• 제목/요약/키워드: Renal

검색결과 3,847건 처리시간 0.026초

Streptozotocin 유발 당뇨쥐 신장조직의 항산화계에 미치는 Vitamin E의 영향 (effects of Vitamin E on the Antioxidative Defense System of Kidney in Streptozotocin-Induced Diabetic Rats)

  • 이순재;곽오계;양정아
    • 한국식품영양과학회지
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    • 제28권3호
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    • pp.654-662
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    • 1999
  • The purpose of this study was to investigate the effects of vitamin E on the antioxidative defense system of kidney in streptozotocin induced diabetic rats. Sprague Dawley male rats weighing 100$\pm$10g were randomly assigned to one normal and three STZ induced diabetic groups, which were subdivided into vitamin E free diet(DM 0E group), 40mg vitamin E per kg diet(DM 40E group) and 400mg vitamin E per kg diet(DM 400E group). Vitamin E level of normal group was 40 mg per kg diet. Diabetes was experimentally induced by intravenous injection of 55mg/kg of body weight of streptozotocin(STZ) in citrate buffer(pH 4.3) after 4 weeks feeding of experimental diets. Animals were sacrificed at the 6th day of diabetic states. There were no significant on body weights, food intakes, and food efficiency ratio before the diabetic occurrence. But after the injection of STZ, body weights and food efficiency ratios were significantly decreased and the food intakes was increased. Kidney weights were significantly increased in diabetic groups compared to normal group. However, there were no significant differences among the diabetic groups. Plasma insulin levels of diabetic groups were significantly decreased, whereas, blood sugar levels were increased compared to that of normal group. There were no significant differences among diabetic groups in plasma insulin and glucose levels. Activities of superoxide dismutase(SOD) in DM 0E and DM 40E groups were signi ficantly decreased by 33% and 27%, respectively, compared to normal group. But that of DM 400E group was increased by 35% compared to DM 0E group. Activity of glutathione peroxidase(GSHpx) in DM 0E group was decreased by 20% compared with normal group. GSHpx activity in DM 400E group was increased by 29% compared to normal group. The contents of vitamin E in kidney were 58% and 49% lower in DM 0E and DM 40E group, respectively, than normal group. There was no significant difference in renal vitamin E contents between DM-400E group and normal group. The contents of superoxide radical(O2 ) in kidney were 150% and 98%, respectively, higher in DM 0E and DM 40E groups than normalgroup. DM 400E and normal groups were similar levels in their superoxide radical contents of kidneys. These results indicate that vitamin E functioned as chain breaking antioxidant in kidney such as in other tissues.

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알루미늄 화합물이 흰쥐의 신장조직에 미치는 영향 (Effects of Aluminum Compound on Kidney Tissues of Rats)

  • 한성희;김중만;백승화;한두석;신미경
    • 한국식품과학회지
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    • 제29권6호
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    • pp.1264-1268
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    • 1997
  • 알루미늄 화합물 종류에 따라 흰쥐의 신장에 축적된 알루미늄 함량과 그로 인한 신장조직의 변화를 조사하기 위하여 S-D계 수컷 75마리를 5개 그룹 즉 대조군, 250 ppm $AlCl_3$ 500 ppm $AlCl_3$ 250 ppm $Al_2(SO_4)_3$ 500 ppm $Al_2(SO_4)_3$로 나누어 2주 동안 투여한 후 그 결과를 조사하였다 신장의 알루미늄량은 $AlCl_3$ 투여군은 $64.12{\sim}91.98\;ppm$ 이었고, $Al_2(SO_4)_3$ 투여군은 $113.58{\sim}135.49\;ppm$으로 $AlCl_3$보다 $Al_2(SO_4)_3$ 투여군에서 더 많이 축적되었다. 신장조직에서 $AlCl_3$, 투여군은 세뇨관 부위의 갑상선화와 간질세포내의 염증세포의 침윤, 수질의 세뇨관 파괴부위에 알루미늄이 침착되었고, $Al_2(SO_4)_3$ 투여군에는 피질에 심한 출혈, 사구체의 파괴 및 염증부위에서 알루미늄 침착이 관찰되었다.

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Genome-Wide Association Analyses on Blood Pressure Using Three Different Phenotype Definitions

  • Park, Ji-Wan;Uhmm, Saan-Yong;Shin, Chol;Cho, Nam-H.;Cho, Yoon-Shin;Lee, Jong-Young
    • Genomics & Informatics
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    • 제8권3호
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    • pp.108-115
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    • 2010
  • Hypertension is the most prevalent disease worldwide and is itself a risk factor for cerebral, cardiac, and renal diseases. The inconsistency of candidate genes suggested by previous genomewide association studies (GWASs) may be due to not only differences in study design and genetic or environmental background but also the difference in the power of analysis between continuous traits and discrete traits. We analyzed 352,228 single nucleotide polymorphisms (SNPs) in 8842 unrelated Koreans obtained from Ansan and Ansung cohorts. We performed a series of GWA analyses using three different phenotype models; young hypertensive cases (278 subjects) versus elderly normotensive controls (680 subjects); the upper 25% (2211 hypertensive cases) versus the lower 25% of the SBP distribution (2211 hypotensive controls); and finally SBP and DBP as continuous traits (8842 subjects). The numbers of young hypertensive cases and elderly normotensive controls were not large enough to achieve genomewide significance. The model comparing the upper 25% subjects to the lower 25% of subjects showed a power that was approximate to that of QTL analysis. Two neighboring SNPs of the ATP2B1 gene, rs17249754 (SBP, p=$2.53^{-10}$; DBP, p=$1.28{\times}10^{-8}$) and rs7136259 (SBP, p=$1.30{\times}10^{-9}$; DBP, p=$6.41{\times}10^{-8}$), were associated with both SBP and DBP. Interestingly, a SNP of the RPL6 gene, rs11066280, revealed a significant genomewide association with SBP in men only (p=$3.85{\times}10^{-8}$), and four SNPs located near the MAN2A1 gene showed a strong association with DBP only in elderly men aged 60-70 years (e.g., rs6421827, p=$4.86{\times}10^{-8}$). However, we did not observe any gene variant attaining genomewide significance consistently in the three phenotype models except for the ATP2B1 gene variants. In general, the association signal with blood pressure was stronger in women than in men. Genes identified in GWASs are expected to open the way for prevention, early diagnosis, and personalized treatment of hypertension.

복강내 확산성 물질의 부위별 흡수속도 (Regional Differences of Entry Rate of Freely Diffusible Substances from Peritoneal Cavity)

  • 조병득;신동훈
    • The Korean Journal of Physiology
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    • 제1권2호
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    • pp.157-168
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    • 1967
  • The entry of antipyrine and urea from the peritoneal cavity of rabbit into organ tissue and blood plasma was studied. Two hundred mg of antipyrine plus 300 mg of urea in 10 ml Ringer's solution was injected into the peritoneal cavity of anesthetized rabbit. The injection was made from above of a rabbit kept tying right side down and it enabled part of the abdominal organs (liver, intestine, kidney) was immersed in the injected solution and kept high concentration gradient throughout the experimental period. The remaining part of the organs was revered only by a thin film of the test solution. Subsequently, in this part of the organs the concentration gradient of the diffusible substances during entry was presumed to decrease as time elapsed. Four pieces of the liver tissue were taken namely, the right superficial, right deep, left superficial and left deep portions. Two were taken from the small intestine, one from the portion which was immersed in. the fluid and the other from that above the fluid mass. Both kidneys were separately analyzed. As a remote organ the gastrocnemius muscle was taken from the right leg of the animal. The intervals which were the time periods elapsed after injections were 5,7,10,15 or 30 minutes. At each point 5 animals were sacrificed and the concentrations of the test substances in the tissue water were measured. The results obtained were as follows. 1. In the liver the right portion which was immersed in the fluid showed higher concentration if the test substances than the left portion and the superficial region exceeded the deep region. The concentrations diminished as the time elapsed after infusion, particulary in the case of antipyrine, suggesting circulatory removal of the substances. In urea such decreasing tendency of the concentration was not obvious, and suggested slower removal rate of it as compared with that of antipyrine. 2. In the small intestine there was no regional difference in the concentration of the test substances. Because of the intestinal motility different portions of the intestine were seemed to have bathed in the fluid of the same concentration. In general the concentrations in the intestinal wall exceeded those of the liver, suggesting a slower removal rate than in the latter. 3. In the kidney the accumulation of the endogenous urea was predominant, and the accumulating mechanism in the renal tissue went on during the period of the experiment. Therefore it revealed increasing tendencies as the time elapsed. The penetration of the test substances in this organ from the peritoneal cavity seemed to be slower than in other abdominal organs, namely liver or small intestine. Part of the test substances in the kidney were obviously brought by the blood stream. 4. Rapid exponential decay of the concentration of antipyrine and of the osmolality of the peritoneal fluid was attributed to the extensive removal through the whole dimension of the peritoneal surface, and the remote organ such as the gastrocnemius muscle attained a fairly close value to that of the abdominal organs in less than 30 minutes. The factors which related to the absorption rate were discussed. They were the concentration gradient, permeability and the regional perfusion rate.

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Tetracycline Inducible Retrovirus Vector System을 이용한 In Vitro에서의 인간 부갑상선 호르몬의 발현 조절 (Regulation of hPTH Expression In Virto Using the Tetracycline Inducible Retrovirus Vector System)

  • 구본철;권모선;김태완
    • Reproductive and Developmental Biology
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    • 제30권3호
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    • pp.157-162
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    • 2006
  • 본 연구에서는 인간 부자상선 호르몬의 발현을 유도적으로 조절할 수 있는 retrocvirus vector system을 확립하고자 하였다. 이에 tetracycline계 물질로 발현을 유도적으로 조절할 수 있는 one vector 형태의 Tet-On system을 이용하였으며 WPRE 서열을 도입하여 유도적 조건에서 외래 유전자의 발현을 증가시켰다. 구축한 각각의 표적세포에서 RT-PCR과 ELISA를 이용하여 hPTH유전자의 발현 정도를 비교 측정한 결과, WPRE가 hPTH의 3' 위치에 도입된 $RevTRE-PTH-WPRE-CMVp-rtTA2^sM2$ virus를 이용하여 유전자를 전이시킨 경우에 hPTH의 발현량이 가장 높은 것으로 나타났고, 또한 유도율도 가장 큰 것으로 확인되었다. 이 system을 이용하여 생산한 고감염가의 virus는 인간의 부갑상선 호르몬을 생산하기 위한 동물세포주의 구축이나 형질전환 동물의 생산에 있어서 매우 효율적인 유전자 전이 수단이 될 것으로 사료된다.

실험견에서 Metoprolol 약리효과의 약동/력학적 검토 (Pharmacokinetic/Pharmacodynamic Analysis of Metoprolol in Dogs)

  • 오동진;장인진;이경훈;임동석;김형기;신상구;박찬웅;신재국
    • 대한약리학회지
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    • 제31권2호
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    • pp.251-259
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    • 1995
  • Pharmacokinetics and pharmacodynamics of metoprolol, a selective beta-l blocker, were examined for 360 minutes after intravenous bolus administration of metoprolol to 6 dogs. Plasma concentration and excreted amount in the urine metoprolol were measured by liquid chromatography with fluorescence detection. PR interval and heart rate were measured by ECG monitoring. Blood pressure was monitored through intraarterial catheter in femoral artery and cardiac output by thermodilution method using Swan-Ganz catheter. To analyze the effect site concentration-response relationship, plasma concentration and pharmacological effects were simultaneously fitted to a two pharmacokinetic compartment linked to pharmacodynamic model with NONLIN program. Results are as follows. 1) The plasma concentration of metoprolol after intrvenous injection decreased biexponentially. The terminal half-life estimated was $1.33{\pm}0.40$ hours and the volume of distribution at steady state (Vdss) and the total body clearance were $1.04{\pm}0.4\;L/kg,\;6.55{\pm}2.21\;L/hr$, respectively. The central compartment volume of distribution and peripheral compartment volume of distribution were $0.35{\pm}0.14L/kg\;and\;0.69{\pm}0.34L/kg$. The renal clearance and intercompartment clearance were $0.53{\pm}0.25\;L/min\;and\;0.35{\pm}0.19\;L/min$. 2) Simulated biophase concentration-response curve shows hyperbolic relationship and the estimated concentration-effect relationship was best explained by Emax model when the prolongation of PR interval and the reduction of the heart rate were used as pharmacodynamic parameters. Emax and EC50 were estimated to be $26.3{\pm}4.7\;msec\;and\;88.8{\pm}82.3\;g/ml$ for PR interval, and $48.7{\pm}18.8\;beats/min\;and\;113.5{\pm}78.7\;ng/ml$ for heart rate, respectively. 3) The changes of cardiac output-effect site concentration relationship was best fitted by a linear model and the slope of the relationship was $0.005{\pm}0.003$. Diastolic blood pressure-effect site concentration relationship was also explained by the linear model and the slope of the relationship was $0.038{\pm}0.034$.

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의학입문(醫學入門)의 촌관척(寸關尺)에 관한 고찰(考察) (A Study on the Cun, Guan, Chi (Inch, Bar, Cubit) from the Elementary Course for Medicine{Yi Xue Ru Men))

  • 이수경;박원환
    • 대한한의진단학회지
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    • 제9권2호
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    • pp.10-24
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    • 2005
  • Background and Purpose: Feeling the pulse is based on the pulse condition and alteration to observe the condition of the human body's health and by using a healthy person's pulse as a standard we are able to analyze the patient's pulse to find the attacked channel and collateral, viscera and bowels and understand the pathology such as diseases caused by exogenous evil, disorder of internal organs, and seven modes of emotions. Observing the color and shade of the patient's face, listening carefully to the sound of the patient, and feeling the pulse are methods in accordance with Su Wen 'Plain Questions', 'The Classic on Difficulty' (5th century B.C. Bianque), 'The Classic of Sphymology' (280 A.D. Wang Xi), 'Pulse Formulas' (1189 A.D. Cui Jiayan), and is systematically edited for those who have started studying to easily reach the profound state. Therefore, 'The Elementary Course for Medicine' has been used from ancient times as the textbook for diagnostics. Methods: In this Study, we will inspect commonly used pulse feeling methods, the inch, bar, cubit thesis, the viscera and bowels thesis from The Elementary Course for Medicine and inquire the difference of the text from 'Plain Questions of Huangdi's Internal Classic', 'Treatise on Febrile Diseases', 'Classic on Difficulty'. Results and Conclusion: 1. In 'The Elementary Course for Medicine' the site of the wrist along the pulsation of the radial artery is divided into inch, bar, cubit and has defined the inch, bar, cubit crossways. 2. In 'The Elementary Course of Medicine' the inch, bar, cubit for the left hand and right hand is subjected to each viscera and bowel. By assigning the left hand's inch, bar, cubit to the cardial orb, the hepatic orb, the renal orb, and the right hand's inch, bar, cubit to the pulmonic orb, the splenic orb, the vital gate it has been able to feel the pulse for each viscera and bowel by using the interpromoting and interacting relation of the five evolutive phases.

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임상검체에서 Candida spp.에 대한 분리빈도 (Isolation Frequency of Candida species from Clinical Specimens)

  • 신현성;박연보;신두식
    • 한국균학회지
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    • 제38권2호
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    • pp.146-151
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    • 2010
  • 검체는 2005년 1월1일부터 2009년 12월31일까지 C 병원 진단 검사의학과에 의뢰된 환자의 임상검체 총 366,661예로부터 총 167,955 미생물이 분리되었고 이 중 6,517주의 Candida spp. 분리균을 자동화기기로 동정한 것을 후향적으로 처리 하였다. 배양균주는 smooth하고, 크림색이며, 약간 mucoid하고, 혼탁한 집락을 0.45% salin에 McFarland No 1.6-2.0되게 탁도를 맞춘 후 반응시약이 들어 있는 ID-YST card에 접종하여, VITEK II(bioMerieux Duham NC, USA)의 자동화기기에 넣어 동정하였고, 그 결과는 다음과 같다. Candida spp.의 분리율은 2005년도에 비하여 2009년이 1.9배 증가하였다. 분리빈도가 높은 Candida spp.는 C. albicans 56.4%, C. tropicalis 17.7%, C. glabrata 10.7%, C. parapsilosis 9.5%였고, Candida spp가 10%이상 분리된 검체는 객담 30.1%, 무작위소변 25.0%, 혈액 15.8%, 카테타소변 13.5%였으며, 7%이상 분리된 부서는 호흡기내과 20.5%, 신장내과 11.0%, 감염내과 10.4%, 응급의학과 10.0%, 혈액종양내과 9.6%, 외과 7.5%, 소화기내과 7.4%였다. Candida spp가 증가된 달은 7월이 10.6%였고, 가장 낮게 분리된 달은 2월이 6.1%였다. Candida spp.가 증가된 연령군은 70세 이상 군이 40.1%였고, 가장 낮게 분리된 연령군은 10대가 1.3%였고, 0-49세군(1.3-7.5%)대 50세 이상 군(16.7-40.1%)의 비교에서는 1 : 4.7로 50세 이상 군이 월등히 높았다.

하행 괴사성 종격동염 : 외과적 치료의 후향적 조사 (Descending Necrotizing Mediastinitis : The Retrospective Review of Surgical Management)

  • 이재진;신호승;신윤철;지현근;이원진;홍기우
    • Journal of Chest Surgery
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    • 제34권10호
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    • pp.769-774
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    • 2001
  • 배경: 하행 괴사성 종격동염은 문헌에 따라 25%에서 40%의 사망률을 보이는 중증 질환이다. 대개의 원인은 치원성 및 구인두의 감염의 합병증으로 발병된다. 이에 된 교실에서는 지난 4년간 하행 괴사성 종격동염으로 외과적 치료를 받은 환자를 대상으로 후향적 조사를 하여 결과를 보고하고자 한다. 대상 및 방법: 1977년부터 2000년가지 하행 괴사성 종격동염으로 진단된 7례를 대상으로 하였다. 초기 구인두 감염이 종격동염으로 진행된 경우가 47례(57%), 치원성 감염이 3례(43%)이었다. 모든 경우에 괴사조직 제거 및 배농술을 위해 응급경부절개술, 개흉술 및 흉골절개술을 시행하였다. 결과: 평균 재원일은 42일이었고, 2례가 사망하여 사망률은 28.6%이었다. 재발된 농흉 2례와 심낭 압전증 1례는 재수술을 시행하였다. 사망 원인은 재수술후 12일째 대혈관 침식, 신부전 및 호흡부전으로 사망하였다. 재수술을 받지 않은 1례에서 수술후 10일째 기관지-식도루에 의한 질식으로 사망하였다. 결론: 하행 괴사성 종격동염의 사망률을 줄이기 위해서는 조기 진단과 신속한 경흉부 컴퓨터단층촬영 및 적극적인 외자적 치료가 필요하며, 세심한 수술 후 관리가 요구된다 하겠다.

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Sternal Healing after Coronary Artery Bypass Grafting Using Bilateral Internal Thoracic Arteries: Assessment by Computed Tomography Scan

  • Shin, Yoon Cheol;Kim, Sue Hyun;Kim, Dong Jung;Kim, Dong Jin;Kim, Jun Sung;Lim, Cheong;Park, Kay-Hyun
    • Journal of Chest Surgery
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    • 제48권1호
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    • pp.33-39
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    • 2015
  • Background: This study aimed to investigate sternal healing over time and the incidence of poor sternal healing in patients undergoing coronary artery bypass graft (CABG) surgery using bilateral internal thoracic arteries. Methods: This study enrolled 197 patients who underwent isolated CABG using skeletonized bilateral internal thoracic arteries (sBITA) from 2006 through 2009. Postoperative computed tomography (CT) angiography was performed on all patients at monthly intervals for three to six months after surgery. In 108 patients, an additional CT study was performed 24 to 48 months after surgery. The axial CT images were used to score sternal fusion at the manubrium, the upper sternum, and the lower sternum. These scores were added to evaluate overall healing: a score of 0 to 1 reflected poor healing, a score of 2 to 4 was defined as fair healing, and a score of 5 to 6 indicated complete healing. Medical records were also retrospectively reviewed to identify perioperative variables associated with poor early sternal healing. Results: Three to six months after surgery, the average total score of sternal healing was $2.07{\pm}1.52$ and 68 patients (34.5%) showed poor healing. Poor healing was most frequently found in the manubrium, which was scored as zero in 72.6% of patients. In multivariate analysis, the factors associated with poor early healing were shorter post-surgery time, older age, diabetes mellitus, and postoperative renal dysfunction. In later CT images, the average sternal healing score improved to $5.88{\pm}0.38$ and complete healing was observed in 98.2% of patients. Conclusion: Complete sternal healing takes more than three months after a median sternotomy for CABG using sBITA. Healing is most delayed in the manubrium.