• 한국식품영양과학회지
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• 제23권4호
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• pp.587-593
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• 1994

A nutrition survey of 152 children , in the kindergarten attached to a proivate elimentary school of Pusan, was undertaken between Dec. 1 and Dec.14, 1993, to investigate dietary intake and nutrition status. The results are summarized as follows. 1) Compared with the Korean child development standard, their development conditions showed 113.1% , 102.2% , 103.3%, 101.75 in weight, height, head and chest, respectively. 2) By the standard of WLI(Weight Length Index) , proper to the children between age 4 and 6 , there proved to be 25% overweight and 4% obesity, 25% overweight and 19% obesity , 28 overweight and 26% obesity in 4-year-old, 5 year-old, and 6 -year-old children, respectively. 3) The children between age 4 and 6 averaged 37.6% in hematocrit and 12.4-12.8 5 in hemoglobin. these values were higher than those of the Korea child development standard. but the numbers of erythocyte, leucocyte and platelets were normal . Only a single child was considered suffering from aenmia . The 8% of them were over 200mg/이 in cholesterol, dangerously approaching the atherosclerosis. The 31% averaged 120mg/이 in triglyceride . And the 6% proved 100mg/이 in blood glucose when hung교. So it came out that not a few children had some factors dangers to diabetes, atherosclerosis and heart diseases : complications arising from obesity. 4) The intake of nutrients , except the 4-year-old children , ranged 108.4% to 2665 from the recommended value. The rates of carbohydrate, fat and protein to be much correlation among total intake of nutrients, development , results of blood test and WLI. The degree of obesity was proportionate to the intake of nutrients.

• BMB Reports
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• 제33권2호
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• pp.148-154
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• 2000

The glycation process plays an important role in accelerated atherosclerosis in diabetes, and the uptake of atherogenic lipoproteins by macrophage in the intima of the vessel wall leads to foam cell formation, an early sign of atherosclerosis. Besides the lipolytic action on the plasma triglyceride component, lipoprotein lipase (LPL) has been reported to enhance the cholesterol uptake by arterial wall cells. In this study, some properties of LPL-mediated low-density lipoprotein (LDL) uptake and the effect of LDL glycation were investigated in RAW 264.7 cell, a murine macrophage cell line. In the presence of LPL, $^{125}I$-LDL binding to RAW 264.7 cells was increased in a dose-dependent manner. At concentrations greater than $20\;{\mu}g/ml$ of LPL, LPL-mediated LDL binding was increased about 17-fold, achieving saturation. Without LPL, both very low-density lipoprotein (VLDL) and high-density lipoprotein (HDL) were ineffective in blocking the binding of $^{125}I$-LDL to Cells. However, LPL-enhanced LDL binding was inhibited about 50% by the presence of VLDL, while no significant effect was observed with HDL. Heat inactivation of LPL caused a 30% decrease of LDL binding. In the presence of LPL, the cells took up 40% of cell-bound native LDL. No significant difference was observed in cell binding between native and glycated LDL. However, the uptake of glycated LDL was significantly greater than that of native LDL, reaching to 70% of the total cell bound glycated LDL. These results indicate that LPL can cause the significant enhancement of LDL uptake by RAW 264.7 cells and the enhanced uptake of glycated LDL in the presence of LPL might play an important role in the accelerated atherogenesis in diabetic patients.

• Natural Product Sciences
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• 제23권4호
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• pp.239-246
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• 2017

27-Hydroxycholesterol (27OHChol) has been reported to induce differentiation of monocytic cells into a mature dendritic cell phenotype. We examined the effect of methanol extract of Nardostachys chinensis (Nard) on 27OHChol-induced differentiation using THP-1, a human monocytic cell line. Treatment of monocytic cells with methanol extract of Nard resulted in decreased transcription and surface expression of CD80, CD83, and CD88 elevated by 27OHChol in a dose-dependent manner. Surface levels of MHC class I and II molecules elevated by 27OHChol were also reduced to basal levels by treatment with the Nard extract. Decreased endocytosis activity caused by 27OHChol was recovered by treatment with the Nard extract. CD197 expression and cell attachment were attenuated by the Nard extract. In addition, levels of transcription and surface expression of CD molecules involved in atherosclerosis, such as CD105, CD137, and CD166 upregulated by 27OHChol were significantly decreased by treatment with methanol extract of Nard. These results indicate that methanol extract of Nard down-regulates 27OHChol-induced differentiation of monocytic cells into a mature dendritic cell phenotype and expression of CD molecules associated with atherosclerosis. The current study suggests that biological activity of oxygenated cholesterol derivatives can be inhibited by herbal medication.

• Journal of Periodontal and Implant Science
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• 제48권1호
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• pp.60-68
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• 2018

Purpose: The aim of this study was to evaluate the ability of Porphyromonas gingivalis (P. gingivalis) to induce oxidation of high-density lipoprotein (HDL) and to determine whether the oxidized HDL induced by P. gingivalis exhibited altered antiatherogenic function or became proatherogenic. Methods: P. gingivalis and THP-1 monocytes were cultured, and the extent of HDL oxidation induced by P. gingivalis was evaluated by a thiobarbituric acid-reactive substances (TBARS) assay. To evaluate the altered antiatherogenic and proatherogenic properties of P. gingivalistreated HDL, lipid oxidation was quantified by the TBARS assay, and tumor necrosis factor alpha (TNF-${\alpha}$) levels and the gelatinolytic activity of matrix metalloproteinase (MMP)-9 were also measured. After incubating macrophages with HDL and P. gingivalis, Oil Red O staining was performed to examine foam cells. Results: P. gingivalis induced HDL oxidation. The HDL treated by P. gingivalis did not reduce lipid oxidation and may have enhanced the formation of MMP-9 and TNF-${\alpha}$. P. gingivalistreated macrophages exhibited more lipid aggregates than untreated macrophages. Conclusions: P. gingivalis induced HDL oxidation, impairing the atheroprotective function of HDL and making it proatherogenic by eliciting a proinflammatory response through its interaction with monocytes/macrophages.

• 지질동맥경화학회지
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• 제5권1호
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• pp.61-77
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• 2016

Objective: This study aims to analyze cost-effectiveness of two most-commonly used statins from the perspective of the Korean national health system. Methods: The scope of the analysis included rosuvastatin (5 mg, 10 mg, and 20 mg) and atorvastatin (10 mg, 20 mg, 40 mg, and 80 mg). Effectiveness was defined as percentage (%) and absolute (mg/dL) reductions of low-density lipoprotein cholesterol (LDL-C) from the baseline. They were derived from published randomized controlled studies for rosuvastatin and atorvastatin. Effectiveness was defined as reductions in LDL-C levels per mg dose of the drugs. The annual direct medical costs including drug acquisition costs and monitoring costs over the one-year time horizon were calculated for each alternative. The average cost-effectiveness ratios (ACERs) and incremental cost-effectiveness ratios (ICERs) for each statin dose were calculated. Results: The ACERs for all doses of rosuvastatin (5 mg, 10 mg, and 20 mg) were lower than those for all doses of atorvastatin (10 mg, 20 mg, 40 mg, and 80 mg). Rosuvastatin 10 mg was the most cost-effective statin for LDL-C reduction. In cost-effectiveness analyses for corresponding doses of rosuvastatin and atorvastatin, rosuvastatin was the superior strategy which suggests both higher effectiveness and lower costs than atorvastatin. However, we have to consider this analysis is highly influenced by current price of statins in each market. Conclusion: For reduction of LDL-C levels in Korean patients with dyslipidemia, rosuvastatin 10mg is the most cost-effective statin in the current Korean market.

• 지질동맥경화학회지
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• 제7권2호
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• pp.77-87
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• 2018

Lowering serum low-density lipoprotein cholesterol (LDL-C) is the mainstay for reduction of risk of cardiovascular disease (CVD), the second most common cause of death in Korea. The 2015 Korean guidelines for management of dyslipidemia strongly recommend the use of statins in patients at risk of CVD. Statin therapy, which is the gold standard for CVD, reduces LDL-C level by 40% to 60% and is generally well tolerated. However, many patients are intolerant to statins and discontinue therapy or become nonadherent to therapy because of actual/perceived side effects. The most common of these side effects is the statin-associated muscle symptom (SAMS). Discontinuation and repetitive re-challenge with statins can help identify SAMS. If serum creatinine kinase level is more than 10 times the upper limit of normal, statin therapy must be stopped immediately, and the physician should identify possible causes including rhabdomyolysis and treat appropriately. In other patients, it might help to switch to a less potent statin or to use statins at intermittent non-daily dosing. To achieve target LDL-C level, non-statin lipid-lowering therapies such as dietary modifications, ezetimibe, and bile acid sequestrants may be added. Several new drugs have recently been approved for lowering LDL-C level. Alirocumab and evolocumab are monoclonal antibodies that inhibit proprotein convertase subtilisin/kexin type 9, and both drugs cause large reductions in LDL-C, similar to statins. Lomitapide and mipomersen are orphan drugs used as adjuncts to other lipid-lowering therapies in patients with homozygous familial hypercholesterolemia.

• IMMUNE NETWORK
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• 제23권4호
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• pp.28.1-28.20
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• 2023

Lipid accumulation in macrophages is a prominent phenomenon observed in atherosclerosis. Previously, intimal foamy macrophages (FM) showed decreased inflammatory gene expression compared to intimal non-foamy macrophages (NFM). Since reprogramming of lipid metabolism in macrophages affects immunological functions, lipid profiling of intimal macrophages appears to be important for understanding the phenotypic changes of macrophages in atherosclerotic lesions. While lipidomic analysis has been performed in atherosclerotic aortic tissues and cultured macrophages, direct lipid profiling has not been performed in primary aortic macrophages from atherosclerotic aortas. We utilized nanoflow ultrahigh-performance liquid chromatography-tandem mass spectrometry to provide comprehensive lipid profiles of intimal non-foamy and foamy macrophages and adventitial macrophages from Ldlr^-/- mouse aortas. We also analyzed the gene expression of each macrophage type related to lipid metabolism. FM showed increased levels of fatty acids, cholesterol esters, phosphatidylcholine, lysophosphatidylcholine, phosphatidylinositol, and sphingomyelin. However, phosphatidylethanolamine, phosphatidic acid, and ceramide levels were decreased in FM compared to those in NFM. Interestingly, FM showed decreased triacylglycerol (TG) levels. Expressions of lipolysis-related genes including Pnpla2 and Lpl were markedly increased but expressions of Lpin2 and Dgat1 related to TG synthesis were decreased in FM. Analysis of transcriptome and lipidome data revealed differences in the regulation of each lipid metabolic pathway in aortic macrophages. These comprehensive lipidomic data could clarify the phenotypes of macrophages in the atherosclerotic aorta.

• Clinical and Experimental Pediatrics
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• 제51권7호
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• pp.747-753
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• 2008

목 적 : 제1형 당뇨병은 동맥경화증의 주요 위험인자 중의 하나로 이러한 동맥경화증의 초기 변화가 소아청소년기부터 시작된다는 것은 잘 알려진 사실이다. 성인에서는 초음파를 이용한 경동맥 내중막 두께가 동맥경화증의 독립적인 대리 표식자로 널리 이용되고 있으나, 소아청소년기에 관한 연구는 흔하지 않다. 이에 저자들은 제1형 당뇨병을 가진 소아들을 대상으로 경동맥 내막-중막 두께 및 경동맥 혈관 탄성 지수 측정을 통해 혈관의 동맥경화 상태를 조기에 평가하고, 이러한 혈관의 변화와 여러 동맥경화 위험인자들과의 관련성을 파악하여 조기 동맥경화의 선별 검사로 경동맥 내막-중막 두께의 유용성 등에 대해 알아보고자 본 연구를 시행하였다. 방 법 : 대구지역 3차 병원 소아과에서 제1형 당뇨병으로 진단받고 치료 중인 환자 23명과 동일 연령 및 성별의 건강한 소아, 청소년 19명을 대상으로 신체계측을 하고 공복상태에서 혈청콜레스테롤 및 당화혈색소를 측정하였다. 또한 고해상도 초음파를 이용하여 심장 주기에 따른 우측 경동맥의 내경 및 내중막 두께를 측정하였으며 공식에 따라 경동맥 유순도 및 신전도를 구하였다. 결 과 : 두 군 간의 성별, 연령, 혈압과 혈청콜레스테롤 등은 차이가 없었다. 경동맥 초음파 소견에서 당뇨군의 경동맥 내막-중막 두께는 의미 있게 증가되었으나 유순도와 신전도의 차이는 없었다. 당화혈색소와 고밀도혈청콜레스테롤은 다른 동맥경화의 위험인자와 독립적으로 경동맥 내막-중막 두께에 영향을 미치는 것으로 나타났다. 결 론 : 제1형 소아 당뇨 환아의 경우 정상 환아에 비해 경동맥 내막-중막 두께가 의미 있게 증가되어 있고, 이것이 혈당 조절 정도나 혈청 지질치와 같은 심혈관계의 위험인자와 깊은 상관관계를 나타내는 것으로 보아 소아 당뇨 환아에서 동맥경화의 발생을 조기에 파악하는 선별 검사로서 경동맥 내막-증막 두께는 유용하다고 생각된다.

• 한국식품과학회지
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• 제37권6호
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• pp.962-969
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• 2005

7주령의 F1B golden Syrian 햄스터에게 동맥경화 유발식이에 녹차추출물, 메밀추출물 및 포도잎 추출물을 함유한 타블렛 제품을 각각 5%와 10%로 첨가하여 7주간 사육하였을 때 햄스터 체내의 지질성분과 대동맥 내에서의 지방의 축적 정도에 미치는 영향을 조사하였다. 실험 결과 녹차, 메밀, 포도잎 추출물을 함유한 타블렛 제품은 동맥경화유발식이를 섭취하는 햄스터의 혈중 중성지방과 총콜레스테롤치를 감소시켰고, 대동맥궁내에서의 지방의 축적을 예방하였고, 간장내 중성지방과 총콜레스테롤치를 감소시키는 것으로 나타났다. 특히 5%를 첨가한 군보다 10%를 첨가한 군에서 더 높은 효과를 나타내어 농도 의존적인 경향을 보였다. 이러한 결과를 통해 녹차, 메밀 및 포도잎 추출물 분말을 이용하여 식이 보조제의 형태로 개발한 타블렛 제품이 동맥경화를 예방하는 식품으로써 효과가 있음을 확인할 수 있었다.

• 생명과학회지
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• 제24권6호
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• pp.677-685
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• 2014

와송(OM) 분말과 3종의 유산균 혼합물로 발효하여 얻은 발효 와송(FOM)을 식이 중에 각각 2.5%와 5%의 농도로 첨가하여 알코올 투여와 함께 4주동안 흰쥐에 급여한 후 조직의 과산화지질 농도와 혈중 지질수준에 미치는 영향에 대하여 검토하였다. 혈중 지질과 혈중 콜레스테롤의 농도는 알코올 투여 대조군(C)에서 높아졌지만, OM군 FOM군 모두 낮은 수치를 보였고, 특히 5FOM군에서 유의적으로 낮은 수치를 나타내었다. 5FOM군에서 혈중 총 콜레스테롤 수치는 감소하는데 반해 HDL-콜레스테롤 수치는 높아 동맥경화지수 수치가 낮았다. 또한, 간장 및 혈중 중성지질 농도는 알코올 투여 대조군(C)에서 증가하였고, OM군 FOM군 모두 농도 의존적으로 감소하였으며, 5FOM군에서 정상 수준의 감소를 보여 정상군과 유의한 수치를 나타내었다. 그리고 5 FOM군에서 혈중 총단백질 함량의 유의적인 차이는 인정되지 않았지만, 혈중 알부민 함량은 증가하였다. 간장, 혈청, 고환, 신장, 비장, 심장 조직의 TBARS 함량은 모두 알코올 투여 대조군(C)에서 증가하였고, OM군 FOM군 모두 알코올 투여 대조군에 비해 감소하였으나 5FOM군에서 양성 대조군(SM)의 감소 경향과 비슷한 결과를 나타내었다. 간장 및 혈청의 glutathione 농도 또한 5FOM군에서 증가 경향을 나타내었다. 이상의 결과로 알코올 유발 흰쥐에서 FOM투여는 OM 투여보다 지질 개선에 더 긍정적인 영향을 나타내었고, 생체 내 스트레스를 감소시켜 체내 조직의 항산화 증진에 관여할 것으로 판단되어진다.