심실근의 수축현상에 미치는 O₂, CO₂ 및 pH의 영향

장석종,박해근 충남대학교 의과대학 지역사회의학연구소 1983 충남의대잡지 Vol.10 No.2

It has been well known that increased hydrogen ion concentration causes the negative inotropic effect on the heart. But in the status of acid base imbalance, metabolic or respiratory, the question of which status has more profound effect on the cardiac muscle contractility remains unsolved. Furthermore, whether such effect is attributable to the change of the intracellular pH or the extracellular change is a matter of controversy. In many studies concerning to the effect of carbon dioxide tension on the cardiac contractility, the effect of excess oxygen has been ignored despite of its significant influence upon the cellular function. The author intended to investigate the effects of the change of carbon dioxide tension, which causes the pH change simultaneously, as well as the effect of excess oxygen on the cardiac ventricular contractility. Also, to prove which change, metabolic or respiratory, has more profound effect and which change, intracellulcr or extracellular, has more crucial effect, the author examined the contractility of the ventricle under two different conditions. They were as follows: a) PCO_2 was varying despite of same magnitude of the change in pH. b) pH was varying despite of the same magnitude of the change in PCO_2 Turtle hearts were used and the Langendorf preparations were made. The perfusate was Tris-buffer solution for turtle, saturated with various gases, such as air, pure oxygen, nitrogen, or different concentrations of CO_2 balanced with oxygen or nitrogen. The tension and maximal dT/dt were recorded with the Physiograph and its accessories. The results were summarized as follows. 1. The excess oxygen enhanced the ventricular contractility. 2. Increased carbon dioxide tension, which decreases the pH simultaneously, reduced the ventricular contractility and that was more pronounced when CO_2 was balanced with nitrogen gas rather than with oxygen gas. 3. The relationships among several physiological parameters were estimated as follows: a) Y=1.01X-0.56 X: percent change of the tension Y: percent change of maximal contration dT/dt b) Z=1.06X-4.56 Z: percent change of maximal relation dT/dt The corelation coefficient in a) is 0.939 and in b) is 0.926, being significant statistically (P<0.005). 4. When the change of pH were same but the changes of PCO_2 were different, the change of ventricular contractility was more profound in the respiratory decrease of pH, that was higher PCO_2, more depressing effect (P<0.005) was manifested, than in the case of metabolic origin (p<0.005). 5. When the changes of PCO_2 were same but the changes of pH were different, the influence of the latter parameter on the contractility was not significant (P<0.1). From the above results it was suggested that the increased PCO_2, which also causes the decrease of pH, has negative inotropic effect and excess oxygen has positive inotropic effect on the ventricular muscle of the turtle. The negative inotropic effect of the lowered pH on the ventricular muscle was revealed to be more profound when it was induced by respiratory distress rather than motabolic and may be affected by change of intracellular pH rather than extracellular pH.

Diagnostic Significance of Brainstem Auditory Evoked Potentials in Microvascular Decompression of Patients with Hemifacial Spasm or Trigeminal Neuralgia

Park, Sang-Koo,Lim, Sung-Hyuk,Park, Chan-Woo,Park, Jin-Woo,Chang, Sung-Ho,Park, Keun-Hye,Park, Hae-Ja,Song, Ji-Hye,Uhm, Dong-Ok,Kim, Ki-Bong 대한임상검사과학회 2011 대한임상검사과학회지(KJCLS) Vol.43 No.1

The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V' was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.

Diagnostic Significance of Brainstem Auditory Evoked Potentials in Microvascular Decompression of Patients with Hemifacial Spasm or Trigeminal Neuralgia

( Sang-koo Park ),( Sung-hyuk Lim ),( Chan-woo Park ),( Jin-woo Park ),( Sung-ho Chang ),( Keun-hye Park ),( Hae-ja Park ),( Ji-hye Song ),( Dong-ok Uhm ),( Ki-bong Kim ) 대한임상검사과학회 2011 대한임상검사과학회지(KJCLS) Vol.43 No.1

The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V’ was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.

산도가 장관의 운동성에 미치는 영향

장석종,박해근,김광진,임현재 충남대학교 의과대학 지역사회의학연구소 1982 충남의대잡지 Vol.9 No.2

The effects of hydrogen ion concentration changes on the motility as well as patterns of motility to autonomic drugs was investigated in the isolated duodenum and ileum of rabbits. Motility was recorded on a Physiograph with force transducer by means of Magnus method in sodium lactate Ringer's solution at 37℃ The pH of the Ringer's solution used were nornal (pH 7.4), acidic (7.4-5.5), and alkaline(7.4-9.5), titrated by 0.01 N BCI or 0.01 N NaOH solution respectively. Acetylcholine and norepinephrine as autonomic drugs was treated at normal, acidic, and alkaline Ringer's solution. Obtained results may be summarized as follows. 1. Increased hydrogen ion concentration (or decreased pH) inhibited tie motility of duodenum and ileum and that was proportional to increment of hydrogen ion concentration. 2. Decreased hydrogen ion concentration(or increased pH) enhanced the motility of duodenum and ileum and that at was proportional to decrement of h drocen ion concentration. 3. Effect of acetvlcholine on the patterns of motility in duodenum and ileum was not altered by hydrogen ion concentration changes. 4. Effect of norepinephrine on the patterns of motility in duodenum and ileum was not altered by hydrogen ion concentration changes.

Determination of Diversity, Distribution and Host Specificity of Korean Laccaria Using Four Approaches

( Hae Jin Cho ),( Ki Hyeong Park ),( Myung Soo Park ),( Yoonhee Cho ),( Ji Seon Kim ),( Chang Wan Seo ),( Seung-yoon Oh ),( Young Woon Lim ) 한국균학회 2021 Mycobiology Vol.49 No.5

The genus Laccaria (Hydnangiaceae, Agaricales) plays an important role in forest ecosystems as an ectomycorrhizal fungus, contributing to nutrient cycles through symbiosis with many types of trees. Though understanding Laccaria diversity and distribution patterns, as well as its association with host plants, is fundamental to constructing a balanced plant diversity and conducting effective forest management, previous studies have not been effective in accurately investigating, as they relied heavily on specimen collection alone. To investigate the true diversity and distribution pattern of Laccaria species and determine their host types, we used four different approaches: specimen-based analysis, open database search (ODS), NGS analysis, and species-specific PCR (SSP). As a result, 14 Laccaria species have been confirmed in Korea. Results regarding the species distribution pattern were different between specimen-based analysis and SSP. However, when both were integrated, the exact distribution pattern of each Laccaria species was determined. In addition, the SSP revealed that many Laccaria species have a wide range of host types. This study shows that using these four different approaches is useful in determining the diversity, distribution, and host of ECM fungi. Furthermore, results obtained for Laccaria will serve as a baseline to help understand the role of ECM fungi in forest management in response to climate change.

에타놀 정맥투여 고양이의 뇌압 변화에 관한 연구

김세훈,장석종,박해근 충남대학교 의과대학 지역사회의학연구소 1987 충남의대잡지 Vol.14 No.2

It has been well known that respiratory status has affected the intracranial pressure by' changing the brain blood flow, and also ethanol has affected the respiratory system by inhibiting the respiratory center and has affected cardiovascular system by inhibiting the cardiac performance and decreasing the total peripheral resistance. However, effect of ethanol on intracranial pressure has not been studied satisfactorily. Thus, following experiment was performed to examine the change of the intracranial pressure after ethanol administration in the cats. Ethanol was infused intravenously by lg ethanol per kg body weight for 15 minutes. Intracranial pressure was measured through balloon inserted between epidura and skull. Arterial blood pH, Po_2, Pco_2, ethanol concentration were measured. The results obtained are surnmerized as follows. Blood ethanol concentration increased by linear and peaked at 15 minutes(blood ethanol concentration was 409±31 mg%). Po_2, Pco_2. and pH at 15 minutes were 80. 3±5. lmmHg, 49.2±3.3mmHg and 7.24 =0.015 respectively. Blood pressure began to decrease and arterial pulse pressure began to increase at 10 minutes and more and more at 15 minutes respectively. Intracranial pressure began to increase at 10 minutes (blood ethanol concentration was 316±33 mg%) and peaked as 168.7±11.4% contrast to control at 15 minutes and also amplitude of intracranial pulse wave was increased. From the above results, it was suggested that intracranial presssure and amplitude of intracranial pulse wave were increased significantly by inhibiting respiratory center and thereby dilatating cerebral blood vessels with intravenous ethanol administration.

출산에 따른 그레이브스병의 재발 및 관련이자

임창훈,최현아,한승석,김해성,이창욱,정호연,한기옥,장학철,박원근,윤현구,한인권 대한내분비학회 2002 Endocrinology and metabolism Vol.17 No.2

Background: Pregnancy affects the course of Graves' Disease (GD), and patients who initially maintain euthyroid function into their middle trimester with minimum doses of antithyroid drugs become exacerbated after delivery. Even patients who are completely cured, requiring no treatment during pregnancy, can relapse after delivery. In this study, we examined the postpartum changes in the thyroid functions of patients with GD, and attempted to determine the factors contributing to these changes. Methods: The study subjects were recruited from pregnant women visiting our outpatient clinic for routine prenatal evaluations. 45 women previously diagnosed with GD, who had been treated and cured with hyperthyroidism, and were no longer taking any thyroid medications, were evaluated for 1 year post delivery. Results: Among 45 patients, 20 (44.4%) developed thyroid disorders following delivery. Postpartum thyroiditis (PPT) developed in 8 patients (17.8%), and GD developed in 12 (26.0%). The onset of the PPT disease 3.1 ± 1.4 months following delivery, which was significantly earlier than the 6.7 ± 2.7 months required for the post delivery onset of GD (p=0.003). The TBII values, measured during the thyrotoxic state in each womaen, were negative in women with PPT and positive in 71.4% of women with GD (p=0.030). The duration of treatment for hyperthyroidism prior or pregnancy, the number of recurrences, and the time interval without treatment, were not associated with the development of postpartum thyroid disorders. Whereas, the mean number of past pregnancies for women who developed PPT was 3.9 ± 2.1, and was significantly higher than the 2.2 ± 1.7 for women developing no thyroid dysfunctions (p=0.044). In 13 women their initial onset of GD occurred within one year postpartum, 7 (53.8%) having had a recurrence, which was significantly higher than in women whose disease onset occurred unrelated to delivery (5 of 32 women: 15.6%). Conclusion: Women with GD developed postpartum thyroid dysfunctions in 44.4% of cases. Women whose initial disease onset occurred within one year postpartum had higher recurrences of GD, and women who developed PPT had a history of higher gravidity compared to the euthyroid women postpartum. Therefore, if women with GD develop postpartum thyroid dysfunctions, the diagnosis should be made, and a treatment modality planned, following careful considerations of the patients' past obstetric history, changes in clinical manifestations and the TBII values

연장 가골에 골 이식 대체물 투여가 골 경화에 미치는 영향 : 가토 경골에서의 방사선 및 골 밀도의 변화 Changes of Radiography & Bone Mineral Density in the Tibia of Rabbits

오창욱,김풍택,박병철,송해룡,박일형,백준호,박형진 경북대학교 병원 2003 경북대학교병원의학연구소논문집 Vol.7 No.1

목적 : 골 연장술 후 생기는 연장 가골에 황화 칼슘과 이종 이식골을 투여하여 골 경화 속도에 대한 영향을 알아보기 위한 실험이었다. 연구대상 및 방법 : 성장중인 뉴질랜드 화이트 토끼(2.0-2.5㎏)의 경골 간부에 골막을 보호하고, 절골술을 시행하고, 5일간의 휴지기후 외고정 장치를 이용하여 1주일 동안 7㎜가 연장될 때까지 하루 1㎜씩 2회의 리듬을 가지고 골 연장을 실시하였다. 제1 실험 군 7마리에는 연장이 끝난 직후 황화 칼슘(Osteoset^(ⓡ), Wright medical USA) 1정, 제 2 실험 군 7마리에는 이종 이식골의 일종인 Lubboc 5㎟을 각각 연장된 가골 부에 주입하고, 단순 연장한 대조군 7마리와 함께, 방사선 및 골 밀도비를 측정하고 추시하여, 골 경화의 진행속도를 비교하였다. 방사선 촬영은 전후면 및 측면사진을 1주 간격으로 촬영하였고, 골밀도 측정은 DEXA(dual energy X-ray absorptionmetry, Lunar^(ⓡ)) 장치를 2주일 간격으로 시행하였다. 결과 : 방사선 소견상, 제 1실험군의 연장가골의 완전 경화시간은 평균 14주, 제 2실험군은 154 주로 각각 대조군의 16.9주보다 단축되었으며, 골 밀도 비에서도, 두 실험군에서 최고치가 대조군의 값보다 높고, 최고치까지의 경과기간도 빨랐다. 결론 : 본 연구에서 연장 가골에 황화칼슘 및 이종 이식골의 투여가 골 경화의 기간을 단축시킬 수 있고, 외고정 장치의 빠른 제거에 도움이 될 수 있음을 알았다. Purpose : This study was designed to know the effect of calcium-sulfate and xenograft on the distracted callus after lengthening. Materials & Methods : We had operation of subperiosteal osteotomy and external fixation on the tibial diaphysis of young New Zealand White rabbits(2.0-2.5㎏); after 5 days of latency period, 7㎜(1㎜/day, 2times/day) of tibial lengthening was reached in a week. At 1 week after lengthening, the 1st experimental group of 7 rabbits received a pellet of calcium sulfate(Osteoset, Wright medical, USA) in the distraction gap, and the 2nd experimental group of 7 rabbits received 5㎜ 2 of xenogrfat(Lubboc) in the distraction gap. But, the control group of 7 rabbits did not receive any of above materials. We compared three groups with the changes of radiographic findings at every week and bone mineral ratio(DEXA) at every two weeks. Results : The time to complete consolidation of distraction callus of both experimental group(calcium sulfate;14 weeks, xenograft; 15.4 weeks) was shorter than that of control group(16.9 weeks) in radiographic findings. Maximum value of bone mineral ratio of distraction callus was higher and the time to reach the highest value was also shortened in the both experimental group compared to control group. Conclusion : By use of bone substitutes as like calcium sulfate or xenograft in the distraction callus with external fixator, it may be possible to shorten the consolidation period and the fixator-wearing period.

Characterization of changes in global gene expression in the brain of neuron-specific enolase/human Tau23 transgenic mice in response to overexpression of Tau protein.

Woo, Jong-Min,Park, So Jung,Kang, Ho Il,Kim, Byoung Guk,Shim, Sun Bo,Jee, Seung Wan,Lee, Su Hae,Sin, Ji Soon,Bae, Chang Joon,Jang, Mee Kyung,Cho, Chunghee,Hwang, Dae Youn,Kim, Chuel Kyu D.A. Spandidos 2010 INTERNATIONAL JOURNAL OF MOLECULAR MEDICINE Vol.25 No.5

<P>Tau is a neuronal phosphoprotein responsible for the formation of the neurofibrillary tangles in Alzheimer's disease. To characterize the changes in global gene expression in the brain of transgenic mice that overexpress human Tau23 protein in response to the increase of Tau23 phosphorylation, total RNA extracted from the hippocampus of 12-month-old transgenic and wild-type mice was converted to cDNA, labeled with biotin and hybridized to oligonucleotide microarrays. The microarray results were confirmed by real-time RT-PCR and Western blotting method. It was determined that 43 genes were up-regulated and 8 genes were down-regulated by Tau23 in transgenic mice compared to controls, based on the arbitrary difference in the 2-fold change. Among the up-regulated transcripts, those encoding for transporter and oxidoreductase were dramatically over-represented, followed by those related to regulatory molecule, cytoskeletal protein, signaling molecule, and extracellular matrix protein. Genes encoding for transcription factor, regulatory molecule, miscellaneous function, and chaperone were significantly reduced in the down-regulated group. The major genes in the up-regulated categories included Ecrg4, Folr1, Defb11, Aqp1 and Soctdc1. The major genes in the down-regulated categories were Ncor1, Gpm6a, and Hspd1. These results indicate that the microarray analysis identifies several gene functional groups and individual genes that respond to a sustained increase in Tau23 phosphorylation levels in the brain of transgenic mice. In addition, the results suggest the microarray test is a useful tool for increased understanding of the role of Tau23 protein in regulating neurodegenerative disorders.</P>

CTLL - 2 세포주에서 transforming growth factor - β가 CD8의 발현유도에 미치는 영향

박수영(Soo Young Park),장윤혜(Yoon Hae Chang),조영주(Young Joo Cho) 대한천식알레르기학회 2000 천식 및 알레르기 Vol.20 No.1

Background: Transforming growth factor-β (TGF-β) has multiple regulatory effects on cells of the immune system, and it has been suggested that differentiation of lymphoid cells is influenced by low concentrations of this cytokine. Objectives : The aim of this study was to investigate the role of TGF-β in regulation of T cell growth and differentiation, and to compare this effect with that of other cell signals known to be important in T cell ontogeny. Methods .We used the CTLL-2 cell line in the presence of IL-2. Surface phenotype expression was analysed to see whether these cells could be switched to the other subtype of cells. Results : Treatment of CTLL-2 cells with TGF-β resulted in dose dependent growth inhibition and morphological changes. During routine passage, less than 5% of cells were CD8α positive, whereas 38% of cells expressed CD8α when treated with IL-2 plus TGF-β. However, TPA plus calcium ionophore, IFN-γ, or TNF-α caused no significant changes in the proportion of CD8 cells. Conclusion : Our results show that this experiment can be a useful model for investigating CD8 precursor potentials in populations of CD4-CD8- (double negative) cells, and such a model may offer a way to study the molecular regulation of CD8 gene expression.