• Title/Summary/Keyword: ALT

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Relationship between the Serum De Ritis Ratio and Diabetes Tests in Korean Adults Who Underwent Health Screening at a General Hospital in Gyeonggi-do (경기도 일개 종합병원에서 건강검진을 받은 한국 성인의 혈청 De Ritis 비율과 당뇨 검사와의 관계)

  • Hyun Ho SUNG;Ho-Keun CHOI
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.9-15
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    • 2023
  • The purpose of this study was to analyze the relationship between diabetes and liver function test results. Unlike type 2 diabetes mellitus (T2DM), hepatogenous diabetes is caused by abnormal liver function. In this study, the relationship between liver enzymes, aspartate aminotransferase (AST), alanine transaminase (ALT), and the AST/ALT ratio (De Ritis ratio), indicating liver function, and diabetes-related tests was analyzed. The results of the study showed a positive correlation between AST and glucose (r=0.14, P<0.01), ALT and glucose (r=0.21, P<0.01), AST and glycated hemoglobin (HbA1c) (r=0.15, P<0.01), and ALT and HbA1c (r=0.20, P<0.01). The De Ritis ratio showed a negative correlation with glucose (r=-0.20, P<0.01) and HbA1c (r=-0.14, P<0.01). The results of regression analysis with AST, ALT, and the De Ritis ratio as independent variables and glucose (R2=0.05) and HbA1c (R2=0.04) as dependent variables revealed that the independent variables had a statistically significant effect on the dependent variables. AST showed a lower correlation between blood glucose and glycated hemoglobin than ALT, and an increase in ALT caused a decrease in the De Ritis ratio. Therefore, the De Ritis ratio can be said to be meaningful in relation to diabetes-related tests.

Analysis of Glucose, Cholesterol, AST and ALT in Sera of Man Workers in Jeonbuk Area (전북지역 남자 근로자의 혈청 Glucose, Cholesterol, AST, ALT 농도 분석)

  • Kim, Chong-Ho;Shin, Yong-Sub;Park, Seok-Tae;Jung, Mi-Ra
    • Korean Journal of Clinical Laboratory Science
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    • v.40 no.1
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    • pp.26-30
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    • 2008
  • We determined the concentration of glucose, cholesterol, AST and ALT in sera of man workers (n=3,247) had health check-up at hospitls in Jeonbuk area. The mean of concentration of glucose, cholesterol and AST of all workers were increased by 0.1%, 14.9% and 33.0% over than the mean of reference, but the mean of ALT was decreased by 0.8% from it. The rate of workers showed abnormal value of glucose, cholesterol, AST and ALT were 9.7%, 25.4%, 23.7% and 5.5%, respectively. The mean of glucose, cholesterol and AST in each age group were increased over than reference, but the mean of ALT was decreased except in fifties. The rate of the workers in each age group showed an abnormal concentration of glucose, cholesterol, AST and ALT were in 5.6~6.7%, 14.9~31.1%, 20.4~29.2% and 5.2~6.0%, respectively. These data suggest that many workers in Jeonbuk area are opened in possibility of getting diabetes, liver disease and heart disease.

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Relationship between Elevated Serum Alanine Aminotransferase Concentration and Metabolic Syndrome in Korean Adults (한국 성인에서 혈청 Alanine Aminotransferase 농도의 상승과 대사증후군과의 관계)

  • Kim, Ji-Hye
    • Journal of Nutrition and Health
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    • v.42 no.8
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    • pp.732-739
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    • 2009
  • Metabolic syndrome has been strongly associated with elevated alanine aminotransferase (ALT), a surrogate of nonalcoholic fatty liver disease. We investigated the relationship between metabolic syndrome and elevated ALT in the general Korean population. The study sample was comprised of 4,781 Korean adults who had participated in the 2005 Korean National Health and Nutrition Examination Survey. Metabolic syndrome was defined by National Cholesterol Education Program for Adult Treatment Panel III. Elevated ALT was defined as an enzyme activity > 40 IU/L for men, and > 31 IU/L for women. ALT was measured by enzymatic methods. Among participants, 425 (8.9%) subjects displayed elevated ALT. The odds ratios (ORs) for elevated ALT increased in subjects with obesity or one of components of metabolic syndrome such as abdominal obesity, high blood pressure, high fasting glucose, high triglyceride, and low HDL cholesterol after adjusting for age and sex. The unadjusted OR for elevated ALT increased according to the number of components of metabolic syndrome (OR = 1.5, 95% CI: 0.96-2.32 for 1 component; OR = 3.0, 95% CI: 1.98-4.61 for 2 components; OR = 6.3, 95% CI: 4.29-9.35 for ${\geq}3$ components; p for trend < 0.0001). This trend did not differ after adjustments for putative risk factors including age, sex, BMI, smoking status, and alcohol intake. Metabolic syndrome is implicated as a strong risk factor of elevated ALT in Korean adults.

Effects of Ginseng Saponin on Serum Alanine Aminotransferase Activity in Trained Rats (인삼 사포닌이 훈련된 흰 쥐의 혈청 Alanine Aminotransferase 활성에 미치는 영향)

  • 김희경;남상열
    • The Korean Journal of Zoology
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    • v.33 no.3
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    • pp.297-302
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    • 1990
  • The effects of ginseng saponin on the activity of serum alanine aminoiransferase (ALT) in trained rats were examined. The trained group was given a chronic swimming bout (approx. 90 min/day) for 50 days, and ginseng group was given an oral administration of ginseng saponin (150mg/kg/day) for 2 weeks. Ginseng treated-trained group was given an oral administration of ginseng saponin for 2 weeks prior to the termination of a swimming bout. In this experiment, male rats of Sprague-Dawley strain (250 $\pm$ 20 g) were used. The activities of serum ALT in trained and in ginseng groups increased 72.89% (P < 0.01) and 57.14% (P < 0.01) than in control groups, respectively. Also, the activities of serum ALT increased 69.66% (P <0.01) in saline treated-trained group, and 79.31% (P < 0.01) in ginseng treated-trained group than in control groups which were given saline solution and kept sedentary. The effect of ginseng saponin, as revealed by comparing the ginseng treated-trained group with the saline treated-trained group, was not significant. The present study suggests that training and ginseng saponin significantly increased the activity of serum ALT in rats, but that, in ginseng treated-trained group, ginseng saponin did not raise any further the increased activity of serum ALT by training.

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Generating Method of an Unambiguous Correlation Function for AltBOC Signal Tracking (AltBOC의 코드 추적을 위한 비모호 상관함수 생성 기법)

  • Woo, Sunghyuk;Chae, Keunhong;Lee, Seong Ro;Park, Soonyoung;Yoon, Seokho
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.40 no.5
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    • pp.957-963
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    • 2015
  • The autocorrelation of an alternative binary offset carrier (AltBOC) signal provides an improved positioning accuracy because of its narrow main-peak. However, The AltBOC signal has a disadvantage that the autocorrelation of the AltBOC signal has multiple side-peaks which incur a severe positioning error. In this paper, we propose a generating method of an unambiguous correlation function for AltBOC signal tracking. Specifically, we first obtain symmetric partial correlation functions, and subsequently, we obtain an unambiguous correlation function by combining them. In numerical results, it is confirmed that the proposed correlation function provides better tracking error standard devation (TESD) performances comparing with the conventional correlation functions.

Drug Interaction of Warfarin with Simvastatin / Gemfibrozil : high levels of ALT/AST, rhabdomyolysis and acute renal failure (Warfarin과 Simvastatin/Gemfibrozil의 약물 상호 작용 : 높은 수치의 ALT/AST, 횡문근 융해와 급성 신장 장애)

  • Yoon, Hyon-Ok;Osun, Babatunde
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.3
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    • pp.270-275
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    • 2011
  • 이 증례는 드물게 보는 경우로 simvastatin과 gemfibrozil을 오랫동안 함께 복용했음에도, 특이한 문제가 발현되지 않았지만, 이들을 warfarin와 함께 치료하는 경우, 아주 높은 alanine aminotransferase (ALT), aspartate aminotransferase(AST) 혈중 농도, rhabdomyolysis, 급성 신장 장애가 발생하였다. 그 후, Simvastatin와 gemfibrozil을 복용 중단시켰더니, ALT/AST는 빠르게 정상수치로 돌아온 경우이다. 이 증례 보고서는 의료인들에게 simvastatin과 gemfibrozil을 함께 혹은 따로 warfarin과 함께 복용시켜 치료할 경우, creatine phosphokinase (CPK) 와 creatinine 혈중 수치들을 포함하여 ALT/AST 농도들을 주의 깊게 모니터하도록 경각심을 주고자 한다.

Drastic Growth of ALT/AST Level after First Doses of Intravenous Injection of Linezolid, Moxifloxacin and Aztreonam for a Patient with Community Acquired Pneumonia & Severe Sepsis: A Case Report (지역사회 획득성 폐렴 및 중증 패혈증이 있는 한 환자에게 Linezolid, Moxifloxacin과 Aztreonam을 초회 정맥 주사 후 ALT/AST 수치의 큰 폭 증가 증례 보고)

  • Yoon, Hyon-Ok;Osun, Babatunde
    • Korean Journal of Clinical Pharmacy
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    • v.21 no.4
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    • pp.394-399
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    • 2011
  • 이 증례는 알코올 중독증을 앓은 병력을 가졌으나 간 기능에 특이한 증후가 없던 환자가, 지역 사회 획득성 폐렴으로부터 유발된 중증 패혈증 치료를 받기 위해서 linezolid, moxifloxacin 과 함께 aztreonam을 초회 정맥주사 맞은 후, 아주 높은 수치의 alanine aminotransferase (ALT), aspartate aminotransferase (AST) 혈중 농도가 검출된 경우이다. 후속 치료에서 상기 3가지 항생제 대신 vancomycin과 ceftazidime을 주사했더니, ALT/AST가 빠르게 정상화됨이 관찰되었다. 이 증례 보고는 linzolid, moxifloxacin과 aztreonam을 함께 사용할 경우, 각별한 주의 관찰이 필요하며, 알코올 중독증을 앓은 병력을 가진 환자에게 투여 시 특별한 주의와 함께 AST/ALT혈중 수치를 검사토록 권하기 위한 것이다.

A replication study of genome-wide CNV association for hepatic biomarkers identifies nine genes associated with liver function

  • Kim, Hyo-Young;Byun, Mi-Jeong;Kim, Hee-Bal
    • BMB Reports
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    • v.44 no.9
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    • pp.578-583
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    • 2011
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) are biochemical markers used to test for liver diseases. Copy number variation (CNV) plays an important role in determining complex traits and is an emerging area in the study various diseases. We performed a genome-wide association study with liver function biomarkers AST and ALT in 407 unrelated Koreans. We assayed the genome-wide variations on an Affymetrix Genome-Wide 6.0 array, and CNVs were analyzed using HelixTree. Using single linear regression, 32 and 42 CNVs showed significance for AST and ALT, respectively (P value < 0.05). We compared CNV-based genes between the current study (KARE2; AST-140, ALT-172) and KARE1 (AST-1885, ALT-773) using NetBox. Results showed 9 genes (CIDEB, DFFA, PSMA3, PSMC5, PSMC6, PSMD12, PSMF1, SDC4, and SIAH1) were overlapped for AST, but no overlapped genes were found for ALT. Functional gene annotation analysis shown the proteasome pathway, Wnt signaling pathway, programmed cell death, and protein binding.

AltMV TGB1 Nucleolar Localization Requires Homologous Interaction and Correlates with Cell Wall Localization Associated with Cell-to-Cell Movement

  • Nam, Jiryun;Nam, Moon;Bae, Hanhong;Lee, Cheolho;Lee, Bong-Chun;Hammond, John;Lim, Hyoun-Sub
    • The Plant Pathology Journal
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    • v.29 no.4
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    • pp.454-459
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    • 2013
  • The Potexvirus Alternanthera mosaic virus (AltMV) has multifunctional triple gene block (TGB) proteins, among which our studies have focused on the properties of the TGB1 protein. The TGB1 of AltMV has functions including RNA binding, RNA silencing suppression, and cell-to-cell movement, and is known to form homologous interactions. The helicase domains of AltMV TGB1 were separately mutated to identify which regions are involved in homologous TGB1 interactions. The yeast two hybrid system and Bimolecular Fluorescence Complementation (BiFC) in planta were utilized to examine homologous interactions of the mutants. Helicase motif I of AltMV TGB1 was found to be critical to maintain homologous interactions. Mutations in the remaining helicase motifs did not inhibit TGB1 homologous interactions. In the absence of homologous interaction of TGB1, subcellular localization of helicase domain I mutants showed distinctively different patterns from that of WT TGB1. These results provide important information to study viral movement and replication of AltMV.

Pedicled sural flaps versus free anterolateral thigh flaps in reconstruction of dorsal foot and ankle defects in children: a systematic review

  • Beecher, Suzanne M.;Cahill, Kevin C.;Theopold, Christoph
    • Archives of Plastic Surgery
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    • v.48 no.4
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    • pp.410-416
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    • 2021
  • Background This systematic review compared free anterolateral thigh (ALT) flaps versus pedicled distally based sural artery (DBSA) flaps for reconstruction of soft tissue defects of dorsal foot and ankle in children. Methods A systematic literature search was performed to identify cases where an ALT or DBSA was used to reconstruct the dorsal foot in children. A total of 19 articles were included in the systematic review. Results Eighty-three patients underwent an ALT reconstruction and 138 patients underwent a DBSA reconstruction. Patients who had a DBSA were more likely to require grafting of the donor site (P<0.001). The size of ALT flaps was significantly larger than DBSA flaps (P=0.002). Subsequent flap thinning was required in 30% of patients after ALT and 12% of patients after DBSA reconstruction (P<0.001). Complications occurred in 11.6% of DBSA and 8.4% of ALT flaps (8.4%). Conclusions Both flaps are valid options in reconstructing pediatric foot and ankle defects. Each flap has advantages and disadvantages as discussed in this review article. In general for larger defects, an ALT flap was used. Flap choice should be based on the size of the defect.