단백뇨

고광욱,Ko, Kwang-Wook 한국생명보험의학회 1992 保險醫學會誌 Vol.11 No.-

Marchantia polymorpha ( 우산이끼 ) 현탁배양 세포내의 4-methylsterol 들의 동정

고광욱(Kwang Wook Ko),한광석(Kwang Seok Han),남상준(Sang June Nam),곽상수(Sang Soo Kwak),심재국(Jae Kuk Shim),김성기(Seong Ki Kim) 한국식물학회 1995 Journal of Plant Biology Vol.38 No.3

Five kinds of 4-demethylsterol were isolated from suspension cultured cells of a liverworth, Marchantia polymorpha. Four 4-demethylsterols among them were analyzed by a capillary gas chromatography-mass spectrometry and 500 MHz ^1H-NMR, and characterized to be avenasterol, 24-methylene-cholesterol, stigmasterol, and campesterol. And the fifth 4-demethylsterol was characterized to be sitosterol by a capillary gas chromatography-mass spectrometry. The concentration of the 4-demethylsterols in the cell decreased in order of avenasterol>stigmasterol>24-methylene-cholesterol>campesterol>sitosterol. When carbon skeleton and the oxidation state was compared with those of brassinosteroids, these 4-demethylsterols may be potent biosynthetic precusors of brassinosteroids in the cells.

Sensitivity of Escherichia coli Strains to Antimicrobial Agents and Their Profiles of Plasmids with Special References to the Strains with Colonization Factor Antigens

Kwang-Ho Rhee(이광호),Myung-Je Cho(조명제),Jong-Bae Kim(김종배),Han-Wook Yoo(유한욱),Woo-Hyun Chang(장우현),Kwang-Wook Ko(고광욱) 大韓微生物學會 1988 大韓微生物學會誌 Vol.23 No.2

韓國人의 胃炎 原因菌 Helicobacter pylori 保菌實態

李光浩(Kwang-Ho Rhee),尹熙相(Hee Shang Youn),白承哲(Seung-Chul Baik),李愚坤(Woo-Kon Lee),趙明濟(Myung-Je Cho),崔烋振(Hyu-Jin Choi),孟國永(Kook Young Maeng),高光昱(Kwang Wook Ko) 大韓微生物學會 1990 大韓微生物學會誌 Vol.25 No.6

혈관 평활근의 수축기전에 관한 연구

홍용우,고광욱,김기환,Hong, Yong-Woo,Ko, Kwang-Wook,Kim, Ki-Whan 대한생리학회 1987 대한생리학회지 Vol.21 No.2

The activation mechanism of the sustained contractions induced by norepinephrine and K-depolarization was studied in renal vascular muscle. Helical strips of arterial muscle were prepared from rabbit renal arteries. All experiments were performed in Tris-buffered Tyrode solution which was aerated with 100% $O_2$ and kept at $35^{\circ}C$. Renal arterial muscles developed a contracture rapidly when exposed to a 40 mM K-Tyrode solution. In the absence of external $Ca^{2+}$, however, no K-contracture appeared. The contracture induced by K-depolarization was abolished by the treatment with $Ca^{2+}-antagonist\;(verapamil)$ or lanthanum $(La^{3+})$. From these results, it is obvious that K-contracture of renal arterial strip required $Ca^{2+}$ in the medium and this contracture was developed by the increased $Ca^{2+}-influx$ due to K-depolarization. Noradrenaline (5 mg/l) induced also a similar sustained contraction rapidly in all strips. Even on the K-contracture and in $Ca^{2+}-free$ Tyrode solution and also in the Tyrode solution pretreated with verapamil or $La^{3+}$, noradrenaline produced a contraction. However, the contraction in $Ca^{2+}-free$ Tyrode solution was not sustained and decreased gradually. The amplitude of noradrenaline-induced contracture was dependent on external $Ca^{2+}$; The contracture increased dose-dependently, but over 3 mM $Ca^{2+}$, decreased. The results of this experiment suggest that K-contracture was developed by an increased $Ca^{2+}-influx$ due to membrane depolarization, while noradrenaline-induced contracture was developed by both transmembrane $Ca^{2+}-influx$ and the mobilizaiton of cellular $Ca^{2+}$

Colonization Factor Antigens in Enterotoxigenic and Non-enterotoxigenic Strains of Escherichia coli Isolated in Korea

Han-Wook Yoo(유한욱),Kwang-Ho Rhee(이광호),Myung-Je Cho(조명제),Jong-Bae Kim(김종배),Woo-Hyun Chang(장우현),Kwang-Wook Ko(고광욱) 大韓微生物學會 1988 大韓微生物學會誌 Vol.23 No.2

기니피그 위 평활근의 기계적 및 전기적 활동에 대한 아데노신 효과

김희진(Kim, Heui-Jeen),고광욱(Ko, Kwang-Wook),서인석(So, In-Suk),김기환(Kim, Ki-Whan) 대한생리학회 1987 대한생리학회지 Vol.21 No.2

The effects of adenosine on the mechanical contractions and electrical activities were investigated in guinea-pig stomach. Spontaneous contractions of the antral region were recorded with force transducer, and the phasic contractions of fundic region were induced by electrical field stimulation. Electrical responses of smocth muscle cells were recored using glass capillary microelectrodes filled with 3M-KCl. Field stimulation was applied transmurally by using a pair of platinum wire (0.5 mm in diameter) placed on both sides of tissue. All experiments were performed in tris-buffered Tyrode solution which was aerated with 100% O² and kept at 35℃. The results obtained were as follows. 1) Adenosine suppressed the spontaneous contractions of antrum in a dose-dependent manner. 2) The inhibitory effect on antral spontaneous contractions was not influenced by the administration of guanethidine (5 X 10^-6 M) and atropine 10^-6 M, or in the presence of dipyridamole 10^-7 M. 3) The phasic contractions of fundus induced by electrical field stimulation, which disappeared rapidly by the addition of tetrodotoxin (3 X 10^-7 M), were potentiated by adenosine in the presence of guanethidine. 4) Adenosine decreased the amplitude and the maximum rate of rise of slow waves, and the increased amplitude and rate of rise evoked in the high calcium solution or in the presence of TEA were decreased by adenosine. 5) The non-adrenergic, non-cholinergic inhibitory junction potential (IJP) was inhibited by adenosine in the antral region, while the excitatory junction potential (EJP) in the fundic region was potentiated. From the above results, the following conclusions could be made. 1) Adenosine suppresses the spontaneous contractions of antrum strip by the decrease in amplitude and rate of rise of slow waves. 2) The release of neurotransmitter(s) from non-adrenergic, non-cholinergic nerve terminals is inhibited by adenosine.

소아의 신혈관성 고혈압

강병철,하일수,김인원,정해일,최용,고광욱,Kang Byoung-Chul,Ha Il-Soo,Kim In-One,Cheong Hae-Il,Choi Yong,Ko Kwang-Wook 대한소아신장학회 1997 Childhood kidney diseases Vol.1 No.2

목적 : 소아 신혈관성 고혈압의 임상적 특징과 원인질환, 검사 소견 및 치료에 대한 반응 등을 분석하고자 본 연구를 시행하였다. 방법 : 1986년 1월부터 1994년 6월까지 서울대학교 어린이병원 소아과에 입원한 고혈압 환자 중 혈관조영술상 신혈관성 고혈압으로 진단된 16례에 대하여 병록지 검토를 통한 후향적 고찰을 시행하였다. 결과 : 전체 16례중 남녀비는 7:9이었고, 평균 연령은 8년 6개월이었다. 원인질환으로는 Takayasu 동맥염이 6례, Moyamoya병에 동반된 예가 5례, 섬유근성 이형증이 3례, 신경섬유종증에 동반된 예가 1례였으며, 1례에서는 원인 질환을 밝혀낼 수 없었다. 흔한 증상으로는 호홉곤란, 편측마비, 두통, 오심 등이 있었고, 신체검사 소견상 심비대, 간비대, 복부 청진상 잡음 등이 관찰되었다. 말초혈장 renin 활성도는 검사를 시행한 14례에서 모두 상승되어 있었다. 혈관조영술상 16례 중 9례가 양측성, 7례가 일측성 병변을 보였다. Captopril 신스캔은 시행된 전례에서 혈관조영술상의 병변과 일치되는 결과를 보였다. 약물치료만을 시행한 5례 중 2례에서는 혈압의 완전 정상화, 3례에서는 부분적 조절의 반응을 보였다. 경피적 혈관성형술은 10례에서 시도되었으나 5례에서는 실패하였고 성공한 5례 중 3례에서 재협착 또는 동반된 대동맥 협착등으로 다른 형태의 치료가 필요하였다. 수술적 치료는 4례에서 시행되었으며 모두 다른 형태의 치료로 실패한 경우였다. 이 중 3례에서는 혈압 조절에 실패하였고 1례에서는 부분적 조절의 반응을 보였다. 결론 : 소아의 신혈관성 고혈압의 원인 질환은 Takayasu 동맥염뿐 아니라 Moyamoya병, 섬유근성 이형증등 다양하므로 이들간의 감별이 필요하다. 여러 진단적 검사중 단독으로 확진 가능한 검사는 없으며 환자마다 적합한 진단적 검사법을 개별적으로 적용해야 한다. 치료로서 약물요법, 혈관성형술, 수술적 치료 등이 시행되지만 완치율 및 성공률은 아직 만족스럽지 못하다. Purpose : The clinical characteristics of renovascular hypertension (RVHT) in children were analyzed. Methods : Medical records of 16 children diagnosed as RVHT on the basis of angiography during Jan. '86 to Jun. 94 in our hospital were reviewed retrospectively. Results : The mean age at the onset was 8.5 yrs and the sex ratio(M:F) was 7:9. The causes of RVHT were Takayasu arteritis in 6, Moyamoya disease in 5, and fibromuscular dysplasia in 3 patients. Abdominal bruit was noted in 6 patients (38%). Peripheral renin activity was raised in all tested patients. Bilateral renal arterial involvemnent was found in 9 patients (56%). Captopril renal scans showed good correlation with angiographic findings. Five patients were treated with antihypertensives only, and blood pressure was controlled completely in 2 and incompletely in 3. Percutaneous transluminal angioplasty was performed in 10 patients with 50% of success rate. However, hypertension was recurred due to restenosis or accompaning aortic stenosis in 3 patients. Surgical treatment was performed in 4 patients, and the blood pressure was controlled partially in 1 and poorly in the remaining 3. Conclusions : Takayasu arteritis, Moyamoya disease and fibromuscular dysplasia are the major causes of childhood RVHT in our country. The diagnosis of RVHT in children should be based on a set of tests individually selected for case by case. For the low curability of the current treatment modalities available, RVHT in children should not be regarded as 'curable' so far. We expect, however, that the outcome will be improved by more extensive application of the newly developed surgical technique.

P-pili 保有 大腸菌의 分布

강경희(Gyeong-Hee Kang),이광호(Kwang-Ho Rhee),조명제(Myung-Je Cho),이우곤(Woo-Gon Lee),유항희(Hang-Hi Ryou),유한욱(Han-Wook Yoo),김종배(Jong-Bae Kim),최용(Yong Choi),고광욱(Kwang-Wook Ko) 大韓微生物學會 1989 大韓微生物學會誌 Vol.24 No.4

투석 치료중인 만성 신부전 소아에서의 지질 및 지질단백 이상

김정수,송정한,박혜원,정해일,김진규,최용,고광욱,Kim Jung-Sue,Song Jung-Han,Park Hye-Won,Cheong Hae-Il,Kim Jin-Q,Choi Yong,Ko Kwang-Wook 대한소아신장학회 1997 Childhood kidney diseases Vol.1 No.2

목적 : 말기 신부전 환자에서 심혈관계 질환은 유병율 및 사망율의 중요한 원인중 하나이다. 이들 환자에서 흔히 동반되는 고지질단백 혈증은 심혈관계 질환의 위험인자로 작용하며, 특히 lipoprotein(a)[Lp(a)]는 관상동맥 질환과 혈전증의 위험 인자로 알려져 있다. 소아에서도 만성 신부전시 고지질 혈증이 보고되어 있다. 저자들은 투석 치료중인 만성 신부전 소아를 대상으로 혈중 지질, 지질단백 및 Lp(a)의 농도 변화를 분석하였다. 방법 : 서울대학교 어린이병원 소아과에서 유지 혈액 투석을 받고 있는 환아 10명과 지속성 외래 복막 투석을 받고 있는 환아 14명을 대상으로 정맥 혈청중 지질, 지질단백 및 Lp(a)농도를 측정하여 건강 대조군과 비교하였으며, Lp(a)의 혈중 농도에 따른 다른 지질단백의 혈중 농도를 비교하였다. 혈액투석(hemodialysis, HD)환아군의 평균 연령이 $162{\pm}59$ 개월, 남녀비는 7:3 이었으며 복막투석(peritoneal dialysis, PD)환아군의 평균 연령은 $123{\pm}69$개월, 남녀비는 6:8 이었다. 결과 : 1) 연령, 성별, 비만지수, 투석기간은 HD군과 PD군 간의 차이가 없었으나 혈중 단백과 알부민치는 PD군에서 유의하게 낮았다. 2) HD군과 PD군 모두에서 혈중 콜레스테롤, 중성지방, 저비중 지질단백 콜레스테롤(low density lipoprotein-cholesterol, LDL-콜레스테롤)과 고비중 지질단백 콜레스테롤(high density lipoprotein-cholesterol, HDL-콜레스테롤)의 비는 대조군에 비해 증가되어 있었으며, HDL-콜레스테롤과 콜레스테롤의 비는 대조군에 비해 유의하게 낮았다. 3) 혈중 아포단백 B치는 대조군에 비해 상승되어 있었지만 아포단백 Al과 아포단백 B의 비는 차이가 없었고, 혈중 Lp(a)치는 PD군에서만 대조군보다 상승되어 있었다. 4) 혈중 Lp(a)치가 30 mg/dl 미만인 환아는 13명, 30 mg/dl 이상인 환아는 11명으로 이들 간에 연령, 비만지수, 투석방법, 투석기간은 차이가 없었으나 혈중 알부민은 Lp(a)가 상승된 환아들에서 감소되어 있었다. 5) 혈중 Lp(a)농도와 다른 지질 단백과의 비교에서 아포 단백 B만이 유의한 차이를 보였다. 결론 : 투석 치료중인 만성 신부전 소아에서 혈중 지질단백 이상이 관찰되었으며 특히 PD군에서는 혈중 Lp(a)치가 증가되어 있었다. 따라서 만성 신부전 소아에서 관상 동맥 질환의 위험도가 높을 것으로 사료되며 이에 대한 장기적이고 지속적인 관찰이 필요하다. Purpose : Chronic renal failure is often accompanied by severe dyslipidemia, a known risk factor for cardiovascular disease. Lipoprotein(a) [Lp(a)] has recently been characterized as a risk factor for atherosclerosis and thrombosis. Cardiovascular disease is the leading cause of death in adult patients on dialysis. However, there are only limited data available concerning risk factors for atherosclerosis in uremic children. We have measured serum levels of lipids, lipoproteins, apolipoproteins and Lp(a) in uremic children with maintenance dialysis. Methods : Ten uremic children with hemodialysis (HD) and 14 with peritoneal dialysis (PD) in our dialysis unit were included in this study. The mean age of HD patients was $162{\pm}59$ months and the male to female ratio was 7:3. The mean age and sex ratio of PD patients were $123{\pm}63$ months and 6:8, respectively. The levels of cholesterol, triglyceride, lipoproteins, apolipoproteins and Lp(a) were measured from serum sampled after 14 hours of fasting. The normal control levels were cited from 2 articles presenting the normal blood lipid and lipoprotein levels of primary school and middle school children in Korea. Results : There was no difference in age, sex ratio, body mass index and duration of dialysis between the HD and the PD group. The serum concentration of the cholesterol, triglyceride and apolipoprotein B were significantly elevated in dialysis patients compared with normal subjects. The serum level of Lp(a) was significantly elevated in only PD group. The serum Lp(a) level was below 30 mg/dl in 13 and above 30 mg/dl in 11 patients. The serum albumin level was significantly decreased in high Lp(a) group than in low Lp(a) group. Conclusion : The uremic children receiving dialysis reveal abnormal serum lipid and lipoprotein profiles. These results suggest that they have a higher risk for coronary heart disease, although there has been no clinical evidence of coronary heart disease at present. A long-term follow-up study of these children to clarify the suggestion should be started now.