Gilbert 증후군에서 열량 제한 시험과 Phenobarbital 자극 시험의 의의(14예)

이헌영,채경훈,정재훈,강윤세,김연수,문희석,박기오,이엄석,김선문,김석현,성재규,이병석,이강욱 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Gilbert 증후군은 인구의 7%에서까지 나타날 수 있는 매우 흔한 증후군으로서 비진행성인 양성의 만성적 경과를 치하며, 간질환의 증상과 징후가 없는 경한 비포합형 고빌리루빈혈증이 특징인 일종의 체질적인 증상으로서 혈장 빌리루빈 농도에 대한 사춘기의 영향 때문에 10대와 20대에 자주 진단이 된다. 따라서 임상적인 중요성은 미약하지만 높은 빈도가 예상되는 점에 그 중요성이 부여되어야 할 것이다. 따라서 적정한 임상적 진단법으로 기왕에 소개된 열량제한 시험과 phenobarbital 유도 시험을 시행하고 이들의 진단적 가치를 알아보기 위하여 본 연구를 시행하였다. 1990년 7월부터 1999년 4월까지 충남대학교병원에 내원하여 HBsAg, IgG anti-HBc 및 anti-HCV가 음성이고, 간 초음파 스캔에서 이상이 없으며, 혈청 AST, ALT 및 AP가 정상인 비음주자에서 경한 비포합형 고빌리루빈혈증이 있는 14예의 환자들을 대상으로 ^(99m)Tc-DISID 스캔을 시행하였으며, 기저 치 총빌리루빈 및 포합형 빌리루빈 치를 측정한 다음에 하루에 400Kcal로 48시간동안 제한한 열량 제한 시험을 시행하였고, phenobarbital을 하루 60mg씩 5일간 투여한 후에도 각각 총빌리루빈과 포합형 빌리루빈 치를 검사하여 비포합형을 구하였다. 대상 환자들은 모두 14예로서 남자가 11예(78.6%)였고 여자가 3예(21.4%)여서 3.7:1로 남자에서 많았으며, 20대가 6예(42.9%), 30대가 역시 6예(42.9%) 및 40대가 2예(14.2%)로서 2,30대가 대부분(85.8%)이었다. 열량 제한 시험 후의 총빌리루빈 치, 비포합형 및 포합형 빌리루빈 치들은 평균 각각 5.5±2.7, 4.2±2.3 및 1.3±10mg/dL 로서, 시험 전 치들인 3.0±0.8, 2.2±0.8 및 0.7±0.4mg/dL 보다 유의하게(p=0.001, p=0.001, p=0.023) 상승하였다. 포합형 빌리루빈 치도 유의하게 상승하였으나 비포합형의 상승보다는 훨씬 낮아서 주로 비포합형이 증가하였다. phenobarbital 투여 중 설사가 발생하여 중단한 1예를 제외한 13예에서 열량 제한 시험 후에 상승하였던 총, 비포합형 및 포합형 빌리루빈 치가 phenobarbital 유도 시험후에는 2.0±1.1, 1.5±0.8 및 0.5±0.4mg/dL로서 열량 제한 시험 결과보다 유의하게 낮아졌고(p=0.00, p=0.000, p=0.001), 열량 제한 시험 전의 기초치들인 3.0±0.8, 2.2±0.8 및 0.7±0.4mg.dL 보다도 더욱 낮아졌으며 유의한 차이(p=0.001, p=0.02, p=0.005)를 나타내었다. 14예에서 시행한 ^(99m)-Tc DISIDA 스캔에서 9예(64.3%)가 정상이었고, 5예(35.7%)에서는 심장 및 신장으로의 간외 섭취가 3예였고, 60분까지 소장 배출이 없는 배설 지연 예와 담낭 수축 불량 예가 각각 1예 씩 발견되었다. Phenobarbital 투여시험에서 민감도가 열량제한시험에 비해 더 높았다(92.3%와 50.0%). Gilbert 증후군에서 1일 400 Kcal로 48시간의 열량제한 시험과 1일 60mg의 phenobarbital을 5일간 투여하는 유도 시험은 편리하고 유용한 임상적인 진단법으로 이용할 수 있다고 생각된다. 그러나 열량 제한 시험에서는 증가 기준의 통일이 필요하다고 유추되며 phenobarbital 유도 시험이 민감도가 더 높은 것으로 생각된다. Gilbert's syndrome is very frequent and benign chronic process characterized by mild, intermittent, unconjugated hyperbilirubinemia without any symptom and sign of liver disease. Previously intoduced caloric restriction test and phenobarbital stimulation test as two appropriate clinical tests had been examined and their diagnostic values were reevaluated. Fourteen patients with mild, persistent, unconjugated hyperbilirubinemia were included. Subsequently caloric restriction has been applicated by 400 Kcal/day for 48 hours and phenobarbital has been prescribed by 60 mg/day for 5 days. Therafter serum levels of total and direct bilirubin were measured. Most of the patients were third and fourth decade(85.8%) and male predominant. Each basal serum levels of total, indirect and direct bilirubin were 3.0±0.8, 2.2±0.8 and 0.7±0.4 mg/dL. After caloric restriction test, each levels were increased significantly to 5.5±2.7, 4.2±2.3 and 1.3±1.0 mg/dL(p=0.001, p=0.001, p=0.023). After phenobarbital stimulation test for 13 patients had been practiced, increased levels of each bilirubin after caloric restriction test were decreased significantly to 2.0±1.0, 1.5±0.8 and 0.5±0.4 mg/dL(p=0.000, p=0.000, p=0.001) and these levels were significantly lower than basal levels(p=0.001, p=0.02, p=0.005). The sensitivities of caloric restriction test were 85.7%, 50.0%, and 71.4%, 35.7%(1.0, 1.5 mg increase of total bilirubin and 1.0, 1.5 mg/dL increase of indirect bilirubin). The sensitivities of phenobarbital stimulation test were 93.2% and 92.3% at criteria of 1.5 mg/dL increase of total bilirubin and indirect bilirubin. On the diagnosis of Gilbert syndrome, caloric restriction test and phenobarbital stimulation test are convenient and useful diagnostic tools in clinical face. And also phenobarbital stimulation test has higher sensitivity than caloric restriction test. Furthermore, standardization of bilirubin increment would be necessary in caloric restriction test.

횡문근융해증과 급성 신부전 및 범발성 혈관내 응고장애를 동반한 열사병 1예

최대은,박수진,권오경,이한규,이영모,이상주,나기량,이강욱,신영태 충남대학교 의학연구소 2003 충남의대잡지 Vol.30 No.2

Heat stroke is a life-threatening illness characterized by an elevated core body temperature that rises above 40% and central nervous system dysfunctions that results in delirium, convulsions, or coma. Heat stroke is subdivided into two forms, classic and exertional. Since strenuous exercise is one of the major exacerbating and precipitating factors, the incidence of exertional heat stroke is high among young adult, especially military personnel undergoing military training. Exertional heat stroke commonly causes rhabdomyolysis, lactic acidosis, acute renal failure, shock and pulmonary edema. We report a case of heat stroke with rhabdomyolysis, acute renal failure, disseminated intravascular coagulopathy(DIC) after strenuous exercise. A 18 year old man was admitted to the hospital because of loss of consciousness. He was a wrestler and he had tried to lose 6kg in weight by jogging and strenuous exercise on that summer day with hot temperature. The development of this illness was favoured by much clothes inappropriate for that environmental condition with a purpose to enhance sweating, and by restricted intake of water and food. On admission, the blood pressure was 80/50mmHg, and body temperature was 39.4℃ with stuporous mentality. Laboratory finding were as follows : in complete blood cell count, hemoglobin was 16.7g/dL and platelet count was 158,000/ mm³. In blood chemistry, AST 1061U/L, ALT 201U/L, BUN 30mg/dL, Cr 2.2mg/dL, LDH 941IU/L, CK 696IU/L were resulted. In arterial blood gas analysis, pH 7.39, pCO₂ 30mmHg pO₂ 86mmHg, HCO₃ 18.4mEq/L, O₂ saturation 96.7% were resulted. In urinalysis, specific gravity 1.025, protein 3+, erythrocyte 2+ were resulted. In brain imaging study, brain CT finding was normal. After appropriate treatments with rapid cooling, hydration and supportive care, he improved with alert mental status. On 2nd hospital day, in laboratory result, thrombocytopenia and coagulopathy were appeared and renal insufficiency was aggravated. So he was treated with platelet concentrate and fresh frosen plasma for DIC, and enough hydration for appropriate urine volume preservation. After all, On 22nd hospital day, he fully recovered and discharged. Nowadays, with followed for some duration, he is wellbeing with no complications.

Medicinal Chemistry : RESEARCH ARTICLE ; Selective induction of hepatic cytochrome P450 2B activity by leelamine in vivo, as potent novel inducer

( Ju Hee Kim ),( Woong Sik Nam ),( Doo Hyun Lee ),( Su Youn Lee ),( Hung Chan O ),( Jeong Min Joo ),( Kwang Hyeon Liu ),( Jae Yun Han ),( Sung Hwan Ki ),( Tae Cheon Jeong ),( Tae Ho Lee ),( Sang Kyu L 영남대학교 약품개발연구소 2015 영남대학교 약품개발연구소 연구업적집 Vol.25 No.-

Cytochrome P450 (cyp) is an important enzyme that can act on xenobiotic substances such as toxic chemicals or drugs. Phenobarbital(PB) has been widely used to induce CYP2B activity to investigate the drug-drug interaction of CTP2B substrate drugs.leelamine is a diterpene compound, and is the current focus of efforts to develop a treatment for diabetes. In this study. we identi-fied the selective and potent inductive effct of leelamine on CYP2B antdoes of 5,10,or 20 mg/kg in male ICR micc for I or 3 days. In liver, the activity of CYP2B significantly increased 3.6-fold after treatment with leelamine,com-pared to vehicle-treated group. Activities of benzyloxy-resorufin O-dealkylase and pentoxyresorufin O-dealkylase significantly increased 6.3-and 5.3-fold, respectively,with a single treatment of 20 mg/kg leelamine for I day. Fur-thermore. immunoblot analysis showed that signifieantly and dose-dependently increased CYP2B10 protein levels in liver.However,PCR results showed that there were no significant changes in the CAR and CYP2B mRNA levels after leelamine treatment. Accordingly, we suggest that leelamine is a novel substitute of PB for the seleetive inudction of CYP2B activity in vivo.

Subcellular Localization of the Barley Stripe Mosaic Virus Triple Gene Block Proteins

Lim, Hyoun-Sub,Bragg, Jennifer N.,Ganesan, Uma,Ruzin, Steven,Schichnes, Denise,Lee, Mi Yeon,Vaira, Anna Maria,Ryu, Ki Hyun,Hammond, John,Jackson, Andrew O. American Society for Microbiology 2009 Journal of virology Vol.83 No.18

<B>ABSTRACT</B><P><I>Barley stripe mosaic virus</I> (BSMV) spreads from cell to cell through the coordinated actions of three triple gene block (TGB) proteins (TGB1, TGB2, and TGB3) arranged in overlapping open reading frames (ORFs). Our previous studies (D. M. Lawrence and A. O. Jackson, J. Virol. 75:8712-8723, 2001; D. M. Lawrence and A. O. Jackson, Mol. Plant Pathol. 2:65-75, 2001) have shown that each of these proteins is required for cell-to-cell movement in monocot and dicot hosts. We recently found (H.-S. Lim, J. N. Bragg, U. Ganesan, D. M. Lawrence, J. Yu, M. Isogai, J. Hammond, and A. O. Jackson, J. Virol. 82:4991-5006, 2008) that TGB1 engages in homologous interactions leading to the formation of a ribonucleoprotein complex containing viral genomic and messenger RNAs, and we have also demonstrated that TGB3 functions in heterologous interactions with TGB1 and TGB2. We have now used <I>Agrobacterium tumefaciens</I>-mediated protein expression in <I>Nicotiana benthamiana</I> leaf cells and site-specific mutagenesis to determine how TGB protein interactions influence their subcellular localization and virus spread. Confocal microscopy revealed that the TGB3 protein localizes at the cell wall (CW) in close association with plasmodesmata and that the deletion or mutagenesis of a single amino acid at the immediate C terminus can affect CW targeting. TGB3 also directed the localization of TGB2 from the endoplasmic reticulum to the CW, and this targeting was shown to be dependent on interactions between the TGB2 and TGB3 proteins. The optimal localization of the TGB1 protein at the CW also required TGB2 and TGB3 interactions, but in this context, site-specific TGB1 helicase motif mutants varied in their localization patterns. The results suggest that the ability of TGB1 to engage in homologous binding interactions is not essential for targeting to the CW. However, the relative expression levels of TGB2 and TGB3 influenced the cytosolic and CW distributions of TGB1 and TGB2. Moreover, in both cases, localization at the CW was optimal at the 10:1 TGB2-to-TGB3 ratios occurring in virus infections, and mutations reducing CW localization had corresponding effects on BSMV movement phenotypes. These data support a model whereby TGB protein interactions function in the subcellular targeting of movement protein complexes and the ability of BSMV to move from cell to cell.</P>

Improved Output Power of GaN-Based Vertical Light Emitting Diodes Fabricated with Current Blocking Region Formed by O₂Plasma Treatment

Lee, Sang Youl,Choi, Kwang Ki,Jeong, Hwan Hee,Kim, Eun Joo,Son, Hyo Kun,Son, Sung Jin,Song, June O,Seong, Tae-Yeon IOP Publishing 2011 Japanese journal of applied physics Vol.50 No.r7

在來山羊의 性週期에 直腸溫과 膣溫變化에 關한 調査

金基元,李炳五 진주산업대학교 1970 論文集 Vol.4 No.-

本 調査는 雌在來山羊 30頭를 直腸溫과 腔溫을 아침 9時頃 安靜 상태에서 1968.3. 24∼1968.4.2, 1968. 6. 10∼1969. 1. 10, 1969. 9. 1∼1970. 1. 10,3回에 걸쳐 測定하여 平均한 結果는 다음과 같다. (1) 發精前에는 直腸溫이 腔溫보다 -0.19℃ 낮으며 극히 差가 심했다. (2) 發精前에는 直腸溫이 腔溫보다 -0.17℃ 낮았다. (3) 發精後期에는 直腸溫이 腔溫보다 -0.16℃로 가장 낮았다. The study of the vaginal and rectal temperature changes on the estrus cycle in Korean native 30 goals were conducted to help diagnosis for the exact estruation. It was performed at every 6 o'clock in the morning under quiet situation through 3 times Jan.10,1968, Apr.10,1968, Sep.10,1968-Jan. 1969 and Sep. 10, 1969-May 10, 1970. The results obtained are summarized as follows: 1. The rectal temperature is lower than the vaginal temperature as a -0.19℃ in the preestruation and its variation is very high of the estrus cycles. 2. The rectal temperature is lower than the vaginal temperature as a -0.17℃ in the estruation. 3. The rectal temperature is lower than the vaginal temperature as a -0.16℃ in the postestruation.

부산지역 공무원 및 교직원의 당뇨병에 관한 역학적 조사연구

배기택,김준연,이채언,문덕환,이승환,김진옥,김용완 인제대학교 1983 仁濟醫學 Vol.4 No.1

조사대상자(공무원 및 교직원) 4,755명에 대한 당뇨병의 유병율은 2.9%(남 3.0%, 여 2.5%)이었으며 연령이 높을수록, 남자에서, 그리고 비만자의 경우, 당뇨병의 유병율이 각각 고율이었다 (P<0.05) Authors surveyed on the prevalence rate of diabetes and several factors related with the occurrence of diabetes on 4,755 numbers of public officials and school personnels in Busan for one year from July, 1982. The obtained results were as follows: 1.The prevalence rate of diabetes among total aubjects was 2.9% (Male 3.0%, Female 2.5%, and it was gradually increased with aging (P < 0.05). 2.The positive rate of lasting urine sugar was 2.7% among total subjects, and the negative rate of diabetic group was 78.3%. 3.The rate of obesity (120% and over of standard body weights in diabetic group wart higher than normal (P<0.05). 4.Among 76 diabetics, 58 (76.3%) numbers were 110mg/dl and over in postprandial 2 hour blood sugar level.

흰 쥐 모델에서 지연재식 시 dexamethasone과 OP-1의 표면처리가 치주조직 재생 및 항흡수 작용에 미치는 효과

권오택,금기연,이승종 대한치과보존학회 2001 Restorative Dentistry & Endodontics Vol.26 No.4

본 연구를 종합하면 통계학적인 유의차는 없었으나 OP-1에 비해서는 DEX로 처치한 군에서 더 많은 골유합이 나타났으며 고농도의 OP-1으로 처치한 군에서는 골유합 없이 치주재생이 일어나는 부위가 많이 관찰되었다. 그러나 차후에는 DEX나 OP-1이 치주조직 내의 어느 세포에 어떠한 기전으로 작용하는지 분자생물학적인 방법을 통하여 규명하고 이를 토대로 치주인대의 손상 후 야기되는 골성 유합을 줄이는 효과적인 치료약제나 방법을 개발하는 연구가 계속적으로 이루어져야 할 것으로 사료되며 6주 이상의 재식기간 후 각 약제의 조직학적 반응을 평가하기 위한 실험도 추가되어야 할 것으로 사료된다. 태생 40일 된 Spray-Dolwey계 흰 쥐의 상악 제1대구치를 발거하고 30분간 자연건조시킨 뒤 MB치근을 Caviton으로 근관충전하고 MB 치근표면에 DEX와 OP-1을 농도를 달리하여 도포한 후 재식하고 3주후 골 및 백악질의 재형성과 치주재생 및 치근 흡수 방지효과를 관찰한 결과 고농도의 OP-1이 조직학적인 관찰에서 치근흡수, 골성 유합 및 염증 정도에서 가장 우수한 결과를 보여주었고 치주 재생능력 면에서도 가장 뛰어난 것으로 나타났으나 추후에는 6주 이상의 장기관찰 후 각 약제의 조직학적 반응도를 평가하기 위한 실험이 추가되어야 할 것으로 사료된다.

경희대학교 수원캠퍼스 노천극장 주변 공원 기본계획

김동찬,이윤수,권오원,민창기,김태현,박경모 경희대학교 디자인연구원 2004 예술· 디자인학연구 Vol.7 No.1

We, Kyung-hee University in Suwon has planned to build an open-air theater behind the building of natural science, and feel the need of creating places for cultural life and recreation. As the origin aim of this construction and landscape, university students can use this facilities and place for their daily relaxation and cultivation of emotion, and they also can utilize them for places of their meetings and events. Concerning the following completion of the UN Peace Park, our theater and the surrounding places will expectingly play important roles for the park because the open-air No-cheon theater is included in the full site of the UN Peace park. The focused elements of this basic plan are maintaining the basic plan of the UN Peace Park, forming the visually creative background, of the open-air theater cultural and recreational places, balancing and integrating human, nature, and the useful facilities.

Hot Wall Evaporation 방법으로 제작한 ZnTe 박막의 광학적 특성

심규철,오병성,이기선 충남대학교 기초과학연구소 1995 忠南科學硏究誌 Vol.22 No.2

ZnTe thin films were prepared by the hot wall evaporation technique, and the optical properties of the films has been investigated. It has a direct band gap of about 2.21 eV and an indirect band gap of about 2.03 eV. The absorption coefficient was found to be about 10^4 ㎝^-1. And also the refractive index of 2.2 ∼ 3.2 and the extinction coefficient of 10^-4 were obtained.