• 대한임상독성학회지
• /
• 제2권2호
• /
• pp.72-76
• /
• 2004

Purpose: Dealing patients with organophosphate poisoning, cholinesterase level has been used as a diagnostic and prognostic value. But there are some controversies that the cholinesterase level is significantly related to the severity or prognosis of acute organophosphate poisoning. We evaluated the correlation between initial serum level of cholinesterase and APACHE II score as an index for severity, and we assessed cholinesterase levels for predicting value of weaning from mechanical ventilation. Method: From August 1996 to March 2003, 23 patients with organophosphate poisoning who needed ventilatory care were enrolled. Retrospective review was done for the serum level of cholinesterase, APACHE II score, and the duration of ventilatory care. The percentage of measured serum cholinesterase to median normal value was used to standardize cholinesterase levels from different laboratories. Result: There were tendencies that the lower initial serum of cholinesterase, the higher the APACHE II score (r=0.297) and the longer the duration of mechanical ventilation (r=-0.204), but they were not significant (p=0.264 and p=0.351 respectively). In 9 patients whose serum cholinesterase level were checked at the time of weaning, mean of measured cholinesterase level was $10.3\pm7.60\%$ of normal value. Conclusion: There was no significant relationship between initial level of serum cholinesterase and severity or duration of mechanical ventilation. General health status of patient, amount of ingestion, toxicity of agent should be considered as important factors for severity of poisoning. And the decision of weaning should be based not solely on the cholinesterase level but on the consideration of general and respiratory state of individual patients.

• 생약학회지
• /
• 제53권2호
• /
• pp.102-110
• /
• 2022

Alzheimer's disease (AD) is the most common form of dementia, and the accumulation of β-amyloid (Aβ) in the brain triggers AD, followed by hyperphosphorylation of tau protein, neurofibrillary tangles, and synapses loss, neuronal cell death, and cognitive decline occur in a chain. In APPswe neuronal cell line, 50 ㎍/ml of Campbell early (Vitis labruscana B.) leaves 50% ethanol extract (VLL) treatment inhibited the secretion of Aβ1-42 by about 63% and the secretion of Aβ1-40 by about 50%. VLL did not target the enzymatic activity of the amyloidogenic pathway and decreased the protein expression of APP. As a result of RT-qPCR (Reverse transcription-quantitative real-time PCR) of the APPswe cell line treated with VLL, it is thought that the protein expression of APP was reduced by inhibiting the transcription process of the APP gene. In addition, VLL inhibited acetylcholinesterase (AChE) enzyme activity in vitro by 27.6% and 54.7%, respectively, at 50 and 100 ㎍/ml concentrations. We found that VLL inhibited the production of Aβ, a dementia-inducing substance, by suppressing the transcription of the APP gene, and that VLL inhibited AChE activity. We suggest that VLL has the potential as a natural drug material that modulates the alleviation of dementia symptoms.

• 대한임상독성학회지
• /
• 제6권1호
• /
• pp.25-31
• /
• 2008

Purpose: Acute organophosphate (OP) poisoning may be monitored by measuring the acetylcholinesterase (AChE). It is important to assess severity and establish prognostic tests in the early stage of OP poisoning. The aim of this study was to look at the relationship between various clinical aspects of the OP poisoning, prognostic indicators of OP poisoning including Simplified Acute Physiology Score (SAPS) 3, and the associated changes in AChE levels. Methods: Clinical data and initial AChE levels from thirty-seven patients with OP poisoning were prospectively reviewed from 12 teaching hospitals in South Korea from August 2005 to July 2006. Clinical manifestations at the time of arrival such as miosis, respiratory abnormality, salivation, urinary incontinence, GCS score, AVPU scale, need for intubation, and mechanical ventilation requirements were recorded. SAPS 3 was calculated using clinical data and laboratory results. Results: The median level of AChE was 9.8 (1.3-53.6) U/gHb. There was no significant difference in AChE levels between the groups with and without cholinergic symptoms. The median level of AChE of the patients who required intubation and those who did not were 3.5 U/gHb and it 19.7 U/gHb respectively (Mann-Whitney test; p<0.001). The AChE levels were also significantly different (p=0.007) in patients who needed mechanical ventilation compared to those who did not with AChE levels found to be 3.1 U/gHb and it was 14.8 U/gHb, respectively. Level of consciousness assessed using the AVPU scale was correlated with AChE levels (Kruskal-Wallis test; p=0.013). GCS score were correlated with AChE levels (p=0.007, Spearman's rho = 0.454). In addition, the lower the level of initial AChE, the longer the ICU stay (p=0.029, Spearman's rho=-0.380). SAPS 3 was inversely correlated with the initial AChE (p<0.001, Spearman's rho=-0.633). Conclusion: In the acute OP poisoning, low AChE levels appear to help indicate the severity of poisoning. The initial AChE level may be a useful prognostic parameter for acute OP poisoning.

• 한국버섯학회지
• /
• 제17권3호
• /
• pp.152-161
• /
• 2019

본 연구에서는 말뚝버섯의 자실체 메탄올 추출물의 항산화, cholinesterase 저해 및 항염증 효과를 탐색하였다. DPPH 라디칼 소거능, hydroxyl radical 소거능, 철 이온 제거능 및 환원력 등의 항산화 효과를 측정한 결과 DPPH 라디칼 소거능, hydroxyl radical 소거능 및 환원력은 양성대조군으로 사용한 BHT에 비해 낮았으나 실험에 시용한 2.0 mg/ml의 농도에서 50% 이상의 저해효과를 나타내었고 철 이온 제거능은 BHT에 비해 높게 나타나서 다른 종류의 식의약용 버섯에 비해 항산화 효과가 우수하였다. 치매환자의 기억력 감퇴와 관련된 acetylcholinesterase와 butyrylcholinesterase의 저해실험에서 말뚝버섯 자실체의 메탄올 추출물은 실험에 사용한 전 농도 범위에서 양성대조군인 galanthamine에 비해 유의하게 낮았지만 1.0 mg/ml의 농도에서 50% 이상의 저해 효과를 나타냈다. In vitro 항염증 실험에서 RAW 264.7 대식세포에 서로 다른 농도의 메탄올 추출물을 처리한 후 염증 유발물질인 LPS를 처리하여 RAW 264.7 세포가 생성한 NO의 양을 측정한 결과 추출물을 투여한 실험군의 NO 농도가 LPS만 단독으로 처리한 양성대조군에 비해 유의하게 낮았고 처리한 메탄올 추출물의 농도가 증가함에 따라 생성된 NO의 양은 유의하게 감소하는 경향을 나타났다. 또한 in vivo 항염증 실험에서 먼저 각기 다른 농도의 메탄올 추출물을 생쥐의 뒷발에 주사한 후 추가로 기염제인 carrageenan을 주사하여 흰쥐 뒷발에 유도된 부종 (edema)이 추출물에 의해 저해되는 정도와 염증 치료제로 처방되는 indomethacin을 양성대조군으로 하여 실험을 진행하였다. 실험 결과 흰쥐에 주사한 말뚝버섯 자실체의 메탄올 추출물의 농도가 증가함에 따라 흰쥐 뒷발에 유도된 부종의 용적도 농도 의존적으로 유의하게 감소하는 것이 관찰되어 말뚝버섯 자실체에는 염증을 저해하는 성분이 함유되어 있는 것으로 사료되었다. 따라서 말뚝버섯 자실체의 메탄올 추출물에는 항산화, acetylcholinesterase과 butyrylcholinesterase의 저해 및 항염증 효과를 나타내는 유용 성분이 함유되어 있어 앞으로 의약용 기초 소재로서의 이용 연구가 필요하다고 사료된다.