• 대한임상독성학회지
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• 제15권2호
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• pp.94-100
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• 2017

Purpose: Acute acetaminophen intoxication is a common occurrence that can cause lethal complications. In most domestic emergency departments, clinicians tend to treat acetaminophen intoxication based on patients' history alone, simply due to the lack of a rapid acetaminophen laboratory test. We performed a 20-month study of intoxication patients to determine the correlation between the history of patients and serum laboratory tests for acetaminophen. Methods: We took blood samples from 280 intoxication patients to evaluate whether laboratory findings detected traces of acetaminophen in the sample. Patients were then treated according to their history. Laboratory results came out after patients' discharge. Agreement between patients' history and laboratory results were analyzed. Results: Among the 280 intoxicated patients enrolled, 38 patients had positive serum acetaminophen concentrations; 18 out of 38 patients did not represent a history suggesting acetaminophen intoxication. One patient without the history showed toxic serum acetaminophen concentration. Among the patients with the history, two patients with toxic serum acetaminophen concentration did not receive N-acetylcysteine (NAC) treatment due to their low reported doses, while other 2 patients without significant serum acetaminophen concentration did receive NAC treatment due to their high reported doses. Conclusion: This study showed a good overall agreement between history and laboratory test results. However, some cases showed inconsistencies between their history and laboratory test results. Therefore, in treating intoxication patients, a laboratory test of acetaminophen with rapid results should be available in most domestic emergency departments.

• 한국임상약학회지
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• 제19권1호
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• pp.18-22
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• 2009

Oxaliplatin is a tolerable and effective drug of choice in the treatment of advanced or metastatic gastric cancer. However, it has many dose-limiting neurotoxicities. This study was performed to assess the incidence and types of oxaliplatin-related neurotoxicities. Sixty-four patients receiving oxaliplatin-involved regimen as salvage therapy on metastatic gastric cancer or as the first-line therapy on advanced gastric cancer were evaluated during the period between September 1, 2006 and February 29, 2008. The patients were treated with oxaliplatin 100 $mg/m^2$ and leucovorin 100 $mg/m^2$ simultaneously as 2-hour-lasting infusion on Day-1 followed by 5-FU 1200 $mg/m^2$ as a 22-hour-lasting continuous infusion both on Day-1 and Day-2 by every other week. We developed questionnaires to evaluate patient-recognized neurotoxic symptoms rather than the observer-described events. Surveys were completed at bedside or via telephone interview. Acute and chronic neurotoxicities were graded according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC, version 3) as well as the Oxaliplatin-specific Neurotoxicity Scale. The Grade-3 neuropathy was reported in 19% of the patients (n=12) and grade-1/2 neuropathy occurred in 70% (n=45). The most common symptom was cold-related dysesthesia (83%) regarded as nociperception by the patients. Some patients (19%) experienced functional impairment affecting activities of daily living such as writing, buttoning, and walking. Even though 74% of the patients (42/57) were prescribed with gabapentin to reduce these peripheral symptoms, it did not appear to derive any benefit from this medication. It is suggested that notify the patients about their oxaliplatin-associated, debilitating symptoms, and educate them any self-care strategy at the initiating phase of the chemotherapy. Moreover, it needs to design the intervention studies regarding the prevention and management of the peripheral neuropathy.

• 한국식품영양과학회지
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• 제31권3호
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• pp.527-533
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• 2002

전통차 제조용 식물 63종을 대상으로 macrophage lysosomal enzyme activity를 검색한 결과, 홍화 냉수 추출물에서 높은 macrophage lysosomal enzyme 활성 (219%)을 발견하여 냉수 추출물 CT-0 획분에 대하여 metahnol 환류, ethanol 침전, 투석, 동결건조를 실시하여 macrophage lysosomal enzyme 활성이 더욱 증가된(227%) 고분자 획분 CT-1을 얻었다. 이 획분의 macrophage활성화 성분의 본체를 파악하기 위하여 pronate처리에 의한 단백질 분해와 periodate를 이용한 당 부위의 선택적 실활 후 활성을 검토한 결과, pronase를 처리한 CT-1에서는 약 8% 정도의 활성 증가를 보인반면 periodate 산화물에서는 활성이 약 8% 정도 감소되는 것으로 보아 홍화로부터 macrophage 활성을 나타내는 냉수 추출물의 활성 본체는 다당임을 알 수 있었다. 조다당 활성획분에 대하여 anion exchange column chromatography를 실시하여 9개의 획분(CT-1-I~CT-1-VIII)을 얻었으며 수율과 활성이 가장 높은 CT-1-IIa 획분을 Sepharose CL-6B 및 Sephacrl S-200의 gel permeation chromatography를 수행하여 주요 활성 다당인 CT-1-IIa-2-1을 최종적으로 정제하였다. HPLC상에서 순수한 단일 peak로 확인된 CT-1-IIa-2-1은 분자량이 68 kDa정도의 다당인 것으로 나타났고 macrophage의 lysosomal enzyme 활성은 대조군을 100%로 비교했을 때 243%를 나타내었다. 또한 구성당의 조성은 xylose(27.4%), arabinose(16.1%), mannose(15.9%), glucose(14.5%)의 순이었다. 본 연구에서 CT-1-IIa-2-1은 macrophage의 면역활성을 증가시키는 물질임이 확인되었으나 mouse를 대상으로 급성독성 검사를 실시한 결과 LD$_{50}$값이 397mg/kg으로 일정 농도 이상의 고농도에서는 독성을 나타냈다. 따라서 본 시료에 대하여 아만성.만성 독성과 유전 및 면역 독성과 같은 구체적인 독성 검사를 실시하여 안전농도를 산출한다면, 면역증강물질로의 개발이 가능할 것으로 사료된다.다.

• 한국약용작물학회지
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• 제25권4호
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• pp.231-237
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• 2017

Background: Cisplatin is one of the most extensively used chemotherapeutic agents for the treatment of cancer, including bladder, and ovarian cancers. However, it has been shown to induce nephrotoxicity, despite being an outstanding anti-cancer drug. In this study, we investigated the protective effect of dopaol ${\beta}$-D-glucoside (dopaol) on cisplatin-induced nephrotoxicity. Methods and Results: To confirm the protective effect of dopaol on cisplatin-induced nephrotoxicity, HK-2 cells were treated with $20{\mu}M$ cisplatin and $80{\mu}M$ dopaol. Cisplatin increased apoptosis, caspase-3 activity and mitochondrial dysfunction; however pretreatment with $80{\mu}M$ dopaol successfully attenuated apoptosis, caspase-3 activity and mitochondrial dysfunction. To evaluate the protective effect dopaol on cisplatin-induced nephrotoxicity in vivo, we used an animal model (balb/c mice, 20 mg/kg, i.p. once/day for 3 day). The results were similar to those obtained using HK-2 cells; renal tubular damage and neutrophilia induced by cisplatin reduced following dopaol injection (10 mg/kg, i.p. once/day for 3 day). Conclusions: These results indicate that dopaol treatment reduced cisplatin-induced nephrotoxicity in vitro and in vivo, and can be used to treat cisplatin-induced nephrotoxicity. However, further studies are required to determine the toxicity high dose dopaol and the signal pathways involved in its mechanism of action in animal models.

• 한국약용작물학회지
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• 제25권5호
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• pp.322-327
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• 2017

Background: Cynaroside is a flavone, a flavonoid-like compound, known by different names (luteoloside and cinaroside). It is commonly found in Lonicera japonica Thunb., Chrysanthemum moriflium, and Angelica keiskei. The process of cell death has been classified as necrosis and apoptosis. Necrosis refers to unregulated cell death induced by a chemotherapeutic agent. Doxorubicin is an anthracycline anti-cancer drug used to treat acute leukemia, cancer, and lymphoma. However, it induces nephrotoxicity including tubular damage. Therefore, we investigated the protective effect of cynaroside against doxorubicin-induced necrosis in HK-2 cells. Methods and Results: To confirm the beneficial effect of cynaroside on doxorubicin-induced necrosis, HK-2 cells, a human proximal tubule epithelial cell line were treated with $10{\mu}M$ doxorubicin and $80{\mu}M$ cynaroside. Doxorubicin treatment resulted in increased DNA fragmentation, caspase-3 activity and mitochondria hyperactivation during cell necrosis. However, pretreatment with $80{\mu}M$ cynaroside attenuated DNA fragmentation, caspase-3 activity and mitochondria hyperactivation induced by $10{\mu}M$ doxorubicin in HK-2 cells. Conclusions: These results indicated that pretreatment with cynaroside ameliorated doxorubicin-induced necrosis in HK-2 cells. Therefore, cynaroside be used as a therapeutic agent for improving doxorubicin-induced nephrotoxicity. However, further studies are required to evaluated the toxicity of cynaroside treatment in animals and to determine its protective effect against doxorubicin-induced nephrotoxicity in an animal model.

• 대한임상독성학회지
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• 제8권2호
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• pp.106-112
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• 2010

Purpose: The purpose of this study is to investigate the factors that predict using mechanical ventilation for patients with organophosphate intoxication. Methods: We retrospectively reviewed the medical records of 111 patients with acute organophosphate intoxication and who were treated in our emergency center from January 2000 to December 2008. We compared the toxicologic characteristics, the laboratory findings and the APACHE II scores between the Mechanical Ventilation group (MV group) and the non-Mechanical Ventilation group (the non MV group). Results: Sixty three patients were in the MV group and 48 patients were in the non MV group. In the MV group, the patients had an older age (p<0.001), a larger amount of ingestion (p<0.001), a lower initial serum cholinesterase level (p=0.003), a higher APACHE II score (p<0.001) and they ingested a more toxic agent (p=0.001). There were no significant differences in gender, the type of visit and the arrival time between the MV group and the non MV group. Conclusion: We suggest that the patient's age, the amount of organophosphate ingestion, the toxicity of the agent, the initial serum cholinesterase level and the APACHE II score are important factors to determine if mechanical ventilation will be applied for patients with organophosphate intoxication.

• 한국어병학회지
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• 제34권2호
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• pp.201-212
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• 2021

Olive flounder (Paralichthys olivaceus) (Weight 110.9±17.1 g, length 22.3±1.2 cm) were exposed to waterborne nitrite at 0, 30, 60, 120, 240, 480 and 960 mg NO₂^-/L according to water temperature at 20℃ and 25℃ for 96 hours. The lethal concentration 50 (LC₅₀) of olive flounder, P. olivaceus exposed to waterborne nitrite was 513.87 mg NO₂^-/L at 20℃ and 208.35 mg NO₂^-/L at 25℃, which means a significant difference in LC₅₀ by the water temperature. Hemoglobin and hematocrit were significantly decreased by waterborne nitrite exposure. The inorganic component, plasma calcium, was significantly decreased, and the organic components such as plasma glucose and cholesterol were significantly decreased showing a similar tendency with calcium. In enzymatic components, the AST and ALP were also significantly decreased by nitrite exposure. The results of this study indicate that exposure to nitrite can affect the survival and hematological physiology of P. olivaceus, and the effect of exposure to nitrite had a significant effect on nitrite toxicity depending on the water temperature.

• 한국지반신소재학회논문집
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• 제20권2호
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• pp.1-11
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• 2021

본 연구에서는 산업부산물인 고로슬래그와 순환유동층 보일러의 연소재를 주재료로 사용하여 시멘트와 유사한 경화반응을 유도하도록 개발된 친환경 지반안정재를 약액주입재로 사용하기 위한 실내시험과 시험시공에 관련된 연구가 진행되었다. 이를 위해 실내시험에서는 규산소다 및 실리카졸을 A액, 친환경 지반안정재(또는 OPC)를 B액으로 사용하여 시편을 제작하고, 실내시험을 실시하여 공학적·환경적 성능을 분석하였다. 그리고 실제 노후저수지에 시험시공을 실시하고, 현장에서의 투수시험, 전기비저항탐사를 실시하여 적용성을 분석하였다. 실내시험 결과, 친환경 지반안정재를 B액으로 사용한 약액주입재의 호모겔 압축강도는 보통 포틀랜드 시멘트와 비교하여 약 2.88~3.23배 큰 값을 나타내었다. 또한 대부분의 중금속 용출량이 보통 포틀랜드 시멘트와 비교하여 적고, 어독성 시험에서의 생존율도 100%로 나타났다. 따라서 실내시험 결과를 토대로 판단할 때 OPC에 비해 강도적, 환경적으로도 우수한 것으로 분석되었다. 노후 저수지에서의 시험시공 결과에서는 친환경 지반안정재를 약액주입재의 B액으로 사용하여 보강한 경우, 저수지 내부에서의 투수계수는 1/50 수준까지 감소하였다. 그리고 전기비저항 탐사결과 노후 저수지 내부의 전기비저항은 시간이 경과함에 따라 증가하여 포화대는 사라졌으며, 전반적으로 보강되는 것으로 분석되었다.

• 한국해양생명과학회지
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• 제7권2호
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• pp.102-112
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• 2022

본 실험은 붕어(Crucian carp, Carassius carassius)(무게 39.7±3.1 g, 전장 14.8±0.5 cm)의 수인성 니켈 0, 10, 20, 40, 80 및 160 mg Ni²⁺/l 농도로 96시간 급성 노출을 실시하였다. 수인성 니켈에 노출된 붕어의 반수치사농도(LC₅₀)는 117.69 mg Ni²⁺/l으로 나타났다. 혈액학적 성상에서 RBC count는 수인성 니켈 96시간 급성 노출 중 48시간에서 유의적으로 증가한 반면, 96시간에서 유의적 감소가 나타났다. MCV와 MCH는 96시간에서 80 mg Ni²⁺/l 농도에서 유의적으로 증가했다. Calcium, magnesium, glucose, cholesterol, total protein, AST, ALT 및 ALP 와 같은 혈장 성분은 수인성 니켈 노출에 의해 유의적 변화가 나타났다. 이 연구의 결과는 수인성 니켈 노출에 따른 붕어의 생존율, 혈액학적 성상 및 혈장 성분의 변화를 확인하고 이는 수인성 니켈의 독성에 의한 것으로 판단했다.

• Journal of Ginseng Research
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• 제47권5호
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• pp.627-637
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• 2023

Background: Damage to the healthy intestinal epithelial layer and regulation of the intestinal immune system, closely interrelated, are considered pivotal parts of the curative treatment for inflammatory bowel disease (IBD). Plant-based diets and phytochemicals can support the immune microenvironment in the intestinal epithelial barrier for a balanced immune system by improving the intestinal microecological balance and may have therapeutic potential in colitis. However, there have been only a few reports on the therapeutic potential of plant-derived exosome-like nanoparticles (PENs) and the underlying mechanism in colitis. This study aimed to assess the therapeutic effect of PENs from Panax ginseng, ginseng-derived exosome-like nanoparticles (GENs), in a mouse model of IBD, with a focus on the intestinal immune microenvironment. Method: To evaluate the anti-inflammatory effect of GENs on acute colitis, we treated GENs in Caco2 and lipopolysaccharide (LPS) -induced RAW 264.7 macrophages and analyzed the gene expression of proinflammatory cytokines and anti-inflammatory cytokines such as TNF-α, IL-6, and IL-10 by real-time PCR (RT-PCR). Furthermore, we further examined bacterial DNA from feces and determined the alteration of gut microbiota composition in DSS-induced colitis mice after administration of GENs through 16S rRNA gene sequencing analysis. Result: GENs with low toxicity showed a long-lasting intestinal retention effect for 48 h, which could lead to effective suppression of pro-inflammatory cytokines such as TNF-α and IL-6 production through inhibition of NF-κB in DSS-induced colitis. As a result, it showed longer colon length and suppressed thickening of the colon wall in the mice treated with GENs. Due to the amelioration of the progression of DSS-induced colitis with GENs treatment, the prolonged survival rate was observed for 17 days compared to 9 days in the PBS-treated group. In the gut microbiota analysis, the ratio of Firmicutes/Bacteroidota was decreased, which means GENs have therapeutic effectiveness against IBD. Ingesting GENs would be expected to slow colitis progression, strengthen the gut microbiota, and maintain gut homeostasis by preventing bacterial dysbiosis. Conclusion: GENs have a therapeutic effect on colitis through modulation of the intestinal microbiota and immune microenvironment. GENs not only ameliorate the inflammation in the damaged intestine by downregulating pro-inflammatory cytokines but also help balance the microbiota on the intestinal barrier and thereby improve the digestive system.