• 한국식품영양과학회:학술대회논문집
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• 한국식품영양과학회 2004년도 Annual Meeting and International Symposium
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• pp.265-270
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• 2004

Coronary heart disease (CHD) has been the number one killer in western society for a long time, and CHD in most instances is due to atherosclerosis. One of the earliest events in atherogenesis is the intracellular accumulation of lipids, particularly cholesterol esters, in the aortic intima. The lipids presumably came from the uptake of plasma lipoproteins, particularly from LDL. These foam cells were identified as being predominantly as macrophages. Currently, it is believed that oxidation of low density lipoprotein (LDL) might contribute to the generation of foam cells. An outcome of the oxidation hypothesis is that the consumption of antioxidants would be beneficial. In this study, Boldine, an alkaloid of Peumus boldus was tested for their antioxidant potency both in, in vitro oxidation system and in mouse models. Boldine decreased the ex-vivo oxidation of Low-density lipoprotein (LDL). In vivo studies were performed to study the effect of these compounds on the atherosclerotic lesion formation in LDL r-/- mice. Three groups of LDL r-/- mice (N=12 each) were fed an atherogenic diet. Group 1 was given vehicle and group 2 and 3 were given 1 and 5 mg of Boldine/day in addition to the atherogenic diet. The results indicated that there was a decrease in lesion formation reaching a 40% reduction due to Boldine compared to controls. The in vivo tolerance of Boldine in humans (has been used as an herbal medicine in other diseases) should make it an attractive alternative to vitamin E.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권5호
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• pp.483-491
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• 2021

Purpose: Obesity has become a very significant health problem in childhood. Fructose taken in an uncontrolled manner and consumed in excessive amounts is rapidly metabolized in the body and gets converted into fatty acids. This single center prospective case-control study aims to investigate the relationship between fructose consumption and obesity and the role of fructose consumption in development of atherosclerotic diseases. Methods: A total of 40 obese and 40 healthy children who were of similar ages (between 8 and 18 years) and sexes were included in the study. In the patient and control groups, the urine fructose levels, as well as the levels of oxidized low-density lipoprotein (LDL), small dense LDL, Apolipoprotein A and Apolipoprotein B values, which have been shown to play a role in development of atherosclerotic diseases, were measured. Results: The levels of oxidized LDL and small dense LDL and the ratio of Apolipoprotein A/Apolipoprotein B were found to be significantly higher in the patient group. Conclusion: We found that urinary fructose levels were higher in the obese children than the healthy children. Our results suggest that overconsumption of fructose in children triggers atherogenic diseases by increasing the levels of small dense LDL and oxidized LDL and the ratio of Apolipoprotein B/Apolipoprotein A.

• 약학회지
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• 제48권2호
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• pp.130-134
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• 2004

Phellinus linteus (Hymenocaetaceae) has been used for the treatment of gastric cancer, noninsulin dependant diabetes, diarrhea, and menstrual irregularity. The antioxidative effect of cultivated fruit body of Phellinus linteus on low density lipoprotein oxidation was investigated. The MeOH and water extracts were examined by TEARS assay on human plasma LDL in vitro system. The MeOH ex. showed antioxidative activity, and then was fractionated into Precipitates, Water Insoluble fr., Water fro and ether fro The results showed that the lipophilic fractions, Water Insoluble fr. and Ether fr. of cu 1-tivated fruit body of Phellinus linteus, inhibited the oxidative modification of LDL.

• BMB Reports
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• 제33권2호
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• pp.148-154
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• 2000

The glycation process plays an important role in accelerated atherosclerosis in diabetes, and the uptake of atherogenic lipoproteins by macrophage in the intima of the vessel wall leads to foam cell formation, an early sign of atherosclerosis. Besides the lipolytic action on the plasma triglyceride component, lipoprotein lipase (LPL) has been reported to enhance the cholesterol uptake by arterial wall cells. In this study, some properties of LPL-mediated low-density lipoprotein (LDL) uptake and the effect of LDL glycation were investigated in RAW 264.7 cell, a murine macrophage cell line. In the presence of LPL, $^{125}I$-LDL binding to RAW 264.7 cells was increased in a dose-dependent manner. At concentrations greater than $20\;{\mu}g/ml$ of LPL, LPL-mediated LDL binding was increased about 17-fold, achieving saturation. Without LPL, both very low-density lipoprotein (VLDL) and high-density lipoprotein (HDL) were ineffective in blocking the binding of $^{125}I$-LDL to Cells. However, LPL-enhanced LDL binding was inhibited about 50% by the presence of VLDL, while no significant effect was observed with HDL. Heat inactivation of LPL caused a 30% decrease of LDL binding. In the presence of LPL, the cells took up 40% of cell-bound native LDL. No significant difference was observed in cell binding between native and glycated LDL. However, the uptake of glycated LDL was significantly greater than that of native LDL, reaching to 70% of the total cell bound glycated LDL. These results indicate that LPL can cause the significant enhancement of LDL uptake by RAW 264.7 cells and the enhanced uptake of glycated LDL in the presence of LPL might play an important role in the accelerated atherogenesis in diabetic patients.

• 한국보건간호학회지
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• 제16권1호
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• pp.115-122
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• 2002

The purpose of this study to examine lipid profiles and lipoprotein (a) concentrations and identify the risk factors of type 2 diabetes mellitus patients with macrovascular complications. The subjects were consisted of 618 out patients with type 2 diabetes mellitus from beginning of March through the end of April in 2001, who visited at the endocrinology department at Kangnam St. Mary's Hospital of Catholic University in Seoul. The patient's clinical laboratory data and the occurrence of chronic complications of diabetes were assessed at medical record review. The data were analyzed using for t-test. chi-square test and logistic regression. The results were as follows : 1. There were no significant differences in age. duration of diabetes. body mass index, sex, fasting blood glucose, 2-hour postprandial blood glucose and $HbA_{1}c$ level between macrovascular complication group and non macrovascular complication group. 2. There were significant differences in the level of total cholesterol. triglyceride. HDL(High density lipoprotein) cholesterol, LDL(Low density lipoprotein) cholesterol and lipoprotein(a) between macrovascular complication group and non macrovascular complication group. 3. Significant factor associated with macrovascular complication in the logistic regression best gut model was HDL cholesterol.

• The Korean Journal of Physiology
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• 제16권2호
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• pp.195-207
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• 1982

장기적(長期的)인 채식섭취(菜食攝取)가 혈청(血淸)의 lipoprotein, cholesterol 및 단백량(蛋白量)에 미치는 영향(影響)을 알아보기 위하여 결은 여승(女僧) 45명(名)($20{\sim}35$세)과 대조군(對照群)으로 여대생(女大生) 29명(名)($20{\sim}22$세)을 연구대상(硏究對象)으로 하였다. 하루 열량섭취(熱量攝取)는 여승(女憎)들이 1,945 kcal 였고 여대생(女大生)은 1,815 kcal 였다. 열량구성비율(熱量構成比率)은 여승(女僧)들이 탄수화물(炭水化物) : 단백질(蛋白質) : 지방(地方)=84 : 11 : 5였고 학생(學生)은 70 : 15 : 15였으며 이는 여승(女僧)들의 탄수화물(炭水化物) 편중(偏重) 및 지방섭취부족(脂肪攝取不足)을 보여준다. 신체계측결과(身體計測結果) 여승(女僧)들은 여대생(女大生)보다 신장(身長)을 제외(除朴)하고, 체중(體重), 지방층(脂肪層)두께, 체표면적(體表面積) 및 비만도계수(肥滿度係數)가 모두 높았다. 수축기(收縮期) 및 이완기혈압(弛緩期血壓)은 여승(女憎)과 여대생(女大生)이 거의 같았다. 혈청(血淸)의 총지방(總脂肪), cholesterol 및 단백량(蛋白量)은 여승(女憎)과 여대생간(女大生間)에 유의(有意)한 차이(差異)가 없었다. 그러나 전기영동(電氣泳動)으로 분획(分劃)하여 혈청(血淸)의 high density lipoprotein(HDL), very low density lipoprotein(VLDL) 및 low density lipoprotein(LDL)량(量)을 비교(比較)해 본 결과(結果), 여승(女憎)들의 HDL은 여대생(女大生)보다 낮았으나 LDL은 유의(有意)하게 높았다. Cholesterol분획결과(分劃結果)도 역시 여승(女憎)들의 HDL-cholesterol값은 여대생(女大生)보다 유의(有意) 하게 낮은 반면(反面) LDL-cholesterol은 유의(有意)하게 높았다. Lipoprotein과 cholesterol간(間)의 상관계수(相關係數)(r)를 계산(計算)한 결과(結果) LDL과 LDL-cholesterol(r=0.40), VLDL과 VLDL-cholesterol(r=0.85), HDL과 HDL-cholesterol(r=0.45), 혈청총지방량(血淸總脂防量)과 cholesterol(r=0.66) 및 혈청(血淸) 총(總) cholesterol과 LDL-cholesterol(r=0.79) 간(間)에는 유의(有意)한 상관관계(相關關係)를 보여주었다. 그러나 혈청(血淸) cholesterol과 음식섭취(飮食攝取) 및 신체계측결과간(身體計測結果間)에는 유의(有意)한 상관관계(相關關係)가 나타나지 않았다. 혈청단백량(血淸蛋白量)은 여승(女憎)과 여대생간(女大生間)에 차이(差異)가 없었다. 이상(以上)의 결과(結果)는 여승(女憎)들의 장기적(長期的)인 채식섭취(菜食攝取)로 인(因)해 인체(人體)의 lipoprotein 및 cholesterol 대사(代謝)에 영향(影響)이 있음을 시사(示唆)해 주고 있다.

• 생명과학회지
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• 제14권1호
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• pp.180-187
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• 2004

본 연구는 동맥 경화의 원인으로 알려진 사람 oxidized low density lipoprotein (LDL)에 대한 geraniin의 산화 억제 효과에 대하여 실험하였다. 사람 LDL을 C $u^{2+}$유도 LDL로 산화 시킬 때 50와 100 $\mu\textrm{g}$/ml 농도의 geraniin를 첨가하여 TBARS을 측정한 결과 LDL에 대한 항산화가 높았으며 용량 의존형으로 나타났다. Geraniin를 20-100 $\mu\textrm{g}$/ml의 농도를 조절하여 전기 영동에 의한 이동상을 조사한 결과 100 $\mu\textrm{g}$/ml geraniin의 농도에서 거의 완전한 억제 효과를 보였다. 사람 LDL에 C $u^{2+}$로 유도하여 LDL를 산화시킬때 conjugated diene를 보면 geraniin를 100 $\mu\textrm{g}$/ml 첨가하였을 때 억제 효과가 높았다. 또한 geraniin은 동맥의 내피세포에 서도 그 농도에 따라 억제효과를 나타내었다. 그리고 phorbol myristate acetate를 처리한 macrophage 유도활성 산소의 소거 효과는 geraniin의 농도가 100 $\mu\textrm{g}$/ml일때 거의 소거하였다. 이상의 결과로 보아 geraniin는 $\alpha$-tocopherol, ascorbir acid 및 합성 항산화제인 probucol과 거의 비슷한 항산화 활성이 있어 동맥 경화의 예방에 효과적이라는 결론을 얻었다.

• 한국식품영양과학회지
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• 제24권5호
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• pp.658-662
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• 1995

The purpose of this study was to investigate the effect of Schizandra chinensis extract on the serum and hepatic lipids inhyperlipidemic rats fed with high-fat diet. The Schizandra chinensis extract decreased significantly in total serum cholesterol, serum triacylglycerol and heptic triacylglycerol but not in the total hepatic cholesterol. The Schizandra chinensis extract also decreased in very low density lipoprotein increased by the highfat diet without affecting high density lipoprotein cholesterol. These results suggest that Schizandra chinensis extract may be benificial for the regulation of hyperlipidemia.

• 보건행정학회지
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• 제9권3호
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• pp.70-94
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• 1999

This paper was performed for a cost-effectiveness analysis of pharmacologic treatment of hypercholesterolemia. Agents modeled were cholestyramine, gemfibrozil. bezafibrate, lovastatin, pravastatin, simvastatin. Pharmacologic effectiveness was estimated by regression from reported clinical trials. Pharmacologic effects were expressed as the percent change of blood cholesterol level. Cost estimates included patients' travel expenses and time loss as well as resource consumption in the health care sector. Bezafibrate was the most efficient agent for reducing total cholesterol levels, having an cost over 1 year of ￦31.400 per percent reduction in total cholesterol. Simvastatin (10mg/d) was also efficient(￦33,100 per percent reduction). Chole styramine(8g/d) was least efficient at ￦90,200. For low-density lipoprotein cholesterol. simvastatin(10mg/d) was most efficient, at ￦23,200 per percent reduction, followed by lovastatin(20mg/d) at ￦28,000. Gemfibrozil was least efficient at ￦77,800 per percent reduction. For high-density lipoprotein cholesterol. bezafibrate(400mg/d) was most efficient at ￦39,300 per percent increase of high-density lipoprotein cholesterol. Cholestyramine was least efficient at ￦514,700. Analyses combining low-density lipoprotein cholesterol and high-density cholesterol effects suggest that bezafibrate(600mg/d) and simvastatin (10mg/d) were most efficient for reducing cardiovascular risk. The cost-effectiveness analysis results show that both simvastatin and bezafibrate could be efficient treatment. Simvastatin provide more effective treatment at higher cost, whereas bezafibrate is more cost-effective, as it may be less effective, at lower cost. Therefore, clinicians should choose reasonable treatment according to the patient's needs This pharmacoeconimc analysis will provide a guideline for efficient pharmacologic treatment and also be reference data for pricing new drugs.

• Nutritional Sciences
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• 제4권1호
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• pp.26-33
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• 2001

Animal and clinical studies as well as epidemiological data have provided convincing evidence that n-3 polyunsaturated fatty acids can protect against atherosclerosis. However, the effects of the fatty acids on atherogenesis are contradictory. This discrepancy could derive from great susceptibility of the fatty acids to oxidation. We investigated the effect of eicosapentaenoic aced(EPA) on cellular atherogenesis via the scavenger receptor of THP-1 derived macrophages. THP-1 cells were fully differentiated into macrophages by incubating with phorbol 12-myristate 13-acetate for seven days. Atherogenic features of EPA were compared by subsitituting for linoleic acid (LA). Macrophages were also incubated without treatment of the fatty acids as controls. EPA (5-50 nmol/mL) was not cytotoxic and did not measurably induce cellular oxidation compared to bovine serum albumin (BSA) vehicle or identical doses of LA. EPA increased macrophage uptake and degradation of acetylated LDL(AcLDL) up to 14% and 88%, respectively. EPA increased markedly total cellular sterol synthesis and heparin-releasable lipoprotein lipase activity of macrophages, indicating that EPA may enhance accumulation of cellular cholesteryl ester and possibly facilitate formation of foam cells. These results demonstrate that EPA promotes the modified LDL-triggered atherosclerotic process by the modulation of the scavenger receptor and the activation of LPL in macrophages.