• 제목/요약/키워드: Alzheimer's Dementia

검색결과 365건 처리시간 0.026초

일개 보건소에서 시행한 독거노인 한방 가정방문 결과보고: 이침치료를 활용한 인지기능 개선을 중심으로 (Results of the Korean Medicine Visiting Care Service for Solitary Elderly in a Public Health Center)

  • 권찬영;이보람;정선용;김종우
    • 동의신경정신과학회지
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    • 제30권2호
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    • pp.47-58
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    • 2019
  • Objectives: To conduct and report the results of a public health promotion program in Korean medicine (KM), namely the KM Visiting Care Service for Solitary Elderly, from November 2018 to April 2019. Methods: Six elderly people living in a rural area received the KM visiting care service, twice a week, for four months. This service consisted of acupuncture, auriculotherapy, and supportive counseling to manage their musculoskeletal pain, cognitive impairment, and/or depression. The changes of symptoms were assessed using Numeric Rating Scale (NRS), Korean version of Mini-Mental State Examination for Dementia Screening (MMSE-DS), Korean version of Montreal Cognitive Assessment (MoCA-K), and Geriatric Depression Scale-Short form Korean (GDS-SF-K). Results: Through the 4-months KM visiting care service, the overall subjects' NRS-rated pain decreased slightly. Most showed improvement in MMSE-DS and/or MoCA-K, except one subject who was diagnosed with Alzheimer's disease. Depression assessed by GDS-SF-K showed improvement in a few subjects who were unable to walk independently. Satisfaction assessed through survey was generally high in all subjects. Conclusions: This KM Visiting Care Service for Solitary Elderly may help improve the pain and cognitive function of frail solitary elderly in rural areas. However, the protocol need to be improved to optimize the effect.

원지 디클로로메탄분획이 CT105에 의한 신경세포 상해에 미치는 영향 (The Effects of Polygala Tenuifolia DM Fraction on CT105-injuried Neuronal Cells)

  • 이상원;김상호;김태헌;강형원;류영수
    • 동의생리병리학회지
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    • 제18권2호
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    • pp.507-516
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    • 2004
  • Alzheimer's disease(AD) is a geriatric dementia that is widespread in old age. In the near future AD will be the commom disease in public health service. Although a variety of oriental presciptions in study POD(Polygala tenuifolia extracted from dichlorometan) have been traditionally utilized for the treatment of AD, their pharmacological effects and action mechanisms have not yet fully elucidated. It has been widely believed that AP peptide divided from APP causes apoptotic neurotoxicity in AD brain. However, recent evidence suggests that CT105, carboxy terminal 105 aminoacids peptide fragment of APP, may be an important factor causing neurotoxicity in AD. SK-N-SH cells expressed with CT105 exhibited remarkable apoptotic cell damage. Based on morphological observations by phase contrast microscope and NO formation in the culture media, the CT105-induced cell death was significantly inhibited by POD. In addition, AD is one of brain degeneration disease. So We studied on herbal medicine that have a relation of brain degeneration. From old times, In Oriental Medicine, PO water extract has been used for disease in relation to brain degeneration. We were examined by ROS formation, neurite outgrowth assay and DPPH scravage assay. Additionally, we investigated the association between the CT105 and neurite degeneration caused by CT105-induced apoptotic response in neurone cells. We studied on the regeneratory and inhibitory effects of anti-Alzheimer disease in pCT105-induced neuroblastoma cell lines by POD. Findings from our experiments have shown that POD inhibits the synthesis or activities of CT105, which has neurotoxityies and apoptotic activities in cell line. In addition, treatment of POD(>50 ㎍/㎖ for 12 hours) partially prevented CT(105)-induced cytotoxicity in SK-N-SH cell lines, and were inhibited by the treatment with its. POD(>50 ㎍/㎖ for 12 hours) repaired CT105-induced neurite outgrowth when SK-N-SH cell lines was transfected with CT105. As the result of this study, In POD group, the apoptosis in the nervous system is inhibited, the repair against the degerneration of Neuroblastoma cells by CT105 expression is promoted. Decrease of memory induced by injection of scopolamin into rat was also attenuted by POD, based on passive avoidance test. Taken together, POD exhibited inhibition of CT105-induced apoptotic cell death. POD was found to reduce the activity of AchE and induced about the CA1 in rat hippocampus. Base on these findings, POD may be beneficial for the treatment of AD.

($A{\beta}-oligomer$로 유도된 Neuro2A 세포주에서 용담사간탕(龍膽瀉肝湯)의 치매 억제 효과 (A Study on the Inhibitory Effect of Yeongdamsagantang on Alzheimer in $A{\beta}-oligomer-induced$ Neuro 2A Cell Lines)

  • 김해수;신유정;박종혁;김승모;백경민;박치상
    • 대한한의학회지
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    • 제29권2호
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    • pp.151-164
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    • 2008
  • Objective: To investigate the effects of Yeongdamsagantang (YDGT) on apoptosis of neuronal cells that can result in dementia. Method: The water extract of the YDGT was tested in vitro for its beneficial effects on neuronal survival and neuroprotective functions, particularly in connection with $A{\beta}$ oligomer-related dementias. $A{\beta}$ oligomers derived from proteolytic processing of the ${\beta}-amyloid$ precursor protein (APP), including the $amyloid-{\beta}$ peptide $(A{\beta})$, play a critical role in the pathogenesis of Alzheimer's disease. A neuroblastoma cell line stably expressing an $A{\beta}$ oligomerassociated neuronal degeneration was used to investigate if YDGT inhibits formation of $A{\beta}$ oligomer. To measure the ATP generating level in mitochondrial membrane, luciferin/luciferase luminescence kit (Promega) and luminator was used, and to survey the protein's apparition, confocal microscopy was used. Result: $A{\beta}oligomer$ had a profound attenuation in the increase in CT105 expressing neuro2A cells from YDGT. Experimental evidence indicates that YDGT protected against neuronal damage from cells, but its cellular and molecular mechanisms remain unknown. We demonstrated that YDGT inhibited formation of $amyloid-{\beta}$ $(A{\beta})$ oligomers, which were the behavior, and possibly causative, features of AD. The decreased $A{\beta}$ oligomer in the presence of YDGT was observed in the conditioned medium of this $A{\beta}oligomer-secreting$ cell line under in vitro. In the cells, YDGT significantly attenuated mitochondrion-initiated apoptosis. Conclusion: (i) a direct $A{\beta}$ oligomer toxicity and the apoptosis initiated by the mitochondria; and (ii) multiple cellular and molecular neuroprotective mechanisms, including attenuation of apoptosis and direct inhibition of $A{\beta}$ oligomer aggregation, underlie the neuroprotective effects of YDGT.

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LMK02의 품질규격화와 $A{\beta}$ 올리고머에 의해 유도된 희주해마 H19-7세포주에 미치는 항치매효과 (Standardization of Quality and Inhibitory Effect of Alzheimer in $A{\beta}$ Oligomer-induced H19-7 Cells by LMK02)

  • 강형원;김상태;손형진;한평림;조형권;이영재;류영수
    • 동의생리병리학회지
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    • 제23권2호
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    • pp.397-404
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    • 2009
  • For standardization of LMK02 quality, Ginsenoside Rg3 of Red Ginseng and Decursin of Angelica gigas Nakai in the constituents of LMK02 were estimated as indicative components. From LMK02 water extract, has been used in vitro test for its beneficial effects on neuronal survival and neuroprotective functions, particularly in connection with APP-related dementias and Alzheimer's disease (AD). $A{\beta}$ oligomer derived from proteolytic processing of the ${\beta}$-amyloid precursor protein (APP), including the amyloid-${\beta}$ peptide ($A{\beta}$), play a critical role in the pathogenesis of Alzheimer's dementia. We determined that oligomer amyloid-${\beta}$ ($A{\beta}$) have a profound attenuation in the increase in rat hippocampus H19-7 cells from. Experimental evidence indicates that LMK02 protects against neuronal damage from cells, but its cellular and molecular mechanisms remain unknown. Using a hippocampus cell line on $A{\beta}$ oligomer-induced neuronal cytotoxicity, we demonstrated that LMK02 inhibits formation of $A{\beta}$ oligomer, which are the behavior, and possibly causative, feature of AD. In the Red Ginseng, the average amounts of Ginsenoside Rg3 were $47.04{\mu}g/g$ and $42.3{\mu}g/g$, 90 % of its weight were set as a standard value. And, in the Angelica gigas Nakai, the average amounts of Decursin were 2.71 mg/g and 2.44mg/g, 90 % of its weight were also set as a standard value. The attenuated $A{\beta}$ oligomer in the presence of LMK02 was observed in the conditioned medium of this $A{\beta}$ oligomer-induced cells under in vitro. In the cells, LMK02 significantly activated antiapoptosis and decreased the production of ROS. These results suggest that neuronal damage in AD might be due to two factors: a direct $A{\beta}$ oligomer toxicity and multiple cellular and molecular neuroprotective mechanisms, including attenuation of apoptosis and direct inhibition of $A{\beta}$ oligomer, underlie the neuroprotective effects of LMK02 treatment.

Effects of Chrysanthemum indicum Linne Flowers on Acetylcholinesterase Activity and Learning Performance in Mice

  • Kim, Sun-Young;Chung, Cha-Kwon;Bae, Young-Soo;Yi, Jae-Seon;Kang, Il-Jun
    • Food Science and Biotechnology
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    • 제17권2호
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    • pp.384-388
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    • 2008
  • Alzheimer's disease (AD) is the most common neurodegenerative disorder and is responsible for more than 50% of all dementia cases. There is significant interest in finding new sources of compounds that inhibit acetylcholinesterase (AChE) to be used in the treatment of AD, since only a few AChE inhibitors, such as galanthamine, physostigmine, and tacrine, are available for clinical use. In the present study, ICR mice were treated with a 1 mg/kg scopolamine, which caused impaired cognitive ability. The steady consumption of a water extract of Chrysanthemum indicum Linne flowers for 3 months significantly prevented the scopolamine induced deficit of the spatial cognitive capability of mice. It also improved long-term memory in mice with amnesia induced by scopolamine, as assessed by the Morris water maze and passive avoidance tests. In addition, water extract consumption significantly decreased AChE activity in mouse brain, leading to inhibition of acetylcholine hydrolysis.

Isolation of specific butyrylcholinesterase (BuChE) inhibitors from the rhizome extract of Curcuma zedoaria

  • Kim, Young-Sup;Park, Eun-Kyung;Heor, Jung-Hee;Kim, Seong-Kie;Kim, Jung-Sook;Choi, Yeon-Hee;Seo, Jee-Hee;Lee, Bong-Ho;Choi, Byoung-Wook
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.1
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    • pp.259.3-260
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    • 2003
  • Alzheimer's disease(AD) is the most common cause of senile dementia in elderly people and the causes of AD are currently not fully understood. However, AD is generally understood to be associated with reduced levels of acetylcholine in the brain as cholinergic neurons are lost and cholinergic neurotransmission declines. There are growing evidences that two types of cholinesterase(ChE), i.e., acetylcholinesterase (AChE) and butyrylcholinesterase (BuChE) both play important roles in the regulation of acetylcholine level in brain and thus may have a crucial role in the development and progression of AD. (omitted)

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탁도(濁度) 및 알카리도(度)가 잔류(殘留)알루미늄 농도(濃度)에 미치는 영향(影響) (The Effect of Turbidity and Alkalinity on the Regidual Aluminum Concentration)

  • 최승일;이창숙
    • 상하수도학회지
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    • 제9권3호
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    • pp.88-98
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    • 1995
  • Several kinds of coagulants such as aluminum sulfate, PAC, PASS are being used to treat drinking water resulting in residual aluminum ions in the water. Recently, it has been reported that high intake of aluminum ion may cause neurological dieseases such as Alzheimer's diesease and presenile dementia. Because of the possible adverse effect, WHO and EEC recommand to regulate residual aluminum. The autorities in Korea also has plan of regulating residual alunimum from 1995. But there is not enough information about the range of residual aluminum ion concentration when the aluminum sulfate, PAC or PASS has been used as a coagulant. Therefore the study has been conducted to find out the range of residual aluminum ion concentration after using aluminum sulfate, PAC, and PASS. Furthermore the effect of turbidity and alkalinity have been investigated. The experimental results are summarized as; 1. Most of the residual aluminum ion concentrations were within $10^{-6}$ and $10^{-5}mole/l$. Three coagulants have not showed any considerable difference in the residual aluminum concentration up to 50 NTU. However PAC has showed the least residual aluminum in high turbidity water over 100 NTU. 2. The low alkalinity water having 25mg/l as $CaCO_3$ has showed less residual aluminum than the water having 50mg/l alkalinity. However, the difference was not significcant. 3. Even the lowest residual aluminum concentration was over 0.05mg/l. Therefore the process to reduce residual aluminum would be necessary in water treatment plants.

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Nb 함량에 따른 Ti-Nb계 합금의 내식성에 대한 연구 (A study on corrosion resistance of Ti-Nb alloys by Nb contents)

  • 박근형
    • 대한치과기공학회지
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    • 제28권1호
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    • pp.61-66
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    • 2006
  • Titanium alloys have been used for dental materials due to it's very good biocompatibility. Ti-6Al-4V alloy instead of pure titanium is being widely used as biomaterials has some characteristics such as high fatigue strength, tensile strength and corrosion resistance. But it has been reported recently that the vanadium element expresses cytotoxicity and carcinogenicity and the aluminium element is related with dementia of Alzheimer type and neurotoxicity. The Ti-Nb alloys has designed and examined corrosion resistance. Ti-3wt.%Nb($\alpha$type), Ti-20wt.%Nb(${\alpha}+{\beta}$type) and Ti-40wt.%Nb($\beta$type) alloys were melted by vacuum arc furnace. The corrosion resistance of Ti alloys was evaluated by potentiodynamic polarization test in the solution of 0.9% NaCl and 5% HCl. The results can be summarized as follows: 1) For the corrosion test in the solution of 0.9% NaCl and 5% HCl, the corrosion behaviour of Ti-Nb alloys was similar to ASTM grade 2 CP Ti. 2) The corrosion resistance of Ti-20Nb alloy was better than that of CP-Ti, Ti-3Nb, Ti-40Nb alloy in 0.9% NaCl and 5% HCl, solutions.

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알츠하이머형 치매환자에 대한 조위승청탕(調胃升淸湯)의 효능 -청각 ERP 및 K-DRS의 성적 변화를 통하여- (The effects on Jowiseungchungtang of patients with early DAT using auditory ERP and K-DRS)

  • 김보균;김종우;김현택;정경천;황의완
    • 동의신경정신과학회지
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    • 제14권2호
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    • pp.43-59
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    • 2003
  • Object : This study was designed to assess the protective effects of Jowiseungchungtang on cognitive decline of the patients with early DAT[Dementia of Alzheimer Type]. Method : 15 patients with early DAT and 10 healthy elderly subjects were measured by using auditory ERP and K-DRS, and after 9 months again. During 9 months the patients with early DAT were administered with Jowiseungchungtang. Result : 1. The score of K-DRS increased in two group but it was not significant. 2. The latency of ERP P300 component increased in 2nd test of the normal group, but did not increase in 2nd test of patients group. 3. The amplitude of ERP P300 component showed the significant difference in electrode location in patients group, but it did not show any typical property. Conclusion : The results suggest that Jowiseungchungtang may have protective effects on cognitive decline in the patients with early DAT.

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치료제 DehydroevodiamineㆍHCl(DHED)의 변이원성 연구 (Study on Mutagenicity of DehydroevodiamineㆍHCl(DHED))

  • 성이숙;정성윤;정주연;채규영;진미령;최봉웅;장병모;김대경
    • 약학회지
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    • 제46권3호
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    • pp.208-212
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    • 2002
  • Dehydroevodiamine HCl (DHED), which is a component separated from Evodia rutaecarpa Bentham, has novel anticholinesterase and antiamnesic activities in the scopolamine-induced amnesia model. Several studies suggest that DHED might be an effective drug for the Alzheimer's disease and the vascular type of dementia. In order to evaluate the mutagenic potential of DHED, Salmonella typhimurium reversion assay, chromosomal aberration test on Chinese hamster lung cells, in vivo micronucleus assay using mouse bone marrow cells, and comet assay were performed. DHED did not increase the number of revertant in the reverse mutation test using Salmonella typhimurium TA1535, TA1537, TA98, TA100. DHED HCl, at concentration of 5 and 10 $\mu\textrm{g}$/mι, increased the number of chromosome aberrated Chinese hamster lung cells with 5 and 10%, respectively. In mouse micronucleus test, no significant increase in the occurrence of micronucleated polychromatic erythrocyte was observed in ICR mice orally administered with DHED. DHED was tested for ability to induce genotoxic effect in L5178Y cells (mouse lymphoma cells) using the single cell gel electrophoresis assay (comet assay). In comet assay, tail moment did not increase in L5178Y cells treated with 10, 100, 300 $\mu$M DHED.