남성화된 암컷 생쥐에서 Testosterone이 통각예민도에 미치는 영향

전명호,김명정,박제민,양구범,이국희,장세헌,강철중,Chon, Myong-Ho,Kim, Myung-Jung,Park, Je-Min,Yang, Gu-Beum,Lee, Kook-Hee,Jang, Sae-Heon,Kang, Cheol-Joong 한국정신신체의학회 2000 정신신체의학 Vol.8 No.1

연구목적 : 본 연구는 암컷 생쥐에서 출생직후 testosteorne에 노출시키면 testosterone과 연관된 통각억제계의 발달이 영향을 받으며 성인기의 testosterone 투여는 통각예민도를 감소시킨다는 가설을 검증하기 위하여 시행되었다. 방법 : 출생직후 testosterone에 노출시켜 남성화된 Institute for Cancer Research계 암컷생쥐 30마리와, 남성화 시키지 않은 정상 암컷생쥐 25 마리를 84일간 성장 시킨후 testosterone 1mg/kg를 1일 1회 3일간 투여하였다. testosterone 투여전후 통각 예민도를 tail flick latency로 실험 84일과 86일에 측정하였다. 1) 실험 84일째 기저통각 예민도는 남성화군이 $2.7{\pm}0.4$초로서 대조군의 $3.3{\pm}1.1$초에 비하여 유의하게 예민하였다. 2) 실험 84일째 testosterone 주사 후의 유해 감각 예민도는 남성화군이 $5.2{\pm}0.9$초로서 대조군의 $4.6{\pm}1.8$초에 비하여 유의하게 둔감하였고 두 군 모두에서 기저 통각 예민도에 비하여 유의하게 둔하여졌으나 남성화군에서 둔화의 정도가 유의하게 컸다. 3) 실험 86일째 testosterone 주사 전 통각 예민도는 남성화군이 $4.8{\pm}1.9$초로서 대조군의 $3.9{\pm}1.2$초에 비하여 유의하게 둔감하였다. 4) 실험 86일째 testosterone 주사 후 통각 예민도는 남성화군이 $5.9{\pm}0.9$초로서 대조군의 $4.9{\pm}1.5$초에 비하여 유의하게 둔감하였고 두군 모두에서 주사전에 비하여 유의하게 둔하여 졌으나 둔화의 정도에는 차이가 없었다. 5) 실험 84일과 비교하여 실험 86일째 주사전 통각 예민도의 변화는 남성화군이 $2.1{\pm}1.0$초로서 대조군의 $0.5{\pm}1.3$초에 비하여 유의하게 둔하여 졌으나 주사후 통각예민도의 변화는 유의하지 않았다. 결론 : 이상의 결과에서 저자는 testosterone 연관 통각억제계가 존재할 것이고 이 통각억제계의 발달은 신생아기에 testosterone 투여로 강화되며 성장후 이 통각억제계의 활성은 testosterone이 매개할 가능성을 제시한다. Objects : Aimed to test the hypothesis that neonatal testosterone exposure in female mice influences the development of testosterone-related pain inhibitory system and that testosterone administered in adulthood decreases the pain sensitivity. Methods : Thirty androgenized(testosterone propionate $100{\mu}g$ ip within 24 hrs after birth) adult female and twenty five control(normal saline $100{\mu}g$ ip within 24 hrs after birth) adult female mice were injected with testosterone propionate 1mg/kg/day for 3 consecutive days from 84th experimental days. Nociceptive sensitivity was measured before and after treatment of testosterone by tail flick latency on 84th and 86th experimental days. Results : 1) On the 84th experimental day, basal nociceptive sensitivity was significantly higher in the androgenized group($2.7{\pm}0.4$ sec) as compared to the control group($3.3{\pm}1.1$ sec). 2) Testosterone treatment on the 84th experimental day significantly lowered nociceptive sensitivity in both androgenized($5.2{\pm}0.9$ sec) and control groups($4.6{\pm}1.8$ sec). However the effect was significantly greater in the androgenized group. 3) Nociceptive sensitivity on 86th experimental day before administration of testosterone was significantly lower in the androgenized group($4.8{\pm}1.9$ sec) as compared to the control group($3.9{\pm}1.2$ sec). 4) Testosterone treatment on the 86th experimental day significantly lowered the nociceptive sensitivity in both groups, but the androgenized group($5.9{\pm}0.9$ sec) showed significantly lower post-treatment nociceptive sensitivity as compared to the control group($4.9{\pm}1.5$ sec). 5) Nociceptive sensitivity was decreased significantly after injection of testosterone once a day for two consecutive days in the androgenized group(${\Delta}2.1{\pm}1.0$ sec), but not in the control group(${\Delta}0.5{\pm}1.3$ sec). Conclusions : There may be a testosterone-related pain inhibitory system, the development of which is enhanced by exposure to testosterone in the neonatal period, and the activity of which is also mediated by testosterone in the later life.

아급성 뇌졸중 환자에서 Space Balance 3D와 Tinetti Mobility Test를 이용한 균형 능력 평가의 신뢰도 및 동시타당도 연구

최지민(Ji-Min Choi),이종훈(Jong-Hoon Lee),하현근(Hyun-Geun Ha),김양구(Yang-Gu Kim),김연희(Yun-Hee Kim),배영현(Young-Hyeon Bae) 한국콘텐츠학회 2012 한국콘텐츠학회논문지 Vol.12 No.8

본 연구는 아급성 뇌졸중 환자를 대상으로 컴퓨터화된 시각적 되먹임 균형 훈련 및 평가 장비인 space balance 3D와 기능적 검사인 tinetti mobility test (TMT)의 신뢰도 및 버그균형척도와의 동시타당도를 분석하기 위해 실시하였다. 아급성 뇌졸중 환자 총 23명을 대상으로 하였고 대상자에게 space balance 3D, TMT, 버그균형척도를 이용해 균형 능력 평가를 실시하였다. 검사-재검사간 신뢰도에서 space balance 3D의 정적균형과 동적균형은 중등도의 신뢰도를 보인반면, TMT의 세가지 점수와 버그균형척도는 높은 신뢰도를 보였다. 동시타당도에서 TMT의 세가지 점수, 버그균형척도, space balance 3D의 정적균형간에 각각 중등도의 유의한 (p<.01) 양의 상관관계를 보였다. TMT의 세가지 점수와 버그균형척도는 space balance 3D의 동적균형의 후좌측, 전좌측 방향과는 각각 유의한 (p<.05) 낮은 양의 상관관계를 보였지만 나머지 방향과는 유의한 상관관계를 보이지 않았다. 따라서 space balance 3D와 TMT의 균형 능력 평가는 아급성 뇌졸중 환자의 균형 능력을 평가하는데 유용하게 쓰일 수 있을 것으로 보이나 space balance 3D의 동적균형 평가는 한계점이 있었다. The purpose of this study was to determine the test-retest reliability and the concurrent validity between tinetti mobility test (TMT), berg balance scale (BBS) and space balance 3D which is one of the computerized measurement and visual feedback balance assessment system in subacute stroke patients. Twenty three ambulatory acute stroke subjects were measured the TMT, BBS and space balance 3D. The test-retest reliability(intra-class correlation coefficient: ICC) indicated that the static and dynamic balance in space balance 3D considered moderate reliability and TMT, BBS were good reliability. In case of concurrent validity, there were moderate validity (p<.01) between static balance test with space balance 3D and each TMT, BBS. But there were only poor validity (p<.05) between center to forward-left, center to backward-left phase in dynamic balance test with space balance 3D and each TMT, BBS. These findings suggest that in subacute stroke patients the test-retest reliability and concurrent validity using the space balance 3D and TMT were valuable in balance test but there was limitation to evaluate dynamic balance test.

암 생쥐에서 Testosterone으로 인한 유해감각예민도 둔화와 이에 대한 Naloxone의 차단효과

양구범,박제민,김명정,전명호,이국희 대한생물치료정신의학회 2000 생물치료정신의학 Vol.6 No.1

In order to examine the effect of testosterone on antinociception and the role of opioid system as an underlying mechanism, thirty-seven adult female mice(Institute of Cancer Research) were randomized to Naloxone(n=18) and Control group(n=19). Testosterone propionate(1mg/kg, ip) with naloxone HCL(2mg/kg, ip) or with normal saline(5ml/kg, ip) was administered on the first and the third experimental days. Nociceptive sensitivity was measured by Tail flick test(TFL, sec) before and after injection on the first and the third experimental days. The same dose of testosterone was injected on the second experimental day. The results were as follows; 1.TFL of control group was significantly increased by testosterone. TFL of control group measured on the first experimental day before and after injection were 5.5±1.1 sec(mean±sd) and 6.3±1.2 sec, respectively, and the change was significant(t=4.06, p=0.001). That measured on the third experimental day before injection was 5.9±1.0, showing a significant increase compared to that of the first experimental day(t=2.37, p=0.029). 2.Testosterone-induced antinociception was blocked by naloxone. In naloxone group, change in TFLs measured before(5.6±0.8) and after(5.3±0.9) injection was not significant on the first experimental day. On the third day, TFL measured before injection(6.6±1.2) was increased significantly than that of the first experimental day(t=2.87, p=0.011), but it decreased to baseline level after injection of naloxone(5.3±1.3; t=4.73, p=0.000). From these results, it is suggested that testosterone has antinociceptive effect, which is mediated by endogenous opioid system.

Flutamide가 수컷 생쥐의 유해감각예민도에 미치는 영향

장세헌,김명정,박제민,양구범,한병득 대한생물치료정신의학회 2000 생물치료정신의학 Vol.6 No.1

Objectives : Previous findings on nociception modulatory effect of testosterone were controversial. In this study, androgen receptor antagonist flutamide was used to reveal testosterone effect on baseline nociceptive sensitivity and stress-induced antinociception in male mice. Methods : Experiments consist 3 Parts: 1) tail flick latency(TFL, sec, 52±1℃) was measured before and 30 minutes after intraperitoneal injection of flutamide 150, 100, 50mg/kg or vehicle(N=15 for each group); 2) TFL was measured before and after serial injection of LHRH antagonist antide(1mg/kg, ip), and 30 minutes after flutamide(100mg/kg, ip) or vehicle; 3) With pretreatment of flutamide(100mg/kg, ip) or vehicle(N=15 for each group), TFL was measured before and after 5 minutes of forced-swim in cold water(15±1℃). Results : 1.TFL was significantly elongated(hypoalgesic) in the flutamide 100 and 150mg/kg groups. TFL of flutamide 150mg/kg group was significantly longer than 50mg/kg group. 2.Though pretreatment with antide itself did not make any change in TFL, it blocked antinociceptive effect of flutamide. TFL was elongated by serial injections in both flutamide and control group. 3.TFL was elongated by FS in both flutamide and control group. FS-induced elongation of TFL was significantly more prominent in flutamide group. Conclusions : From these results, it is suggested flutamide has antinociceptive effect on baseline TFL and potentiates FS- induced antinociception.

장기적 트립토판 결여식이 생쥐의 유해감각예민도에 미치는 영향

서영대,박제민,김명정,전명호,양구범,장세헌,강철중,김정태,김용식 대한생물치료정신의학회 2000 생물치료정신의학 Vol.6 No.1

The depressive patients can be divided into two subgroups by presence and absence of pain symptoms. Those without pain symptoms have blunted pain sensitivity whereas those with pain have normal range of pain sensitivity, and are clinically characterized by anxiety and irritability. The aim of the study is to test if these clinical profiles of the depressives with pain symptoms are related with reduced level of brain serotonin(5-HT). Forty four mice were randomly divided into two groups : one group to be bred with tryptophan free diet and the other with normal control diet, each for 4 weeks. Before the beginning of the breeding period, measured were locomotor activity by open field test, anxiety by elevated plus maze and nociceptive sensitivity by tail flick test, before and after forced swimming(FS). During each FS, duration of immobilization was also measured. The sable sets of measurements were repeated at the end of the breeding period. The brain 5-HT and 5-hydroxyindoleacetic acid(5-HIAA) were measured by high performance liquid chromatography. The results were as follows 1.Four weeks of tryptophan free diet reduced significantly body weight, brain weight, and levels of 5-HT and 5-HIAA in the whole brain. 2.Tryptophan depletion did not influence basal nociceptive sensitivity as measured by tail flick latency before FS. The normal blunting of the pain sensitivity induced by forced swimming was preserved in the tryptophan depleted group. 3.Tryptophan depletion did not influence general locomotor activity in open field. 4.Tryptophan depletion increased significantly time spent on the open arms at the elevated plus maze test done before FS. This anxiolytic-like effect was reduced by FS. 5.Tryptophan depletion did not influence duration of immobilization during FS. From these results, it is suggested that the genesis of the depression with pain symptoms is not medicated by quantitative reduction of brain serotonin

찬물 강제수영이 남성화된 암컷 생쥐의 통각예민도에 미치는 영향

이국희,박제민,김명정,양구범,전명호 대한생물치료정신의학회 2001 생물치료정신의학 Vol.7 No.1

The aim of the study was to test the hypothesis that the mice androgenized in their perinatal period show in their later life heightened basal pain sensitivity and lowered analgesic effect induced by cold water swim. Entered into the experiment were 29 female mice androgenized by intraperitoneal injection of 100㎍ testoste-rone propionate within 24 hours after birth and 30 female mice given with intraperitoneal injection of the same amount of normal saline as the control group. On 160th day after birth, the pain sensitivity was measured in terms of the tail flick latency using 52±1℃ water before and after forced swim in cold water(15±1℃) for six minutes to see the change of the pain sensitivity. The results were as follows 1) The androgenized mice revealed significantly heightened basal pain sensitivity as compared to the control mice. 2) The lowering effect of the pain sensitivity by cold water forced swim was significant in both the androgenized and the control groups, but the effect was significantly less in the androgenized mice than in the control group. From these results, the author suggests that the androgenized female mice exposed to the testosterone in the neonatal period have heightened basal pain sensitivity and lowered cold water swim-induced analgesia than the normal female mice in their later lives.