보였으며, SOD의 활성 또한 증가시키는 효능을 나타냈다. 따라서, vitamin E 투여는 스트레스로 인하여 발생하는 뇌조직의 산화적 손상을 억제함으로서 스트레스에 대한 방어 효능이 일부 있는 것으로 생각된다.

• 생물정신의학
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• 제5권2호
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• pp.278-282
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• 1998

Various neurotransmitters have been proposed as possible mediators of penile erection. Especially, norepinephrine and serotonin might have a important role in sexual arousal and penile erection. And it could be hypothesized that the psychogenic impotence is associated with the depletion or imbalance of norepinephrine and serotonin from evidences, such as the symptomatic manifestation of depression and the antidepressantinduced sexual dysfunction. The authors investigates the association of norepienphrine and serotonin with psychogenic impotence. The psychogenic impotent group(PIG) consisted of twenty-three patients with psychogenic impotence and the controlled group(CG) consisted of twenty-seven patients without psychogenic impotence. PIG had no organic cause accounting for their erectile dysfunction. The Beck Depression Inventory(BDI) and the State-Trait Anxiety Inventory(STAI) were applied to each subject to assess mood, state anxiety(SA) and trait anxiety(TA). Plasma norepinephrine level from systemic blood and 5-hydroxyindoleacetic acid(HIAA) levels from 24-hours urine were measured in each subject. The mean score of BDI of PIG was significantly higher than that of CG(p=0.015). PIG had a tendency of higher TA compared with CG(p=0.054). And also SA was higher in PIG, but did not show significant difference(p=0.193). The level of norepinephrine was significantly lower in patient with psychogenic impotence(p=0.000). And the level of 24-hours urine 5-HIAA was lower in PIG but did not show significant difference(p=0.494). Although the authors did not exclude depressive disorders in PIG, the present findings suggest that psychogenic impotence might have higher depressive mood and trait anxiety, and be associated with the depletion of norepinephrine in systemic blood.

• 대한약리학회지
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• 제19권2호
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• pp.45-55
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• 1983

뇌내 여러 신경전달물질계가 시상하부-뇌하수체-부신계(HPA)를 복잡하게 조절하고 있다는 증거가 많이 나오고 있다. 그 중에서도 5-HT(Serotonin)계의 stress시의 역할에 대해서는 많은 연구가 있어왔으나 아직 논란이 많이 제기되고 있다. 따라서 저자는 5-HT가 stress시 HPA axis를 조절하는데 필수적인 역할을 하는가를 말아보기 위해서 1) Stress전후에 5-HT의 steady state농도와 5-HT의 교체율(turnover rate) 및 합성율(synthesis rate)을 측정해 보았으며 2) 비교적 5-HT계에 특이하게 작용하는 여러 약물들을 주사한 후에 stress 반응을 측정해 보았다. 1) 1분간 ether stress 가한 직후에 시상하부와 다른 뇌부위에서의 5-HT와 5-HIAA농도는 즉각적으로 의미있게 상승하였으나 혈장 corticosterone농도는 즉각상승을 보이지 않다가 2분후에 상승을 보였다. 2) Stress(30분 immobilization & 1분 ether stress)가한 백서에서는 시상하부와 다른 뇌부위에서 5-HT합성을 혹은 교체율이 2배-4배까지 상승하였다. 3) 5-HT합성 전구물질(L-tryptophan)과 수용체 자극제 (5-MeODMT)를 투여하였을 때는 투여용량에 비례해서 혈장 corticosterone함량이 상승하였다. 4) L-tryptophan과 MAO억제제 (pargyline) 혹은 L-tryptophan과 5-MeODMT의 병합 투여로 stress시 혈장 corticosterone의 상승이 더 높게 나타났다. 5) 5-HT 합성억제제(PCPA), 5-HT 신경독약(5,7-DHT)을 투여하고 stress를 가하였을 때는 시상하부와 다른 뇌 부위에서 5-HT의 하강이 별로 나타나지 않았으며, 동시에 혈장 corticosterone의 하강도 의미있게 나타나지 않았다. 그러나 midline raphe핵을 파괴하였을 때는 5-HT와 corticosterone의 하강이 나타났다. 6) 비교적 특이하게 serotonin제에 작용하는 여러 약물들을 투여한 후에 나타나는 5-T와 혈장 corticosterone함량 사이에는 상당히 높은 양의 상관관계계가 있었다(r>0.81). 이상의 결과를 종합해 볼때 serotonin(5-HT)은 시상하부-뇌하수체-부신계의 스트레스반응조절에 중요한 자극적 역할을 하리라고 생각된다.

• 대한한의학회지
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• 제24권3호
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• pp.23-34
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• 2003

Objective : In 2001, the rate of obesity in Korea reached 30.6%. There are many therapeutic ways to reduce body weight, such as low and very low calorie diet, exercise therapy, behavior modification therapy, etc. However, in many cases the patients feel stress under obesity treatment because of starvation. This study was aimed to evaluate the anti-starvation stress effect of Coicis Semen on mice. Methods : First, the mice were divided into 6 groups : Normal (group with no starvation), Control (administrated normal saline 6 times before starting 36 hours starvation), and Samples A, B, C, and D (administrated 0.25, 0.5, 1.0, 3.0 g/kg Coicis Semen respectively 6 times before starting 36 hours starvation). Then the plasma corticosterone level and rectal temperature were measured. The norepinephrine, dopamine, DOPAC (dihydroxy-phenylacetic acid), 5-HT (5-hydroxytryptamine) and 5- HIAA (5-hydroxy-indole-acetic acid) in the hypothalamus were measured by the HPLC method. Result : I. The rectal temperature in Sample group D showed a significant difference (P<0.05) compared with the Control group. 2. The DOPAC in Sample groups A, C and D showed the significant difference (P<0.05) compared with the Control group. Conclusion : It might be recognized that Coicis Semen has an anti-starvation stress effect.

• Journal of Nutrition and Health
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• 제29권5호
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• pp.472-479
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• 1996

To investigate the effect of dietary lipids and stress on brain catecholamine and serotonin concentration, sixty three weanling male Sprague-Dawley rats(mean body weight$\pm$SD : 171$\pm$3g) were fed a diet containing fish oil, soybean oil or beef tallow and than, each was exposed to three different types of stress, isolated, grouped or cold, respectively. Cold stress seemed to be most severe and living together in a large cage with some playing equipments is more stressful than living alone in a classical small cage evidenced by plasma corticosterone level. Average food intake and body weight gain were not significantly different among exprimental groups. In adrenal catecholamines, norepinephrine was significantly affected by diet and stress and dopamine was by stress. Norepinephrine concentration of the fish oil group was lowest among diet groups. Adrenal epinephrine, however, was not. It was also shown than the cold stress significantly increased the brain norepinephrine concentration. The cold stress significantly induced higher content of brain serotonin than the grouped stress. However, the concentratin of 5-hydroxyindoleacetic acid(5-HIAA), the metabolite of serotonin, was not significantly different among groups. Therefore, this results suggest that stress affects sympathetic neuronal activity, and fish oil might lighten the burden of stress.