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Wistar 흰쥐에서 안드로겐 수용체 증가를 통한 비수리 추출물의 남성 갱년기 개선 효과
이성(Seong Lee),정세영(Se-Young Choung),김창희(Changhee Kim),김형지(Hyung Jee Kim),모상준(SangJoon Mo),최순향(Sun-Hyang Choi),김은영(Eun Young Kim),강다혜(Dahye Kang),김은진(Eun Jin Kim),안진철(Jin Chul Ahn) 대한약학회 2022 약학회지 Vol.66 No.6
Male menopause, also referred to as late-onset hypogonadism or andropause, is a clinical syndrome characterized by sexual dysfunction, depressive disorder, and insomnia secondary to a testosterone deficiency in older men. Lespedeza cuneata, which belongs to the Fabaceae family, possesses several biological properties, including antiinflammatory, anti-oxidant, and antidiabetic effects. We investigated the inhibitory effect of standardized L. cuneata extract (LCE) on andropause symptoms in vivo. LCE administration significantly increased serum levels of total testosterone without any effects on serum estrogen levels. Additionally, LCE significantly increased serum 17-beta hydroxysteroid dehydrogenase 13 protein levels and reduced levels of sex hormone-binding globulin (SHBG), a protein that blocks free testosterone movement into the cytosol. LCE significantly upregulated the expression of cAMP response element binding protein and androgen receptor (AR), which functions as a transcription factor to stimulate spermatogenesis-associated genes and results in increased numbers of AR-positive cells, such as Leydig and Sertoli cells in the testis. To summarize, LCE administration increases serum testosterone, reduces SHBG levels and upregulates AR expression. Therefore, LCE may be useful as alternative therapy for andropause in older men.
김형지,진정환,이해원,이길호 대한응급의학회 2000 대한응급의학회지 Vol.11 No.3
Background: Testicular rupture is a surgical emergency which command immediate repair. If surgery is delayd, a hematoma causes severe pain and loss of spermatogenesis as well as hormonal functions. Scrotal ultrasonography has been helpful in early diagnosis of testicular rupture. But disadvantage of ultrasonography include a relatively low signal-to-noise level, tissue nonspecificity, lack of contrast media, a small field of view, and dependence on the operators skill and the patients physique. Also the diagnostic accuracy, sensitivity or specificity of scrotal ultrasonography was variable in regard to authors. And so, a diagnostic accuracy of scrotal ultrasonography was evaluated in scrotal trauma. Methods·. We reviewed 38 patients of scrotal trauma from May, 1994 to March, 1998. 6 patients were treated conservatively fellowing sonography and 10 patients treated only surgical exploration without ultasonography Surgical exploration was performed in 22 case, which were evaluated by ultasound before surgical treatment. In a such 22 cases, diagnostic accuracy of scrotal ultasonography was evaluated. Results: We compared ultrasound before treatment with surgical exploration finding in a such 22 cases. The ultrasonographic features in 7(31.8%) out of 22 cases, which showed testicular ruptured, but surgical exploration revealed testicular rupture in5 and epididymal rupture in 1, simple hematocele in 1. In 15(68.2%) out of 22cases the simple hematocele was diagnosed by ultrasonography, but surgical finding feature in of the 7 cases revealed testicular rupture, epididymal rupture in 1, simple hematocele in 7. The sensitivity and specificity for the ultrasonography are 42.9% and 87.5%, and the positive and negative predictive values are 86.5%and 46.7%, respectively. Ultrasonography is low sensitive in identifying testicular rupture. Conclusion: 7trasonography include a relatively low signal-to-noise level, tissue nonspecificity, lack of contrast media, a small field of view, and dependence on the operators skill and the patients physique. Therefore, early surgical exploration for saving the testis should be performed that sonographically by seeing hypoehoic peripheral lesions and disappearance of normal ovoid form of testis, hematocele in scrotal sac.