Tropane Spirohydantoin들의 합성 및 구조분석

정대일,이도훈,송주현,이용균,최순규,박유미,한정태 동아대학교 환경문제연구소 2006 硏究報告 Vol.28 No.1

The tropane ring system is an important substructure in a number of natural products and synthetic compounds of biological and medicinal importance. As a result of the significance of the tropane ring system, the purpose of this study is the synthesis of anticonvulsant compounds of new s tructure anticipated anticonvulsant activity. After we first synthesized the various N-substituted nortropinone derivatives, we prepared new nortropane alkaloids and nortropinone derivatives. Substantially, we tried several experiments to optimize reaction condition. The tropane spirohydantoins 17, 18, 19, 20, 21 were respectively synthesized by the treatment of corresponding N-substituted nortropinone with potassium cyanide and ammonium carbonate.

Gentamicin 투여에 따른 혈중 및 요중 β2-Microglobulin 동태에 관한 연구

이정상,신영태,정순일,이문호,김병국,김승택,최경원 대한핵의학회 1980 핵의학 분자영상 Vol.14 No.2

저자는 1980년 3월부터 7월까지 서울대학교병원 내과에 입원하여 게타마이신을 투여받았던 각종 감염증환자 10예를 대상으로 겐타마이신의 혈중농도, 혈청크레아티닌, 혈중 및 24시간 요 베타-2-마이크로글로불린을 측정하여 다음과 같은 결론을 얻었다. 1) 겐타마이신의 혈중농도는 최고농도(peak level)는 4.5∼8.2μg/ml, Trough치는 0.2∼2.1μg/ml를 유지하여 안전치료 영역내에 있었다. 2) 혈청 크레아티닌(creatinine)치는 겐타마이신 투여기간중 대상 전원에서 통계학적으로 유의한 증가를 보이지 않았다. 3) 혈중 베타-2-마이크로글로블린치는 겐타마이신 투여기간중 대상 전원에서 통계학적으로 유의한 증감을 보이지 않았다. 4) 24시간 요 베타-2-마이크로 글로블린은 겐타마이신 투여후 전예에서 통계학적으로 유의한 증가를 보여 제 5일에 기저치보다 평균 5.8±1.62배 증가하였으며, 그 이후로는 감소하는 경향을 보였다. 이상의 결과를 종합하면 24시간 요 베타-2-마이크로글로블린 측정은 겐타마이신의 초기 신독성을 예민하게 반영한다는 사실을 알 수 있었으며, 이의 임상적 신독성과의 관계는 앞으로 추시가 필요하다고 생각된다. Gentamicin is useful to the Gram negative bacterial infection, but its nephrotoxicity is a serious problem and the incidence is probably increasing. The toxicity of gcntamicin to the kidney is site-specific to the proximal tubule. In this study, we measured daily peak and trough level of gentamicin, serum creatinine, serum Beta2-microglobulin and 24-hr urine Beta2-microglolbulin in 10 gentamicin treated patients. All the patients had their peak levels of gentamicin in the safe therapeutic range, and their trough level showed no evidence of gentamicin accumulation. There was no patient who showed his daily serum creatinine and Beta2-microglobulin rise significantly. But 24-hour urine Beta2-microglobulin showed significant rise from basal level(mean 5.8±1.62×) on the 5 th day of gentamicin treatment. Thus, serial monitoring of proximal tubular function with urinary Beta2-microglobulin excretion has potential value in the assessment of insults of gentamicin to this site. But clinical significance of raised uriry Beta2-microglobulin excretion in relation to the serum creatinine should be further studied.

축산에서 탄수화물 복합체의 응용

최윤재,조광근,윤연화,김성찬,김재영,손광수,박영우 한국낙농학회 1999 韓國酪農學會誌 Vol.21 No.4

급성 심근경색증 초기 진단에 latex 응집을 이용한 혈청 myoglobin 측정의 임상적 의의

박영배,서정돈,최윤식,이영우,오병희,손대원,임하진,김유우,박명희 대한내과학회 1987 대한내과학회지 Vol.32 No.2

We evaluated the diagnostic usefulness of latexagglutination test for elevated serum myoglobin as a screening test in the early phase of acute myocardial infarction and 21 patients with chest pain mimicking acute myocardial infarction were included in this study. Result was compared with serum myoglobin level measured by radioimmunoassay (RIA) in every case. The Following results were obtained: 1) When serum myoglobin levels measured by RIA below 85ng/㎖ were regarded as normal, this test showed sensitivity of 82%, specificity of 95%. 2) In latex-agglutionation test for elevated serum myoglobin, test results were interpreted as negative, weakly positive and positive. If we regard weakly positive tests as positive, sensitivity was 93% and specificity was 62%. In contrast, if we regard weakly positive tests as negative specificity rose to 100% while sensitivity reduced to 75%. 3) Agreement rate of both test was k=0.59. It is suggested that latex-agglutination test for elevated serum myoglobin is helpful in ruling out acute myocardial infarction when test result is negative, and that it can be used as a screening test in the early phase of acute myocardial infarction because of its rapidity and simplicity in performing the procedure.

다이프로피온산 베클로메타손과 부데소니드의 투여 용량에 따른 코르티솔 농도와 변화

이영승,김종구,이양근,최수미,송하숙,이용철 대한내과학회 1993 대한내과학회지 Vol.45 No.6

Background: Topical inhaled steroids, budesonide (Bu) and beclomethasone dipropionate (BDP) is now established in the management of chronic: asthma. These have high topical anti-inflammatory activity but low systemic activity. This study was performed to determine the effects of two inhaled corticosteroids, Bu and BDP, on the adrenocortical supression in thirty patients, eighteen chronic obstructive pumonary diseases and twelve bronchial asthma (aged 33-76 years). Methods: The adrenocortical function was assessed by measurement of plasma cortisol concentration at 8 o' clock in morning and free cortisol in 24-hour urine collection at interval, No steroid was taken during the pretreatment period of 10 days, thereafter each subject inhaled Bu or BDP aerosol, in daily doses of 800 or 1,600 micrograms for 12 days. The dose was delieved by metered dose inhaler (MDI) or diskhaler. No steroid was taken during the final 6 days of the study. Results: The plasma cortisol and 24-hour urinary free cortisol were decreased during the treatment period in patients inhaled Bu in daily doses of 800 and 1,600 micrograms. In contrast, plasma cortisol was decreased on the 12th day of treatment period in patients inhaled RDP, in daily doses of 800 micrograms (P less than 0.05). The plasma cortisol and 24-hour urinary free cortisol were decreased (P less than 0.05) on the 9 and 12 th day of treatment period in patients inhaled BDP in daily doses of 1,600 micrograms. Conclusion: These results suggested that suppression of the endogenous cortisol secretion occurs at inhaled budesonide and beclomethasone dipropionate is less suppressed on the adrenocortical function than budesonide in dose dependent fashion during the early periods,

인공판막 재대치험예에서의 판막실패의 양상

박영배,김유호,서정돈,최윤식,이영우,오병희,도문홍,최동주,전은석 대한내과학회 1987 대한내과학회지 Vol.32 No.3

In order to observe the aspects of prosthetic cardiac valve failure, we analyzed 26 cases of Redo operation among 1081 cases of valve replacemant performed from Jan. 1961. to July 1986. The results are as follows; 1) Crude Redo operation rate was 2.4%. 2) The most common cause or prosthetic cardiac valve failure was the primary tissue failure (73%) 8r the PVE was the 2nd (15.4%). 3) Mean valve implantation time was 47.7 months. Implantation time in the child group was shorter than in adult by 6.8 months, In the primary tissue failure group (19 cases) implantation time in the child was 42.8 months 8z in adult, 66.8 months. (P$lt;0.05) In conclusion, the durability of tissue valves was significantly decreased in the child age group because of increased propensity for calcification, so the preference of tissue valves especially in this age group should be reconsidered.

Castleman 씨 병에 동반된 신유전분증

김연수,한진석,이정상,김병국,이중건,정윤철,이진학,최영진,안규리,김성권,이현순 대한내과학회 1994 대한내과학회지 Vol.46 No.2

Castlemam's disease is an asymptomatic and benign lymph node hyperplasia which is frequently manifested as mediastinal mass in over 70% of cases. Amyloidosis is rarely associated with Castleman's disease. Recently we experienced a patient with nephrotic syndrome due to renal amyloidosis who had been previously diagnosed as Castleman's disease of retroperitoneal lymph node enlargement. A 47-year old woman was admitted because of generalized edema and chest tightness. Five months ago she diagnosed as Castlman's disease-plasma cell type, of retroperitoneal lymph node enlargement. The patient was followed up through outpatient department without any specific medication. Physical examination showed pale conjunctivae, palpable mass on epigastric area and pretibial pitting edema. The hemoglobin, leukocyte count and erythrocyte sedimentation rate were 96 g/L, 5.9×109/L and 127 mm/hour, respectively. The blood urea nitogen was 3.6 mmol/L and creatinine was 88 umol/L. The urinalysis showed 3 positive for albumin. Twentyfour hour urine contained 16.6 grams of protein. A computerized tomographic (CT) scan of the abdomen disclosed multiple lymph node enlargement at mesentery. Percutaneous needle biopsy of kidney showed massive infiltration of pale pinkish amorphous material in the glomerular tuft forming large nodules. Ultrastructural examination exhibited heavy deposition of amyloid fibrils in the mesangium and perpendicular to glomerular basement membrane. Polarizing microscopy with Congo-red stain revealed prominent yellow green birefringence in glomeruli, tubules and interstitium.

중등도 및 중증고혈압에서 Nifedipine 설하투여의 강압효과에 관한 연구

김영훈,서순규,최인석,김열홍,안희권,심완주,노영무 대한내과학회 1986 대한내과학회지 Vol.31 No.5

In order to assess the efficacy of sublingual nifedipine in the acute treatment of moderate to severe hypertension, a single blind test was done in 30 patients, 10 males and 20 females, aged 40 to 76 years, with moderate to severe hypertension. The patients with mean sitting blood pressure(BP) of more than J40 mmHg received sublingual placebo, and BP and pulse rate(PR) were measured in sitting position 10,20 and 30 minutes after the sublingual placebo was given. The patients with post-placebo 30 minutes sitting mean BP of less than 13pmmHg were excluded from the study. The placebo treatment period was followed by the administration of 10mg of sublingual nifedipine, and BP and PR were measured 10,20,30 and 45 minutes after nifedipine was given. BP decreased with placebo treatment(p$lt;0. 01 by paired t-test, preplacebo vs. post-placebo 30 minutes). With sublingual nifedipine BP started to fall in 10 minutes and reached the lowest levels in 30 or 45 minu1es. The systolic BP decreased from 198.0±21.4mmHg to 159±20.4mmHg, diastolic BP from 122.5±13.0 mmHg to 103.2±14.4 mmHg and mean from 147.7±13.4 mmHg to 121.7±14.8 mmHg 45minutes after nifedipine(p$lt;0.01 by paired t-test). The average fall in systolic BP/diastolic BP/mean BP 45 minutes after nifedipine was 39/19/26 mmHg(p$lt;0. 001, by paired t-test). The maximal fall in systolic BP correlated better with pretreatment value(r=0.42) than the maximal fall in diastolic pressure(r=0.21), PR increased from 79±12 to 87±11/minute with nifedipine(p$lt;0.001, by paired t-test). Side effects were mild facial flushing(16.7%) and palpitation (3.3%). The findings suggest that a dose of 10mg of sublingual nifedipine is a simple, effective and safe method for the acute treatment of moderate to severe hypertension and can be used as a non-injecting alternative agent for the treatment of hypertensive emergency.

당뇨성망막증에서의 방사성핵종 망막신티그라피의 이용에 관한 연구

이상우,박영태,이형호,최승환,안일민,서순규,진용한,이태수 대한당뇨병학회 1985 Diabetes and Metabolism Journal Vol.9 No.1

MANNOPROTEIN 과 GLUCAN 의 첨가가 쥐의 성장과 NATURAL KILLER CELL ACTIVITY 에 미치는 영향

손광수,조광근,최윤재,윤연화,김재영,한영근,문태현,김성찬 한국영양사료학회 1999 韓國營養飼料學會誌 Vol.23 No.6

본 연구의 목적은 효모 세포벽, 또는 효모의 세포벽으로부터 본 연구에서 확립한 방법으로 분리한 mannoprotein(MP)과 glucan(Glu)을 동물에 급여하므로써 동물의 일당중체량, 일당사료섭취량과 사료:중체량의 비율, 그리고 동물이 가지고 있는 면역기능의 활성화정도를 조사하는데 있다. 산업적 측면에서 대량 추출하기 위하여 기존에 있는 방법을 개선하여 변형된 방법으로 효모세포벽제제를 분리하였다. 본 연구에서 분리된 효모세포벽제제(cell wall, mannoprotein glucan)와 시판중인 효모세포벽제제(Bio-Mos^(TM))를 0.1%로 4주령 횐쥐에 4주간 급여하였다. 일당중체량은 개선된 방법으로 분리한 glucan을 급여한 처리구에서 가장 높은 중체량을 나타냈으며, 다음으로 mannoprotein 급여구가 높았으며 cell wall과 시제품(Bio-Mos^(TM)) 급여구에서 낮은 중체량을 보였다. 일당사료섭취량에 있어서 glucan 급여구가 cell wall과 시제품 급여구들과 비교할 때 높았으며 사료:중체량 비율 또한 glucan 급여구에서 가장 좋은 경향을 보였다. 사양 4주깨 횐쥐로부터 spleen을 채취하여 YACl 세포에 대한 natural killer cell의 cytotoxicity를 분석한 결과 본 실험실에서 분리한 mannoprotein과 glucan이 면역 증진효과가 큰것으로 보였다. Mannoprotein 급여구와 glucan 급여구에서 대조구와 cell wall 급여구보다 면역 효과가 뚜렷하게 나타났으며(MP, P<0.01; Glu, P<0.05), mannoprotein 급여구가 glucan 급여구보다 natural killer cell의 활성도가 높았다(P<0.01). 결론적으로 효모세포벽, mannoprotein과 glucan을 횐쥐에 급여했을 때 성장능력에 있어서 유의성 있는 효과가 나타나지 않았지만 세포배양수준에서 spleen natural killer cell의 activity를 증가시키는 효과가 있다. The purpose of this study was to investigate the average daily gam, average daily feed intake, feed gain ratio and immune system activation of rats when feeding yeast cell wall, mannoprotein (MP) and glucan (Glu) which were isolated from yeast cell wall. In order to isolate the yeast cell wall products in large scale, we used the improved isolation method basing on the typical one. In this study, yeast cell wall products (cell wall, mannoprotein, glucan) and commercial product (Bio-Mos^(TM)) were fed to 4-week old rats by 0.l% during 4 weeks experimental period. Glucan(extracted from improved method) provided the highest average daily gain. Mannoprotein treated group showed the second highest average daily gain. Cell wall and Bia-Mos^(TM) fed groups showed lower average daily gain. Treatment fed glucan also showed higher average daily feed intake than that of cell wall and commercial Bio-Mos^(TM) groups. And in feed: gain ratio, glucan fed rats showed the respectively good results. At the 4th week of feeding trial, rats' spleens were obtained from all the treatments to evaluate the cytotoxicity of natural killer cell against YACl tumor cell. The results indicated that mannoprotein and glucan had the significant effects on activating immune system. Rats of mannoprotein and glucan treated groups showed the higher immune activity than that of cell wall and control groups (MP, P<0.01; Glu, P<0.05), and natural killer cell activity of mannoprotein fed rats was higher than that of glucan fed rats (P<0.01). In conclusion, although the addition of yeast cell wall, mannoprotein and glucan to the diet of rats did not provide the significant effects on growth performance, it was clear that the mannoprotein and glucan isolated in this study could stimulate the activity of spleen natural killer cell in the cell culture.