• 대한치과마취과학회지
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• 제2권2호
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• pp.107-113
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• 2002

Hyperventilation is defined as ventilation in excess of that required to maintain normal blood $PaO_2$ and $PaCO_2$. It is produced by several distinct causes: anxiety, respiratory alkalosis, increased blood catecholamine levels, and a decrease in the level of the ionized calcium in the blood. The dental fears about acute pain, needle, drill and dental surgery lead to the severe anxiety and increased blood catecholamine level. Therefore, the most dental patient should be cared gently as the stress reduction protocol. In spite of the gentle care, two cases of hyperventilation were occurred during local anesthesia for incision and drainage of acute odontogenic infectious lesions. We suggest that the dental patients with acute odontogenic infection must be attention for the manifestation of hyperventilation, especially in the medically compromised conditions.

• 대한약리학회지
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• 제27권2호
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• pp.167-181
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• 1991

Adenylate cyclase 효소를 활성화시키는 약물인 Forskolin의 흰쥐 적출관류 부신으로부터 Ach, excess $K^+$, McN-A-343 및 caffein에 의한 catecholamines (CA) 분비작용에 대한 영향을 검색하고, 그 기전을 규명코자 연구를 시행하여 다음과 같은 연구결과를 얻었다. Forskolin (1.0 uM)은 흰쥐 부신적출정맥내로 1분동안 관류시킨 후 Ach(50 ug), excess $K^+$(56 mM), DMPP (100 uM) 및 caffeine (0.3 mM)에 의한 CA 분비작용을 현저히 증강시켰으나 McN-A-343에 의한 CA분비작용에는 영향을 미치지 않았다. Forskolin 자체는 CA분비작용을 일으키지 못하였다. 또한 세포의 calcium을 제거한 상태에서도 위 약물에 의한 CA분비작용에 대하여 유의한 증강작용을 나타내었다. 그러나 McN-A-343의 CA작용에는 영향이 없었으나 위의 약물의 CA분비작용을 유의하게 강화시켰다. Cyclic AMP를 증가시키는 약물로 알려져 있는 dibutyryl cyclic AMP (DBcAMP)는 300 uM농도를 1분간 관류시 Ach, excess $K^+$ 및 DMPP의 CA 분비작용을 뚜렷하게 증강시켰으나 McN-A-343 및 caffeine의 CA분비에는 별다른 영향이 없었다. DBcAMP 자체도 CA분비작용에는 영향을 미치지 못하였으나 또한 DBcAMP는 세포의 칼슘제거시에도 위의 약물에 의한 CA분비작용을 의의있게 증강시켰다. 그렇지만, McN-A-343의 CA분비작용은 증강시키지 못하였다. 이상의 연구결과로 보아 Forskolin는 adenylate cyclase를 활성화 시킴으로써 cyclic AMP 농도를 증가시켜 세포내로 칼슘유입을 증강시키며, 또한 세포내의 칼슘이동에도 관여함으로써 cholinergic nicotinic stimulation 및 depolarization에 의한 CA분비작용을 상승시키는 것으로 사료되어진다.

• Journal of Life Science
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• 제12권1호
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• pp.33-42
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• 2002

In several species, a short period of ischemic preconditioning protects the heart by reducing the size of infarcts resulting from subsequent prolonged bouts of ischemia. The mechanism by which activation of ATP-sensitive $K^+$($K_ATP$) channels could provide the memory associated with ischemic preconditioning is still under debate. Several signal transduction pathways have been implicated in the mechanisms of protection induced by ischemic preconditioning. The exact receptor-coupled pathways involved in preconditioning remain to be identified. Likely extracellular agonists are those whose circulating levels increase under conditions that activate $K_ATP$ channels; these conditions include ischemia and ischemic preconditioning. Potential physiological agonists include the following: (1) nitric oxide; (2) catecholamine; (3) adenosine; (4) acetylcholine; (5) bradykinin and (6) prostacycline. The purpose of this review was to understand the mechanism by which biological signal transduction mechanism acts as a link in one or more known receptor-mediated pathways to increase $K_ATP$ channel activity during ischemic preconditioning.

• 수면정신생리
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• 제12권1호
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• pp.17-22
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• 2005

Sleep-disordered breathing (SDB) is associated with increased cardiovascular and cerebrovascular morbidity. Epidemiological and clinic-based studies have shown that SDB is related to impaired glucose tolerance and increased insulin resistance, independent of obesity. Despite of a consistent association between SDB and impaired glucose-insulin metabolism, the mechanism underlying this relationship has not been fully elucidated. It is recognized that hypoxemia and hypercapnia that occur in SDB provoke sympathetic nervous activity and catecholamine, epinephrine and norepinephrine, and cortisol are released. Sympathetic hyperactivity and increased catecholamines can impair glucose homeostasis by increasing glycogenolysis and gluconeogenesis, which can result in increased circulating insulin levels and increased risk of insulin resistance. A prospective study is needed to investigate the causal relationship between SDB and impaired glucose-insulin metabolism in a healthy population without diabetes, hypertension and obesity as etiologic risk factors.

• 동의신경정신과학회지
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• 제3권2호
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• pp.35-48
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• 1992

The present study was to carried out to investigate the anti-stress effects of Samhwasan in immobilized rats. Serum levels of catecholamine and aldosterone were measured in immobillzed rats orally receiving extracts of Samhwasan, respectively, for 1 day 7 days. And in order to investigate the analgesic effects of Samhwasan in acetic-acid injected mice, the writhing syndrome frequency was measured. The results obtained were summarized as follow ; 1. There were decreases of norepinephrine in rats receiving Samhwasan for 1 and 7 days respectively. 2. There were decreases of epinephrine in rats receiving Samhwasan for 1 day and 7 days respectively, and significant decreases were recognized in rats receiving Samhasan for 7 days. 3. There were significant decreases of aldosterone in rats receiving Samhwasan for 1 day and 7 days respectively. 4. There were significnat decreases of writhing syndrome frequency in mice receiving Samhwasan. These results appeared to suggest that Samhwasan produce the anti-stress effects and effects on pain relief.

• Journal of Genetic Medicine
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• 제4권2호
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• pp.179-185
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• 2007

목 적:카테콜라민은 교감신경계에서 신경전달물질이며 스트레스자극에 의해 활성화된다. TH와 DBH는 카테콜라민 합성에 매우 중요한 효소이다. CRH는 스트레스 반응에서 방출되는 호르몬이다. 이번 연구의 목적은 부동스트레스가 흰쥐 뇌에서 TH, BDH와 CRH 유전자발현에 어떤 영향을 미치는가를 알아보기 위한 것이다. 방 법:2시간 동안 부동스트레스와 무처치 흰쥐의 뇌에서 TH, DBH와 CRH 유전자 발현량을 비교하였다. TH, DBH와 CRH 유전자 발현은 RT-PCR과 western blotting analysis에 의해 정량하였다. 결 과:부동스트레스 흰쥐 그룹의 뇌와 부신에서 TH와 DBH 유전자발현은 정상그룹보다도 약 2-3배 유의하게 증가하였으며, CRH유전자는 약 1.5배 유의하게 증가하였다. 결 론:이번 연구는 흰쥐의 뇌와 부신에서 TH, DBH와 CRH 유전자는 스트레스 자극에 의해 발현이 활성화됨을 확인할 수 있었다.

• Toxicological Research
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• 제28권4호
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• pp.269-277
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• 2012

The purpose of this study was to understand the mechanism of cardiovascular disease (CVD) caused by exposure to hazardous chemicals. We investigated changes in the symptoms of metabolic syndrome, which is strongly related to CVD, and in levels of other CVD risk factors, with a special emphasis on the roles of catecholamines and oxidative stress. The results revealed that neither body mass index (BMI) nor waist and hip circumferences were associated with exposure to hazardous chemicals. Among metabolic syndrome criteria, only HDL-cholesterol level increased on exposure to hazardous chemicals. Levels of epinephrine (EP) and norepinephrine (NEP) were not influenced by exposure to hazardous chemicals; however, the total antioxidative capacity (TAC) reduced because of increased oxidative stress. Both hazardous chemical exposure level and metabolite excretion were related to EP, NEP, and the oxidative stress index (OSI). Logistic regression analysis with these factors as independent variables and metabolic syndrome criteria as dependent variables revealed that EP was associated with blood pressure, and NEP with metabolic syndrome in the chemical-exposed group. In conclusion, the results suggest that reactive oxygen species generated and oxidative stress due to exposure to hazardous chemicals act as mediators and cause changes in the physiological levels of EP and NEP to increase blood pressure. This ultimately leads to the development of CVD through increase in cholesterol, triglyceride, and blood glucose levels by lipid peroxidation.

• 대한불안의학회지
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• 제4권1호
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• pp.19-27
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• 2008

Objective : This study was conducted to evaluate the changes in the levels of neurotransmitters and cortisol in patients with chronic posttraumatic stress disorder (PTSD) and to evaluate their correlation with symptoms after long-term pharmacological treatment. Methods : Twenty-eight Vietnam veterans with chronic PTSD and 34 non-PTSD patients were consecutively recruited. The Combat Exposure Scale (CES), Mississippi Scale for Combat-Related Posttraumatic Stress Disorder (M-PTSD), Clinician Administered PTSD Scale (CAPS), Hamilton Rating Scale for Depression (HRSD) and Hamilton Anxiety Scale (HAS) were used to evaluate symptom severity. High performance liquid chromatography (HPLC) was used to measure the plasma levels of epinephrine, norepinephrine, and dopamine, and a radioimmunoassay (RIA) was performed to evaluate the plasma level of cortisol. Results : Plasma cortisol was significantly lower in PTSD patients than in control subjects, while there was no significant difference in plasma epinephrine, norepinephrine and dopamine between the two groups. The scores of M-PTSD, CAPS, HAMD and HAMA were signigicantly higher in PTSD patients than control group. Conclusion : After long-term treatment, the levels of neurotransmitters in PTSD patients returned to within the normal range, and the patients' symptoms showed some improvement. However, the core symptoms of PTSD continued to appear intermittently, and they are thought to be associated with hormonal systems, such as the HPA axis. It is also suggested that PTSD should be considered to be a complex disorder associated with multiple systems and that combinations of the effective medications for each system should be used to treat patients with PTSD.

• 한국유기농업학회지
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• 제28권4호
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• pp.627-641
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• 2020

Intensive farming methods that do not guarantee animal welfare can induce stress in pigs. Stress, in turn, can reduce their disease resistance and influence their hormones and metabolites in such a manner that productivity is negatively affected. This study was conducted to compare the stress related factors and blood characteristics of pigs raised on conventional farms and those raised on animal welfare farms. We measured the levels of cortisol, epinephrine and norepinephrine, biochemical parameters in blood and glycogen, L-lactate and heat shock protein 70 (HSP70) in muscle, as physiological markers of indicating the stress in conventional farm pigs (Control, n=10) and animal welfare farm pigs (Welfare, n=10). We found that there was a significant difference in the albumin-globulin ratio (A/G ratio), as well as the albumin (ALB), blood urea nitrogen (BUN) and aspartate aminotransferase (AST) levels between the two farms. Epinephrine was significantly higher in conventional farm, while level of norepinephrine was higher in animal welfare farm. There was no significant difference in cortisol, which is known as a stress hormone, across the two groups of farms. Muscular glycogen content was significantly high in animal welfare farm pigs. While L-lactate tended to be low in the animal welfare farm pigs, the difference between them and the conventional farm cohorts was not significant. HSP70 showed high levels of expression in conventional farm. Thus, we suggested that blood parameter results showed a stress response in the livers of conventional farm, and that catecholamine hormones, glycogen, L-lactate and HSP70 can be used as physiological factors of assessing animal welfare.

• Journal of Yeungnam Medical Science
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• 제15권1호
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• pp.97-113
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• 1998

교감신경계는 광범위한 각종 기능의 항상성 조절에 결정적인 역할을 하고 있으며, 저산소증, 출혈, 통증 등에 따른 스트레스 반응에 의해 자극되어 심박출량의 증가 및 조직으로 산소공급 향상을 위한 혈류 조절 반응이 나타나게 되나 주어진 환경에 따라 반응 정도는 다양하게 보고되고 있다. 고농도의 $N_2O$로 인해 발생된 저산소혈증 상태에서 혈역학적 변화가 저산소혈증을 발견하는 지표로서 유용한 지를 관찰하기 위해 본 실험에서는 마취후 기계적 환기를 시행한 한국산 잡견에서 고농도의 $N_2O$를 이용하여 흡입산소농도를 점진적으로 감소시킬 때 발생된 저산소혈증이 혈중 catecholarnine의 분비와 혈액 가스 및 혈역학적 변화를 비교 관찰하였다. Halothane으로 흡입 마취하여 기계적 환기를 시행한 뒤 10 마리의 한국산 잡견에서 21%, 15%, 10%, 5%의 산소를 5분씩 공급하여 혈역학상의 변화와 조직의 산소이용 상태 및 혈중 catecholamine치를 관찰하여 다음과 같은 결과를 얻었다. 조절호흡의 결과, 실험견은 등탄산성 저산소혈증이 초래되었으며 흡입산소농도의 감소 정도에 따라 동맥혈 및 혼합정맥혈의 산소분압 및 포화도가 감소되었고, 산소섭취율이 증가함에 따라 동정맥혈 산소함량의 차이는 증가하였으며 동시에 심박출량이 증가하는 대상성 반응을 보였다. 중심 정맥압은 10%와 5%의 흡입산소농도에서 측정치가 유의하게 증가되었고, 평균 폐동맥압은 10%와 5%의 흡입산소농도에서 각각 55% 및 82% 증가되었으며 폐혈관저항도 각각 76%, 95%로 유의하게 증가되었으나 전신혈관저항의 변화는 유의성이 없었다. 실험견에서 혈중 norepinephrine, epinephrine 및 dopamine의 대조치는 각각 $141.4{\pm}94.4$ pg/ml, $172.6{\pm}130.1$ pg/ml, $151.1{\pm}282$ pg/ml이었다. 15% 산소 흡입 시 norepinephrine, epinephrine 및 dopamine치는 모두 유의한 증가를 나타내기 시작하였고 dopamine은 10% 흡입산소농도에서 가장 많이 증가하였으나 5% 흡입산소농도에서는 오히려 감소되었고 60%의 흡입산소로 재산소화하는 동안 대조치 수준으로 회복되었다. 이에 비해 norepinephrine은 15%의 흡입 산소농도에서 74% 증가한 후 저산소혈증이 심화될수록 더욱 증가하는 양상이 계속되었다. Epinephrine은 대조치에 비해 15% 산소 흡입시 29% 증가하였으나 10% 및 5% 흡입산소농도에서 각각 382%, 350% 증가되었다. 60%의 흡입산소로 재산소화하였을 때는 norepinephrine과 epinephrine치는 감소되었으나 대조치보다는 여전히 증가되어 있었다. 이상의 결과로 볼때 마취후 고농도의 $N_2O$에 의한 저산소 가스 흡입은 혈중 catecholamine의 농도를 증가시키나 심혈관계 및 교감 신경계의 반응을 매우 둔화시키는 것으로 생각된다. 따라서 임상 마취에서 환자에게 고농도의 $N_2O$를 흡입시켜 저산소혈증이 초래되는 경우 혈압 및 맥박수의 변화는 저산소혈증을 발견하는 지표로 유용하지 않은 것으로 사료된다.