• Journal of Ginseng Research
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• 제44권6호
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• pp.790-798
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• 2020

Background: Beneficial effects of Korean Red Ginseng (KRG) on polycystic ovarian syndrome (PCOS) remains unclear. Methods: We examined whether pretreatment (daily from 2 hours before PCOS induction) with KRG extract in water (KRGE; 75 and 150 mg/kg/day, p.o.) could exert a favorable effect in a dehydroepian-drosterone (DHEA)-induced PCOS rat model. Results: Pretreatment with KRGE significantly inhibited the elevation of body and ovary weights, the increase in number and size of ovarian cysts, and the elevation of serum testosterone and estradiol levels induced by DHEA. Pretreatment with KRGE also inhibited macrophage infiltration and enhanced mRNA expression levels of chemokines [interleukin (IL)-8, monocyte chemoattractant protein-1), proinflammatory cytokines (IL-1β, IL-6), and inducible nitric oxide synthase in ovaries induced by DHEA. It also prevented the reduction in mRNA expression of growth factors (epidermal growth factor, transforming growth factor-beta (EGF, TGF-β)) related to inhibition of the nuclear factor kappa-light-chain-enhancer of activated B cell pathway and stimulation of the nuclear factor erythroid-derived 2-related factor 2 pathway. Interestingly, KRGE or representative ginsenosides (Rb1, Rg1, and Rg3(s)) inhibited the activity of inflammatory enzymes cyclooxygenase-2 and iNOS, cytosolic p-IκB, and nuclear p-nuclear factor kappa-light-chain-enhancer of activated B in lipopolysaccharide-induced RAW264.7 cells, whereas they increased nuclear factor erythroid-derived 2-related factor 2 nuclear translocation. Conclusion: These results provide that KRGE could prevent DHEA-induced PCOS via antiinflammatory and antioxidant activities. Thus, KRGE may be used in preventive and therapeutic strategies for PCOS-like symptoms.

• Clinical and Experimental Reproductive Medicine
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• 제29권3호
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• pp.209-214
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• 2002

Objective : To analyze the clinical characteristics of obese infertile women. Material and Method: Height, weight, body mass index, menstrual pattern, glucose, insulin, glucose/insulin ratio, dehydroepiandrosterone sulfate (DHEA-S), testosterone, free testosterone and plasminogen activator inhibitor (PAI-1) of 15 obese infertile women were tested. Results: Of 15 obese infertile women, the number of diabetes mellitus, hyperinsulinemia, and insulin resistance was 2 (13%), 2 (13%), 2 (13%), respectively. The incidence of increased DHEA-S, testosterone, and free testosterone was 7 (47%), 1 (7%), 6 (40%), respectively. Notably, all patients showed increased PAI-1. Conclusions: Obesity is associated with infertility as well as many kinds of health problems. Obesity is closely related to insulin resistance and it also causes hyperandrogenism. Increased PAI-1 is one of the important causes of thrombophilia. Consequently, in the workup of obese infertile patient, many aspects of health problems should be considered.

• 수산해양교육연구
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• 제27권4호
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• pp.924-937
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• 2015

The purpose of this study was to identify the effect of resistance training intensity levels on muscle damaged index and aging-related hormones in obese middle-aged women. Thirty middle-aged women having over 30% of body fat participated in this study. The subjects were assigned into 3 groups on the basis of workout intensity, 50% intensity, 60% intensity, and 70% intensity. After performing three different types of exercise for 12 weeks, the levels of creatine kinase (CK), lactate dehydrogenase (LDH), melatonin, dehydroepiandrosterone-sulphate (DHEA-S), and growth hormone (GH) in all subjects were assessed before and after the program. Muscle damaged index was effectively changed in low exercise intensity group. However, aging-related hormones were effectively changed in high exercise intensity group. DHEA-S and GH were significantly increased in the 70% intensity group than the other groups.

• 한국가축번식학회지
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• 제24권1호
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• pp.109-113
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• 2000

단기 고온스트레스가 혈청 cortisol, DHEAS 농도에 미치는 영향을 알아보기 위하여, 단기 고온스트레스 (Short-term TS)를 받은 BALB Ic 생쥐의 혈청 cortisol과 DHEAS 농도를 방사선면역측정 (RIA)을 이용하여 분석하였다. 그 결과 30분 TS를 받은 그룹(T30) 에서 대조군에 비해 cortisol 의 유의적인 증가(P＜0.01)를 보였으나, 120 분 부과 (T120) 시에는 T30 에 비해 유의성 없는 감소를 나타내었다. 이에 반해 DHEAS 의 경우 30분 TS를 받은 그룹 (T30) 과 120 분 TS를 받은 그룹 (T120) 모두에서 대조군에 비해 유의성은 없으나 감소된 경향을 보였다. 특히, DHEAS 의 경우 단기고온 스트레스라는 국한된 스트레스에도 불구하고 지속적인 감소를 나타내었다. 이러한 결과로 보아 단기 고온스트레스가 혈청 cortisol과 DHEAS 농도에 영향을 미치고 있음을 확인할 수 있었다. 또한, 본 연구를 통하여 DHEAS가 스트레스 관련 호르몬임을 확인할 수 있었으며, 스트레스 마커로서 이용될 수 있을 것으로 판단되어진다.

• Asian-Australasian Journal of Animal Sciences
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• 제16권3호
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• pp.335-341
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• 2003

Carcass weight and backfat thickness are two of important elements in determining the carcass trait in pigs and are studied on animal genetics, nutrition, and endocrinology. Growth factors stimulate or inhibit the proliferation and differentiation of various cells. In particular, insulin-like growth factors (IGFs), transforming growth factor (TGF)-$\beta$, and epidermal growth factor (EGF) are involved in the growth and maintenance of muscle. Also, dehydroepiandrosterone-sulfate (DHEA-S) and cortisol are known to be related to the obesity and subcutaneous fat depth in pigs. Therefore, this study was performed to relate growth factors (IGFs, TGF-${\beta}1$, and EGF) and hormones (cortisol and DHEA-S) concentrations at antemortem and postmortem periods to carcass traits including carcass weight and backfat thickness. Blood and m. Longissimus were collected in pigs at antemortem (30 days before slaughter) and postmortem periods. After slaughtered, carcass weight and backfat thickness were measured. Growth factors and hormones in serum and m. Longissimus were measured by radioimmunoassay or enzyme-linked imuunosorbent assay. Before antemortem period, serum IGF-I and -II concentrations were positively correlated with the carcass weight and backfat thickness in gilts, and the concentrations of TGF- ${\beta}1$ and cortisol in barrows show the correlation with only carcass weight. Also, the positive correlations of muscular IGFs and TGF-${\beta}1$ at postmortem 45 min with the carcass weight and backfat thickness were detected. Consequently, these results suggest that the serum and muscular endocrine factors are involved in the carcass weight and backfat thickness in pigs.

• Clinics in Orthopedic Surgery
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• 제10권4호
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• pp.455-461
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• 2018

Background: Surgical-site, multimodal drug injection has recently evolved to be a safe and useful method for multimodal pain management even in patients with musculoskeletal trauma. Methods: Fifty consecutive patients who underwent plating for mid-shaft and distal clavicular fractures were included in the study. To evaluate whether surgical-site injections (SIs) have pain management benefits, the patients were divided into two groups (SI and no-SI groups). The injection was administered between the deep and superficial tissues prior to wound closure. The mixture of anesthetics consisted of epinephrine hydrochloride (HCL), morphine sulfate, ropivacaine HCL, and normal saline. The visual analogue scale (VAS) pain scores were measured at 6-hour intervals until postoperative hour (POH) 72; stress biomarkers (dehydroepiandrosterone sulfate [DHEA-S], insulin, and fibrinogen) were measured preoperatively and at POH 24, 48, and 72. In patients who wanted further pain control or had a VAS pain score of 7 points until POH 72, 75 mg of intravenous tramadol was administered, and the intravenous tramadol requirements were also recorded. Other medications were not used for pain management. Results: The SI group showed significantly lower VAS pain scores until POH 24, except for POH 18. Tramadol requirement was significantly lower in the SI group until POH 24, except for POH 12 and 18. The mean DHEA-S level significantly decreased in the no-SI group ($74.2{\pm}47.0{\mu}g/dL$) at POH 72 compared to that in the SI group ($110.1{\pm}87.1{\mu}g/dL$; p = 0.046). There was no significant difference in the insulin and fibrinogen levels between the groups. The correlation values between all the biomarkers and VAS pain scores were not significantly different between the two groups (p > 0.05). Conclusions: After internal fixation of the clavicular fracture, the surgical-site, multimodal drug injection effectively relieved pain on the day of the surgery without any complications. Therefore, we believe that SI is a safe and effective method for pain management after internal fixation of a clavicular fracture.

• Journal of Hospice and Palliative Care
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• 제18권2호
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• pp.105-111
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• 2015

목 적: 치료 불가능한 암환자에서는 암으로 인한 전신적 쇠약 이외에 피로와 에너지 상실, 무력감, 식욕부진 및 통증 등이 공통적으로 나타나는 주요 증상으로 알려져 있으며 이러한 증상은 부신 기능 부전이 있을 때 나타나는 증상과 유사한 점이 많다. 또한 말기암환자의 통증은 중등도 이상이기 때문에 대부분 마약성 진통제로 조절하고 있는 경우가 많다. 본 연구에서는 마약성 진통제와 부신 기능 부전에 대한 관계를 알아보고자 한다. 방법: 2013년 11월부터 2014년 6월까지 7개월 동안, 만 18세 이상의 말기암환자 55명을 대상으로 혈장 cortisol, DHEAS 등을 측정하였다. 또한 환자의 마약성 진통제의 사용 기간 및 용량도 함께 조사하였고 마약성 진통제의 사용 기간 및 용량과 부신 기능을 대표할 수 있는 혈장 cortisol, DHEAS의 농도를 각각 비교하였다. 결과: Cortisol의 평균값은 $20.24{\mu}g/dL$, DHEAS의 평균값은 $44.41{\mu}g/dL$였으며, 상관 분석 결과 DHEAS와 마약성 진통제의 사용 기간 및 용량과의 관계는 통계적으로 유의한 수준의 관련성이 없었고, Cortisol의 경우 마약성 진통제의 사용 기간과는 유의한 관련성이 없었으나, 진통제의 사용 용량이 많을수록 Cortisol의 수치가 유의하게(P-value 0.0322) 상승되었다. 결론: 마약성 진통제의 사용 기간 및 용량에 따른 부신 기능의 저하는 통계적으로 유의한 연관성을 보이지 않았으나 진통제를 사용하고 있는 말기암환자들의 부신 기능을 대표할 수 있는 지표인 DHEAS 값은 대부분 정상 이하로 낮아져 있는 모습을 보였다.

• 한국융합학회논문지
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• 제9권1호
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• pp.261-268
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• 2018

본 연구는 8주간 작약섭취와 복합운동을 통해 혈청 면역글로불린 및 DHEAs의 변화를 살펴보고자 40-50대 중년여성 15명을 대상으로 복합운동군, 통제군, 작약섭취와 복합운동군으로 무선 배정하며 8주간 주 3회 60분간 1RM 60~70%, HRmax 60~70%로 실시하였다. 작약섭취는 작약6g(백작약)을 107ml의 물을 넣고 고온으로 증탕 시키고 원액을 채취한 후 작약섭취와 복합운동군에 한하여 8주간 매일 아침 식전에 1봉(100ml)씩 섭취 하도록 하였다. 이와 같은 목적과 절차를 통해 다음과 같은 결론을 얻었다. 첫째, 면역글로불린의 결과 8주간 복합 운동군과 작약섭취와 복합 운동군에서 증가를 보였으나 유의한 차이가 나타나지 않았다(p>.05). 둘째, DHEAs의 결과 8주간 복합 운동군과 작약섭취와 복합 운동군에서 증가를 보였으나 유의한 차이가 나타나지 않았다(p>.05). 따라서 본 연구에서 실시한 작약섭취와 복합운동 이 면역기능과 치매예방에 긍정적인 영향을 미치지 못하였다.

• Asian-Australasian Journal of Animal Sciences
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• 제18권5호
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• pp.716-722
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• 2005

Carcass weight and backfat thickness are primary yield grading factors. Insulin-like growth factor (IGF)-I/-II, transforming growth factor $\beta$1 (TGF-$\beta$1), and epidermal growth factor (EGF) regulate the proliferation and differentiation of cells including adipocytes. Also, interleukin (IL)-2/-6, cortisol, and dehydroepiandrosterone-sulfate (DHEA-S) are known to be related to muscle growth and fat depth. However, the relationships between endocrine factors and carcass grade have not been studied. Therefore, this study aimed to measure the concentrations of endocrine factors in serum and muscle, and to investigate the relationship of endocrine factors with carcass grade. A total of 60 crossbred gilts (Duroc${\times}$Yorkshire${\times}$Landrace) were used. Blood from the jugular vein was collected at antemortem (7 days before slaughter) and postmortem periods, and M. Longissimus was collected at 45 min and 24 h after slaughter. The concentrations of IGF-I/-II, EGF, TGF-$\beta$1, IL-2/-6, cortisol and DHEA-S were analyzed by radioimmunoassay (RIA) or enzyme-linked immunosorbent assay (ELISA). In general, IGF and EGF concentrations in serum and muscle of grade A carcasses were found to be higher than those of grade C carcasses at antemortem and postmortem periods, whereas the pattern of TGF-$\beta$1 concentration was reversed. In particular, the concentrations of muscle IGF-I (24 h postmortem) and serum TGF-$\beta$1 (antemortem) were significantly different between grades A and C (p<0.05). The present results indicate that serum and muscle growth factors affect carcass weight and backfat thickness, and indirectly suggest the possibility that carcass grade could be predicted by expression of serum and/or muscle growth factors.

• Archives of Plastic Surgery
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• 제35권1호
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• pp.42-47
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• 2008

Purpose: Advanced techniques now make it possible to remove considerable amounts of subcutaneous adipose tissue more safely with minimum blood loss. However, few have analyzed the metabolic consequences of liposuction. The purpose of this study was to identify the early effects of the surgical removal of subcutaneous fat on metabolic changes in patients who have undergone liposuction. Methods: Nineteen patients were evaluated from June 2005 to December 2005. Preoperative body weight, serums levels of lipids, apolipoprotein A1, dehydroepiandrosterone(DHEA), uric acid, insulin, and glucose were evaluated. Insulin resistance was determined using the homeostasis model assessment of insulin resistance (HOMA-IR), which is based on fasting glucose and insulin concentrations. All of these data were remeasured in 1 and 4 weeks postoperatively. Tumescent fluid was infiltrated using the superwet technique. The liposuction device used was a $Liposlim^{(R)}$ power-assisted unit. Results: Average volumes of infiltrate and aspirate were 3,268mL and 2,892mL, respectively. Results in 1 week postoperatively demonstrated a significant difference in high-density lipoprotein(HDL) cholesterol, apolipoprotein A1, insulin, and HOMA-IR levels. However, all values were within normal limits and returned to baseline in 4 weeks postoperatively.Conclusion: This study provides little to support the presumed therapeutic effect of liposuction. And, it is unclear whether liposuction can prevent or be used to treat the metabolic complications of obesity. However, the results of the present study lead us to believe that liposuction is a metabolically safe procedure.