정신분열병에 대한 리스페리돈의 효과 및 안정성

이민수,김용구,김영훈,연병길,오병훈,윤도준,윤진상,이철,정희연,강병조,김광수,김동언,김명정,김상훈,김희철,나철,노승호,민경준,박기창,박두병,백기청,백인호,손봉기,손진욱,양병환,양창국,우행원,이정호,이종범,이홍식,임기영,전태연,정영조,정영철,정인과,정인원,지익성,채정호,한상익,한선호,한진희,서광윤 大韓神經精神醫學會 1998 신경정신의학 Vol.37 No.1

연구목적 : 본 시험의 목적은 임상시험 시작전에 연구자들을 대상으로 PANSS Workshop을 통하여 PANSS, ESRS에 대한 국내에서의 표준화 작업을 구축하고 새로운 정신병 치료제인 리스페리돈의 효과와 안정성을 재확인하여 리스페리돈 사용에 대한 적정화를 이루는데 있다. 연구방법 : 1996년 4월부터 1996년 9월까지 국내 39개 대학병원 정신과에 입원중인 혹은 증상이 악화되어 입원하는 정신분열병 환자 377명을 대상으로 다시설 개방 연구를 시행하였다. 1주일간의 약물 배설기간을 가진후, 리스페리돈을 8주간 투여하였고, 기준점, 1주, 2주, 4주, 그리고 8주후에 평가되었다. 용량은 제1일에는 리스페리돈 1mg씩 1일 2회, 제2일에는 2mg씩 1일 2회, 제3∼7일에는 3mg씩 1일 2회 투여하였다. 이후 환자의 임상상태에 따라 임의로 증량할 수 있으며, 최대 일일 16mg을 초과하지 않도록 하였다. 추체외로 증상을 조절하기 위한 투약을 허용하였다. 임상증상 및 부작용의 평가는 PANSS(Positive and Negative Syndrome Scale), CGI(Clinical Global Impression) 그리고 ESRS(Extrapyramidal Symptom Rating Scale)을 사용하였다. 연구결과 : 377명중 343명(91%)이 8주간의 연구를 완결하였다. 치료 종결시점인 8주후 PANSS 총점수가 20% 이상 호전된 경우를 약물 반응군으로 정의할때, 약물반응군은 81.3%였다. 리스페리돈에 반응하는 예측인자로는 발병연령, 이전의 입원 횟수, 유병기간이 관련 있었다. 리스페리돈은 1주후부터 PANSS양성, 음성, 및 일반정신병리 점수상에 유의한 호전을 보여 효과가 빨랐다. CGI의 경우도 기준점에 비해 1주후부터 유의한 감소를 나타내었다. ESRS의 경우, 파킨슨 평가점수는 기준점과 비교해 투여 1주, 2주, 4주후 유의하게 증가되었다가 8주후 기준점과 차이가 없었다. Dystonia 평가점수는 1주후만 유의한 증가를 보였으며, dyskinesia 평가점수는 유의한 차이가 없었다. 혈압, 맥박수의 생명징후 및 일반 혈액학 검사, 생화학적 검사, 심전도 검사에서 유의한 변화는 없었다. 결 론 : 이상의 다시설 개방 임상 연구를 통해 리스페리돈은 정신분열병 환자에서 양성증상뿐만 아니라 음성증상 및 전반적인 증상에도 효과적인 것으로 사료된다. 보다 명확한 평가를 위해서는 다른 항정신병약물과의 이중맹검 연구가 필요할 것으로 생각되며, 또한 장기적 치료에 대한 평가도 함께 이루어져야 하겠다. Objective : The purpose of this study was to investigate the efficacy and safety of risperidone in the treatment of Korean schizophrenic patients. Method : This multicenter open study included 377 schizophrenic patients drawn from 39 university hospitals. After a wash-out period of 1 week, the schizophrenic patients were treated with risperidone for 8 weeks and evaluated at 5 points ; at baseline, and 1, 2, 4 and 8 weeks of treatment. The dose was increased from 2mg/day(1mg twice daily) to 6mg/day(3mg twice daily) during the first week and adjusted to a maximum of 16mg/day over the next 7 weeks according to the patient's clinical response. Medication to control extrapyramidal symptoms was permitted. The psychiatric and neurological status of the patients was assessed by PANSS, CGI, and ESRS scales. Results : 343(91%) of 377 patients completed the 8-week trial period. Clinical improvement, as defined by a 20% or more reduction in total PANSS score at end point, was shown by 81.3% of patients. The predictors of response to risperidone were associated older age, shorter duration of illness, fewer previous hospitalization. Risperidone had rapid onset of action ; a significant decrease of the total PANSS and three PANSS factor(positive, negative, general), and CGI was already noticed at the end of first week. For the ESRS, parkinsonism rating scores were significantly increased until week 4 comparing with baseline. Dystonia rating scores were significantly increased until week 1, and dyskinesia rating scores were not significantly changed during the study. Laboratory parameters including vital sign, EKG, hematological, and biochemical values showed no significant changes during the trial. Conclusions : This study suggests that risperidone is generally safe and effective against both the positive and negative symptoms in our group of patients.

대두 및 대두발효식품의 항돌연변이성

윤기도,권동진,홍석산,김수일,정건섭 한국미생물생명공학회 ( 구 한국산업미생물학회 ) 1996 한국미생물·생명공학회지 Vol.24 No.4

To investigate the inhibitory effect of soybean and Korean traditional fermented soybean products on the chemically induced mutagenesis, we extracted soybean, Kanjang, Doenjang, Kochujang, and Chonkukjang with water, methanol and hexane. Inhibitory effect of extracts was assayed by the SOS chromotest using Escherichia coli PQ37 as a test strain. 4-nitroquinoline-1-oxide(4NQO), N-methyl-N'-nitro-N-nitrosoguanidine(MNNG), and aflatoxin B_1(AFB_1) were used as mutagens. Methanol extracts showed relatively higher inhibitory effect than water and hexane extracts. Methanol extracts of soybea, Doenjang, Kochujang, and Chongkukjang showed inhibitory effect of 68.4, 96.3, 17.5, and 100.9%, against MNNG, and 28.6, 109.1, 41.3, and 101.8% against AFB_1., respectively. Doenjang methanol extract showed inhibitory effect of 51.0, 96.3, and 109.1% against 4NQO, MNNG, and AFB_1. Inhibitory effect of heat-treated Doenjang and Chongkukjang methanol extracts on the mutagenicity of MNNG and AFB_1 was remained over 95% of the inhibitory effect of heat-untreated extracts, demonstrating the heat stability of the potent antimutagenic activity.

국내 토착 담수어류의 장내미생물 분리와 특성

윤기홍 우송대학교 2003 우송대학교 논문집 Vol.8 No.-

자연에서 포획된 담수어 5종과 해삼 1종 및 양식어 4종으로부터 장내 미생물을 분리한 결과 양식어 보다는 자연에서 포획된 수계 생물에서 분리균의 다양성이 높은 것으로 나타났다. 분리균 총 52종의 형태적·생리적 특성을 조사한 결과 담수어에서 분리된 균은 그람 양성균과 음성균이 고르게 분포되어 있으나, 해수 생물에서 분리된 균은 모두 그람 양성균으로 확인되었다. 또한 분리균의 가수분해 효소 생산을 조사한 결과 담수어에서 유래된 미생물은 amylase, cellulase, xylanase, protease, esterase, gelatinase의 활성을 보이는 것이 다수 존재한 반면에 해수 생물에서 분리된 미생물은 대부분 이들 가수분해 효소를 생성하지 못하였다. 분리균 중 다양한 가수분해 효소를 생산하는 8-6번 균주를 배양한 결과 매우 빠른 성장을 보였으며, 말기 대수기부터 효소 생산이 이루어지는 것으로 확인되었다. Intestinal microorganims were isolated from ten kinds of aquatics. It was found that diversity of the bacterial isolates was higher in aquatics catched from nature than aquaculture. As a result of gram staining, gram-negative and gram-positive bacteria were distributed in the bacterial isolates from freshwater fishes, while almost all of bacterial isolates from marine aquatics was gram-positive. Many bacterial isolates from freshwater fishes showed hydrolytic activities on macromolecules such as starch, carboxymethyl cellulose, skim milk, tributyrin, gelatin and oat spelt xylan, indicating that they produced α-amylase, cellulase, protease, esterase, gelatinase and xylanase. However, few bacterial isolates from marine aquatics showed hydrolytic activity on the macromolecules except tributyrin. It was identified that a bacterial isolate 8-6 producing various hydrolytic enzymes grew fast and produced the amylase, cellulase, and xylanase at the late-logarithmic growth stage.

濟州北方,成德沿岸海域에 있어서 植物플랑크톤 群集의 季節變動 特性

尹良湖,金暎起,盧洪吉 濟州大學校海洋硏究所 1992 해양과환경연구소 연구논문집 Vol.16 No.-

Fieldsurvey for oceanographic conditions and the seasonal succession of phytoplankton were carried out in the Hamdok port from April 1989 to February 1990. Water temperature ranged between 11.4℃ in January and 27.3℃ in August, and salinity fluctuated greatly, with a maximum of 35.6 in August and minimun of 21.8‰ in April. A total of 120 species of phytoplankton belonging to 69 genera were observed in which, at least, 8 genera, Oxyphysis, Amphidinium, Cochlodinium, Torodinium, Nematodinium, Katodinium, Ebria and Streptotheca are first records in the Cheju coastal waters. The predominant species are centric diatoms, Skeletonema costatum, Chaetoceros opp. through the year, while they are unarmoured phytoflagellates, Heterosigma akashiwo, Gymnodinium sp., Gyrodinium sp. in warmer seasons. And phytoplankton cell number fluctuated between 4.1×10³cells/1 in winter and 2.4×10 cells/1 in spring blooms, and it was under the control of centric diatoms for a year. On the other hand, it is occupied by phytoflagellates including some unarmoured dinoflagellates in summer season.

판소리의 갈래와 역사적 성격

윤기홍 연세대학교 국어국문학과 1987 연세어문학 Vol.20 No.-

消癌去痰益氣湯의 cyclophosphamide 부작용 형성 억제효과

홍종희,류기원,류봉하,윤상협,김진성 WHO COLLABORATING CENTRE FOR TRADITIONAL MEDICINE 2002 東西醫學硏究所 論文集 Vol.2002 No.-

Object : It is well known that modern chemotherapy against cancer has side effcts to a living body, especially hemopoietic and immunologial disfunctions. However, there are no effctive ways to reduce them.Recently, traditonal Korean herb medicine has been repoted to have some biological modifying responses. Therefore, we hypothesized that additional application of herb medicine during chemotherapy is more effective to reduce its side effects. While we were studying the effects, we have observed the inhibitory effect of Soamgudamikgitang on formation of side effects derived from Cyclophosphamide, it has been used in clinical practice at Kyung Hee Medicd Center.Methods : We injected 200㎎/㎏ of Cyclophosphamide, one time, to an experimental group, consisting of ten mice. We divided them into eight groups: normal, CPX, SAKT 2㎎, SAKT 10㎎, SAKT 50㎎, SAKI 2㎎+CPX, SAKT 10㎎+CPX, SAKT 50㎎+CPX. We injeted Soamgudamikgitang seven days, five days, three days, and one day before we injected CPX. One day, three days, and five days after CPX injection, we injected Soamgudamikgitang again and then killed all the mice.The parameters determined in this experiment were daily body weight liver and spleen weight, RBC, WBC, and platelet for hemopoietic dysfunction and AST, ALT for hepatotoxicity, BUN, creatine for renal toxcity, Iymphocyte proliferation activity and lymphocyte subsets for immunological toxvity.Results : We have found that Soamgdamikgitang has inhibitory effects on the formation of Cyclophosphamide 's side effects. Significant differences between the group, which contained Cyclophosphamide, and the other group, which contains Cyclophosphamide and 2, 10, 50㎎ of Soamgudamikgitang respectively were observed. Platelets(2㎎ of Soamgudamikgitang, p<O.05 ;10㎎, p<0.Ol ;50㎎, p<0.001), liver weight(SOw p.001), spieen weight(10mg, p<0.05), AST(all groups, p<0.01), ALT(2㎎, p<001 ;10㎎, p<O.05 ;50㎎, p<0.01), BUN(2㎎, p<0.01 ;50㎎, p<0.05). Althought immunological in both lymphocyte proliferation and its subsets were not observed, which shows that Soamgudamikgilang has a strong effect on T cell activities Conclusions : From the above results, we can expect that the combined therapy of Soamgudamikgitang and Cyclophosphamide is more effective for treating cancer Patients.

폐쇄성 좌측 대장 및 직장암의 일차절제 및 문합술

홍기훈,송인상,윤완희 대한대장항문학회 1997 Annals of Coloproctolgy Vol.13 No.3

유전자재조합 대장균으로부터 Bacillus sp. 79-23의 Cellulase 정제와 특성분석

윤기홍 우송대학교 부설 산업연구원 1999 산업연구 Vol.1 No.1

Carboxymethyl celluase (CMCase) was purified from cell-free extract of the recombinant Escherichia coli carrying a Bacillus sp. 79-23 CMCase gene (celS) by DEAE-Sepharose and phenyl-Sepharose column chromatography with specific activity of 400 U/mg protein. The molecular mass of the purified enzyme was estimated to be approximately 37.5 daltons by sodium dodecyl sulfatepolycarylamide gel electrophoresis. The viscosity of carboxymethyl celluose was dramatically decreased by the purified enzyme identifying that the purified enzyme is a CMCase, while the enzyme was known to be active on para-nitrophenyl-β-cellobioside. The CMCase activity was markedly inhibited by cellobiose, but was not inhibited by glucose. The enzyme activity was activated by divalent metal ions such as Mn²+ and Cu²+, but was completely inhibited by Hg²+. The enzyme was very stable below 50℃ and retained 80% of its maximum activity after incubation for 3 hours at 55℃, suggesting that few problems are in handing the Bacillus sp. CMCase as industrial enzyme at ambient temperature.

내열성 α-Amylase 생산균의 탐색과 분리균 α-Amylases의 특성

윤기홍 우송대학교 1998 우송대학교 논문집 Vol.3 No.-

토양으로 부터 고온성 미생물을 1,286 주 분리하고 이들의 수용성 전분 분해능을 조사하여 α-amylase를 생산하는 균주를 402 주 확보하였다. 이들 중 불용성 전분이 가수분해능이 우수한 α-amylase 생산균 65 주를 각각 액체배양하여 배양상등액을 이용하여 전분분해능을 검토하여 전분분해능이 우수한 14주를 선발하였다. Denaturing-polyacrylamidegel에서 α-amylase 활성염색을 수행하여 4 주가 α-amylase 생산능이 우수한 것으로 나타났으며 이들 중 고온에서 효소활성과 열안정성이 높은 것이 4 주로 확인되었다. 특히 열안정성이 가장 뛰어난 α-amylase를 생산하는 분리균 16-7을 동정한 결과 Bacillus licheniformis로 판명되었다. 분리균 No. 16-7이 생산하는 α-amylase를 정제하여 효소 특성을 분석한 결과 N-말단의 아미노산 잔기배열과 분자량이 B. licheniformis의 효소와 동일하였으나 열안정성과 최적반응온도는 더 높았다. Among the thermophilic bacteria of 1,286 isolated from the natural soil. 402 a-amylase-producing strains were selected based on their liquefying activity of the soluble starch. The 65 isolates were further screened to produce the a-amylase hydrolyzing efficiently the insoluble starch from 402 isolates. They were grown in the complex broth, and then the culture supernatants were inverstigated for degradastion of the starch, resulting that the 14 isolates showed high activities for starch hydrolysis. Activity staining of the crude enzymes from the 14 isolates was done on the denaturing-polyacrylamide gel. From the result. the 4 isolates were found to produce the thermostable a-amylases with high activities. Especially, isolate 16-7 produced the a-amylase showing the highest thermostability. It was identified as Bacillus Iicheniformis. The a-amylase was purified and analyzed to have the N-terrminal amino acid sequences identical to that of B. Iicheniformis a-amylase. But, the 16-7 a-amylase was more thermostable than B. Iichniformis a-amylase.

술중 전향적 대장세척술과 대장아전절제술을 이용한 폐쇄성 좌측 대장 및 직장암의 일차절제 및 문합술

윤완희,홍기훈,송인상 충남대학교 의과대학 지역사회의학연구소 1997 충남의대잡지 Vol.24 No.2

The proper surgical management of obstructing left colorectal cancers in an issue of debate. Staged operation including proximal colostomy has generally been accepted as a safe and standard method of management. But staged colonic procedures are associated with significant morbidity and mortality, and many patients, unfit for further surgery, are left with a permanent colostomy. Many other methods such as the use of long intestinal tube, transanastomotic obturation balloon colostomy, intracolonic bypass tube (Coloshield) were developed, but they have failed to gain wide accepance. We have already reported the initial results of intraoperative antegrade colonic irrigation for one-stage operation in obstructing left colorectal cancers. In this investigation, we evaluated the results of prospective trials of primary resection and anastomosis using intraoperative colon irrigation and subtotal colectomy in obstructing loft colon and rectal carcinomas. During recent five years, 19 cases of obstructing left colon and rectal carcinomas which could not received regular colon preparation due to marked abdominal distension were enrolled to this study. There were 12 men and 7 women, and mean age was 61. 14 of the 19 patients which tumors located below mid-descending colon were subjected to primary resection and anastomosis using intraoperative antegrade colonic irrigation, 4 patients which tumors located above the mid-descending colon were treated with subtotal colectomy, and remaining one patient which tumor located upper rectum was performed subtotal coloectomy because of underlying colonic ischemia. There was no mortality and significant postoperative complications such as anastomotic leakage, pelvic abscess of intraabdominal sepsis which seemed to related with anastomotic dehiscence. Therefore, primary resection and anastomosis using intraoperative colonic irrigation of subtotal colectomy depending on tumor locations in cases of obstructing left colon and rectal carcinomas might be useful methods to obtain safe one-stage restorative colorectal resections