• 한국발생생물학회지:발생과생식
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• 제27권1호
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• pp.25-37
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• 2023

Acetaminophen [Paracetamol, N-acetyl-para-aminophenol (APAP)] is a common over-the-counter analgesic agent as nonsteroidal anti-inflammatory drugs (NSAIDs). The high doses or the long-term treatment of acetaminophen via usual gavage feeding resulted in damage of testicles that presented recoverable impairment, as well as liver and kidney. The influence of acetaminophen was examined in male golden hamsters treated with acetaminophen-containing diet feeding. They were divided into 5 groups and subjected to this experiment for 4 weeks: animals housed in long photoperiod (LP) as LP control, animals housed in short photoperiod (SP) for 4 weeks as SP control (SP4), and groups of animals treated with low, middle, and high concentrations of acetaminophen (Low, Middle, High groups). Also animals housed in SP for 8 weeks were included (SP8) to contrast testicular activities, if necessary. As results, spermatozoa filled the seminiferous tubules of the testicles of animals in LP control and SP4 groups. The aspects were seen in the animals taken diets of low and middle doses of acetaminophen. The animals who fed high dose of acetaminophen showed large or small testicles. The large testicles displayed all germ cells at the steps of spermatogenesis. The small testicles presented no sperm as the animals housed in SP for 8 weeks. Thus these results indicate that acetaminophen invokes the antigonadal effects and accelerates the regressing process of the testicles in the animals compared to the animals exposed to SP.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권5호
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• pp.273-280
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• 2023

Background: Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children. Methods: A total of 42 healthy children aged 7-10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants' demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann-Whitney U test. Results: The median pain score and range for the intervention and control groups were 4 (2 - 6) and 6 (4 - 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution. Conclusion: Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.

• 치위생과학회지
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• 제15권4호
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• pp.424-429
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• 2015

본 연구는 trtiptolide의 안면부 통증 조절효과를 평가하기 위하여 포르말린으로 유도된 실험동물의 안면부 통증모델에서 말초와 중추로 투여한 trtiptolide의 농도별 차이를 확인하였고, 다음과 같은 결과를 얻었다. 먼저, 안면부 피하로 triptolide 투여 후 포르말린 주입군에서 포르말린 주입 후 11~45분에 발생하는 2차 통증행위반응은 25, $50{\mu}g/50{\mu}l$의 각 농도에 따라 $179.17{\pm}15.36$회, $114.33{\pm}16.65$회로 나타났고 $299.00{\pm}28.14$회로 나타난 포르말린 주입군과 비교시 통증행위반응이 유의하게 경감되었다. 시간의 경과에 따른 변화에서 $50{\mu}g/50{\mu}l$의 투여군에서 포르말린 주입 후 20분, 30분에 통증행위반응이 포르말린군과 비교하여 유의하게 감소되었음을 확인하였다. 안면부 피하로 투여한 triptolide는 포르말린으로 유도된 통증행위반응을 감소시킴으로써 안면부 통증조절효과를 나타내었다. 다음으로, 소뇌연수조 내로 triptolide 투여 후 포르말린 주군에서 2차 통증행위반응은 $1{\mu}g/10{\mu}l$의 $134.00{\pm}23.03$회로 나타났고, $289.50{\pm}44.30$회로 나타난 포르말린군과 비교 시 통증행위 반응이 경감되었다. 시간의 경과에 따른 변화에서, $1{\mu}g/10{\mu}l$의 triptolide 투여군에서 포르말린 주입 후 25~40분에 통증행위반응이 감소되었음을 확인하였다. 소뇌연수조로 투여한 triptolide는 포르말린으로 유도된 통증행위반응을 감소시킴으로써 안면부 통증조절효과를 나타내었다. 이상의 결과는, triptolide는 구강 및 턱관절 등을 포함하는 안면부 통증 조절의 예방 및 치료에 있어 활용 가능한 천연대체 약물로 제시될 수 있을 것으로 생각된다.

• 사상체질의학회지
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• 제9권2호
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• pp.227-243
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• 1997

The experimental study used in this paper was done to examine the clinical effects of Taeumchowetang for the gastric ulcer and the function of gastrointestinal tract using rats and mice which were administered orally the water extraction from Taeumchowetang. Then, the counter-action of the water extraction on the isolated ileum and gastric fundus, the inhibitory effects of pylorus-ligated ulcer and indomethacin-induced ulcer, the associations with gastric juice secretion, total acidity, pepsin output, the transportability in the small and large intestine, were studied with administering acetylcholine chloride and barium chloride. In addition, it was investigated whether the central nervous system related to pain control and sleeping time was influenced by Taeumchowetang. The following results have been obtained; 1. As resulting from injection of acetylcholine chloride and barium chloride into the isolated ileum of rats and mice, Taeumchowetang led to have an inhibitory effect on the muscle contraction of the ileum. Then, acetylcholine chloride was measured as lower effect than barium chloride 2. For the inhibitory effect on contraction for the gastric fundus strip in rats by either acetylcholine chloride or barium chloride, the one showed low inhibitory effect, on the other hand the other showed density-dependent effect. 3. The water extraction was given on the pylorus ligated ulcer with using two different administration groups of 1,300mg/kg and 2,600mg/kg, each result was measured as 22.9% and 36.5% for an ulcerous inhibitory effect (p<0.05). 4. According to the two administration groups, the preventive effect was tabulated 18.1% and 29.3% for indomethacin-induced ulcer (p<0.05, P<0.01). 5. For associations with gastric juice secretion, total acidity, pepsin output in the administration group 2,600mg/kg, Taeumchowetang was recognized as having an inhibitory effects related to suppressive actions involving gastric juice secretion(p<0.05), and free acidity(p<0.01), but there was no significant association with total acidity and pepsin output. 6. To know the transportability in the intestine, BaSO4 solution was used. The transportability of the small intestine in the administration group 2,600mg/kg was 22.2% which was statistically significant compared with the large intestine's transportability(P<0.01). 7. In the administration group 1,300mg/kg and 2,600mg/kg, analgesic effect with against acetic acid was measured as being 16.8% and 24.4% which was shown as statistically siginificant(p<0.01). 8. No statistically significant association between Taeumchowetang and sleeping time was found in both 1,300mg/kg and 2,600mg/kg by administering phenobarbital-Na. According to the results of this study, Taeumchowetang has agreed with the effects of literature review. Further more in this study, Taeumchowetang also has preventive effects on pylorus-ligated ulcer. Hence, Teaumchowetang can be significant effect such as both anti ulcer agent and increasing gastric activity for the patients who suffer from gastric ulcer.

• 한국어병학회지
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• 제20권2호
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• pp.139-145
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• 2007

인체에 널리 사용되고 있는 Aspirin (ASA)을 양식 뱀장어 (Anguilla japonica) 약욕 또는 경구 투여한 다음 혈장 중의 ASA와 salicylic acid (SA)의 양을 HPLC로 측정하였다. 뱀장어 혈장은 0.2 M HCl과 0.2 M orthophosphoric acid로 산성화시킨 다음 acetonitrile과 혼합하여 ASA와 SA를 추출하였다. 2약제의 정량은 Novapak C18과 UV detector (237 nm)가 장착된 HPLC로 측정하였다. 이 때 이동상은 740 ㎖의 증류수, 900 ㎕의 orthophosphoric acid와 180㎖의 acetonitrile을 사용하였다. ASA, SA 및 내부 표준물질로 사용한 2-methylbenzoic acid (MBA)의 retention time은 각각 4.8분, 8.4분 및 11.4분이였으며, 측정한계 농도는 ASA가 0.05 ㎍/㎖, SA는 0.01 ㎍/㎖였다. 혈장으로 부터의 평균회수율은 ASA가 70.8-99.6%, SA는 95.2-100.3%였다. 뱀장어에 ASA를 약욕 (20 ppm) 또는 경구투여 (50 ㎎/kg BW) 한 다음 채취한 혈장을 시료로 이 방법으로 ASA와 SA의 양을 측정한 결과 단지 SA만 검출되어졌고, ASA는 검출되지 않았다. 이는 ASA가 혈장내에서 신속히 SA로 분해되기 때문으로 판명되었다. 또 ASA에 약욕시킨 경우에는 약욕 후 3시간후에 혈장내의 SA양이 최고치에 도달하였으며, 경구투여 한 경우에는 7일후에 최고치에 도달하였다. 한편 ASA를 투여한 다음 ASA 무첨가 수조에 수용한 결과 2투여 경로 모두 48시간 이후에는 SA가 0.02-0.03 ㎍/㎖이 검출되어 잔류의 문제도 거의 없었다. HPLC를 이용한 혈장내의 ASA와 SA의 검출법은 신속하며 정확한 방법으로 뱀장어 이외의 어류에도 활용 가능할 것으로 생각된다.

• 한국임상수의학회지
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• 제28권3호
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• pp.323-327
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• 2011

8개월령, 수컷 진도개가 오른쪽 후지 파행으로 의뢰되었다. 이 개는 방사선 검사를 통하여 오른쪽 대퇴골의 단순 골절로 진단되었다. 대퇴골절의 수술적 교정 이후, 술 후 진통제로 합성 아편계 유사 약물인 트라마돌이 정맥 내 주사로 투여되었다. 트라마돌의 투여 직후 발작이 시작되었다. 집중적인 환자 관리에도 불구하고 투여 약 17시간 후 이 개는 폐사하였다. 폐사를 하게 된 원인과 관련하여 트라마돌의 투여에 의한 발작이 연관되어 있을 것으로 추측할 수 있었다. 부검을 실시한 결과 조직병리학적 분석에 따라 본 환자는 괴사성 수막뇌염(NME)으로 진단되었다. 괴사성 수막뇌염을 가진 개에서 트라마돌의 투여가 폐사를 일으킨 발작의 유발과 관련되어 있을 것으로 생각되었다. 본 증례를 통해 트라마돌이 통증 관리에 있어 안전하고 효과적인 약물로 알려져 있으나 뇌염, 뇌수두증, 뇌병증 등의 신경계질환이 있는 환자에서는 주의 깊게 사용되어야 한다는 것을 알 수 있었다.

• The Korean Journal of Pain
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• 제6권2호
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• pp.231-236
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• 1993

Clonidine, a centrally-acting antihypertensive agent known to reduce central sympathetic outflow and modulate presynaptic transmitter's release, has shown to suppress central noradrenergic hyperactivity induced by immobilization stress in animals, by decreasing the MAC of halothane and the dose of narcotics required to prevent reflex cardiovascular response to noxious stimuli, and to have potent analgesic properties in humans. These characteristics suggest that clonidine might be a useful adjunct to the anesthetic management of patients with preexisting hypertension. Accordingly, we determined the clinical efficacy and safety on analgesia, sedation and hemodynamic stability in the perioperative period. Thirty patients(ASA physical status II-III) with a history of arterial hypertension, scheduled for elective orthopedic surgery were randomly assigned to two groups. We applied CPA-clonidine patch($6.9\;mg/cm^2$, 0.2 mg delivered daily) or placebo patch to each groups, 48 hours prior to induction of anesthesia. Antihypertensive medication was continued until the morning of the scheduled surgery. All patients received premedication of atropine and lorazepam, and induced anesthesia with thiopental and succinylcholine, and maintained with enflurane and 50% nitrous oxide, while sustaining the BP and pulse rate at acceptable range. For the relief of pain postoperatively, diclofenac and fentanyl were administered intramuscularly on demand. The results were as follows: 1) The change of hemodynamic responses in clonidine group was less compared to the placebo group. 2) Intraoperative anesthetic requirement for enflurane in clonidine group were significantly lower than placebo group. 3) Postoperative analgetic requirement in clonidine group were significantly lower than placebo group. In clonidine group, 5 cases out of 15 cases were required no analgetics, and the incidence of administration of additional fentanyl was decreased to 5 cases, comparing with 10 cases in placebo group.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권1호
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• pp.9-17
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• 2018

Background: The structure and function of bone tissue is maintained through a constant remodeling process, which is maintained by the balance between osteoblasts and osteoclasts. The failure of bone remodeling can lead to pathological conditions of bone structure and function. Remifentanil is currently used as a narcotic analgesic agent in general anesthesia and sedation. However, the effect of remifentanil on osteoclasts has not been studied. Therefore, we investigated the effect of remifentanil on pre-osteoclast (pre-OCs) differentiation and the mechanism of osteoclast differentiation in the absence of specific stimulus. Methods: Pre-OCs were obtained by culturing bone marrow-derived macrophages (BMMs) in osteoclastogenic medium for 2 days and then treated with various concentration of remifentanil. The mRNA expression of NFATc1 and c-fos was examined by using real-time PCR. We also examined the effect of remifentanil on the osteoclast-specific genes TRAP, cathepsin K, calcitonin receptor, and DC-STAMP. Finally, we examined the influence of remifentanil on the migration of pre-OCs by using the Boyden chamber assay. Results: Remifentanil increased pre-OC differentiation and osteoclast size, but did not affect the mRNA expression of NFATc1 and c-fos or significantly affect the expression of TRAP, cathepsin K, calcitonin receptor, and DC-STAMP. However, remifentanil increased the migration of pre-OCs. Conclusions: This study suggested that remifentanil promotes the differentiation of pre-OCs and induces maturation, such as increasing osteoclast size. In addition, the increase in osteoclast size was mediated by the enhancement of pre-OC migration and cell fusion.

• Korean Journal of Acupuncture
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• 제39권2호
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• pp.43-53
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• 2022

Objectives : Paeonia lactiflora Pallas (PLP) have been reported to have pharmacological effects such as anti-inflammatory and analgesic. However, it is not yet known whether PLP extract has anti-inflammatory effect on HaCaT cells, human keratinocyte. Methods : To confirm the anti-inflammatory effect of PLP on keratinocyte, TNF-𝛼/IFN-𝛾-stimulated HaCaT cells were used. HaCaT cells were pre-treated with PLP for 1h before stimulation with TNF-𝛼/IFN-𝛾. Then HaCaT cells were stimulated with TNF-𝛼/IFN-𝛾 for 24 h, the cells and media were harvested to measure the inflammatory cytokines levels. Granulocyte-macrophage colony stimulating factor (GM-CSF), monocyte chemoattractant protein-1 (MCP-1), interleukin 1 beta (IL-1𝛽), and TNF-𝛼 were analyzed by enzyme-linked immunosorbent assay (ELISA), and the mRNA expression of thymus and activation-regulated chemokines (TARC), IL-6, and IL-8 were measured by reverse transcription-polymerase chain reaction (RT-PCR). We also investigated the inhibitory mechanism of the mitogen-activated protein kinase (MAPKs) including ERK, JNK, and p38 and nuclear factor-kappaB (NF-𝜅B) by PLP using western blot. Results : PLP did not show cytotoxicity in HaCaT cells. In TNF-𝛼/IFN-𝛾-stimulated HaCaT cells, PLP significantly inhibited the expression of GM-CSF, MCP-1 IL-1𝛽, TNF-𝛼, TARC and IL-6. PLP inhibited the phosphorylation of ERK and translocation of NF-𝜅B into the nucleus. Conclusions : These results indicate that PLP could ameliorate the TNF-𝛼/IFN-𝛾-stimulated inflammatory response through inhibition of MAPK and NF-kB signal pathway. This suggests that PLP could be used beneficial agent to improve skin inflammation.

• 대한한의학회지
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• 제44권2호
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• pp.119-131
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• 2023

Objectives: Betula Platyphylla(BP) has been used as a analgesic, anti-microbial, anti-oxidant drug in Eastern Asia. However, it is still unknown whether BP ethanol extract could exhibit the inhibitory activities against ultraviolet B(UVB)-induced skin injury on human keratinocytes, HaCaT cells. This study was aimed to investigate the protective activity of BP ethanol extract on UVB-irradiated skin injury in HaCaT cells. Methods: The skin injury model of HaCaT cells was established under UVB stimulation. HaCaT keratinocyte cells were pre-treated with BP ethanol extract for 1 h, and then stimulated with UVB. Then, the cells were harvested to measure the cell viability, production of reactive oxygen species(ROS), pro-inflammatory cytokines such as interleukin(IL) 1-beta, IL-6, and tumor necrosis factor(TNF)-𝛼, hyaluronidase, type 1 collagen, matrix metalloproteinase(MMP)s. In addition, we examined the mitogen activated protein kinases(MAPKs) and inhibitory kappa B alpha(I𝜅;-B𝛼) as inhibitory mechanisms of BP ethanol extract. Results: The treatment of BP ethanol extract inhibited the UVBinduced cell death and ROS production in HaCaT cells. BP ethanol extract treatment inhibited the UVB-induced increase of IL-1beta, IL-6, and TNF-𝛼. BP ethanol extract treatment inhibited the increase of hyaluronidase, MMP and decrease of collagen. BP ethanol extract treatment inhibited the activation of MAPKs and the degradation of I𝜅-B𝛼. Conclusions: Our result suggest that treatment of BP ethanol extract could inhibit the UVB-induced skin injury via deactivation of MAPKs and nuclear factor kappa B(NF-𝜅B) in HaCaT cells. This study could suggest that BP ethanol extract could be a beneficial agent to prevent skin damage or inflammation.