• 생명과학회지
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• 제30권2호
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• pp.202-210
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• 2020

최근까지 근력 개선 또는 만성 근육 손실을 유발하는 질병을 치료하기 위해 많은 연구가 있어왔지만, 지금까지 근력 개선 유도를 위해 대표적으로 사용되는 약물은 단백질 동화 스테로이드(AAS)계열의 steroidal androgen들이 주로 이용되어 왔다. AAS는 다양한 근육 및 체중 손실성 치료를 목적으로 처방되고 있으나, 장기간 또는 과다한 복용은 피부질환, 생식 및 내분비 기능 저하, 심혈관 질환 등 다양한 부작용을 초래한다고 잘 알려져 있다. 따라서, 상대적으로 부작용이 적은 근육 신생을 촉진하는 천연물을 탐색하는 연구는 매우 중요하다. 현재까지 천연물의 처리로 인한 근육 신생의 촉진은 대표적으로 세가지 기전의 영향을 받으며, 그 기전으로는 근육조절인자(MRF)의 양성 조절, 단백질 합성 기전의 활성화 및 단백질 분해기전의 억제가 있다. 본 리뷰에서는, 근육 신생 촉진 효과가 보고된 Black ginseng, Plum 등과 같은 식물 추출물 및 Creatine, Catechin 및 여러 지방산 등 천연물 유래 단일물질에 대하여 소개하고, 더 나아가 현재까지 알려진 상기의 천연물질들의 처리에 의한 근육 신생 촉진 기전에 대하여 기전별로 요약하고자 한다.

• 대한후두음성언어의학회지
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• 제20권1호
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• pp.63-67
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• 2009

Background and Objectives: In patients with asthma, increased obstruction and resistance of airway result in impairment in the generation of voice. Allergy and nasal polyposis, which are frequently observed in patients with asthma, are other factors that affect the vocal performance. Bronchodilators and steroids are commonly used in the treatment of asthma, and these agents also have been reported to be associated with voice changes. The aim of this study is to evaluate the voice quality in patients with mild to-moderate asthma by subjective and objective methods. Materials and Methods: A total of 36 patients with asthma established in the Department of Respiratory Medicine were included in this study. 23 were women and 13 were men, with a mean age of 51.7 years. The average duration of asthma was 77.0 months. All patients had mild-to moderate asthma. Acoustic and aerodynamic analyses were performed and the movements of the vocal cords were examined by videolaryngostroboscopy (VLS). Voice Handicap Index (VHI) and GRABS scales were used for subjective evaluations. Results: 50% of patients suffered from dysphonia and FO was 119.3${\pm}$23.7 Hz in male and 198.2${\pm}$18.4 Hz in female patients. There were no significant differences in average shimmer and NHR between females (4.90${\pm}$2.95% ; 0.1O${\pm}$0.04 dB) and males (4.64${\pm}$2.45% ; 0.20${\pm}$0.15 dB). However, the value of jitter was greater for females (2.60${\pm}$1.92%) than for males (1.21${\pm}$0.84%). The VHI score was above the normal limit in 35%, and VLS findings were shown diverse abnormality in 89% asthmatics from mucosal change to hyperfunction of supragottis and contact granuloma. But duration of illness and steroid dose did not correlate with these findings. Conclusion: Subjective and objective abnormality was shown in more than 50% of asthmatic patients. We suggest that persons who suffer from asthma should be examined for possible voice disorders by laryngologist. Additionally, appropriate medical care and voice therapy should be provided for those who have voice disorders associated with asthma.

• 한국동물학회지
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• 제31권3호
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• pp.177-184
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• 1988

북방산개구리의 여포를 인공배양하면서 여포의 progesterone(p$_4$) 의 생성양상과 cAMP의 조절작용을 조사하여 보았다. 배양중인 여포에 뇌하수체 추출물(frog pituitary homogenate,FPH)을 처리하였을 때 배양 한시간 부터 여포내 p$_4$의 양이 급격히 증가하였다. 그러나 생성된 p$_4$의 최대양이나(약 60-300pg/follicle),peak를 이루는 시간이(2시간 이후)개체에 따라 차이가 있었다. FPH의 처리를 받지않은 대조군에서는 배양기간에 관계없이 여포내에서 대략 10pg/follicle정도의 p$_4$가 측정되었으나 예외인 개체도 있었다. 배양액내로 분비된 p$_4$의 양은 여포내에 생성된p$_4$양의 약 60%정도 이었다. 배양액에 adenlate cyclass의 촉진제인 forskolin이나phosphodiesterase의 저해제인 3-isoburyl-1- methylxanthine(IBMX)을 동시에 혹은 따로 처리하면 p$_4$의 생성과 분비가 역시 증가하며 모든 양상이 FPH의 자극에 의한 것과 거의 같았다. 따라서 개구리여포의 스테로이드생성은 cAMP를 통하여 조절된다는 것과 여포세포내에는 cAMP의 생성과 분해에 관계하는 효소들이 있다는 것을 알았다.

• Tuberculosis and Respiratory Diseases
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• 제40권6호
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• pp.730-735
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• 1993

최근 저자들은 스테로이드에 잘 반응하나 재발을 잘하고 천명음이 동반된 BOOP 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제76권2호
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• pp.75-79
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• 2014

Trichloroethylene (TCE) is a toxic chemical commonly used as a degreasing agent, and it is usually found in a colorless or blue liquid form. TCE has a sweet, chloroform-like odor, and this volatile chlorinated organic chemical can cause toxic hepatitis, neurophysiological disorders, skin disorders, and hypersensitivity syndromes. However, the hypersensitivity pneumonitis (HP) attributed to TCE has rarely been reported. We hereby describe a case of HP associated with TCE in a 29-year-old man who was employed as a lead welder at a computer repair center. He was installing the capacitors on computer chip boards and had been wiped down with TCE. He was admitted to our hospital with complaints of dry coughs, night sweats, and weight losses for the past two months. HP due to TCE exposure was being suspected due to his occupational history, and the results of a video-associated thoracoscopic biopsy confirmed the suspicions. Symptoms have resolved after the steroid pulse therapy and his occupational change. TCE should be taken into consideration as a potential trigger of HP. Early recognition and avoidance of the TCE exposure in the future is important for the treatment of TCE induced HP.

• 한국발생생물학회지:발생과생식
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• 제10권4호
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• pp.247-254
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• 2006

내분비 교란물질들이 연안 어류의 정상적인 성적 발달을 위협할 수 있다는 사실은 잘 알려져 있지만, 해산 어종에 대한 이러한 위협을 파악하는 데 이용할 수 있는 적절한 시험 어종은 아직 개발되지 못했다. 그 이유 중의 하나는 성분화 초기에 어류의 생식소가 외형으로나 조직학적으로 암수 구분이 불분명한 경우가 많기 때문이다. 본 연구에서는 조피 볼락 Sebastes schlegeli의 자연 성비, 생식소 구조, 그리고 외인성 성스테로이드 호르몬에 의한 성분화 교란 여부 등을 조사하여 이 종이 시험 어종으로 개발될 수 있는 지를 조사하였다. 1년생 조피볼락 240마리의 생식소를 조사한 결과, 이들의 성비(암수 비율)는 통계학적으로 1:1을 벗어나지 않았으며, 암컷은 유백색의 두터운 생식소를, 수컷은 검은색의 가느다란 생식소를 가지고 있었다. 성분화 시기의 조피볼락 치어를 $estradiol-17\;{\beta}(E_2)$ 또는 $17\;{\alpha}-methyltestosterone$ (MT)으로 처리하여 성분화 교란 여부를 조사한 결과, $E_2$ 처리는 93%의 암컷 유도율을 보였으나, MT 처리의 경우 수컷은 53%였고, 38%가 암수의 생식소 구조를 모두 갖는 intersex로 나타났다. 본 연구에 의하면 조피볼락은 미성숙 시기에도 암수 생식소의 형태가 뚜렷이 다르고, 외인성 성스테로이드 호르몬에 의해 뚜렷한 성분화 교란 현상이 초래되어 시험 어종으로 개발될 수 있는 가능성 있다.

• 한국발생생물학회지:발생과생식
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• 제14권3호
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• pp.199-205
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• 2010

A neurotoxin, 6-hydroxydopamine (6-OHDA) has been widely used to create animal model for Parkinson's disease (PD). The present study was undertaken to examine whether depletion of brain dopamine (DA) stores with 6-OHDA can make alteration in the activities of the testicular steroidogenesis in adult rats. Young adult male rats (3 months old) were received a single dose of 6-OHDA (200 ${\mu}g$ in 10 ${\mu}{\ell}$/animal) by intracerebroventricular (icv) injection, and sacrificed after two weeks. The mRNA levels of steroidogenesis-related enzymes were measured by qRT-PCRs. Serum testosterone levels were measured by radioimmunoassay. Single icv infusion of 6-OHDA significantly decreased the mRNA levels of CYP11A1 (control:6-OHDA group=$1:0.68{\pm}0.14$ AU, p<0.05), CYP17 (control:6-OHDA group=$1:0.72{\pm}0.13$ AU, p<0.05). There were no changes in the mRNA levels of $3{\beta}$-HSD (control:6-OHDA group=$1:0.84{\pm}0.08$ AU) and $17{\beta}$-HSD (control: 6-OHDA group=$1:0.63{\pm}0.20$ AU), though the levels tended to be decreased in the 6-OHDA treated group. Administration of 6-OHDA decreased significantly the mRNA level of StAR when compared to the level of saline-injected control animals (control:6-OHDA group=$1:0.72{\pm}0.08$ AU, p<0.05). Treatment with single dose of 6-OHDA remarkably lowered serum testosterone levels compared to the levels of control group (control:6-OHDA group=$0.72{\pm}0.24:0.13{\pm}0.03ng/m{\ell}$, p<0.05). Taken together with our previous study, the present study demonstrated that the activities of hypothalamus-pituitary-testis hormonal axis could be negatively affected by blockade of brain DA biosynthesis, and suggested the reduced reproductive potential might be resulted in the animals. More precise information on the testicular steroidogenic activities in PD patients and PD-like animals should be required prior to the generalization of the sex steroid hormone therapy to meet the highest standards for safety and efficacy.

• Journal of Microbiology and Biotechnology
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• 제24권3호
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• pp.394-400
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• 2014

Avascular necrosis of the femoral head (ANFH) is commonly observed in patients treated with excessive glucocorticoid (GC). Single administration of lipopolysaccharide (LPS) has shown to induce immune stimulatory factors. However, the effect of repeated administration of LPS on GC-induced ANFH has not been studied. Thus, the purpose of this study was (i) to examine the cytokine profile induced by repeated LPS administrations and (ii) to test the effect of repeated LPS treatments on GC-induced ANFH. A mouse necrosis model of ANFH was designed by chronic GC administration with co-treatment of LPS. Mice body weights in the LPS/prednisolone (PDN) co-treated group were lower than that of the untreated control group, but spleen weights were greater than the control group. The levels of IL-6, $TNF{\alpha}$, and IL-33 in the liver and spleen of the LPS/PDN group were lower than the untreated control group, whereas $TNF{\alpha}$ level in the femoral head of the LPS/PDN group increased. Collectively, the effect of repeated LPS on the pathogenesis of GC-induced ANFH was associated with the $TNF{\alpha}$ level in the femoral head, but the pathogenesis did not correspond to cytokine levels in immune tissues.

• Journal of Korean Neurosurgical Society
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• 제30권sup1호
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• pp.25-29
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• 2001

Objective : Intracranial metastasis is responsible for nearly 50% of mortalities of systemic cancers. Although its frequency is increasing and there is little doubt that improving the quality and expectancy of life is the final goal, the mode of treatment is still disputed. The authors report the postoperative motor function after surgery in patients with metastatic tumors around the motor cortex. Materials and Methods : We studied 24 patients with metastatic tumors around the central sulcus during the last 22 months. Motor function was assessed pre- and post-operatively as well as its response to corticosteroids. MRI, neuronavigation system and intraoperative ultrasonography were used for tumor localization and functional MRI and cortical stimulator were used to define the motor cortex. Results : Single metastasis was found in 13 cases(54%) and 11 cases(44%) had multiple foci. Thirteen cases were located in precentral, 7 in postcentral, and 4 in superior or middle-frontal lobe. The most common primary focus was the lung(16 cases). There was no difference in postoperative motor function improvement between the steroid responsive group and non-responsive group(92% versus 90%). Ninty-two percent of the patients showed significant improvement of motor function and lived independently but there was worsening in the upper extremity in one and in another no improvement. Whole brain radiation of 3000cGy was given in all cases and 4 patients died of recurrence in primary or intracranial focus during mean follow-up periods of 14 monthes. Conclusion : Surgery may provide substantial improvement of the motor function and quality of life of the patients with metastatic tumors around the motor cortex.

• 대한안과학회지
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• 제59권11호
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• pp.1097-1102
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• 2018

목적: 클로르페나피르 음독 후 중추신경계 손상을 동반한 독성 시신경병증 1예를 보고하고자 한다. 증례요약: 44세 여자가 7일 전부터의 양안 시력저하를 주소로 내원하였다. 환자는 내원 2주 전 자살 목적으로 클로르페나피르 한 모금을 음독했고, 직후 근처 병원에서 위세척을 시행하였다. 초기 최대교정시력은 우안 안전수지 30 cm, 좌안 안전수동이었다. 양안 동공은 5.0 mm로 커져 있었고, 빛에 대한 반응은 느렸으며 좌안에는 상대구심동공운동장애가 관찰되었다. 안저검사에서 양안 시신경유두부종이 관찰되었고, 뇌자기공명영상에서 양안 시신경과 속섬유막, 뇌량, 중소뇌각, 뇌간 등 백질 신경로를 따라 양쪽에 대칭적인 고강도신호가 관찰되었다. 클로르페나피르 중독으로 인한 독성 시신경병증으로 진단 후, 고용량 스테로이드치료를 3일간 시행하였으나 양안 최대교정시력은 광각무로 악화되었다. 3개월 후, 안저검사에서 양안 시신경위축이 관찰되었고, 빛간섭단층촬영에서 망막신경섬유층 및 신경절세포-내망상세포층 두께가 감소하였다. 결론: 매우 적은 양이라도 클로르페나피르에 노출되면 적절한 치료에도 불구하고 잠복기를 거쳐 심각한 시신경손상이 발생할 수 있으므로 주의해야 하겠다.