수은이 마우스의 체액성 및 세포성 면역반응에 미치는 영향

염정호,Youm, Jung-Ho 대한예방의학회 1995 Journal of Preventive Medicine and Public Health Vol.28 No.1

수은이 마우스의 세포성 및 체액성 면역반응에 미치는 영향을 밝히고자 실험을 통해 얻은 결과를 다음과 같이 요약하는 바이다. $10^{-2}mM$이상의 농도에서 수은은 시험관내의 마우스 비장세포에 대한 명백한 독성 작용(toxic effect)을 나타냈다. 수은에 의한 마우스 생존을(survival rate)은 0.8mg(per 100g body weight) 이하의 농도에서는 100%생존율을 나타냈으며, 0.9mg 이상의 농도에서는 5일 이내에 100% 치사율을 나타냈다. Subtoxic 농도의 수은 투여에 따른 Arthus 및 DTH반응의 결과는 $Arthus(T_3)$반응에 있어서 수은 투여군과 대조군 사이에 유의한 차이가 나타나지 않았던 반면, $T_{24},\;T_{48}$의 DTH반응은 수은 투여군이 대조군에 비하여 억제되었다. 수은 투여 마우스의 면양적혈구(SRBC)에 대한 항체반응을 측정한 결과 면양적혈구에 대한 총응집소가는 수은 투여 농도에 의존적으로 대조군의 값에 비해 억제되었다. 시험관 내에서 마이토젠에 대한 비장세포의 증식 반응은 수은 농도에 의존적으로 억제되었다. 수은 투여군의 IgE 생산은 농도 증가에 따라 $1.7\sim2.0$배의 수준으로 증가하였으며, $IgG_1$의 경우도 증가의 경향을 보였으나 대조군에 비해 큰 차는 아니었다. 이상의 결과를 살펴볼 때 수은 중독시 출현할 수 있는 면역반응의 변화로서, 초기에는 세포성 면역반응의 감소가 현저할 것으로 사료되나 중독이 진행됨에 따라 Ig농도의 상승을 제외한 체액성 면역반응의 전반적인 감소가 수반될 것으로 예측된다. The in vivo and in vitro humoral and cell-mediated immune responses of lymphocytes of BALB/c mouse exposed to mercury chloride$(HgCl_2)$ were investigated. In vitro exposure of the splenocytes to mercury chloride produced overt cytotoxicity in 3 hours period. The $IC_{50}$(the concentration required to inhibit a splenocyte viability by 50%) for mercury chloride was >0.1mM for cytotoxicity. In vivo mercury chloride exposed mice were significantly depressed delayed type hypersensitivity(DTH) response to sheep red blood cells(SRBC) in a dose-dependent manner compared with control group. Mercury chloride inhibited the proliferative responses of splenocytes to lipopolysaccharide, pokeweed mitogen, concanavalin A and phytohemagglutinin in a dose-dependent manner. Hemagglutinin response to SRBC in mercury chloride exposed mice was significantly depressed in a dose-dependent manner compared with control group. After 7 weeks of mercury chloride exposure in vivo, mercury chloride induced an increase of nonspecific serum $IgG_1$ and IgE levels in BALB/c mice.

납 취급 근로자의 Monte-Carlo simulation을 이용한 노출 및 건강위해성평가

염정호 ( Jung Ho Youm ),권근상 ( Keun Sang Kwon ),이주형 ( Ju Hyoung Lee ),정주원 ( Joo Won Jeong ) 한국산업위생학회 2006 한국산업보건학회지 Vol.16 No.2

Objective: This study was conducted to quantify chronic lead exposure from various media(ie. working environment, food, ambient air), and to certify the usefulness of exposure assessment using Monte-Carlo simulation in the fields of occupational health. Methods: Data were obtained from Korean Industrial Health Association, Korea Food and Drug Administration, and the Ministry of Environment. Then lead worker`s exposure was estimated indirectly from various media and parameters (ie. volume inhaled, body weight, dietary intake, etc.). Uncertainty was analyzed by Monte Carlo simulation with Crystal Ball software. Exposure doses and hazard indices were simulated with various hypothetical scenarios including weekly working hours and respiratory protective equipment. Results: Without respiratory protective equipment, the total exposure dose per kilogram of body weight of lead workers was estimated as 5.45×10(-3) mg/kg/day, and hazard index was estimated as 2.26, and exposure contributions were calculated as follows: working environment(82.42%); foods(17.57%); and ambient air(0.01%). But, if working condition has changed-reduction of working hours and using respiratory protective equipment, the total exposure dose per kilogram of body weight was estimated between 1.34×10(-3)-1.49×10(-3) mg/kg/day, and hazard index was estimated between 0.56-0.62. Conclusions: This study suggested that occurrence of hazardous impact(ie. increased blood pressure) through lifetime lead exposure would be expected, and that the Monte-Carlo simulation was useful for the fields of occupational health.

보건진료원 업무활동의 시대에 따른 비교

염정호(Jung-Ho Youm),권근상(Keun-Sang Kwon) 한국농촌의학 지역보건학회 2004 농촌의학·지역보건 Vol.29 No.1

Mercuric Chloride에 의한 MDCK 세포의 세포사멸

이주형,염정호,권근상,Lee, Ju-Hyoung,Youm, Jung-Ho,Kwon, Keun-Sang 대한예방의학회 2006 예방의학회지 Vol.39 No.3

Objectives: Mercury is a hazardous organ-specific environmental contaminant. It exists in a wide variety of physical and chemical states, each of which has unique characteristics for the target organ specificity. Exposure to mercury vapor and to organic mercury compounds specifically affects the CNS, while the kidney is the target organ for inorganic Hg compounds. Methods: In this study, mercury chloride $(HgCl_2)$ was studied in a renal derived cell system, i.e., the tubular epithelial Madin-Darby canine kidney (MDCK) cell line, which has specific sensitivity to the toxic effect of mercury. MDCK cells were cultured for 6-24 hr in vitro in various concentrations (0.1-100 M) of $HgCl_2$, and the markers of apoptosis or cell death were assayed, including DNA fragmentation, caspase-3 activity andwestern blotting of cytochrome c. The influence of the metal on cell proliferation and viability were evaluated by the conventional MTT test. Results: The cell viability was decreased in a time and concentration dependent fashion: decreases were noted at 6, 12 and 24 hr after $HgCl_2$, exposure. The increases of DNA fragmentation were also observed in the concentrations from 0.1 to 10 M of $HgCl_2$ at 6 hr after exposure. However, we could not observe DNA fragmentation in the concentrations more than 25 M because the cells rapidly proceeded to necrotic cell death. The activation of caspase-3 was also observed at 6 hr exposure in the $HgCl_2$ concentrations from 0.1 to 10 M. The release of cytochrome c from the mitochondria into the cytosol, which is an initiator of the activation of the caspase cascade, was also observed in the $HgCl_2-treated$ MDCK cells. Conclusions: These results suggest that the activation of caspase-3 was involved in $HgCl_2-induced$ apoptosis. The release of cytochrome c from the mitochondria into the cytosol was also observed in the $HgCl_2-treated$ MDCK cells. These findings indicate that in MDCK cells, $HgCl_2$ is a potent inducer of apoptosis via cytochrome c release from the mitochondria.

도로교통소음에 대한 주민들의 반응

고대하,염정호,권근상,Koh, Dai-Ha,Youm, Jung-Ho,Kwon, Keun-Sang 한국환경보건학회 2004 한국환경보건학회지 Vol.30 No.3

Valid evaluation of community reaction to road-traffic noise exposure is important for the policy making and quality of life. The purpose of this study is to evaluate the relationship between community reaction and nighttime road-traffic noise. The study measured nighttime roadside noise caused by high traffic which is greater than LAeq(22:00-07:00) 65dB(A) and lower than 65dB(A) at Chonju city, from March to April, 2003. Three hundred sixty seven subjects, aged from 20 to 65, were selected from those who are residing close to the major roads. They were asked to answer the questions regarding noise source, stress(PWI-SF), annoyance, disturbance of specific activity, disturbance of sleep, somatic symptom, and four suggested confounding factors. The relationship between annoyance, somatic symptom and noise exposure was not significant. Adjusted odds ratio(95% C.I.) for disturbance of communication and disturbance of attention and rest were 1.59(1.03-2.71), 1.64(1.06-2.81), respectively. On the other hand sleep disturbance was indicated as 1.34(0.77-2.32). The results suggested that federal policy-making about road-traffic noise should consider community reaction evaluated by various perspective including annoyance, disturbance of specific activity, disturbance of sleep, and confounding factors.

수은에 의한 EMT-6 세포의 $NO_2^-$ 및 ATP 생성

오경재,고대하,염정호,Oh, Gyung-Jae,Koh, Dai-Ha,Youm, Jung-Ho 대한예방의학회 1996 예방의학회지 Vol.29 No.3

수은이 세포성 면역반응에 미치는 효과와 그 기전을 밝히기 위해 cytokine-EMT-6 cell-NO 모형에 대조군에는 수은을 첨가하지 않았고 나머지 실험군에는 $0.05-0.8{\mu}M$의 mercury chloride를 처리하였다. 그리고 배양시간별, 수은농도별로 세포생존율, 세포성 면역의 지표인 NO를 nitrite로 간접정량하고 대사과정에 필수 에너지요소인 nitrite를 측정한 결과는 아래와 같이 요약된다. 1. EMT-6세포의 세포생존율은 대조군과 36시간째 $0.8{\mu}M(89.50%)$을 제외한 모든 수은첨가군에서 모두 90%이상의 값을 나타내었으며, 배양시간 및 첨가한 수은농도별 군간 차이는 없었고 모든 수은첨가군과에서 대조군에 비해 큰 차이가 없었다. 2. 수은에 노출된 EMT-6 세포의 nitrite 생성량 및 ATP생성량은 배양시간의 경과에 따라 전반적으로 증가하였으며 시간경과에 따른 nitrite 생성량과 ATP 생성량은 첨가한 수은농도의 변화에 따라 각 군간에 현저한 차이를 보였다. 그리고 시간경과의 영향을 보정한 상태에서도 첨가한 수은농도의 변화에 따라 각 군간 차이는 모두 현저하게 나타났다. 한편, Nitrite 생성량과 ATP 생성량은 둘 다 수은첨가군 모두에서 대조군의 값에 비해 현저하게 낮았고, 첨가된 수은농도와 nitrite 생성량 및 ATP 생성량 사이에는 높은 음의 상관관계가 있어 수은농도의 증가에 따라 용량-반응의 관계(dose-dependent)로 감소하는 경향을 보였다. 이상의 결과, 배양조건에 수은의 첨가로 인하여 nitrite 생성량과 ATP 생성량이 동시에 감소하는 바, 수은에 의한 세포성 면역의 저하는 면역세포의 NO 생성량의 감소에 의한 것으로 사료되며, 이는 수은이 세포내 에너지생산에 관련된 대사과정을 억제시키므로 나타나는 결과라고 판단된다. Effect or mercury chloride on the synthesis or $NO_2^-$ and ATP were observed in EMT-6 cells which were cultured with cytokines$(IL-1\alpha\;and\;IFN-\gamma)$ and various concentrations of mercury chloride from 0.05 to $0.8{\mu}M$. Viability of EMT-6 cells were observed above 90% in almost groups. There were not significant differences in the viability between mercury supplemented groups and control group. It suggests viability of EMT-6 cells were not influenced by these concentrations of mercury chloride. Results of the synthesis of nitrite showed significant time and group effect. There is a significant interaction effect between concentration of mercury chloride and culture time. The effect of various concentration of mercury chloride is not the same for all levels of culture time. There were significant differences in the synthesis of nitrite between mercury chloride supplemented groups and control group, and the synthesis of nitrite in EMT-6 cell by the supplement of mercury chloride was significantly decreased in a dose-dependent manner. Results of the synthesis of ATP showed a significant group effect, and the time main effect and the $Group{\times}Time$ interaction were also significant. There were significant differences in the synthesis of ATP between mercury chloride supplemented groups and control group, and the synthesis of ATP in EMT-6 cell by the supplement of mercury chloride was significantly decreased in a dose - dependent manner. These results suggest that the disorder of cell mediated immunity by mercury chloride could be related to the inhibition of nitric oxide synthesis which will be caused by the decreased synthesis of ATP.

Mercury Chloride가 마우스 복강대식세포 및 EMT-6 세포의 Nitric Oxide 생성에 미치는 영향

권근상,고대하,기노석,염정호,Kwon, Keun-Sang,Koh, Dai-Ha,Ki, No-Suk,Youm, Jung-Ho 대한예방의학회 1997 Journal of Preventive Medicine and Public Health Vol.30 No.2

Balb/c 마우스의 복강대식세포와 동종 마우스의 유선암에서 기원한 EMT-6 세포를 배양하는 조건에 여러 농도의 수은을 첨가하여 nitrite와 nitrite 생성의 변화를 관찰한 결과는 다음과 같다. 복강대식세포 및 EMT-6 세포가 생성하는 nitrite와 nitrate 양은 공히 배양시작 12시간 후에 생성량에 비해 24 시간 후에는 2배, 36시간 후에는 3배의 농도로 측정되었다. 이때 nitrite와 nitrate 농도 사이에 매우 밀접한 상관관계가 관찰되었다. 수음첨가에 따라 nitrite 및 nitrate 생성량은 용량 의존적 관계로 현저한 감소를 보이며, 24 시간 또는 36시간 후의 세포생존률도 역시 수은농도에 비례하여 감소되는데, 복강대식세포의 생존률 감소가 EMT-6 세포의 것에 비해 더욱 현저하였다. 이들 세포내에서 생성되는 ATP의 양은 복강세포의 경우 그 생존률과 비례하는 경향이었으나, EMT-6세포의 경우는 비교적 높은 생존률에도 불구하교 배양액내에 수은농도를 증가시킴에 따라 ATP생산은 현저히 감소하였다. 이상의 결과는 면역세포인 복강대식세포 뿐아니라 암세포인 EMT-6 세포에서도, L-arginine으로부터 nitric oxide를 생성하는 생화학적 반응이 수은에 의해 공히 억제될 수 있음을 보여준다. 한편 수은의 세포성 면역에 미치는 독성은 수은이 면역세포의 ATP생성과 관련한 에너지 대사과정의 장애을 초래하여 nitric oxide 생성에 필요한 반응에너지의 공급을 억제시키기 때문에 나타나는 현상으로 사료된다. The effects of treatment with mercury chloride on the nitrite and nitrate syntheses were observed in peritoneal macrophages from Balb/c mice and EMT-6 cells in vitro. The cells were cultured in Dulbecco's modified Eagle's medium(DMEM) with cytokines. Amounts of nitrite and nitrate in the culture media after 24 and 36 hours of culture were about 2-fold, and 3-fold of those measured after 12 hours respectively. There were very close associations Between the amounts of nitrite and nitrate measured in the culture media according to culture time. The survival rate of peritoneal macrophages was significantly decreased by mercury chloride added into the media in dose-dependent manner, however the survivals of EMT-6 cells were not influenced by mercury chloride concentration in media. Nitrite and nitrate syntheses were dose-dependently decreased by mercury chloride added in culture media. ATP synthesis also decreased in EMT-6 cells by mercury chloride. These results reported here suggest that the disorder of cell mediated immunity by mercurials could be related to the inhibition of nitric oxide synthesis which seems to be caused by the inhibition of ATP synthesis.

보건소 재가암환자관리사업 대상자의 서비스 요구도 분석

이주형(Ju-Hyung Lee),박정임(Jung-Im Park),강지훈(Ji-Hoon Kang),염정호(Jung-Ho Youm),고대하(Dai-Ha Koh),권근상(Keun-Sang Kwon) 한국농촌의학 지역보건학회 2011 농촌의학·지역보건 Vol.36 No.4

지속적인 암환자 및 암 관련 의료비용 급증은 환자 개인의 고통 및 경제적 부담으로 작용할 뿐만 아니라 사회적인 부담이 되고 있다. 이에 재가암환자에 대한 통증관리 등의 서비스 제공은 의료비용을 절감하는데 효과가 있을 것으로 여겨지고 있다. 따라서 재가암환자에 대한 적절한 의료 및 복지 서비스 등을 제공하기 위한 자료로 활용하고자 재가암환자관리사업 수혜자의 서비스 요구도에 대하여 각 보건소의 재가암환자관리사업 담당자가 재가암환자관리사업 수혜자 방문시 면접 조사방법으로 조사하였고, 불충분응답자 15명을 제외한 661명을 최종 분석대상으로 하였다. 재가암환자의 서비스 요구도에 대한 요인분석 결과 5가지 영역으로 분류할 수 있었고, 요인별 신뢰도는 0.593∼0.890이었다. 요구도의 순위는 사회적 지지, 정보 및 교육제공, 심리적 문제해결, 신체증상해결, 가사도움 순으로 조사되었다. 대상자를 암 치료 및 진행 정도에 따라 말기암환자, 치료중인 암환자, 암 완치자로 분류하였을 때, 말기암환자의 요구도가 가장 높게 나타났으며, 사회적지지, 심리적 문제 해결, 정보 및 교육 순서로 요구도가 높았다. 나머지 그룹에서는 사회적지지, 정보 및 교육, 심리적 문제 해결 순으로 말기 암환자와 차이를 보였다. 뿐만 아니라, 연령별, 거주 지역별, 종교 유무에 따른 서비스 요구도에 차이가 관찰되었고, 이를 바탕으로 현재 제공되고 있는 재가암환자관리의 효율적인 추진을 위해 대상자 분류, 연령별 및 거주 지역별 특성에 따른 서비스가 제공될 수 있도록 해야 할 것이다. Objectives: This study was performed to investigate the service needs of the beneficiaries who had enrolled in home-based management programs for cancer patients. Methods: From March to May 2009, 676 cancer patients who were registered in home-based cancer patient management programs were selected as subjects for this study. The data were collected using a questionnaire along with a face-to-face interview performed by officers in charge of the home-based care programs of 47 regional health centers. Fifteen patients were excluded due to incomplete data, leaving 661 subjects who were ultimately enrolled in the study. Results: The mean age of subjects was 64.0 ± 12.5 years, and males comprised 45.1% (298/661) of the sample. The results of factor analysis for service needs showed that there were five main categories and Cronbach"s alpha ranged from 0.593 to 0.890 for each factor. The service needs categories in order of importance were social support, information and education, psychological problems, physical symptoms and household chores. The service needs scores were significantly different when subjects were stratified by age, habitation, religion and disease classification. When we divided the subjects into complete remission, under treatment and terminally ill groups, the needs scores of the terminally ill patient group were significantly higher than those of the other groups (p<0.001). Conclusions: Service provision based on patient and beneficiary needs could be an effective intervention to reduce the economic burden of cancer management and to improve the quality of life of cancer patients receiving home-based care. Therefore, it is recommended that individual cancer patient care programs be developed and administered according to patient age, habitation and disease severity.

RAW264.7 세포를 이용한 수은의 세포독성기전 및 수은에 대한 셀레늄의 방어기전에 대한 연구

고대하(Dai Ha Koh),김준연(Jun Youn Kim),염정호(Jung Ho Youm) 한국환경보건학회 1999 한국환경보건학회지 Vol.25 No.1

In present study, we elucidated the protective effects of selenium against the cytotoxic1ty of mercurial compounds(CH₃HgCl, HgCl₂) in RAW 264.7 cell and peritoneal macrophages from Balb/c mice. Mercurial compounds significantly decreased the cell viability and the synthesis of nitric oxide(NO) and cellular ATP in a dose-dependent manner. Selenium was not toxic at concentrations of 1-10 μM. But, selenium by itself was decreased the cell viability and the syntheses of NO and cellular ATP in dose-dependent manner above 20 μM conditions. However, in the selenium added conditions, the mercurial-induced cytotocixity was not observed. The protective effects of selenium against the cytotoxicity of mercurial compound depended on the concentration of added selenium to the culture conditions. We evaluated the mechanisms of protective effect of selenium against the mercury-induced cytotoxicity by the pretreatment experiments. In the selenium pretreatment, mercurial compounds still decreased the cell viability and the syntheses of NO and cellular ATP in a dose-dependent manner. These results indicated that the protective effect of selenium against the cytotoxicity of mercurial compounds was achieved by formation of some complex as such as SeHg or Se-Hg-protein. Though its mechanism was not clear, the protective role of selernium against the mercury toxicity would be exhibited in the immunological system.

고지방식이와 STZ 유도 제2형 당뇨 마우스에서 새싹의 항당뇨 효과

이현서(Hyun-Seo Lee),강현주(Hyun Ju Kang),전인화(In Hwa Jeon),염정호(Jung Ho Youm),장선일(Seon Il Jang) 한국식품영양과학회 2014 한국식품영양과학회지 Vol.43 No.11

본 연구에서는 고지방식이와 streptozotocin으로 유도된 제2형 당뇨 마우스에서 새싹추출물의 항당뇨 효과를 살펴보았다. 제2형 당뇨 유도 후 4주 동안의 체중 변화를 관찰한 결과 새싹추출물군과 메트포민군에서 유의한 체중 감소 변화가 나타났으며, 식이섭취량에 따른 변화는 모든 실험군 간의 차이가 없었다. 공복혈당은 고지방식이군의 경우 실험종료일까지 지속적으로 상승하였고, 이와 대조적으로 새싹추출물과 메트포민군의 경우 실험 2주째부터 감소하여 실험 종료 4주째에서는 고지방식이군보다 유의적으로 감소하였다. 경구 내당능 검사는 포도당 섭취 후 60분, 90분, 120분에서 새싹추출물과 메트포민군이 고지방식이군보다 유의적으로 감소하였으며, 인슐린 내성 검사는 120분에서 새싹추출물과 메트포민군이 고지방식이군보다 유의성 있게 감소하였다. 혈중 지질 농도 변화에서 총콜레스테롤, 중성지방 그리고 LDL 콜레스테롤 농도는 고지방식이군에 비해 새싹추출물과 메트포민군에서 유의적으로 감소하였고, HDL 콜레스테롤 농도는 고지방식이군에 비해 새싹추출물과 메트포민군에서 증가하였다. 간독성의 지표인 glutamate oxaloacetate transaminase와 glutamate pyruvate transaminase 효소 활성도는 메트포민투여군과 고지방식이군을 제외한 실험군들 간에 유의성이 나타나지 않았다. 혈중 인슐린과 렙틴 농도는 고지방식이군에 비해 새싹추출물과 메트포민군에서 유의적으로 감소하였다. 이상의 결과를 바탕으로 새싹추출물은 제2형 당뇨 마우스에서 체중을 감소시키고 혈중지질 대사 이상을 조절하면서 인슐린 저항성을 감소시켜 혈당을 개선하므로 항당뇨 효과가 있는 우수한 식품 소재로서의 개발 가능성을 시사하고 있다. Sprout vegetables containing various types of polyphenols and flavonoids, are known to have anti-inflammatory, antioxidant, cholesterol-lowering, and anti-obesity activities. However, there have been few reports on the anti-diabetic efficacy of sprout vegetables. Here, we investigated the anti-diabetic effects of sprout extract obtained from buckwheat, beet, rape, broccoli, kohlrabi, red young radish, and dachai, in high fat diet (HFD) and streptozotocin (STZ)-induced type Ⅱ diabetes mellitus mice. The mice were fed a HFD (60% calories as fat) for 8 weeks prior to intraperitoneal injection with STZ (75 mg/kg). The diabetic mice were divided into four groups: standard diet (STD, 10% calories fat), HFD, HFD with sprout extract (SPE) and HFD with metformin (MET). After 4 weeks, body weight gain was much lower in both SPE and MET groups than in HFD group. In contrast, there was no difference experiment groups regarding food intake ratio. The level of fasting blood glucose was significantly lower in the SPE and MET groups compared to the HFD group. Oral glucose tolerance and insulin tolerance in the SPE and MET groups were significantly ameliorated in comparison to the HFD group. The concentrations of serum total cholesterol, triglycerides, and LDL cholesterol in the SPE and MET groups were remarkably reduced in comparison to the HFD group, and HDL cholesterol concentration was higher in the SPE and MET groups than in the HFD group. Glutamate oxaloacetate transaminase and glutamate pyruvate transaminase levels were between SPE and HFD groups. The serum insulin and leptin concentrations were significantly reduced in both the SPE and MET groups compared to the HFD group. Therefore, these results indicate that sprout extract could improve insulin resistance and attenuate blood glucose level in HFD/STZ-induced type Ⅱ diabetes mellitus mice. We conclude that this study may provide positive insights into sprout extract as a functional food ingredient for treatment of type Ⅱ diabetes mellitus.