• Journal of Chest Surgery
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• 제30권5호
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• pp.501-505
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• 1997

초 저체온 및 순환정지하 개심수술시 Aprotinin을 사용하는 경우 혈관내 응고와 관련된 신기능장애 등의 합병증이 증가된다는 보고가 있다. 저자들은 1992년 11월부터 95년 8월까지 초저체온 및 순환정지하에서 대 동맥 수술을 한 44례 환자 중 고농도 Aprotinin을 사용한 20명의 환자를 대상으로 수술 후 주요장기에 미치 는 aprotinin의 영향을 조사하였다. 초저체온하 순환정지 시에는 좌측대퇴동맥을 통하려 저혈류로 순환시켜 흉부대동맥내로 공기유입이 되지 않도록 하였으며 순환정지시간이 길어질 것으로 예상되거나 대동맥궁을 치 환하는 경우에는 선택적뇌관류를 하였다. 순환정지시 활성응고시간은 639초에서 1531초로 1례를 제외한 모 든 환자에서 활성응고시간을 750초 이상 유지하였다. 대상환자 20례중 수술사망은 4례에서 발생하였다. 사망원인은 출혈 1례, 폐출혈 1례, 좌 관상동맥 박리에 따른 좌심실 기능부전이 1례, 근리고 다발성 뇌경색이 1례 있었다. 수술 후 뇌손상이 2례에서 발생하였으나 1례는 수술전 부터 자측 총경동맥 박리가 원인이었고 1례에서는 그 원인을 알 수 얼었다. 생존한 환자중 수 술 후 신 기능이나 간기능의 이상은 얼\ulcorner다. 결론적으로 초저체온 및 순환정지를 이용한 대동맥수술시 avotinin을 사용한 결과 ACT를 750초이상 충분 히 유지하고, low flow retrograde perfusion을 유지하는 경우 신기능의 장애를 포함한 혈관내 응고와 관련된 합 병증이 증가되지 않고, 안전하게 사용할 수 있는 것으로 나타났다.

• Biomolecules & Therapeutics
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• 제24권6호
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• pp.659-664
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• 2016

Lindera obtusiloba has been used in traditional herbal medicine for the treatment of blood stasis and inflammation. The leaves of Lindera obtusiloba have been reported to exhibit various physiological activities. However, there is little information available on their antiplatelet and antithrombotic activities. Thus, the present study aimed to evaluate the effect of Lindera obtusiloba leaf extract (LLE) on platelet activities, coagulation and thromboembolism. In a platelet aggregation study, LLE significantly inhibited various agonist-induced platelet aggregations in vitro and ex vivo. Furthermore, LLE significantly inhibited collagen-induced thromboxane A2 (TXA2) production in rat platelets. In addition, oral administration of LLE was protective in a mouse model of pulmonary thromboembolism induced by intravenous injection of a mixture of collagen and epinephrine. Interestingly, LLE did not significantly alter prothrombin time (PT) and activated partial thromboplastin time (aPTT). This study indicates that the antithrombotic effects of LLE might be due to its antiplatelet activities rather than anticoagulation. Taken together, these results suggest that LLE may be a candidate preventive and therapeutic agent in cardiovascular diseases associated with platelet hyperactivity.

• Biomolecules & Therapeutics
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• 제22권3호
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• pp.254-259
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• 2014

The pentacyclic triterpenoid ursolic acid (UA) and its isomer oleanolic acid (OA) are ubiquitous in food and plant medicine, and thus are easily exposed to the population through natural contact or intentional use. Although they have diverse health benefits, reported cardiovascular protective activity is contentious. In this study, the effect of UA and OA on platelet aggregation was examined on the basis that alteration of platelet activity is a potential process contributing to cardiovascular events. Treatment of UA enhanced platelet aggregation induced by thrombin or ADP, which was concentration-dependent in a range of $5-50{\mu}M$. Quite comparable results were obtained with OA, in which OA-treated platelets also exhibited an exaggerated response to either thrombin or ADP. UA treatment potentiated aggregation of whole blood, while OA failed to increase aggregation by thrombin. UA and OA did not affect plasma coagulation assessed by measuring prothrombin time and activated partial thromboplastin time. These results indicate that both UA and OA are capable of making platelets susceptible to aggregatory stimuli, and platelets rather than clotting factors are the primary target of them in proaggregatory activity. These compounds need to be used with caution, especially in the population with a predisposition to cardiovascular events.

• Childhood Kidney Diseases
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• 제28권2호
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• pp.80-85
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• 2024

Lupus anticoagulant hypoprothrombinemia syndrome (LAHPS) is a rare entity characterized by the presence of lupus anticoagulant (LA) and prothrombin (factor II) deficiency. It may cause severe bleeding contrary to classical antiphospholipid syndrome. Here, we report a case of LAHPS presenting with a hemorrhagic ovarian cyst in a 17-year-old girl with systemic lupus erythematosus (SLE) nephritis. She had been followed up for 8 years. Her first manifestation of SLE was prolonged gingival bleeding after tooth extraction at 9 years of age. During the follow-up period, she had neither severe bleeding nor thrombotic complications despite a positive LA and a prolonged activated partial thromboplastin time (aPTT). At this visit, the patient presented with colicky abdominal pain, a hemorrhagic ovarian cyst, a prolonged prothrombin time, a prolonged aPTT, a low factor II level, and a positive LA, leading to the diagnosis of LAHPS. While a hemorrhagic ovarian cyst resolved completely in 3 months, she received oral pill, transfusions of red blood cells and plasma, and intravenous cyclophosphamide pulse therapy in combination with glucocorticoids due to persistent menorrhagia, anemia, prolonged aPTT, and lupus flaring. Thus, LAHPS needs to be considered in SLE patients with positive LA and prolonged aPTT.

• 한국식품과학회지
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• 제36권6호
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• pp.1008-1013
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• 2004

국내산 주요 갈조류 18종의 추출용매 및 온도에 따른 항혈액응고 활성을 측정한 결과 미역, 다시마, 감태, 대황, 곰피, 톳, 괭생이 모자반의 열수 추출물의 APTT가 190.0초 이상으로 활성이 높았으며, 이 때의 추출온도는 $90^{\circ}C$였다. 감태의 에탄올 불용성분의 항혈액응고 활성은 $500\;{\mu}g/mL$에서 에탄을 가용성 물질에 비하여 2배 이상 증가하였으며, 에탄을 불용성분의 분자량에 따른 항혈액응고 활성은 $100\;{\mu}g/mL$ 농도에서 EKJ-eim 1(100 kDa 이상)이 190초 이상으로 EKJ-eim 2(100-50 kDa) 및 EKJ-eim 3(50-10 kDa)에 비해 좋았으며, 이 분회의 화학적 조성성분은 fucose, xylose, mannose, galactose, glucose, sulfate로 구성되어 있으며, 몰비는 1 : 0.05 : 0.10 : 0.15 : 0.17 : 1.46으로 2 mole의 fucose에 3 mole의 황산기가 결합되어 있는 산성다당임을 확인하였다.

• Applied Biological Chemistry
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• 제42권2호
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• pp.140-146
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• 1999

청각(1.2 kg)을 0.8% 염산 수용액(24 l)으로 추출한 추출물을 메탄올 환류, 에탄올 침전 및 투석하여 활성이 약 2배 증가된 조다당(CF-1)으로부터 2종의 항응고활성 다당류를 정제하였다. 정제는 CF-1의 DEAE-Toyopearl이온교환 크로마토그래피와 Sephadex G-75, Sephadex G-100, Sepharose CL-6B 겔여과 크로마토그래피, HPLC 등을 이용하였다. 최종 정제 다당류획분인 CF-1-VIa-1과 CF-1-VIIa-1는 분자량이 각각 80,000과 40,000 Da 이었으며, 주구성당으로서 arabinose와 galactose가 약 2:1의 몰비율로 풍부하게 함유되어 있었고, 구성당 잔기에 $12{\sim}13%$의 유황을 함유하는 함황성 다당류들이었다. CF-1-VIa-1와 CF-1-VIIa-1의 항응고활성을 $2.5\;{\mu}g/mL$의 농도에서 비교하였을 때 APTT활성은 대조군에 비하여 각각 262초, 250초이었고 TT활성은 각각 130초, 70초이었으며, 분자량이 큰 CF-1-VIa-1이 다소 높은 항응고활성을 보였다. CF-1-VIa-1와 CF-1-VIIa-1의 desulfation과 sulfation을 통한 항응고활성을 비교한 결과 desulfation시 항응고활성이 각각 약 80%와 50%로 감소하였으나 sulfation시에는 약 30%와 20%로 그 활성이 증가하였다. 두 다당류는 헤파린과 달리 농도 의존적으로 불용성 피브린의 형성을 억제하므로써 antithrombin III 비의존적 트롬빈 저해활성을 나타내었으며, 칼슘이온의 킬레이트에 의한 혈액응고 저해효과는 나타내지 않았다.

• BMB Reports
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• 제30권1호
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• pp.37-40
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• 1997

Earthworm extracts are known for anti-inflammatory, analgesic. antipyretic, and anticancer effects but can also influence blood circulation. It was previously shown that an earthworm, Lumbricus rubelius. contained a water-extractable anticoagulant which was a heat- and acid-stable molecule with hydrophilic property. In order to uncover the biochemical nature of this molecule, the anticoagulant was processed with various hydrolases such as trypsin, DNase, RNase. and lysozome. When the digested samples were analyzed with an in vitro coagulation test measuring activated partial thromboplastin time (APTT) and agarose gel electrophoresis, the anticoagulant proved to be a relatively homogeneous DNA fragment with relative molecular size around 72 base pairs. Interestingly, the activity was further stimulated with a trypsin digestion. RNA. on the other hand, did not prolong the APTT. It was also demonstrated that the DNA accelerated the antithrombin III (AT-III) inhibition of thrombin from $IC_{50}$ of 0.34 to 0.16 unit determined with S-2238 as a substrate, whereas heparin, a popular anticoagulant. shifted the value to 0.05. Therefore, it is suggested that the DNA could be considered as an alternative antithrombotic agent to heparin, which would exhibits bleeding side effects.

• 상하수도학회지
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• 제34권4호
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• pp.239-250
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• 2020

In this study, effects of five raw water quality parameters (turbidity, odor compounds caused by algae, filter clogging caused by algae, pH increase caused by algae, and organic matter) on improvements and operations costs of typical water treatment plant (WTP) were estimated. The raw water quality parameters were assumed the worst possible conditions based on the past data and costs were subsequently estimated. Results showed that new water treatment facilities were needed, such as a selective intake system, an advanced water treatment processes, a dual media filter, a carbonation facility, and a re-chlorination facility depending on water quality. Furthermore, changes needed to be made in WTP operations, such as adding powered activated carbon, increasing the injection of chlorine, adding coagulation aid, increasing the discharge of backwashed water, and increasing the operation time of dewatering facilities. Such findings showed that to reliably produce high-quality tap water and reduce water treatment costs, continuous improvements to the quality of water sources are needed.

• International Journal of Oral Biology
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• 제46권3호
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• pp.99-104
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• 2021

Associations between periodontal infection and cardiovascular disease have been documented. Porphyromonas gingivalis is a well-established periodontal pathogen, and tissue factor (TF) is a key initiator of the coagulation cascade. In this context, P. gingivalis has been reported to enhance TF expression in human endothelial cells. The present study investigated the underlying mechanisms of TF induction by P. gingivalis in human umbilical vein endothelial cells. P. gingivalis increased TF expression in a dose- and time-dependent manner. Not only live bacteria but also glutaraldehyde-fixed bacteria increased TF expression to the same extent. However, sonicates of P. gingivalis did not induce TF expression. Cytochalasin D and SMIFH2, which are inhibitors of actin polymerization and actin nucleation, respectively, inhibited the TF expression induced by P. gingivalis. Finally, TF production was decreased or increased in the presence of various signaling inhibitors, including mitogen-activated protein kinases. These results suggest that P. gingivalis induces endothelial TF expression by a bacterial internalization-dependent mechanism and through diverse signal transduction mechanisms.

• Biomolecules & Therapeutics
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• 제7권3호
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• pp.271-277
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• 1999

Safety evaluation of LB71350, a new HIV-1 protease inhibitor, was performed in mice, rats and dogs. For the general behavior of mice, LB71350 at an oral dose of 200 mg/kg did not show any significant effects on muscle tone and locomotor activity. In terms of central nervous system, at oral doses of 200 mg/kg and 1000 mg/kg, LB71350 inhibited acetic acid-induced pain response approximately 41% and 83% of control. respectively. At oral doses of 200 mg/kg and 500 mg/kg, it reduced the rectal body temperature in rats. Pentylenetetrazole-induced seizure in mice was slightly potentiated by oral administration of LB71350 at doses ranging from 200 mg/kg to 1000 mg/Ag. Single or five day treatment of LB71350 doubled the hexobarbital- induced sleeping time in mice at oral doses ranging from 50 mg/kg to 500 mg/kg. It did not cause any effects on gastric secretion and acidity in rat at oral doses of 200 mg/kg and 1000 mg/kg and also it did not change intestinal motility in mice up to 1000 mg/kg. Blood coagulation indices such as prothrombin time (PT), activated partial thromboplastin time (aPTT), and thrombin time (TT) in rats were not affected by the treatment of LB71350 up to 500 mg/kg. LB71350 caused no significant effects on the cardiac output, stroke volume, heart rate, and mean blood pressure when infused intravenously to the anesthetized rats and dogs. Taken together, LB71350 at high oral doses caused significant pharmacological effects on the central nervous system and the hexobarbital-induced sleeping time.