• 한국식품영양과학회지
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• 제35권10호
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• pp.1329-1335
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• 2006

AIDS로의 진행과정은 단순히 몇몇 기작에 의한 것이 아니라 여러 경로를 거쳐 발생하며 그 진행속도도 개개인에 따라 다양하게 나타나고 있다. 본 연구에서는 쥐 AIDS 모델을 이용하여 항산화호르몬으로 알려진 DHEAS의 면역조절 효과를 확인하고자 하였다. DHEAS의 투여는 LP-BM5 retrovirus 감염으로 인한 T와 B 임파구의 mitogenesis를 증가시켰으며 Th1/Th2 type cytokines의 발현에도 영향을 미쳤는데 주로 전사수준에서 작용한 것으로 생각된다/ 또한 retrovirus 감염으로 인한 간조직의 지질과산화 유발을 억제하여 조직 내의 항산화제인 vitamin E의 함량을 유지시킴으로 NF-kB의 활성화를 통한 retrovirus의 복제를 억제시켜 Th1/Th2 type cytokines의 불균형적인 발현을 저해하였을 것으로 여겨진다. 따라서 쥐 AIDS모델에 있어서 DHEAS의 면역조절 효과를 확인한 본 연구는 향후 HIV감염 이후 AIDS로의 진행 과정 시 항산화제의 역할과 기작 규명에 대한 가능성을 제시할 수 있을 것으로 생각된다.

• Safety and Health at Work
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• 제2권2호
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• pp.169-175
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• 2011

Objectives: The questionnaire of occupational stress index (OSI) has been popular in the workplace, and it has been tailored for bus drivers in Taiwan. Nevertheless, its outcomes for participants are based on self-evaluations, thus validation by their physiological stress biomarker is warranted and this is the main goal of this study. Methods: A cross-sectional study of sixty-three city bus drivers and fifty-four supporting staffs for comparison was conducted. Questionnaire surveys, 24-hour urine cortisol testing, and blood draws for dehydroepiandrosterone-sulfate (DHEA-S) testing were performed. The measured concentrations of these biological measures were logarithmically transformed before the statistical analysis where various scores of stressor factors, moderators, and stress effects of each OSI domain were analyzed by applying multiple linear regression models. Results: For drivers, the elevated 24-hour urine cortisol level was associated with a worker's relationship with their supervisor and any life change events in the most recent 3 months. The DHEA-S level was higher in drivers of younger age as well as drivers with more concerns relating to their salary and bonuses. Non-drivers showed no association between any stressor or satisfaction and urine cortisol and blood DHEA-S levels. Conclusion: Measurements of biomarkers may offer additional stress evaluations with OSI questionnaires for bus drivers. Increased DHEA-S and cortisol levels may result from stressors like income security. Prevention efforts towards occupational stress and life events and health promotional efforts for aged driver were important anti-stress remedies.

• Clinical and Experimental Reproductive Medicine
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• 제25권2호
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• pp.141-151
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• 1998

Objectives: To determine whether the body weight, body mass index (BMI), and basal serum level of LH, FSH, testosterone (T), dehydroepiandrosterone sulfate (DHEA-S) are related to the ovarian response to clomiphene citrate (CC) in patients with polycystic ovarian syndrome (PCOS). Materials and Method: From January 1996 to June 1997, total 57 patients with PCOS were enrolled in the present study. Women who had other infertility factors were excluded from our study. The ovulation induction using CC was used in all patients. The patients were grouped into 50 mg group, 100 mg group, and 150 mg group according to their daily CC dose. The patients were also grouped to ovulatory and non-ovulatory group. The body weight, BMI, and basal serum level of LH, FSH, T, DHEA-S were measured in all patients on the 2nd or 3rd day of the menstrual cycle. Results were analysed with Student's t-test and Fisher's exact test. Results: The body weight and BMI of the nonovulating group were significantly higher than those of the ovulating group in all groups (50, 100, 150 mg of CC). However, there were no significant differences of the level of LH and FSH between ovulating and nonovulating groups in all CC groups (50, 100, 150 mg). The level of T of nonovulating group was significantly higher in 50 and 100 mg of CC groups, but not in 150 mg group. The level of DHEA-S of the non-ovulating group is significantly higher in 50 mg group, but not in 100 and 150 mg groups. Conclusion: The body weight and BMI could be useful predictors of ovarian response to CC in patients with PCOS, and basal T and DHEA-S also might be useful in cases of low-dose CC treatment.

• 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.

• 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.

• 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.

• 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.

• 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.

• Clinical and Experimental Pediatrics
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• 제45권5호
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• pp.654-658
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• 2002

목 적 : 내분비계와 면역계는 상호 의존적이며 여기에는 부신의 역할 특히 dehydroepiandrosterone(DHEA)와 코티솔 사이의 균형이 중요한 것으로 알려져 있다. 이들은 T 세포 분화 과정 및 이와 관련된 인터루킨들의 유도작용에 길항 효과를 나타낸다. 따라서 저자들은 T 세포 면역 장애와 관련된 가와사끼병에서 부신 안드로겐과 코티솔의 역할을 평가하고자 하였다. 방 법: 2001년 4월부터 8월까지 가와사끼병으로 진단된 14명과 자가면역성질환의 병력이 없는 대조군을 대상으로 혈중 DHEAS와 24시간 동안 채집한 소변에서 유리 코티솔 농도를 방사면역측정법으로 검사하였다. 검체는 면역글로불린과 스테로이드를 투여하기 전에 채취하였으며, 가와사끼병의 임상적 중등도는 Harada 점수와 심초음파에 의한 심혈관계 병변을 근거로 하였다. 결 과 : 1) 환자군은 4개월에서 4세 사이로 평균 연령은 2.3세, 연령 분포는 1세 미만이 3명(21.4%), 1-2세 2명(14.3%), 2-3세 5명(35.7%), 3-4세 4명(28.6%)이었으며, 남녀 비는 1 : 1.3이었다. 2) DHEAS치는 환자군에서 $11.1{\pm}6.0{\mu}g/dL$, 대조군에서 $81.6{\pm}13.3{\mu}g/dL$로 환자군에서 유의하게 감소하였다(P<0.05). 3) 24시간 소변 유리 코티솔(F)치는 환자군에서 $36.9{\pm}21.9{\mu}g/dL$, 대조군에서 $13.6{\pm}5.5{\mu}g/dL$로 환자군에서 유의하게 증가하였다(P<0.05). 4) DHEAS/F 비율은 환자군 $0.33{\pm}0.20$, 대조군 $6.65{\pm}2.56$으로 환자군에서 현저히 감소하였으나(P=0.016), 연령 및 성별에 따른 유의한 차이는 없었다. 5) 가와사끼병에서 임상적 중등도의 지표인 Harada 점수와 DHEAS/F 비율 사이에 통계학적으로 유의한 차이는 보이지 않았으나, 심혈관계 병변(관상동 맥류)이 발생하였던 환아에서 그 비율이 매우 낮았다. 결 론: 가와사끼병에서는 부신호르몬의 균형에 변화가 발생하며, 이것이 가와사끼병의 병인인 T 세포 면역장애와 관련이 있을 것으로 생각되며, 또한 관상 동맥 합병증의 예측인자의 하나로서 DHEAS/F 비율을 이용할 수 있을 것으로 생각된다.