• 한국임상약학회지
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• 제27권4호
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• pp.276-283
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• 2017

Objective: Dyslipidemia is recognized as a prominent risk factor for cardiovascular and cerebrovascular diseases but it is manageable through therapeutic and lifestyle intervention. Interpreting the latest guidelines is essential for an application of recommendation from guidelines into clinical practice. Therefore, this study aimed to compare the most recent guidelines on dyslipidemia treatment recommendations in Korea and USA. Methods: This study analyzed and compared 2015 Korean guidelines for the management of dyslipidemia, 2013 American College of Cardiology/American Heart Association (ACC/AHA) guideline and 2016 supportive guidelines from ACC. Results: A comparison was made focused on the following: target patients based on cardiovascular risk assessment, target goal, and treatment strategies including statin and non-statin therapies. Four target patient groups by risk were suggested in 2015 Korean guideline and cardiovascular risk factors were also considered for initiation of lipid lowering therapy. Titrated statin regimen was recommended by Korean guideline to reach LDL cholesterol and non-HDL cholesterol target level. In 2013 ACC/AHA guideline, four statin benefit group was introduced considering ASCVD risk and high intensity statin or intermediate intensity statin use were recommended without dose titration. 2016 update was to support non-statin therapy based on updated evidence and new consideration of ezetimibe, PCSK9-inhibitor and bile acid sequestrant was brought up. Conclusion: Guidelines are continuously updating as new and important clinical data are constantly released along with the advent of newly approved drugs for lipid disorder. This article provides resources that facilitates uptake of these recommendations into clinical practice.

• 대한한방내과학회지
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• 제35권1호
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• pp.70-78
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• 2014

Objectives : Hoechunyanggyeok-san (HYS) is a traditional herbal medicine, which has been clinically used for treating febrile and inflammatory diseases. HYS has been reported to be a useful treatment for diabetes, atherosclerosis and hyperlipidemia in the type 1 diabetic model. However, the mechanism of the effects of HYS against hyperglycemia and hyperlipidemia is poorly understood. In the present study, we investigated the underlying mechanism of ameliorative effect of HYS on hyperglycemia and hyperlipidemia in vivo. Methods : HYS (10, 50 mg/kg/day, p.o.) was administered every day for 2 weeks to db/db mice and its effect was compared with vehicle-treated db/db mice. To confirm serum glucose and triglyceride (TG) changes, serological testing was performed. The levels of sterol regulatory element-binding protein-1 (SREBP-1) activity and Sirtuin1 (SIRT1), AMP-activated protein kinase (AMPK), and acetyl-CoA carboxylase ${\alpha}$ ($ACC{\alpha}$) expression were analyzed by western blot analysis. Results : The administration of HYS significantly decreased the elevated serum glucose and TG in db/db mice. HYS administration increased the levels of SIRT1 and AMPK expression compared with the vehicle-treated group. Moreover, HYS treatment significantly inhibited SREBP-1 activity and $ACC{\alpha}$ expression in the liver, while the vehicle-treated group exhibited their increase. Conclusions : In conclusion, HYS is suggested to have an improvement effect on hyperglycemia and hyperlipidemia by activating the SIRT1/AMPK signaling pathway and inhibiting SREBP-1.

• 대한한방내과학회지
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• 제39권3호
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• pp.302-312
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• 2018

Objectives: This study was performed to investigate the effects of two herbal medicines, Agastachis Herba and Lysimachiae Herba, on a cellular model of non-alcoholic fatty liver diseases (NFLDs). Methods: HepG2 cells were treated with palmitic acid and with various concentrations of Agastachis Herba (AH) or Lysimachiae Herba (LH) extract in water. The lipotoxicity was assessed using EZ-cytox, and the lipoapoptosis was assessed using cell death detection ELISA. Intracellular lipids were measured by oil red O staining. The efficacy of AH and LH on sterol regulatory element-binding transcription factor-1c (SREBP-1c), fatty acid synthase (FAS), and acetyl-CoA carboxylase (ACC) in HepG2 cells was measured by reverse transcription polymerase chain reaction (RT-PCR). Results: Both AH and LH extracts increased lipoapoptosis and decreased lipotoxicity and levels of SREBP-1c, ACC, and FAS (SREBP-1c, ACC, and FAS are factors in lipid synthesis). In the oil red O staining experiment, both extracts also reduced intracellular lipid accumulation; in this instance, LH's efficacy was superior to that of AH. Conclusions: According to the results, both AH and LH are likely to contribute to non-alcoholic fatty liver disease, as both interfere with lipid synthesis.

• 인지과학
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• 제19권1호
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• pp.57-74
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• 2008

본 연구에서는 무선열 생성과제 수행동안 반응 후보 수의 많고 적음에 수반되는 뇌활성화 양상의 차이를 살펴보고자 하였다. 반응후보의 수가 크거나 적고의 관계없이 단순 세기 조건에 비해 항상 활성화 수준이 높았던 영역은 전대상회 (ACC), 하전두회 (IFG), 하두정 소엽 (IPL) 및 상측두회 (STG) 등의 영역이었다. 반응후보의 다수조건과 소수조건을 직접 비교했을 때, 소수조건의 활성화 수준이 높았던 영역은 측-후두엽 네트웍과 전대상회, 중심후회 등을 포함하는 매우 넓은 영역이었음에 비해 다수조건에서 활성화 수준이 높았던 영역은 내전회 (medial frontal gyrus), 상두정 소엽과 상측두회를 포함하는 좀 더 좁은 영역에 국한되었다. 이러한 결과를 토대로 본 연구는 무선열 생성과정을 기존의 작업기억 용량 가설만으로 설명하는 것은 곤란하며, 그보다는 처리 전략 등의 다른 가설의 가능성을 논의하였다.

• 한국멀티미디어학회논문지
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• 제12권2호
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• pp.272-280
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• 2009

모바일 기술의 발전으로 오프라인 컨텐츠가 아닌 온라인 매체로 다양한 영상 컨텐츠를 제공받는 수요층이 늘어나고 있다. 그러나 모바일 단말기의 작은 화면에 맞게 수작업으로 편집/수정하기 위해서는 비용과 노력이 많이 드는 단점이 있다. 따라서 본 논문에서는 영상 컨텐츠 가운데 가장 다양한 형태를 지닌 인쇄 만화를 모바일 단말기 환경에 맞게 자동 변환하는 Automatic Comics Conversion(ACC) 시스템을 제안한다. 모바일 단말기 화면에 적합한 형태로 기존 오프라인 만화책 각 한 면의 프레임으로 분할하기 위해 다층신경망(MLP: Multi-Layer Perceptorn)을 이용하였으며, 각 프레임은 영상의 의미 구조 (Semantic Structure)의 손실을 최소화하여 적합한 크기로 분할된 영상들을 자동 변환하여 제공한다. 또한 동적인 만화 영상을 애니메이션으로 제공하기 위하여 텍스처 분석 연구를 더 했다. 이에 본 연구는 만화뿐만 아니라 프레임 단위로 되어있는 사진, 웹사이트, 다양한 영상 등을 언제 어디서나 제공받을 수 있도록 모바일 단말기에 제공함으로써 효율성을 검증한다. 또한 오프라인의 정지 영상을 분할된 영상 프레임 정보를 통해 움직이는 영상으로 제공할 수도 있다.

• Fisheries and Aquatic Sciences
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• 제12권4호
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• pp.276-285
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• 2009

Despite great commercial interest, relatively little has been described about molecular mechanism of bivalve reproduction. We investigated genes involved in ovarian maturation of the Yesso scallop, Patinopecten yessoensis. GSI index and histological analysis revealed that maturation of ovary begin in February and spawning period is from April to June which is similar to the previous study in the East Sea. As result of combination analysis of differential display RTPCR (DDRT-PCR) and histological examination, vitellogenin (Vg), ferritin (Ft) and ADT/ATP carrier protein (ACC) were identified as differently expressed genes in maturating ovary. Endpoint RT-PCR results showed that Vg is ovary-specific genes whereas Ft and ACC are expressed ubiquitously suggesting that Vg can be good molecular markers for ovarian development and sex determination in bivalves. Quantitative PCR results revealed that Vg were expressed highest during growth stage and appears to play a major role in oocyte maturation. On the contrary, expression of Ft was highest after spawning stage, which suggests that up-regulation may be involved in spawning and inactive stages in which the scallops recover from spawning. In addition, high level of the mitochondrial gene, ACC, may play a role in energy metabolism in maturating oocytes. Isolation and molecular studies of these key genes will expand our knowledge of the physiological changes from various exogenous factors including temperature, salinity, pH, even or numerous endocrine disrupting chemicals (EDCs) during reproductive cycle. In addition, further study of these genes implicates various industrial applications including the stable seed production, increased food quality, or economic aquaculture system.

• Journal of Plant Biology
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• 제35권4호
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• pp.409-414
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• 1992

Quercetin(3,5,7,3'-4'-OH-flavone)이 보리(Hordeum vulgare var. hexastichon ASCHERS.) 자엽초 조직에서 옥신유발 에틸렌 생성을 현저히 촉진시켰다. $3{\times}10^{-5}\;M$의 quercetin에서 배양한 보리 자엽초 조직에서 옥신 유발 에틸렌 생성은 4시간 이후부터 증가되기 시작하여 8시간 이후에는 200%까지 증가되었다. Quercetin은 내재옥신인 indol-3-acetic acid(IAA)에 의한 에틸렌 생성은 촉진하나 합성 옥신인 2,4-dichlorophenoxyacetic acid(2,4-D)나 naphthaleneacetic acid(NAA)에 의한 에틸렌 생성에는 아무런 영향을 주지 않았다. 또한, 에틸렌 전구체인 1-aminocyclopropen-1-carboxylic acid(ACC) 유발 에틸렌 생성에도 촉진효과가 없었다. 이러한 결과는 에틸렌 생성에 대한 quercetin의 효과는 ACC 전단계에 작용한다는 것을 의미한다. Quercetin이 IAA 대사에 어떠한 영향을 미치는지 확인한 결과 조직을 quercetin에 1시간 배양시켰을 때 조직내 IAA oxidase 효소 활성이 90% 감소되었으며, IAA conjugation에는 별 영향을 미치지 않았다. 따라서, 옥신 유발 에틸렌 생성에 대한 quercetin의 촉진작용은 quercetin이 IAA oxidase의 활성을 억제시켜 높아진 IAA 수준이 옥신 유발 에틸렌 생성을 증가시키는 것으로 생각된다.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.507-511
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• 2009

Purpose: Adenoid cystic carcinoma (ACC) is a rare malignant epithelial neoplasm derived from the salivary glands. In some cases, ACC may arise in other primary sites, such as skin. We report a case of adenoid cystic carcinoma arising the scalp skin of 69 - year - old woman. Methods: A 69 - year - old woman presented with a tender scalp nodule. A local wide excision was performed. Histopathologic examination was revealed the adenoid cystic carcinoma with basaloid cells in a cribriform pattern. The resection margins were free of tumor. Two years later a tumor recurred in the scarred area. The lesion was removed surgically and the histopathological diagnosis of adenoid cystic carcinoma was again established. After two years, tumor recurred again and diatant metastasis of the lung was diagnosed. A surgical wide excision was done and the close regular follow - up for recurrence was done. Two years later, third recurrence of the scalp was observed. We also performed the wide local excision with tumor free margin. Results: We experience the recurrent adenoid cystic carcinoma of the scalp with pulmonary metastasis. We have performed the wide local excision for three times. The patient has been followed up for 10 years with regular work - up for recurrence and metastasis Conclusion: primary cutaneous adenoid cystic carcinoma is a rare skin neoplasm with a high potential for recurrence after local excision. The standard treatment of ACC is wide local excision with tumor - free margins established by permanent section.

• 약학회지
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• 제42권6호
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• pp.589-597
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• 1998

Effects of Mori Folium Ethanol Soluble Fraction (MFESF) on mRNA expression of glucose transporters, acetyl-CoA carboxylase (ACC) and leptin were examined in db/db mice. 500 and 1000mg/kg dose for MFESF (designated by SY 500 and SY 1000, respectively) and 5mg/kg dose for acarbose were administered for 6 weeks. Quantitations of glucose transporters (GLUT-2 and GLUT-4), ACC and leptin mRNA were performed by RT-PCR and in vitro transcription with co-amplification of rat ${\beta}$-actin gene as an internal standard. Muscular GLUT-4 mRNA expression in MFESF-treated groups were increased dose dependently. On the other hand, MFESF caused the GLLT-4 and leptin mRNA expressions in adipose tissue to decrease dose dependently, which means that triglyceride synthesis in adipocytes might be decreased and consequently signals adipocytes to inhibit the synthesis and release of leptin. Hepatic ACC mRNA expression in MFESF-treated groups was also decreased. and this may result in lowering of serum triiglyceride level. In contrast, liver GLUT-2 mRNA expressions in MFESF-treated and acarbose groups were increased. Higher rate of glucose uptake into hepatocytes is known to inhibit a phosphoenolpyruvate carboxykinase (PEPCK)-catalyzed reaction, which is a rate-limiting step in gluconeogenesis.

• Journal of Microbiology and Biotechnology
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• 제21권9호
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• pp.921-929
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• 2011

Stimulation of AMP-activated protein kinase (AMPK) signaling followed by increase of glucose uptake in L6 myotubes were studied with organic solvent extract of Malva verticillata (MV) seeds. Ethanol extract of M. verticillata seeds (MVE) significantly increased the phosphorylation level of AMPK, acetyl-CoA carboxylase (ACC), and glucose uptake in L6 myotube cells. The MVE was fractionated with n-hexane (MVE-H), chloroform (MVE-C), ethylacetate (MVE-E), n-butanol (MVE-B), and water (MVE-W). MVE-H (150 ${\mu}g$/ml) showed the highest phosphorylating activity and increased glucose uptake by 2.3-fold. Oral administration of MVE-H (40 mg/kg) for 4 weeks to type 2 diabetic (db/db) mice reduced non-fasting and fasting blood glucose levels by 17.1% and 23.3%, respectively. Phosphorylation levels of AMPK and ACC in the soleus muscle and liver tissue of db/db mice were significantly increased by the administration of MVE-H. MVE-H was further fractionated using preparative HPLC to identify the AMPK-activating compounds. The NMR and GC-MS analyses revealed that ${\beta}$-sitosterol was a major effective compound in MVE-H. Phosphorylation levels of AMPK and ACC, and glucose uptake were significantly increased by the treatment of MVE-S (${\beta}$-sitosterol) isolated from M. verticillata to L6 cells, and these effects were attenuated by an AMPK inhibitor (Compound C) pretreatment. These results, taken together, demonstrate that increased glucose uptake in L6 myotubes by MVE-H treatment is mainly accomplished through the activation of AMPK. Our finding suggests that the extract isolated from M. verticillata seed would be beneficial for the treatment of metabolic disease including type 2 diabetes and hyperlipidemia.