• 제목/요약/키워드: Serum ammonia

검색결과 96건 처리시간 0.022초

신생아기 장염에 의하여 발병된 Reye 증후군 (Reye syndrome after acute enteritis during the neonatal period)

  • 방준석;남상정;이경화;배은주;박원일;이현숙;손배영;최환석;이홍진
    • Clinical and Experimental Pediatrics
    • /
    • 제49권3호
    • /
    • pp.273-277
    • /
    • 2006
  • 목 적 : Reye 증후군의 유병률은 1980년 후반 이후 급격히 감소하였으나 최근 Reye 증후군이 신생아 시기에 급성 장염 후에 집중적으로 발병되어 보고하는 바이다. 방 법 : 2005년 1월부터 2005년 4월까지 4개월간 삼성서울병원, 상계백병원, 원주기독병원, 춘천성심병원 등 4개 종합병원에서 본원 임상유전학 연구실로 분석이 의뢰되었던 환자 7례의 임상 소견, 검사 소견(유기산 대사분석, 일반 화학 검사, 동맥혈 가스검사, 혈청 암모니아)을 분석하였다. 임상 소견은 환자들의 증상 및 기본 검사 소견을 검체와 함께 보내온 환자 정보지를 분석하여 얻었고 유기산 분석은 gas chromatography와 mass spectrometry를 이용하여 정량 분석하였다. 결 과 : 7명의 환자들의 평균 연령은 18일이었고 이들의 주요 선행 증상은 위장관 증상(구토, 설사, 음식 거부)이였으며 임상증상으로는 의식 장애, 호흡 곤란, 구토, 경련, 설사 등이었다. 사망은 1례에서 발생하였고 사망 환자의 암모니아 수치는 정상 암모니아 수치의 20배 이상 높은 수치를 나타냈다. 결 론 : 7례 모두 신생아 시기의 환자들이었다. Reye 증후군은 선행 질환으로 상기도 감염과 아스피린 복용이 밀접한 관련이 있는 것으로 알려져 있으나 본 연구에서는 주요 선행 질환이 위장관 감염이었고 아스피린 복용력은 없었다.

사료내 Natufermen® 첨가가 이유 자돈의 생산성에 미치는 영향 (Effects of Natufermen® Supplementation to the Diet on the Perfermance of Weanling Pigs)

  • 임희석;김병한;백인기
    • Journal of Animal Science and Technology
    • /
    • 제46권6호
    • /
    • pp.981-988
    • /
    • 2004
  • 자돈사료내 Aspergillers oryzae를 주 균주로 하는 생균제제인Natufermen$^{(R)}$을 첨가시 생산성 및 분중 암모니아 발생량, 영양소 소화율, 혈청내 IgG, 분중 미생물 균총의 변화에 미치는 영향을 알아보기 위해 6주간의 실험을 실시하였다. 이유자돈 48두(3원교잡종(Y${\times}$L${\times}$D), 평균 초기체중 7kg$\pm$0.05)를 4처리 4반복 반복당 3두씩 배치하여 6주간 사양실험을 실시하였다. 시험 처리는 대조구(C), $C^+$Natufermen$^{(R)}$ 0.1%, $C^+$Natufermen$^{(R)}$ 0.2%, $C^+$Natufermen$^{(R)}$ 0.3% 이었다. 6주간의 사양성적에서 일당 증체량은 Natufermen$^{(R)}$ 첨가구들이 대조구에 비해 모두 증가하는 경향을 나타내었으나 유의적 차이는 나타나지 않았고 사료효율은 0.2% Natufermen 첨가구에서 대조구에 비해 유의적으로 개선되었다(P<0.05). 영양소 소화율에서는 건물, 회분, 인의 소화율이 Natufermen$^{(R)}$ 첨가구들 모두 유의적으로 증가하였으며 조단백질 소화율에서도 증가하는 경향을 나타냈다. 혈청내 IgG 농도는 Natufermen$^{(R)}$ 첨가 수준이 증가함에 따라 유의적으로 감소하였다. 실험 3주째 Natufermen$^{(R)}$ 0.1%, 0.2% 첨가구에서 대조구에 비해 분중 Lactobacilli가 유의적으로 증가하였다. 결론적으로 자돈사료내 Natufermen$^{(R)}$ 첨가는 사료효율을 개선시키며 건물, 조회분, 인의 소화율을 증가시키며, 분중 Lactobacilli 균총을 증가시켰다. 혈액내 IgG 수준은 Natufermenv$^{(R)}$의 수준이 높아질수록 낮아졌다.

Ameroid Constrictor를 이용한 개에서의 단순 간외성 간문맥전신단락증의 치료 (Surgical Correction of Single Extrahepatic Portosystemic Shunt Using Ameroid Constrictor in a Dog)

  • 정성목;이충호;양정환;김완희;최민철;윤정희;이주명;권오경;남치주
    • 한국임상수의학회지
    • /
    • 제18권4호
    • /
    • pp.442-447
    • /
    • 2001
  • A 2-year-old 4.0-kg female Shih Tzu with history of hematemesis and melena was referred to Veterinary Medical Teaching Hospital, Seoul national University for further evaluation and treatment. During physical examination, the dog revealed mild depression, dry mucous membrane and abdominal pain. Hematologic values were normal and serum chemical values showed increased serum bile acid (53.47 umol/l, preprandial), fasting serum ammonia concentration (184 g/dl), alanine transferase (98 U/L), alkaline phosphatase (871 U/L) and gamma glutamyl transpeptidase (21 U/L), and decreased blood urea nitrogen (4 mg/dl), total protein (4.1 g/dl) and albumin (1.2 g/dl). Microhepatica was shown in abdominal radiography. During the ultrasound examination, dilated tortuous vein communicating with caudal vena cava ws observed near the stomach. Intraoperative jejunal vein portography was performed during laparotomy to confirm the location and size of shunt vessel. According to history taking, physical examination, hematologic and serum chemical examination and radiographic study, it was diagnosed as single extrahepatic portosystemic shunt. The anomalous vessel (7 mm, o.d.) that enter the caudal vena cava from the left gastric vein, near the level of the diaphragm, was identified. A Ameroid constrictor (5 mm, i.d.) was applied to the shunting vessel near the caudal vena cava. Hematologic and serum chemical values recovered gradually and were revealed normal values 4 months after surgery. Four month after surgery serum bile acids concentrations were 0.56 $\mu$mol/l (preprandial) and 18.45 umol/l (postprandial). Abdominal radiograph showed normal gastric axis and it revealed normal size of the liver. Fine texture and increased echogenecity of liver and enlargement of portal vein were shown in ultrasonography. Single extrahepatic portosystemic shunt might be treated surgically using Ameroid constrictor.

  • PDF

개의 단순 간내성 간문맥전신단락증의 영상진단학 및 치료 1예 (Radiographic and Ultrasonographic Diagnosis of Single Intrahepatic Portosystemic Shunt in a Dog)

  • 전혜영;장동우
    • 한국임상수의학회지
    • /
    • 제20권4호
    • /
    • pp.508-515
    • /
    • 2003
  • A 4-month-old 5.7 kg male Golden retriever with history of seizure, depression, lethargy and anorexia was referred to Veterinary Medical Teaching Hospital, Chungbuk National University. Hematologic examination revealed microcytosis and nonregenerative anemia. Serum chemical values showed increased serum ammonia (423 $\mu$mol/L), ALP (1101 U/L), r-GTP (13.9 U/L) and CPK (1454 U/L), and decreased total protein (4.9 g/dl) and BUN (1.6 mg/dl). Microhepatia was shown in survey abdominal radiographs. Color doppler ultrasonographic examination revealed dilated tortuous vein with turbulent flow within liver parenchyma. Intraoperative jejunoportography and intraoperative ultrasonography confirmed the location and size of single intrahepatic shunt vessel in the left medial liver lobe. Also, the anomalous vessel entering the caudal vena cava was identified beneath the diaphragm. The shunting vessel was ligated with using an Ameroid constrictor. General conditions, hematologic and serum chemical values resolved gradually after surgery. One month after surgery abdominal radiograph showed normal gastric axis and it was consistent whit the normal size liver. Normal echogenecity of liver and enlargement of portal vein were shown in ultrasonography. It is assumed that survey radiography and ultrasonography are useful for diagnosis of single intrahepatic shunt in a dog and especially jejunoportography vein portography and intraoperative ultrasonography are suitable for confirmation of the anatomic location and size of the shunting vessels.

버섯폐배지 발효사료 급여가 육계의 생산성에 미치는 영향 (Effects of feeding fermentation of spent mushroom substrate (FSMS) on growth performance in broiler chicks)

  • 김정은;박상국;김태원;문만;고재상;정승기;국길
    • 한국동물위생학회지
    • /
    • 제33권4호
    • /
    • pp.387-392
    • /
    • 2010
  • This experiment was conducted to investigate the effect of fermented spent mushroom substrate (FSMS) on growth performance, blood profile, intestinal microflora and ammonia gas production of feces in broiler chickens. A total of three hundred sixty, 1-day-old male broiler chicks (Ross) were randomly divided into 3 groups with 6 replicates of 20 birds each. The treatments were control (free FSMS), 15% FSMS (basal diet with 15% FSMS) and 30% FSMS (basal diet with 30% FSMS). The final body weight and body weight gains were slightly improved in 30% FSMS than control (P<0.05). Feed intake and feed conversion were significantly improved as compared to those of the control groups. The Leukocytes of blood serum in FSMS groups were significantly decreased as compared to those of control groups. There are no significant differences among the groups in the contents of albumin (ALB), total cholesterol (TCHO), glucose (GLU), aspartate aminotransferase (AST) and alanine aminotransferase (ALT) in blood serum. The content of total glucose (TG) in 30% FSMS containing dietary groups was significantly decreased as compared to that of the control groups. The content of HDLC in 30% FSMS containing dietary groups was significantly increased as compared to that of the control group. The number of lactobacillus in the intestinal microflora were significantly increased in chicks fed FSMS groups. The ammonia gas production in FSMS groups was siginificantly decreased as compard to that the control groups. These results indicated that dietary FSMS exerted growth performance for feeding broiler.

교반형 막 반응기를 이용한 재조합 인간 세포의 무혈청 배지에 의한 $\gamma$-Interferon의 생산 (Economic Production of $\gamma$-Interferon from Recombinant Human Cells in Serum Free Medium by a Moving Aeration Membrane Bioreactor)

  • 박영식;김현규;임서규;박경유;이현용
    • 한국미생물·생명공학회지
    • /
    • 제22권4호
    • /
    • pp.389-394
    • /
    • 1994
  • 8 X 10$^{6}$(viable cells/ml) of maximum cell density and 9000(IU/ml) of $\gamma$-IFN production were obtained at 55(ml/hr) of a perfusion rate by cultivating HSF cells using a moving membrane aeration bioreactor. This system proves to be an efficient culture process by maintaning 90% of viable cells during the whole cultivation periods. The metabolic molar quotient of glucose to lactate was 0.81 for overall ranges of glucose consumed while the evolution of ammonia was not linearly related to the consumption of glutamine. Low molar conversion ratio was observed in low consumptions of glutamine and high molar conversion ratio in high comsumptions. It also shows that the glutamolysis plays important role in the steady state conditions by evolving larger quantities of ammonia than lactate. At the above of 50 rpm, which is the optimum agitation speed for this bioreactor, the cell growth was severely affected while the IFN production was less decrea- sed, maintaing 1.5 X 10$^{-3}$(IU/cell/day) specific IFN production rate. The cumulatvie $\gamma$-IFN production was 7.2 X 10$^{8}$(IU) for 70 days of the cultivation, which yields 1 X 10$^{7}$ (IU/day) of IFN production rate. Therefore, a commercial production of $\gamma$-IFN by this culture process can be achievable by maintaining the above IFN productivity in a scaled-up culture system.

  • PDF

목과(木瓜)추출물이 급성 간손상 흰쥐에 미치는 효과 (The Effect of Chaenomelis Fructus Extract on Acute Hepatic Injury in Rats)

  • 이진아;신미래;이지혜;노성수
    • 대한한방내과학회지
    • /
    • 제42권1호
    • /
    • pp.1-10
    • /
    • 2021
  • Objective: This study was conducted to investigate the effect of Chaenomelis Fructus (CF) water extract on thioacetamide (TAA)-treated rats. Methods: Rats were divided into five groups: one normal group (n=8) and four with TAA-induced hepatic injury. These treatment groups were administered distilled water (n=8); silymarin 100 mg/kg (n=8); CF 100 mg/kg (n=8); and CF 200 mg/kg (n=8). In the TAA groups, the acute liver injury was induced via IP injection (200 mg/kg), and the silymarin and CF extract were then orally administered for three days. Subsequently, serum levels of GOT, GPT, and ammonia were confirmed as well as protein expressions using liver tissue. Results: In the liver injury-induced rats, CF administration reduced tissue damage and serum levels of GOT, GPT, and ammonia. In addition, CF increased the anti-oxidant proteins Nrf2, Keap1, HO-1, and catalase and significantly regulated matrix metalloproteinases (MMP-2 and MMP-9) and their tissue inhibitors (TIMP-1 and TIMP-2). Conclusions: In this animal model of liver injury induced by TAA, CF extract is determined to have a hepatoprotective effect by increasing anti-oxidant proteins that relieve damage and by regulating the expression of matrix metalloproteinases.

Hepatoprotective Effect of Uncaria rhynchophylla on Thioacetamide-Induced Liver Fibrosis Model

  • Choi, Jeong Won;Shin, Mi-Rae;Lee, Ji Hye;Roh, Seong-Soo
    • 대한의생명과학회지
    • /
    • 제27권3호
    • /
    • pp.142-153
    • /
    • 2021
  • Liver fibrosis is a wound-healing response to chronic liver injury, which is caused by the continuous and excess deposition of extracellular matrix (ECM). The aim of this study is to investigate whether Uncaria rhynchophylla water extract (UR) can ameliorate thioacetamide (TAA)-induced liver fibrosis. The liver fibrosis model was induced on C57BL/6 mice by intraperitoneal injection with TAA three times a week for 8 weeks. UR (200 mg/kg) or silymarin (50 mg/kg) was administered orally daily for 8 weeks. Biochemical analyses including AST, ALT, MPO, and Ammonia levels were measured in serum. In the mice liver tissues, western blot and histological staining were analyzed. As a result, UR dramatically reduced the levels in serum AST, ALT, MPO, and Ammonia levels. UR treatment regulated NADPH oxidase factors expression, and antioxidant enzymes except for GPx-1/2 were significantly increased via Nrf2 activation. Furthermore, pro-inflammatory mediators, such as COX-2 and iNOS were markedly suppressed through the inhibition of NF-κB activation. Expressions of ECM-related protein including α-SMA and Collagen I were noticeably decreased. The additional histological evaluation confirmed that hepatocyte damage and collagenous fiber accumulation were attenuated. Taken together, these data suggest that UR possessed hepatoprotective effects in TAA-induced liver fibrosis via the NF-κB inactivation and Nrf2 activation. Therefore, UR may act as a potential therapeutic drug against liver fibrosis.

Thioacetamide로 유발한 간손상 모델에서 계혈등(鷄血藤)의 간보호 효과 (Protective Effect of Spatholobi Caulis in Thioacetamide induced Acute Liver Injury of Rat)

  • 오민혁;신미래;노성수
    • 대한본초학회지
    • /
    • 제36권2호
    • /
    • pp.31-42
    • /
    • 2021
  • Objectives : This study was undertaken to investigate the hepatoprotective effect of Spatholobi Caulis water extract (SC) to thioacetamide (TAA)-induced acute liver injury (ALI) in rats. Methods : The rats were injected intraperitoneally with TAA (200 mg/kg body weight) and orally administered SC (100 or 200 mg/kg b.w.) daily for 3 days. Liver biomarkers were assessed by serum glutamic oxaloacetic transaminase (GOT), glutamic pyruvic transaminase (GPT), and ammonia levels. Malondialdehyde (MDA) was measured both serum and liver tissue. In addition, nicotinamide adenine dinucleotide phosphate (NADPH) oxidase, anti-oxidant, and inflammation-related proteins were investigated by western blot analysis. Histological examination further confirmed though hematoxylin and eosin stain. Results : The SC treatment reduced liver function markers like GOT and GPT and also remarkably decreased ammonia level. Moreover, the elevated MDA level in TAA-induced group was significantly reduced by SC treatment. NADPH oxidase expression associated with oxidative stress including NOX2, NOX4, and p47phox markedly inhibited by SC administration. SC treatment exerted anti-oxidant effect through the increase of anti-oxidant enzyme including superoxide dismutase (SOD), Catalase, and heme oxygenase-1 (HO-1). The protein expressions of inflammatory cytokines such as tumor necrosis factor-�� (TNF-��), IL-6, and IL-1�� induced by nuclear factor-kappa B (NF-��B) activation were modulated through blocking the phosphorylation of inhibitor of nuclear factor ��B�� (I��B)��. SC treatment also improved histological alterations. Conclusion : These findings suggested that SC administration may be a potential candidate for the prevention or treatment of ALI.

해간전(解肝煎)이 Thioacetamide로 유발된 간섬유화에 미치는 영향 (Effect of Haegan-jeon on Thioacetamide-Induced Liver Fibrosis)

  • 최정원;김건우;신미래;노성수
    • 대한한방내과학회지
    • /
    • 제43권4호
    • /
    • pp.643-655
    • /
    • 2022
  • Objective: To investigate the protective effects of Haeganjeon on a thioacetamide (TAA)-induced liver fibrosis mouse model and to determine the Haegan-jeon signaling pathway. Methods: Mice were randomly divided into 4 groups: Normal group (Nor), TAA-induced liver fibrosis group (Con), TAA-induced liver fibrosis group administered 50 mg/kg silymarin (S50), TAA-induced liver fibrosis group administered 200 mg/kg Haegan-jeon (H200). The liver fibrosis mouse model was established by intraperitoneal injection with TAA three times a week for 8 weeks. During the 8 weeks, mice were orally administered silymarin and Haegan-jeon every day. At the end of the study, serum was collected to measure the levels of AST, ALT, ammonia, and myeloperoxidase (MPO). Liver tissue was harvested and analyzed by western blotting and Masson's trichrome staining. Results: Administration of Haegan-jeon suppressed the increase in serum levels of AST, ALT, ammonia, and MPO due to TAA-induced liver fibrosis. Compared to the Con group, the H200 group showed increases in antioxidant-related factors (Nrf2, HO-1, catalase, and GPx-1/2) and decreases in inflammatory-related factors (NF-κB p65, p-IκB-α, Cox-2, iNOS, TNF-α, and IL-1β) in western blots. The H200 treatment inhibited the expression of α-SMA and Collagen I. Conclusions: Haegan-jeon showed a hepatoprotective effect induced by activation of antioxidant-related factors, such as Nrf2, and it regulated the inflammation response by suppression of NF-κB.