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Analysis of Childhood Rapidly Progressive Glomerulonephritis (소아 급속 진행성 사구체신염의 임상적 고찰)

  • Uhm Ji Hyun;Kim Mi Jin;Lee Young-Mock;Kim Ji Hong;Lee Jae Seung;Kim Pyung-Kil;Hong Soon Won;Jeung Hyeun Joo
    • Childhood Kidney Diseases
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    • v.5 no.2
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    • pp.78-86
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    • 2001
  • Purpose: Rapidly progressive glomerulonephritis (RPGN) is characterized by the rapid increase in serum creatitnin and crescents formation involving more than $50\%$ of glomeruli. 10 patients who had been treated for RPGN were studied retrospectively for thier underlying diseases and clinical features Method: Cilinical review was performed on 10 children who were diagnosed with RPGN by clinical features and renal biopsy and followed up at department of pediatrics during tile last 10 years, from May 1990 to May 2000. Result: There were 6 males and 4 females between the ages of 2.1 and 14.3 years (mean $10.9{\pm}3.8$). 3 had Henoch-$Sch{\ddot{o}}nlein$ purpura nephritis; 2, idiopathic rapidly progressive glomerulonephritis; 2, lupus nephritis; 1, hemolytic uremic syndrome; 1, membranous glomerulonephritis and 1, microscopic polyangiitis. The most common chief complaints were gross hematuria and oliguria. Initial clinical features included proteinuria, edema, hypertension, nausea and arthralgia. Mean serum BUN was $74.2{\pm}39.1\;mg/dL$ mean serum creatinin, $3.2{\pm}1.8\;mg/dL$ and mean creatinin clearance, $26.5{\pm}13.2\;mL/min/1.73m^2$. Antineutrophil cytoplasmic antibody was positive only in microscopic polyangiitis. ANA and Anti-DNA antibody were positive in two lupus nephritis patients. Serum complements were decreased in 4 patients. All patients except Hemolytic uremic syndrome received steroid pulse therapy and immunosupressive agents. 3 patients were performed acute peritoneal dialysis and 2 patients were given plasmapheresis. At the last follow up, 1 patient was dead, 4 patients had elevated serum creatinin, 2 of these 4 patients were on chronic ambulatory peritoneal dialysis and 6 patients had normal renal function. Conclusion: Rapidly progressive glomerulonephritis is a medical emergency that requires very rapid diagnosis, classification, and therapy. Appropriate therapy selected on the basis of underlying disease mechanism can substantially improve renal survival. (J. Korean Soc Pediatr Nephrol 2001 ; 5 : 78-86)

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Seismic Imaging of a Tidal Flat: A Case Study for the Mineopo Area (조간대(갯벌)에서의 탄성파 탐사: 민어포 지역의 사례)

  • Jou, Hyeong-Tae;Kim, Han-Joon;Lee, Gwang-Hoon;Lee, Sang-Hoon;Jung, Baek-Hoon;Cho, Hyun-Moo;Jang, Nam-Do
    • Geophysics and Geophysical Exploration
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    • v.11 no.3
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    • pp.197-203
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    • 2008
  • A shallow high-resolution seismic reflection survey was carried out at the Mineopo tidal flat on the western coast of Korea. The purpose of the survey was to investigate shallow sedimentary structure of the tidal flat associated with the recent sea level change. A total of 795 shots were generated at 1 m interval from a 5-kg hammer source and recorded on 48 channels of 100 Hz geophones along two mutually perpendicular profiles. The water-saturated ground condition resulted in suppressed ground rolls by significantly decreasing rigidity. In addition, seismic velocities over 1500 m/s provided easy segregation of reflected arrivals from lower velocity noise. As a consequence, seismic sections from the study area show significantly higher resolution and signal to noise ratio than conventional land seismic sections. The tidal flat consists of 5 sedimentary sequences above acoustic basement. The seismic sections reveal the continuous structure of the tidal flat formed in association with sea level rise during the Holocene.

The Effect on the Lower Limbs Joint as the Landing Height and Floor Pattern (착지 높이와 지면 형태가 하지 관절에 미치는 영향)

  • Kim, Eun-Kyong
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.437-447
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    • 2011
  • In this study, the lower limbs joints were analyzed for features based on the biomechanical characteristics of landing techniques according to height and landing on the ground type (flats and downhill). In order to achieve the objectives of the study, changes were analyzed in detail contents such as the height and form of the first landing on the ground at different angles of joints, torso and legs, torso and legs of the difference in the range of angular motion of the joint, the maximum angular difference between joints, the lower limbs joints difference between the maximum moment and the difference between COM changes. The subjects in this study do not last six months did not experience joint injuries 10 males in 20 aged were tested. Experimental tools to analyze were the recording and video equipment. Samsung's SCH-650A model camera was used six units, and the 2 GRF-based AMTI were used BP400800 model. 6-unit-camera synchronized with LED (photo cell) and Line Lock system were used. the output from the camera and the ground reaction force based on the data to synchronize A/D Syc. box was used. To calculate the coordinates of three-dimensional space, $1m{\times}3m{\times}2m$ (X, Y, Z axis) to the size of the control points attached to the framework of 36 markers were used, and 29 where the body was taken by attaching a marker to the surface. Two kinds of land condition, 40cm and 60cm in height, and ground conditions in the form of two kinds of flat and downhill slopes ($10^{\circ}$) of the landing operation was performed and each subject's 3 mean two-way RM ANOVA in SPSS 18.0 was used and this time, all the significant level was set at a=.05. Consequently, analyzing the landing technique as land form and land on the ground, the changes of external environmental factors, and the lower limbs joints' function in the evaluation were significantly different from the slopes. Landing of the slop plane were more load on the joints than landing of plane. Especially, knee extensor moment compared to the two kinds of landing, slopes plane were approximately two times higher than flat plane, and it was statistical significance. Most of all not so much range of motion and angular velocity of the shock to reduce stress was important. In the further research, front landing as well as various direction of motion of kinetic, kinetic factors and EMG variables on lower limbs joints of the study in terms of injury-prevention-approach is going to be needed.

Flora Distributed in Mt. Geumgok, Gyeongju-si, Gyeongsangbuk-do (경상북도 경주시 금곡산에 분포하는 관속식물상)

  • You, Ju Han
    • Korean Journal of Plant Resources
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    • v.26 no.2
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    • pp.248-270
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    • 2013
  • The purpose of this study is to collect the raw data for conservation of plant ecosystem by surveying and analysing the flora of Mt. Geumgok located in Gyeongju-si, Gyeongsangbuk-do, Korea. The flora were summarized as 453 taxa including 91 families, 298 genera, 397 species, 4 subspecies, 46 varieties and 6 forms. The rare plants designated by Korea Forest Service were 3 taxa such as Eranthis byunsanensis B.Y.Sun, Potentilla discolor Bunge and Iris odaesanensis Y.N.Lee. The Korean endemic plants were 6 taxa such as Carpinus laxiflora (Siebold & Zucc.) Blume, Eranthis byunsanensis B.Y.Sun, Philadelphus schrenkii Rupr., Lespedeza maritima Nakai, Vicia chosenensis Ohwi and Weigela subsessilis (Nakai) L.H.Bailey. The specific plants by floristic region were 36 taxa such as Pinus koraiensis Siebold & Zucc., Salix chaenomeloides Kimura, Anemone raddeana Regel, Chloranthus japonicus Siebold, Euphorbia pekinensis Rupr., Ilex macropoda Miq., Ajuga multiflora Bunge, Saussurea odontolepis Sch.Bip. ex Herd, Viola orientalis (Maxim.) W.Becker, Betula davurica Pall., Vitex negundo var. incisa (Lam.) C.B.Clarke and Cimicifuga heracleifolia Kom.. The naturalized plants were 36 taxa such as Fallopia dumetorum (L.) Holub, Lepidium apetalum Willd., Robinia pseudoacacia L., Trifolium repens L., Euphorbia supina Raf., Ipomoea purpurea Roth, Veronica persica Poir., Bidens pilosa L., Carduus crispus L., Xanthium canadense Mill., Bromus unioloides H.B.K. and Festuca arundinacea Schreb.. The invasive alien plants were 2 taxa such as Ambrosia artemisiifolia L. and Aster pilosus Willd.. The ratios of the urbanized index(UI), the naturalized index(NI) and the disturbed index(DI) were 11.2%, 7.9% and 18.2% each.

Archaismen im heutigen Deutsch (현대 독일어에 나타난 고어)

  • Kim Jong-Soo
    • Koreanishche Zeitschrift fur Deutsche Sprachwissenschaft
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    • v.2
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    • pp.29-48
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    • 2000
  • Archaismen als sprachliches $Ph\"{a}nomen$, das zeitspezifischen Bewertungen unterliegt, sind bis jetzt in der Sprachwissenschaft wenig beachtet worden. In vorliegender Arbeit werden die $vielf\"{a}ltigen$ archaischen Formen behandelt, die noch heute in einem bestimmten Kontext gebraucht werden. Das Wort Archaismus starnmt von dem griechischen archaios 'altertumlich', und wird $haupts\"{a}chlich$ als Stilmittel der Rhetorik benutzt, um poetische, pathetische oder ironische Effekte hervorzurufen. Unter Archaismus wird em aus verschiedenen $Gr\"{u}nden$ veraltendes und veraltetes Wortgut verstanden, das aber noch im $Bewu{\ss}tsein\;der\;Sprachtr\"{a}ger$ lebt und im gegenwartssprachlichen Text verwendet wird. Ein Instrument zur deskriptiven Erfassung von Archaismen kann das $W\"{o}rterbuch\;sein.\;In\;W\"{o}rterb\"{u}chern$ der deutschen Gegenwartssprache werden Angaben $\"{u}ber$ zeitspezifische Markierungen eines Lexems gemacht: z.B. 'veraltet' , 'veraltend', $'fr\"{u}her'$, 'selten' 'historisch', 'nationalsozialistisch', , 'modern', , modisch , usw. Aber liber Art und Zahl der Markierung einerseits $\"{u}ber$ liber ihre Trennscharfe andererseits besteht noch keineswegs Klarheit. Der Vorgang des Veraltens - der Archaisierung - von Lexemen ist ein $Proze{\ss}$, der schwieriger festzustellen ist als das Aufkommen von neuen $W\"{o}rtern$. Hier sol1 nur eine von verschiedenen Ursachen genannt werden: $W\"{o}rter$ veralten mit ihren Denotaten. Wenn das Denotat aus dem gesellschaftlichen Leben verschwindet, ist auch die Benennung nicht mehr notwendig. Archaismen sind keineswegs auf den lexikalischen Bereich beschrankt, obwohl sie dort am meisten auffallen. Sie treten vielmehr auf allen Strukturebenen, vom Laut bis zum Text, auf: - auf der lautlichen Ebene: Kur/$K\"{u}r$, Melodie/Melodei, $g\"{u}lden$/golden - auf der morphologischen Ebene: gerne, am Tage, geschmecket/ geschmeckt - auf der graphematischen Ebene: That vs. Tat, Capital vs. Kapital - auf der lexikalischen Ebene: Oheim, Knabe, Kerker, Schulmeister - auf der Wortbildungsebene: Afterglauben, $Sch\"{o}ne$, kleineln - auf der syntaktischen Ebene: guten Mutes sein, einer Verbindung halber, $R\"{o}slein$ rot - auf der Textebene: Wollen der Herr unten speisen? Archaismen treten in unterschiedlichen Texten und Textsorten auf. Eine spezielle Funktion haben Archaismen im Sprachkunstwerk. Autoren nutzen sie, urn Zeitkolorit zu schaffen. Im Alltagsleben $k\"{o}nnen$ Archaismen Lebensumstande und -erfahrungen signalisieren. Altes Wortgut wird als kostbarer nationaler Besitz angesehen. Man kann heute immer wieder den $R\"{u}ckgriff\;auf\;\"{a}lteres$ Sprachgut beobachten, entweder urn Vergangenes und Vergessenes neu zu beleben oder urn die jeweilige Gegenwartssprache mit Hilfe yon Archaismen historisch zu vertiefen und gleichzeitig zu erweitern. Archaismen sind somit die sprachlichen Zeugen der Vergangenheit. Zugleich sind Sie auch Zeichen $f\"{u}r$ die 'Gleichzeitigkeit des Ungleichzeitigen' in heutigen Sprachen, weil sie 'kommunikativ mehrere Generationen, kulturell viele Jahrhunderte oder sogar Jahrtausende $\"{u}berbr\"{u}cken\;k\"{o}nnen$'.

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Concept and Indicators of Eco-Efficient Water Infrastructure for Asia and the Pacific

  • Lee, Seung-Ho;Kang, Boo-Sik;Hong, Il-Pyo
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.2169-2175
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    • 2009
  • This research aims to evaluate the concept of eco-efficient water infrastructure and provides a list of case studies in order to help understand the applicability of eco-efficient water infrastructure to Asia and the Pacific. A set of indicators have been explored to assess eco-efficiency in water infrastructure for the region on a micro and macro scale. The core idea of eco-efficiency, 'more value with less impact (on the environment)', has proven to be applicable in management of water infrastructure. The fundamental elements in eco-efficient water infrastructure should encompass physical infrastructure and non-physical infrastructure, which is more needed particularly in Asian countries. The case studies have demonstrated the applicability of the concept of eco-efficient water infrastructure. The Republic of Korea has provided the case of the eco-friendly approaches to enhance dam management and its innovative solutions how to use water more efficiently through state-of-art technologies. The experiences of Singapore are some of the best evidence to establish eco-efficient water infrastructure, for instance, the NEWater project via application of cutting edge technologies (recycled water) and institutional reform in water tariff systems to conserve water as well as enhance water quality. A list of indicators to assess eco-efficiency in water infrastructure have been discussed, and the research presents a myriad of project cases which are good to represent eco-efficiency in water infrastructure, including multipurpose small dams, customized flood defense systems, eco-efficient ground water use, and eco-efficient desalination plants. The study has presented numerous indicators in five different categories: 1) the status of water availability and infrastructure; 2) production and consumption patterns of freshwater; 3) agricultural products and sources of environmental loads; 4) damages from water-caused natural disaster; and 5) urban water supply and sanitation. There are challenges as well as benefits in such indicators, since the indicators should be applied very carefully in accordance with specific socio-economic, political and policy contexts in different countries in Asia and the Pacific Region. The key to success of establishment of eco-efficient water infrastructure in Asia primarily depends on the extent to which each country is committed to balancing its development of physical as well as non-physical water infrastructure. Particularly, it is imperative for Asian countries to transform its policy focus from physical infrastructure to non-physical infrastructure. Such shift will help lead to implementation of sustainable in Asian countries.

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Rechtliche Handlungsgrundlage des privaten Sicherheitsdienstes (민간경비원 강제력 행사의 법적 근거 -한국과 독일의 비교를 중심으로-)

  • Lee, Sung-Yong
    • Korean Security Journal
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    • no.13
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    • pp.327-350
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    • 2007
  • Art. 2 Abs. 1 GG sch${\ddot{u}}$tzt umfassend die allgemeine Handlungsfreiheit. Daher bed${\ddot{u}}$rfen private Handlungen grunds${\ddot{a}}$tzlich keiner gesetzlichen Erm${\ddot{a}}$chtigungsgrundlage. Dies gilt selbstverst${\ddot{a}}$ndlich auch fur die Unternehmen der Bewachungsbranche. Allerdings ist es bei der Aus${\ddot{u}}$bung der Bewachungsaufgabe typisch, mit Strafe oder zumindest Schadensersatzpflicht sanktionierte Tatbest${\ddot{a}}$nde zum Nachteil Dritter zu verwirklichen. F${\ddot{u}}$r solche F${\ddot{a}}$lle stehen den Bewachungspersonen m${\ddot{o}}$glicherweise Rechtfertigungsgr${\ddot{u}}$nde zur Seite. Dadurch wird ein ansonsten rechtswidriges Handeln rechtm${\ddot{a}}$${\ss}$ig und so wird im Ergebnis eine Strafbarkeit (wie auch eine Schadensersatzpflicht) ausgeschlossen. Dabei wird klargestellt, dass dem Sicherheitsgewerbe au${\ss}$er in den F${\ddot{a}}$llen der gesetzlichen ${\ddot{U}}$bertragung der hoheitlichen Befugnisse nur die vom Auftraggeber vertraglich ${\ddot{u}}$bertragenen privatrechtlichen Befugnisse sowie die Jedermannsrechte zustehen Au${\ss}$erdem soll im Rahmen der Privatisierung der Gefahrenabwehraufgaben auf solche spezialgesetzlichen Regelungen hingewiesen werden, bei denen Bewachungspersonen mit der hoheitlichen Wahrnehmung bestimmter Sicherheitsaufgaben betraut, d.h. dazu befugt sind, Sicherheitsaufgaben in den Handlungsformen des ${\ddot{O}}$ffentlichen Rechts 면켜${\ddot{u}}$ben. In der koeranischen Literatur ist die Handlungsgrundlage des Bewachungspersonals bis jetzt kaum n${\ddot{a}}$her untersucht. Im allgemeinen werden strafrechtliche Rechtferigungsgr${\ddot{u}}$nde, z.B. Notwehr, Notstand und Selbsthilfe, als dabei anwendbare Normen anerkannt. In dieser Arbeit wird festgestellt, dass die privaten Sicherheitsdienstleister in beiden L${\ddot{a}}$ndern durch die Gewerbegenehmigung au${\ss}$er in den F${\ddot{a}}$llen der Beleihung keine hoheitlichen Befugnisse erhalten. Als Handlungsgrundlage kommen nur die allgemeinen Not- und Jedermannsrechte im Rahmen von Straf-Strafprozess- bzw. Zivilrecht in Betracht.

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The Effect of Recombinant Human Growth Hormone on Growth in Children with Nephropathy Receiving Long-term Steroid Therapy (장기간의 스테로이드 치료를 받고 있는 신병증 환아에서 Recombinant Human Growth Hormone의 효과)

  • Kim, Se-Jin;Kim, Sun-Kyoung;Kim, Sung-Do;Cho, Byoung-Soo
    • Childhood Kidney Diseases
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    • v.10 no.2
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    • pp.142-151
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    • 2006
  • Purpose : Growth retardation is one of the serious problems in children with nephropathy requiring long-term steroid therapy. We observed the efficacy and safety of recombinant human growth hormone(rhGH) on the growth in children with long-term steroid therapy. Methods : We studied 60 children(male 47, female 13) with nephropathy who received rhGH(1 U/kg/week) for more than 0.5 years($1.39{\pm}1.12$). Their mean age was 11.0 years($11.17{\pm}2.62$). They received steroid therapy from January 1987 through July 2005, and the mean duration of steroid therapy was $4.32{\pm}2.97$ years. Among the patients, there were 32 nephrotic syndrome, 9 IgA nephropathy, 4 mesangial proliferative glomerulonephritis, 4 focal segmental glomerulosclerosis, 2 Henoch $Sch\ddot{o}nlein$ nephritis, 2 Alport syndrome and 7 other cases. Data were gathered on the growth parameters, such as growth velocity, height standard deviation score(SDS), IGF-1, IGFBP-3, bone mass density(BMD) and general chemistry changes. Results : Height velocity increased significantly with rhGH therapy from $3.29{\pm}1.95$ to $8.66{\pm}3.75$(cm/yr) and height SDS decreased from $-0.72{\pm}0.93$ to $-1.04{\pm}0.86$ at one year after steroid therapy but increased to $-0.55{\pm}0.96$ at one year after rhGH administration(P<0.05). BMD improved from $0.71{\pm}0.14$ to $0.79{\pm}0.15g/cm^2$(P<0.05). IGF-1 increased from $445.09{\pm}138.01$ to $506.62{\pm}181.31ng/mL$(P<0.05). IGFBP-3 decreased from $4073.75{\pm}700.78$ to $3933.61{\pm}789.25ug/L$ numerically, but there was no statistically significant difference(P=0.533). Conclusion : The administration of rhGH in the short stature patients who received long-term steroid therapy showed improvement in growth parameters such as SDS, growth velocity, and BMD without significant side-effects or changes in the biochemical parameters.

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Characteristics on the Incubation of Sulfur Compound-Oxidizing Strains Separated for the Removal of Malodor (악취제거를 위하여 분리한 황화합물 산화균주의 배양특성)

  • Lim, Dong Joon;Lim, Kwang-Hee
    • Korean Chemical Engineering Research
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    • v.47 no.6
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    • pp.788-794
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    • 2009
  • Both strains of KD-1212 and DAH-1056 were isolated and identified from animal manure-contaminated soil by screening bacterial strains for the removal of sulfur compound-malodor with such substrate as sodium thiosulfate or free sulfur. Then the characteristics on the incubation of these microbes were observed under various incubating-condition such as pH, temperature, aerobic or anaerobic, substrate(sulfur compound) concentration, nitrogen and carbon source and rotating speed for mixing, and the optimum incubating condition was established. The optimum pHs of KD-1212 and DAH-1056 were 7.0 and 4.0, respectively, and their optimum temperatures were in the range of $30{\sim}35^{\circ}C$. Another autotrophic strain, ED-1138, was isolated from contaminated soil. The strain DAH-1056 excelled a strain Thiobacillus sp. IW in eliminating hydrogen sulfide during the process of malodor-biofiltration with a fixed strain. The characteristics on the incubation of strain KD-1212 were observed under various substrate-concentrations, nitrogen and carbon sources. KD-1212 favored glucose and maltose, and yeast extract as carbon sources and nitrogen source, respectively. The optimum concentrations of substrate and nitrogen source were 25 mM of sodium thiosulfate and 0.5% yeast extract, respectively for the growth of strain KD-1212.

Effects of dopamine on angiotensin II-induced stimulation of Na+ uptake in primary cultured rabbit renal proximal tubule cells (초대배양한 신장 근위세뇨관세포에서 ANG II의 Na+ uptake 촉진효과에 대한 dopamine의 효과)

  • Koh, Hyun-ju;Park, Soo-hyun;Han, Ho-jae
    • Korean Journal of Veterinary Research
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    • v.38 no.3
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    • pp.518-524
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    • 1998
  • 신장 근위세뇨관세포들은 사구체에서 여과된 물질의 재흡수, 분비 및 대사에 관여하는 여러 호르몬들의 수용체들을 가지고 있다. 이들중에서 dopamine(DA)과 angiotensin II(ANG II)가 $Na^{+}/H^{+}$ 상호운반계 조절에 중요한 역할을 하고 있다. 본 연구는 초대배양한 토끼 신장 근위세뇨관세포의 $Na^+$ uptake에 있어서 DA과 ANG II의 상호관계를 알아보고자 실시하였다. DA은 농도의존적으로 $Na^+$ uptake를 유의성 있게 억제하였다($10^{-6}M$ ; $83.2{\pm}7.2%$, $10^{-3}M$ ; $67.2{\pm}3.8%$ vs. control)(p<0.05). $DA_1$ 작동제(SKF 38393, $10^{-6}M$)는 대조군의 $81.4{\pm}6.7%$ 까지 $Na^+$ uptake를 유의성 있게 억제하였으나(p < 0.05) $DA_2$ 작동제는 영향을 미치지 않았다. $DA_1$ 길항제(SCH 23390, $10^{-6}M$)에 의해 DA의 $Na^+$ uptake 억제효과는 차단되었으나 $DA_2$ 길항제(spiperone, $10^{-6}M$)에 의해서는 영향을 받지 않았다. DA과 대조적으로 $10^{-11}M$ ANG II는 $AT_1$ 수용체를 통하여 대조군의 $120.7{\pm}4.9%$까지 $Na^+$ uptake를 유의성 있게 촉진하였다. (p < 0.05). DA 및 $10^{-11}M$ ANG II를 병합처리하였을 때 DA은 농도의존적으로 ANG II에 유도된 $Na^+$ uptake 촉진효과를 유의성 있게 차단하였다(p<0.05). 한편 ANG II에 의해 유도된 $Na^+$ uptake촉진작용은 $DA_1$ 또는 $DA_2$ 작동제에 의해 차단되었으나 DA에 의한 차단 효과는 $DA_1$$DA_2$ 길항제를 병합처리하였을 때만 반전되었다. 결론적으로 DA은 $DA_1$ 수용체를 통하여 $Na^+$ uptake를 억제하였으나 ANG II에 의한 $Na^+$ uptake 촉진작용의 억제에는 $DA_1$$DA_2$ 수용체 모두가 관여하였다.

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