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      • SCOPUSKCI등재

        말기신부전증 환자의 성생활에 관한 연구

        전진석,장재영,이영창,홍세용,양동호,황산,함정식 대한신장학회 1998 Kidney Research and Clinical Practice Vol.17 No.1

        Sexual dysfunction is a common problem in patients with end stage renal disease. The pathogenesis of this problem is complex, and includes psychological factors, vascular, and neurological disorders, drug therapy, uremic intoxication and hormo- nal disturbances. However, we don't have any valid report because pathogenesis and physiologic significance is not proved clearly. With the questionnaire that we provided to our patients, we evaluated the sexual dysfunction in patients with end stage renal disease, and we treated our patient with antidepressants for males and estrogen for females. The results are as follows: 1) Sixty patients among 70 answered the sexual question. Among these, 46 patients (76%) complained of sexual dysfunction, 75% of male patients and 58% of female patients complained of impotence and mensturation disturbance, respectively. Especially, female patients complained of loss of libido as a whole. Also they said that they never tried to do anything to recover their sexual dysfunction, 2) After starting dialysis, 57% of patients showed decrease in coital frequency than before. 58% of patients showed no significant change in subjective sezual symptoms after dialysis. 18% of patients showed significant change in sexual function after anemia treatment. 3) Eighty-eight percents of males and one hundred percents of females treated with antidepressants and estrogen, respectively showed no effect. Finally, we found that sexual dysfunction is a common problem in chronic renal failure, but they never try to recover their conditions. Our therapeutic approach was not effective, but dialysis in CRF patient must be used for lifting the value of life, not by way of life extension. Ln addition we can make more effective treatment through objective study and psychological examination.

      • KCI등재

        카드뮴 투여가 생쥐정소의 정소관상피에 미치는 영향 : 전자현미경적 연구

        전진석,김진숙,구본철,Jeon, Jin-Seok,Kim, Jin-Suk,Koo, Bon-Chul 한국현미경학회 1993 Applied microscopy Vol.23 No.1

        This study was carried out to investigate the effects of cadmium chloride on the spermatogenesis of male mouse. Cadmium chloride was administered as a single dose of 5mg/kg body weight by intraperitoneal injection. The testes were isolated from the experimental animals at 3 hours, 8 hours, 12 hours, and 24 hours respectively after administration of cadmium chloride. The major changes in ultrastructures of the seminiferous tubules observed after cadmium chloride administration include dilation of smooth endoplasmic reticulum, swelling of mitochondria and vacuolation in cytoplasm of the germ cells. Especially, cadmium chloride caused direct damages to spermatogonia such as degeneration of nuclei, nuclear membrane and plasma membrane. In addition, necrotic changes were observed in most germ cells at 24 hours after cadmium chloride administration. Therefore, it seems clear from these results that cadmium chloride induces acute irreversible degenerative changes in the seminiferous tubules of the mouse testis, so that the cadmium chloride ultimately causes necrosis in germ cells at all stages of the spermatogenesis.

      • KCI등재

        Studies on Transport Mechanisms of Turtle Bladder I . Epithelium of Urinary Bladder

        전진석,Jeon, Jin-Seok Korean Society of Electron Microscopy 1989 Applied microscopy Vol.19 No.2

        Turtle bladder의 상피조직(上皮組織)과 세포막(細胞膜) 투과성(透過性)을 분석하기 위하여 동결절단법(凍結切斷法)을 적용(適用)하여 전자현미경(電子顯微鏡) 관찰을 하였으며 그 결과 다음과 같이 요약(要約)된다. 1. 방광상피(膀胱上皮)의 3가지 주요세포형(主要細胞形)은 granular-cell, ${\alpha}$ 및 ${\beta}$형(形)의 CA-rich cell로서 구분된다. 2. 과립성세포(顆粒性細胞)의 주요기능(主要機能)은 $Na^+$ 재흡수(再吸收)이며, 두 단계(段階)의 수송과정(輸送過程)으로 설명되며 정단세포막(頂端細胞膜)을 통한 $Na^+$의 세포내(細胞內) 확산이동(擴散移動)과 그후 기저막(基底膜)에 위치한 $Na^{+}\;-K^{+}$ 펌프에 의한 능동수송과정(能動輸送過程)이다. 3. ${\alpha}$ 및 ${\beta}$형(形) CA-rich cell은 $Na^+$ 수송(輸送)에 관여하지 않으며, ${\alpha}$형(形)의 CA-cell은 정단세포막(頂端細胞膜)의 proton펌프를 이용하여 proton 분필(分泌)에 관여한다. 또한 ${\beta}$형(形)의 CA-cell는 정단세포막(頂端細胞膜)을 통한 $HCO_{3}^-$ 분필수송(分泌輸送)의 기능을 가지고 있다. 4. 동결절단법(凍結切斷法)의 적용하에 세포막표면(細胞膜表面)의 특성(特性)을 관찰한 바, ${\alpha}$형(形)의 CA-cell의 정단세포막(頂端細胞膜)은 proton펌프를 함유하는 것으로 보이는 intramembrane particle이 다수 관찰되고 있으며, ${\beta}$형(形) CA-cell은 기저세포막(基底細胞膜)에서 이와같은 intramembrane particle이 나타나고 있다. 5. 상술(上述)한 두 type의 CA-cell에서 수송특성(輸送特性)의 차이는 proton 및 $HCO_{3}^-$ 분필수송(分泌輸送)이 서로 반대의 방향으로 일어나는 것으로 사료된다. It has been shown in this and earlier investigation that the turtle bladder mucosa has three main cell types on their mucosal surface. They are the granular cells, ${\alpha}$ CA cells, and ${\beta}$ CA cells. The three major transport mechanisms that occurs in the turtle bladder are sodium reabsorption, proton secretion, and bicarbonate secretion. In the present work the trans-port mechanisms by bladder epithelial cells of freshwater turtle, Pseudemys scripta, are summarized as follows. 1. The granular cells play an important role in sodium transport, while the ${\alpha}$ and ${\beta}$ CA cells do not appear to play a determining role in sodium transport. 2. It appears that the active sodium transport in the granular cells occurs in two-step process, implying that first, sodium diffuses into the cells, followed by an energy-dependent efflux step, which is catalyzed by the ouabain-sensitive Na-K ATPase. 3. The ${\alpha}$ type of CA cells are responsible for the proton secretion using the proton pump on the apical plasma membrane, while the ${\beta}$ type of CA cells are believed to be responsible for bicarbonate secretion. 4. When looked at under freeze-fracture electron microscopy, the apical plasma membrane of ${\alpha}$ cells have a characteristic population of rod-shaped intramembranous particles which are believed to be components of the proton pumps. Conversely, ${\beta}$ type of CA cells show rod-shaped particles in their basolateral plasma membranes, which is consistent with the proton absorptive, bicarbonate secretory mechanism. 5. In the turtle bladder, the ${\alpha}$ and ${\beta}$ type of cells are believed to be both responsible for proton transport, but in opposite directions.

      • KCI등재

        Mechanisms of proton secretion by carbonic anhydrase-containing cells in turtle bladder

        전진석,Jeon, Jin-Seok Korean Society of Electron Microscopy 1992 Applied microscopy Vol.22 No.2

        Turtle bladder 상피세포(上皮細胞)의 수송기작(輸送機作)을 in vitro에서 효과적으로 연구하기 위하여 Lucite chamber 한가운데 상피조직을 두고 전압고정법(電壓固定法)을 적용하여 상피 세포층의 막전위(膜電位)를 측정한 후 급속 동결(凍結)하고 투과 및 주사형 전자현미경(電子顯微鏡)으로 탄산 탈수효소를 함유하는 세포의 표면막 특성을 분석(分析)하였다. 방광(膀胱)의 점막층(粘膜層)은 두 타입의 탄산탈수효소를 함유한 세포가 특징적인데 정단부(丁端部)와 기저부(基底部) 세포막에서는 각기 다른 수송의 특성을 나타내고 있다. 즉 ${\alpha}$ 및 ${\beta}$형 탄산탈수효소가 풍부한 세포는 정단세포막(丁端細胞膜)의 proton 펌프를 이용하여 $H^+$ 분필(分泌)에 관여하거나 bicarbonate의 재흡수(再吸收) 기능을 가지는 것으로 믿어진다. 본 연구에서 탄산탈수효소를 함유한 ${\alpha}$형의 세포의 proton 분필수송(分泌輸送)과 세포막 투과성 변화와의 상관관계를 관찰하였는 바, 이들 세포에서 $H^+$을 분비하는 과정에서 정단부의 표면세포막(表面細胞膜) P-face에는 특이한 구조로서 세포막내(細胞膜內) 입자(粒子)들이 다량으로 분포하였다. 이와같은 세포막내(細胞膜內) 입자(粒子)들은 proton 펌프를 함유하는 것으로 생각되며 ${\beta}$형의 세포에서는 기저세포막(基底細胞膜)에서 관찰되고 있다. 이와같은 결과는 방광상피(膀胱上皮) 세포내 탄산탈수효소는 $H^+$과 $HCO_{3}^{-}$의 생성에 관여하지만, 특히 ${\alpha}$형 세포에서 정단세포막의 proton 펌프를 이용한 $H^{+}$ 분필수송(分泌輸送)과 기저세포막을 통한 bicarbonate의 재흡수(再吸收) 기능을 설명해 주는 중요한 사실로서 사료된다. This study was carried out to examine the $H^+$ transport mechanism by observing the properties of cellular membrane having an ${\alpha}$ type of carbonic anhydrase (CA)-containing cells in turtle urinary bladder. The urinary bladder consists of a heterogenous population of cells. As a result of fine observation with traditional thin-section electron microscopy. the bladder epithelium has three different cell types on mucosal surface. They are a basal cell, a granular cell and a third type of CA-rich cell. The CA-rich cells are divided into two distinct smaller groups within them and called them ${\alpha}$ type and ${\beta}$ type of CA cells. The ${\alpha}$ type of CA cells are responsible for the proton secretion using the proton pumps on the apical plasma membrane, while the ${\beta}$ type of CA cells secrete bicarbonate via an oppositely-directed proton pumps in their basolateral plasma membrane. After performing the freeze-fracture technique, it was shown that there were distributed a large number of intramembranous particles having a special structure on the apical membrane of ${\alpha}$ type of CA-rich cells in the process of their $H^+$ secretion. In turtle bladder ${\alpha}$ type of CA-rich cells, this particle was the only prominent structure in the apical membrane. These intramembrane rod-shaped particles probably represent the integral membrane components of the proton pump. This result may explain that carbonic anhydrase within epithelial cell of urinary bladder takes part in formation of $H^+$ and bicarbonate, that active transport of $H^+$ is done, and that the reabsorption of bicarbonate suggests transport mechanism containing $H^+$ secretion. However, it seems that more studies are required for considering their regular transport pathway.

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