• Title/Summary/Keyword: lipid peroxidation inhibitor

검색결과 53건 처리시간 0.028초

트리메틸틴 처리로 유도된 기억·학습 능력 손상 모델에 대한 계피와 금앵자 혼합추출물의 개선 효과 (Ameliorating Effects of Cinnamomum loureiroi and Rosa laevigata Extracts Mixture against Trimethyltin-induced Learning and Memory Impairment Model)

  • 최수정;김초롱;박찬규;김민철;최종헌;신동훈
    • 한국약용작물학회지
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    • 제25권6호
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    • pp.353-360
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    • 2017
  • Background: A critical features of Alzheimer's disease (AD) is cognitive dysfunction, which partly arises from decreased in acetylcholine levels. AD afftected brains are characterized by extensive oxidative stress, which is thought to be primarily induced by the amyloid beta ($A{\beta}$) peptide. In a previous study, Cinnamomum loureiroi tincture inhibited acetylcholinesterase (AchE) activity. That study identified AChE inhibitor in the C. loureiroi extract. Furthermore, the C. loureiroi extract enhanced memory in a trimethyltin (TMT)-induced model of cognitive dysfunction, as assessed via two behavioral tests. Rosa laevigata extract protected against oxidative stress-induced cytotoxicity. Administrating R. laevigata extracts to mice significantly reversed $A{\beta}$-induced learning and memory impairment, as shown in behavioral tests. Methods and Results: We conducted behavioral to examine the synergistic effects of C. loureiroi and R. laevigata extracts in inhibiting AChE and counteracting TMT-induced learning and memory losses. We also performed biochemical assays. The biochemical results showed a relationship between increased oxidative stress and cholinergic neurons damage in TMT-treated mice. Conclusions: A diet containing C. loureiroi and R. laevigata extracts ameliorated learning and memory impairments in the Y-maze and passive avoidance tests, and exerted synergistic inhibitory effect against AChE and lipid peroxidation.

DN200434, an orally available inverse agonist of estrogen-related receptor γ, induces ferroptosis in sorafenib-resistant hepatocellular carcinoma

  • Dong-Ho, Kim;Mi-Jin, Kim;Na-Young, Kim;Seunghyeong, Lee;Jun-Kyu, Byun;Jae Won, Yun;Jaebon, Lee;Jonghwa, Jin;Jina, Kim;Jungwook, Chin;Sung Jin, Cho;In-Kyu, Lee;Yeon-Kyung, Choi;Keun-Gyu, Park
    • BMB Reports
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    • 제55권11호
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    • pp.547-552
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    • 2022
  • Sorafenib, originally identified as an inhibitor of multiple oncogenic kinases, induces ferroptosis in hepatocellular carcinoma (HCC) cells. Several pathways that mitigate sorafenib-induced ferroptosis confer drug resistance; thus strategies that enhance ferroptosis increase sorafenib efficacy. Orphan nuclear receptor estrogen-related receptor γ (ERRγ) is upregulated in human HCC tissues and plays a role in cancer cell proliferation. The aim of this study was to determine whether inhibition of ERRγ with DN200434, an orally available inverse agonist, can overcome resistance to sorafenib through induction of ferroptosis. Sorafenib-resistant HCC cells were less sensitive to sorafenibinduced ferroptosis and showed significantly higher ERRγ levels than sorafenib-sensitive HCC cells. DN200434 induced lipid peroxidation and ferroptosis in sorafenib-resistant HCC cells. Mechanistically, DN200434 increased mitochondrial ROS generation by reducing glutathione/glutathione disulfide levels, which subsequently reduced mTOR activity and GPX4 levels. DN200434 induced amplification of the antitumor effects of sorafenib was confirmed in a tumor xenograft model. The present results indicate that DN200434 may be a novel therapeutic strategy to re-sensitize HCC cells to sorafenib.

UV-B 조사시 옥수수 잎의 산화적 스트레스에 대한 Nitric Oxide의 보호효과 (Protective Effect of Nitric Oxide against Oxidative Stress under UV-B Radiation in Maize Leaves)

  • 김태윤;조명환;홍정희
    • 한국환경과학회지
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    • 제19권12호
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    • pp.1323-1334
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    • 2010
  • The effect of nitric oxide (NO) on antioxidant system and protective mechanism against oxidative stress under UV-B radiation was investigated in leaves of maize (Zea mays L.) seedlings during 3 days growth period. UV-B irradiation caused a decrease of leaf biomass including leaf length, width and weight during growth. Application of NO donor, sodium nitroprusside (SNP), significantly alleviated UV-B stress induced growth suppression. NO donor permitted the survival of more green leaf tissue preventing chlorophyll content reduction and of higher quantum yield for photosystem II than in non-treated controls under UV-B stress, suggesting that NO has protective effect on chloroplast membrane in maize leaves. Flavonoids and anthocyanin, UV-B absorbing compounds, were significantly accumulated in the maize leaves upon UV-B exposure. Moreover, the increase of these compounds was intensified in the NO treated seedlings. UV-B treatment resulted in lipid peroxidation and induced accumulation of hydrogen peroxide ($H_2O_2$) in maize leaves, while NO donor prevented UV-B induced increase in the contents of malondialdehyde (MDA) and $H_2O_2$. These results demonstrate that NO serves as antioxidant agent able to scavenge $H_2O_2$ to protect plant cells from oxidative damage. The activities of two antioxidant enzymes that scavenge reactive oxygen species, catalase (CAT) and ascorbate peroxidase (APX) in maize leaves in the presence of NO donor under UV-B stress were higher than those under UV-B stress alone. Application of 2-(4-carboxyphenyl)-4, 4, 5, 5-tetramethylimidazoline-1-oxyl-3- oxide (PTIO), a specific NO scavenger, to the maize leaves arrested NO donor mediated protective effect on leaf growth, photosynthetic pigment and free radical scavenging activity. However, PTIO had little effect on maize leaves under UV-B stress compared with that of UV-B stress alone. $N^{\omega}$-nitro-L-arginine (LNNA), an inhibitor of nitric oxide synthase (NOS), significantly increased $H_2O_2$ and MDA accumulation and decreased antioxidant enzyme activities in maize leaves under UV-B stress. This demonstrates that NOS inhibitor LNNA has opposite effects on oxidative resistance. From these results it is suggested that NO might act as a signal in activating active oxygen scavenging system that protects plants from oxidative stress induced by UV-B radiation and thus confer UV-B tolerance.

한약재 물 추출물의 생리활성 검색 및 MPTP-유도 신경독성에 대한 대황의 보호효과 (Screening of the Biologoical Activity from Water Extracts of the Medicinal Plants and the Protective Effect of R. palmatum on MTPT-induced Neurotoxicity)

  • 김태은;윤여민;박용인;김윤석;전병훈;김명동
    • 동의생리병리학회지
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    • 제18권6호
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    • pp.1666-1685
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    • 2004
  • This present study was designed to screen medicinal plants for the treatment of brain diseases such as Parkinson's disease or aging. We tested the effects of the water extracts from 38 species medicinal plants on antioxidant capacity, monoamine oxidase B (MAO-B) inhibitory activity, acetylcholinesterase (AChE) inhibition and antiperoxidation activity in vitro. The water extracts from 38 species were tested on their antioxidant activity using radical scavenging effects against ABTS+. The water extract of C. sappan was showed the highest antioxidant capacity, the antioxidant activity at 1 Jig of herbal extract being 0.38mM TE. Lipid peroxidation in brain homogenates induced by NADPH and ADP-Fe/sup 2+/ was strong inhibited by C. sappan and R. palmatum extracts. Among the 38 medicinal plants investigated, R. palmatum showed significant biological activity (antioxidant capacity, MAO-B inhibiory activity, and AChE inhibitory activity). The protective efficacy of R. palmatum water extract on 1-methyl-4­phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced parkinsonism and its possible mechanism were studied in C57BL/6 mice. Treatment of R. palmatum water extract protected biomacromolecules such as lipids from oxidative damage induced by MPTP. The content of MDA in brain tissue was decreased significantly by R. palmatum extract. These results suggest that R. palmatum water extract plays on effective role in attenuating MPTP-induced neurotoxicity in mice. This protective effect of R. palmatum might be estimated the result from the inhibitory activity on monoamine oxidase B and the enhancement of antioxidant activity.

Rosmarinic Acid Inhibits Ultraviolet B-Mediated Oxidative Damage via the AKT/ERK-NRF2-GSH Pathway In Vitro and In Vivo

  • Mei Jing Piao;Pattage Madushan Dilhara Jayatissa Fernando;Kyoung Ah Kang;Pincha Devage Sameera Madushan Fernando;Herath Mudiyanselage Udari Lakmini Herath;Young Ree Kim;Jin Won Hyun
    • Biomolecules & Therapeutics
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    • 제32권1호
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    • pp.84-93
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    • 2024
  • Rosmarinic acid (RA) is a phenolic ester that protects human keratinocytes against oxidative damage induced by ultraviolet B (UVB) exposure, however, the mechanisms underlying its effects remain unclear. This study aimed to elucidate the cell signaling mechanisms that regulate the antioxidant activity of RA and confirm its cyto-protective role. To explore the signaling mechanisms, we used the human keratinocyte cell line HaCaT and SKH1 hairless mouse skin. RA enhanced glutamate-cysteine ligase catalytic subunit (GCLC) and glutathione synthetase (GSS) expression in HaCaT cells in a dose- and time-dependent manner. Moreover, RA induced nuclear factor erythroid-2-related factor 2 (NRF2) nuclear translocation and activated the signaling kinases protein kinase B (AKT) and extracellular signal-regulated kinase (ERK). Treatment with the phosphatidylinositol 3-kinase (PI3K) inhibitor LY294002, the ERK inhibitor U0126, and small interfering RNA (siRNA) gene silencing suppressed RA-enhanced GCLC, GSS, and NRF2 expression, respectively. Cell viability tests showed that RA significantly prevented UVB-induced cell viability decrease, whereas the glutathione (GSH) inhibitors buthionine sulfoximine, LY294002, and U0126 significantly reduced this effect. Moreover, RA protected against DNA damage and protein carbonylation, lipid peroxidation, and apoptosis caused by UVB-induced oxidative stress in a concentration-dependent manner in SKH1 hairless mouse skin tissues. These results suggest that RA protects against UVB-induced oxidative damage by activating AKT and ERK signaling to regulate NRF2 signaling and enhance GSH biosynthesis. Thus, RA treatment may be a promising approach to protect the skin from UVB-induced oxidative damage.

7-Ketocholesterol에 의한 Akt 감소와 혈관평활근세포의 세포자멸사 (7-Ketocholesterol Induces Vascular Smooth Muscle Cell Apoptosis via Akt Degradation)

  • 서교원;김치대;이원석
    • 생명과학회지
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    • 제26권2호
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    • pp.226-233
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    • 2016
  • 혈관평활근세포의 세포자멸사는 죽상경화증을 비롯한 여러 혈관질환에서 일어나며, 죽상판의 불안정화에 중요한 역할을 한다. Oxysterol은 혈관평활근세포의 세포자멸사를 야기하는데, 죽상경화 병변에는 비효소적으로 생성되는 주된 oxysterol인 7-ketocholesterol (7KC)이 대량 존재한다고 알려져 있다. 그러나 7KC에 의한 혈관평활근세포의 세포자멸사에 관하여 밝혀진 자세한 기전은 아직 미흡하다. 본 연구는 7KC가 혈관평활근세포의 세포자멸사를 일으키는 기전을 구명하고자 하였다. Sprague-Dawley계 숫쥐의 대동맥 절편으로부터 배양한 혈관평활근세포에 7KC를 처리하여 혈관평활근세포의 생존력의 변동과 세포자멸사를 각각 methylthiazole tetrazolium bromide 분석법 및 trypan blue 분석법 그리고 유세포 분석법, 면역 형광 측정법, 면역침전법 및 웨스턴블럿 등으로 측정하였다. 7KC는 혈관평활근세포의 생존력을 시간- 및 농도-의존적으로 감소시켰고, 혈관평활근세포내에 지질과산화 최종산물인 4-hydroxynonenal (HNE) 생성을 증가시켰으며, HNE 단독 처리 또한 혈관평활근세포의 생존력을 농도-의존적으로 감소시켰다. 7KC 또는 HNE에 의하여 감소되었던 혈관평활근세포의 생존력은 HNE 생성 억제제인 2,4-dinitrophenyl hydrazine 전처치에 의하여 회복되었다. 더욱이 세포생존 매개인자로 잘 알려져 있는 Akt의 발현이 7KC와 HNE에 의하여 농도-의존적으로 감소되었고, 2,4-dinitrophenyl hydrazine 또는 N-acetylcysteine 전처치에 의하여 회복되었다. 단백질분해효소복합체 억제제인 lactacystin은 7KC에 의한 세포자멸사와 Akt 감소는 억제하였지만 7KC에 의한 HNE 생성은 억제하지 못하였다. HNE에 결합된 Akt의 양은 7KC와 HNE에 의하여 현저히 증가하였으며 단백질분해효소복합체 억제제인 lactacystin 전처치 시에도 유의하게 증가하였다. 이상의 결과로 보아 죽상경화 병변에서 7KC는 혈관평활근세포내 HNE 생성을 증가시키고, 이 HNE에 결합된 Akt는 단백질분해효소복합체에 의하여 분해되는 것으로 보이며, 이와 같은 기전에 의하여 죽상판의 불안정화가 촉진되는 것으로 생각된다.

신장상피세포(腎臟上皮細胞)에서 호도약침액(胡桃藥鍼液)이 t-Butylhydroperoxide에 의한 세포막물질이동계(細胞膜物質移動系)의 장애(障碍)에 미치는 영향(影響) (Effect of Juglans sinensis Dode aquacupuncture(JS) on t-butylhydroperoxide-induced alterations in membrane transport function in renal epithelial cells)

  • 남상필;조태성;김철홍;윤현민;장경전;송춘호;안창범
    • Journal of Acupuncture Research
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    • 제20권6호
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    • pp.128-139
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    • 2003
  • Juglans sinensis Dode has been reported to have antioxidant activity. However, the effect of Juglans sinensis Dode aquacupuncture(JS) on reactive oxygen species(ROS)-induced alterations in membrane transport function in renal tubular cells. This study was performed to evaluate the effect of JS on the organic hydroperoxide t-butylhydroperoxide(tBHP)-induced inhibition of $Na^+$-dependent phosphate($Na^+$-Pi) uptake in opossum kidney (OK) cells, an established renal proximal epithelial cell line. tBHP inhibited $Na^+$-Pi uptake in a time-dependent manner. The inhibitory effect of tBHP was prevented by JS over concentration range of 0.05-1mg/100ml in a dose-dependent manner. Kinetic studies showed that tBHP caused an decrease in Vmax for $Na^+$-Pi uptake without any a significant change in Km. $Na^+$-dependent phosphonoformic acid binding, a irreversible inhibitor of renal $Na^+$-Pi uptake, was decreased by tBHP treatment. The reduction in Vmax and phosphonoformic acid binding by tBHP was prevented by JS. tBHP induced lipid peroxidation and its effect was completely inhibited by JS and antioxidant N,N'-diphenyl-p-phenylenediamine. These data suggest that the oxidant inhibits phosphate uptake by a reduction in the number of active carrier across the membrane. JS may prevent oxidant-induced inhibition of membrane transport function by a mechanism similar to antioxidants in renal epithelial cells. Although the precise constituents remain to be explored, JS may be employed as a useful candidate herb for drug development to prevent and treat oxidant-mediated renal failure.

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Prostaglandin E2 Reverses Curcumin-Induced Inhibition of Survival Signal Pathways in Human Colorectal Carcinoma (HCT-15) Cell Lines

  • Shehzad, Adeeb;Islam, Salman Ul;Lee, Jaetae;Lee, Young Sup
    • Molecules and Cells
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    • 제37권12호
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    • pp.899-906
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    • 2014
  • Prostaglandin $E_2$ ($PGE_2$) promotes tumor-persistent inflammation, frequently resulting in cancer. Curcumin is a diphenolic turmeric that inhibits carcinogenesis and induces apoptosis. $PGE_2$ inhibits curcumin-induced apoptosis; however, the underlying inhibitory mechanisms in colon cancer cells remain unknown. The aim of the present study is to investigate the survival role of $PGE_2$ and whether addition of exogenous $PGE_2$ affects curcumininduced cell death. HCT-15 cells were treated with curcumin and $PGE_2$, and protein expression levels were investigated via Western blot. Reactive oxygen species (ROS) generation, lipid peroxidation, and intracellular glutathione (GSH) levels were confirmed using specific dyes. The nuclear factor-kappa B ($NF-{\kappa}B$) DNA-binding was measured by electrophoretic mobility shift assay (EMSA). $PGE_2$ inhibited curcumin-induced apoptosis by suppressing oxidative stress and degradation of PARP and lamin B. However, exposure of cells to the EP2 receptor antagonist, AH6809, and the PKA inhibitor, H89, before treatment with $PGE_2$ or curcumin abolished the protective effect of $PGE_2$ and enhanced curcumin-induced cell death. $PGE_2$ activates PKA, which is required for cAMP-mediated transcriptional activation of CREB. $PGE_2$ also activated the Ras/Raf/Erk pathway, and pretreatment with PD98059 abolished the protective effect of $PGE_2$. Furthermore, curcumin treatment greatly reduced phosphorylation of CREB, followed by a concomitant reduction of $NF-{\kappa}B$ (p50 and p65) subunit activation. $PGE_2$ markedly activated nuclear translocation of $NF-{\kappa}B$. EMSA confirmed the DNA-binding activities of $NF-{\kappa}B$ subunits. These results suggest that inhibition of curcumin-induced apoptosis by $PGE_2$ through activation of PKA, Ras, and $NF-{\kappa}B$ signaling pathways may provide a molecular basis for the reversal of curcumin-induced colon carcinoma cell death.

허혈/재관류 심장의 산화손상에서 미토콘드리아의 역할 (Role of Mitochondria in Oxidative Damage of Post-Ischemic Reperfused Hearts)

  • 박종완;전양숙;김명석
    • 대한약리학회지
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    • 제32권2호
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    • pp.201-209
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    • 1996
  • Restoration of the blood flow after a period of ischemia is accompanied by generation of toxic oxygen radicals. This phenomenon may account for the occurrence of reperfusion-mediated tissue injury in ischemic hearts. In in vitro studies, although oxygen radicals can be generated from a variety of sources, including xanthine oxidase system, activated leucocytes, mitochondria and others, the most important source and mechanism of oxygen radical production in the post-ischemic reperfused hearts is unclear. In the present study, we tested the hypothesis that the respiratory chain of mitochondria might be an important source of oxygen radicals which are responsible for the development of the reperfusion injury of ischemic hearts. Langendorff-perfused, isolated rat hearts were subjected to 30 min of global ischemia at $37^{\circ}C$, followed by reperfusion. Amytal, a reversible inhibitor of mitochondrial respiration, was employed to assess the mitochondrial contributions to the development of the reperfusion injury. Intact mitochonria were isolated from the control and the post-ischemic reperfused hearts. Mitochondrial oxygen radical generation was measured by chemiluminescence method and the oxidative tissue damage was estimated by measuring a lipid peroxidation product, malondialdehyde(MDA). To evaluate the extent of the reperfusion injury, post-ischemic functional recovery and lactate dehydrogenase(LDH) release were assessed and compared in Amytal-treated and -untreated hearts. Upon reperfusion of the ischemic hearts, MDA release into the coronary effluent was markedly increased. MDA content of mitochondria isolated from the post-ischemic reperfused hearts was increased to 152% of preischemic value, whereas minimal change was observed in extramitochondrial fraction. The generation of superoxide anion was increased about twice in mitochondria from the reperfused hearts than in those from the control hearts. Amytal inhibited the mitochondrial superoxide generation significantly and also suppressed MDA production in the reperfused hearts. Additionally, Amytal prevented the contractile dysfunction and the increased release of LDH observed in the reperfused hearts. In conclusion, these results indicate that the respiratory chain of mitochondria may be an important source of oxygen radical formation in post-ischemic reperfused hearts, and that oxygen radicals originating from the mitochondria may contribute to the development of myocardial reperfusion injury.

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급성 저산소성 허혈성 뇌손상이 유발된 신생자돈에서 재산소-재관류기 동안 NG-monomethyl-L-arginine과 L-arginine이 뇌의 혈역학 및 에너지 대사에 미치는 영향 (Effects of NG-monomethyl-L-arginine and L-arginine on cerebral hemodynamics and energy metabolism during reoxygenation-reperfusion after cerebral hypoxia-ischemia in newborn piglets)

  • 고선영;강샘;장윤실;박은애;박원순
    • Clinical and Experimental Pediatrics
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    • 제49권3호
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    • pp.317-325
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    • 2006
  • 목 적 : 주산기 저산소성 허혈성 뇌손상의 병태 생리에서 nitric oxide(NO)가 급성 저산소성 허혈(hypoxia-ischemia, HI) 후 재산소-재관류기(reoxygenation-reperfusion, RR)에 대뇌의 혈역학 및 에너지 대사에 미치는 영향을 규명하기 위하여, NO 합성 억제제인 NG-monomethyl-L-arginine(L-NMMA)와 NO 합성 촉진제인 L-arginine(L-Arg) 투여를 통하여 뇌신경 세포에 어떠한 영향을 주는지 알아보고자 하였다. 방 법 : 생후 3일 이내의 신생자돈 28마리를 대상으로 무작위로 나누어, Sham 처치만 받은 정상 대조군(n=9), HI와 RR만 유발한 실험 대조군(n=7), HI 이후 RR 직전에 L-NMMA 투여군(n=6)과 L-arginine 투여군(n=6) 등 4군으로 구분하였다. 실험은 ether을 흡입 시킨 후 thiopental을 정주하고, 기관 삽관 후 인공호흡기 등의 처지를 끝낸 후, HI를 유발하기 위하여 실험군에서 수술 겸자로 양측 경동맥을 폐쇄한 후 8% 산소로 30분간 흡입하였고, RR을 시행하기 위하여 경동맥 폐색을 풀고 흡입 산소농도를 60%로 올려 1시간까지 투여하면서 관찰하였다. 생리적 변수로 혈압과 동맥혈 가스 소견을 관찰하였고, 뇌의 혈역학적 변화와 에너지 상태는 near infrared spectroscopy(NIRS)를 이용하여 대뇌의 산화 헤모글로빈($HbO_2$), 환원헤모글로빈(Hb), 환산 헤모글로빈(HbD), 싸이토크롬 $aa_3$(Cyt $aa_3$) 등을 지속적으로 관찰하여 비교하였다. 또한 실험 종료 시 얻은 뇌조직에서 $Na^+$, $K^+$-ATPase의 활성도 및 지질 대사산물인 conjugated dienes, 고에너지 인분자인 ATP(adeninetriphosphate)와 phosphocreatine(PCr)을 비교하였다. 결 과 : 생리적 변수의 변화에서는 실험군 모두에서 정상 대조군에 비하여 혈압, 동맥혈 산소 분압, pH, base excess 등이 유의하게 감소하였고(P<0.05), 젖산은 유의하게 증가하였다(P<0.05). L-NMMA와 L-Arg군에서 실험 대조군과 유의한 차이는 없었다. 실험군에서 RR 1시간 후 pH를 제외한 혈압, 동맥혈 산소 분압, base excess 등의 이상소견은 모두 기저치로 회복되었고, 실험군간에 유의한 차이가 없었다. NIRS 소견에서 $HbO_2$와 HbD는 HI 동안 정상 대조군에 비하여 실험군 모두에서 유의하게 감소하였으나(P<0.05), RR 직후 기저치로 회복되었으며, $HbO_2$는 RR 40분 이후 정상 대조군에 비해 유의하게 감소하였다(P<0.05). Hb은 정상 대조군을 제외한 모든 실험군에서 HI 동안 유의하게 증가하였다가(P<0.05), RR 직후 기저치로 회복되었다. 산화 Cyt $aa_3$는 HI 동안 실험군 모두에서 감소하는 경향을 보였고, RR 이후 다시 증가하였다. 정상 대조군과 각 실험군간에 유의한 차이는 없었다. 뇌의 $Na^+$, $K^+$-ATPase 활성도와 conjugated dienes은 실험군 모두에서 정상 대조군(제1군)에 비하여 유의하게 감소하였다(P<0.05). 뇌의 ATP, phosphocreatine은 실험군 모두에서 정상 대조군과 차이가 없었고, 또한 실험군간에도 유의한 차이가 없었다. 결 론 : 신생 자돈에서 급성 저산소성 허혈 이후 재산소-재관류기 동안 NO 합성 억제제인 L-NMMA나 NO 생성 촉진제인 L-arginine이 뇌 혈역학이나 뇌의 에너지 대사에는 특별한 변화를 일으키지 않았다. 따라서 급성 저산소성 허혈성 뇌손상에서 재산소화 재관류기 초기에는 NO가 뇌손상의 주요한 기전으로 작용하지 않을 것으로 사료된다. 또한 뇌혈역학 및 생화학적 검사 결과 등에서 급성기에는 에너지 부전 상태가 주요한 세포손상 기전이 아니고, 이온 농도의 변화에 의한 뇌부종, 산소유리기에 의한 뇌세포 손상이 저산소성 허혈성 뇌손상의 급성기에 주로 작용하는 뇌세포 손상의 주요 기전임을 시사한다. 따라서 NO 생성 억제제 혹은 생성 전구물질인 L-Arg은 뇌신경 세포 보호 효과를 보이지 않아 급성 주산기 가사의 치료제로서 제한이 됨을 알 수 있었다. 그러나 좀 더 명확한 효과를 보기 위하여 선택적 억제제의 사용, 제제의 용량 및 투여시기, 손상 후 좀더 긴 시간 이후의 변화에 대한 연구가 필요하다.