• 제목/요약/키워드: NO assay

검색결과 2,927건 처리시간 0.044초

호흡곤란을 주소로 내원한 환자에서 혈청 B-type Natriuretic Peptide 검사의 유용성 : 폐성심과 좌심부전의 감별에 대하여 (The Application of B-Type Natriuretic Peptide Level of the Dyspneic Patients : Differentiation Between Cor Pulmonale and Left Ventricular Dysfunction)

  • 박홍훈;김세현;최정은;김강호;천석철;이지현;이용구;김인재;차동훈;홍상범;이지현
    • Tuberculosis and Respiratory Diseases
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    • 제54권3호
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    • pp.320-329
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    • 2003
  • 연구배경 : 혈청 내 B-type natriuretic peptide (BNP)는 심실의 부피 증가나 압력 부하에 의해 주로 심실에서 분비된다. 몇몇의 보고에서 호흡곤란을 주소로 응급실에 내원한 환자들에서 BNP의 측정이 심부전과 폐질환을 감별하는데 도움이 된다고 보고하였다. 저자들은 호흡곤란을 주소로 내원한 환자에서 BNP의 측정이 우심실부전과 좌심실부전의 감별에 도움이 될 수 있는지를 알고자 이 연구를 시작하게 되었다. 방 법 : 포천중문의대 분당차 병원에 2002년 6월에서 2003년 3월까지 호흡곤란을 주소로 응급실을 내원한 환자 89명과, 정상 대조군으로 29명에서 방사선면역측정법을 이용하여 BNP를 측정하였다. 결 과 : 호흡곤란을 주소로 내원한 좌심실부전군(1군)과 우심실부전군(2군) 사이에는 유의한 BNP 값의 차이($682{\pm}314$ pg/mL vs. $149{\pm}94$ pg/mL, p=0.000)가 있었다. ROC 곡선을 이용하여 BNP 기준값을 219 pg/mL로 했을 때 좌심실부전군과 우심실부전군을 감별할 수 있는 민감도는 94.3%, 특이도는 92.9%, 양성 예측도는 97%, 그리고 음성 예측도는 86.7%였다. 결 론 : BNP는 호흡곤란을 주소로 응급실을 내원한 환자에서 좌심실부전과 우심실부전을 감별하는데 도움을 줄 수 있는 빠르고 유용한 검사방법이다.

폐결핵의 영상학적 진행과 Transforming Growth Factor-β1 농도와의 관련성 (The Correlation between the Radiological Changes and the Level of Transforming Growth Factor-β1 in Patients with Pulmonary Tuberculosis)

  • 조용선;이양덕;조욱;나동집;한민수
    • Tuberculosis and Respiratory Diseases
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    • 제60권3호
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    • pp.297-303
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    • 2006
  • 연구배경 : 폐결핵의 치료 후에도 폐의 섬유화, 기관지확장증, 공동 등의 구조적 변화와 이로 인한 폐기능의 악화가 발생하는 경우가 있지만, 이러한 폐결핵의 합병증에 대한 발병기전에 대해 거의 알려진 것이 없다. Transforming growth factor-${\beta}1$ ($TGF-{\beta}1$)은 손상 받은 조직의 정상적인 치유과정의 매개체와 세기관지주위 섬유화에 주요한 기여인자로서 작용한다고 알려졌다. 저자들은 폐결핵의 영상학적 진행 및 폐기능의 변화와 $TGF-{\beta}1$ 농도와의 관련성을 알아보고자 하였다. 방 법: 대상 환자 35명 중 남자가 17명, 여자가 18명이었고 연령분포는 22세에서 65세로 중앙값은 46세였다 모든 환자에서 폐결핵 치료 전에 혈청과 기관지폐포 세첵액(bronchoalveolar lavage fluid, BALF)를 폐결핵 치료 이전에 채취하여 $TGF-{\beta}1$을 측정하였으며 폐기능검사와 고해상도 흉부전산화단층촬영(high resolution computed tomography, HRCT)을 치료 전과 후에 시행하여 비교분석하였다. 기관지폐포 세척액의 식염수와의 희석정도를 보정하기 위해 epithelial lining fluid (ELF) 용적을 알부민 교정방법에 구하여 기관지폐포 세척액에서 $TGF-{\beta}1$의 농도를 교정하였다 결 과: 치료 전의 BAL $TGF-{\beta}1$ 농도는 치료 전의 HRCT에 의한 영상학적 점수와는 상관관계를 보이지 않았으며 치료 전의 혈청 $TGF-{\beta}1$ 농도는 공동과 양의 상관관계를 보였다(r=0.46, p<0.01). 6개월간의 치료기간 동안 HRCT에 의한 영상학적 변화및 폐기능의 변화와는 $TGF-{\beta}1$ 농도가 상관관계를 보이지 않았다. 결 론: 폐결핵에서 치료 전 혈청 $TGF-{\beta}1$ 농도는 공동의 진행 정도와 관련이 있었지만 이의 확인을 위해서는 추가적인 연구가 필요하리라 사료된다.

태아의 염색체의 수적 이상을 유발하는 모계 위험인자로서 5, 10-Methylentetrahydrofolate Reductase (MTHFR C677T)와 Methionine Synthase Reductase (MTRR A66G) 유전자의 다형성 연구 (Polymorphisms of 5, 10-Methylentetrahydrofolate Reductase (MTHFR C677T) and Methionine Synthase Reductase (MTRR A66G) as Maternal Risk Factors for Fetal Aneuploidy)

  • 김도진;김신영;박소연;김진우;김문영;한정렬;양재혁;안현경;최준식;정진훈;류현미
    • Journal of Genetic Medicine
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    • 제5권2호
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    • pp.119-124
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    • 2008
  • 목 적: 다운증후군을 비롯한 염색체의 수적이상은 태아의 유산이나 정신박약의 가장 큰 요인으로 알려져 있다. 이에 본 연구에서는 엽산 대사에 관련된 효소의 다형성(MTHFR C677T, MTRR A66G)을 조사하여 태아의 염색체 수적이상과 유전적인 연관성을 알아보고자 한다. 대상 및 방법: 염색체 수적이상이 확인된 태아를 임신한 37명의 산모와 유산이나 비정상적인 임신을 한 경험이 없고 2명 이상의 건강한 아이를 출산한 78명의 여성을 정상군으로 하여 혈액으로부터 DNA를 추출하고 PCR-RFLP를 이용하여 각 지역의 다형성 여부를 확인하였다. 결 과: MTHFR C677T 유전자형은 CC, CT, TT에 대해 각각 30.7%, 48.7%, 20.6%였으며, 환자군에서 각각 37.8%, 48.6%, 13.5% 였다. 정상군과 환자군 사이 모든 조합에서 유의한 차이를 보이지 않았다. 대립유전자의 비율 역시 대조군과 환자군에서 각각 44.9%, 37.8%였으며, 통계적 유의한 차이는 없었다. MTRR A66G 유전자형은 대조군에서 AA, AG, GG에 대해 각각 50.0%, 46.1%, 3.9%였으며, 환자군에서는 각각 13.5%, 81.1%, 5.4%였다. MTRR의 정상 유전자형인 AA와 이형접합성 변이형인 AG 유전자형을 비교하였을 때 유의한 차이를 보였으며(OR: 6.5, 95% CI: 2.3-18.6, P<0.05), 정상이 아닌 모든 다른 유전자형(AG/GG)과 비교하였을 때에도 역시 유의한 차이를 보였다(OR: 6.4, 95% CI: 2.3-18.1, P<0.05). 결 론: 본 연구에서는 MTHFR 677번째 염기의 다형성은 염색체 비분리로 인한 태아 염색체의 수적이상과 연관성이 없는 것으로 확인하였으나, MTRR 66부위의 경우 염기의 다형성이 태아 염색체의 수적이상을 유발하는 유전적 요소로서의 가능성을 제시하고 있다.

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백화사설초(白花蛇舌草) 메탄올 추출물(抽出物)의 항종양(抗腫瘍) 효과(效果) 및 항암(抗癌) 기전(機轉)에 관(關)한 연구(硏究) (Study of Hedyotis Diffusa Methanol Extract on Anti-tumoral Effect and Mechanism)

  • 노훈정;문구;문석재;원진희;문영호;박래길
    • 대한한방종양학회지
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    • 제6권1호
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    • pp.81-97
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    • 2000
  • Objectives: This experimental study was carried out to evaluate the effects of aqueous and methanol extracts of Hedyotis diffusa which has long been used for cancer treatment in oriental medicines on the induction of apoptotic cell death in human lymphoid leukemia cell line, HL-60. Methods: Cells were treated with various concentrations (200 to $0.4{\mu}g$) and periods (6 to 30 hr) of $H_2O$ and methanol extracts of Hedyotis diffusa. Then, cells were tested for viability by MTT assay. Cells wrere treated with $200{\mu}g/ml$ of methanol extract fork various periods. Genomic DNA was isolated, separated, on 1.5% agarose gels, stained with ethidium bromide and visualized under UV light. Cells were treated with $200{\mu}g/ml$ of each extract for 16 hr. Then, cells were treated with Hoechst dye 33342 and observed by fluorescence microscopy. Cells were treated with various doses of each for 12 hr and $100{\mu}g/ml$ of methanol extract for various periods. Lysate from the cells used to measure the activity of Caspase-1 and-3 proteases by using fluorogenic peptide substrates including acetyl-YVAD-AMC and acetyl-DEVD-AMC, respectively. Cells were treated with $200{\mu}g/ml$ of each extract for various periods. Cell lysates were immunoprecipated with anti-JNKl antibodies. The immune complex was reacted with $32^p-ATP$ and c-Jun as a substrate. The phosphotransferase activity of JNKI was measured by using PhosphoImage analyzer (Fuji Co., Japan). Nuclear extracts were isolated and incubated with oligonucleotide probe of $NF-{\kappa}B$. Transcriptional activation of ${\kappa}B$ was measured by using EMSA and visualized by PhosphoImage analyzer (Fuji Co, Japan). Cell lysates were prepared and analyzed by Western blotting with anti-Bc12 antibodies and anti-Bax antibodies. Cells were pretreated with various doses of methanol extract for 2 hr. Then, the extract was removed by centrifugation. Cells were resuspended with RPMI-1640 media containing 0.3% agarose, 10% FBS, overlayred onto bottom layer agarose and incubated at $CO_2$ incubator for 6 days. The number of colony was counted under light microscopy ($\time100$). Results: The death of HL-60 cells was markedly induced by the addition of methanol extract of Hedyotis diffusa in a dose and time-dependent manners. The apoptotic characteristic ladder pattern of DNA strand break was observed in death of HL-60 cells. In addition, it was shown nucleus chromatin condensation and fragmentation under Hoechst staining. Therefore, Hedyotis diffusa extract-induced death of HL-60 cells is mediated by apoptotic signaling processes. The activity of Caspase 3-like proteases remained in a basal level in HL-60 cells treated with aqueous extract of Hedyotis diffusa. However, it was markedly increased in HL-60 cells treated with methanol extract of Hedyotis diffusa. In addition, the phosphotransferase activity of JNKl was increased in HL-60 cells treated with methanol extract of Hedyotis diffusa. Furthermore, the activation of transcriptional activator, $NF-{\kappa}B$ was markedly induced by methanol extract of Hedyotis diffusa. Anti-apoptotic Bc12 was cleaved into 23Kda fragment by treatment of methanol extract of Hedyotis diffusa. However, expression of proapoptotic Bax protein was increased by treatment of methanol extract of Hedyotis diffusa in a time-dependent manner. Furthermore, methanol extract markedly inhibited the colony forming efficiency of HL-60 cells in semisolid agar culture. Conclusions: Above results suggest that methanol extract of Hedyotis diffusa induces the apoptotic death of human leukemic HL-60 cells via activations of Caspase-3 proteases, JNKI, transcriptional activator $NF-{\kappa}B$, In addition, our results also suggest that methanol extract of Hedyotis diffusa reduces the malignant potential of HL-60 cells via down regulation of colony forming effciency through cleavage of Bc12 as well as induction of Bax.

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식용피 밀양3호[Echinochloa esculenta (A. Braun)] 에탄올 추출물의 당뇨모델 마우스에 대 한 항당뇨 활성 (Anti-diabetic Effects of Barnyard Millet Miryang 3 [Echinochloa esculenta (A. Braun)] Grains on Blood Glucose in C57BL/KsJ-db/db Mice)

  • 권기현;전도연;이지영;박주은;우미희;윤영호;고지연;오인석;김영호
    • 생명과학회지
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    • 제25권11호
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    • pp.1265-1272
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    • 2015
  • 잡곡의 하나인 식용피는 폴리페놀과 수용성 식이섬유성분이 풍부하고 전분함량이 타 곡류보다 낮으면서 단백질 함양이 높아 영양학적 건강지표가 높은 잡곡이다. 본 연구에서는 항염증 활성이 강하게 확인된 밀양3호를 선발하여 이의 항당뇨 활성에 관해 조사하였다. 식용피 밀양3호의 80% 에탄올(EtOH) 추출물을 당뇨모델인 C57BL/KsJ-db/db mice에 600 mg/kg로 8주간 투여하여 혈당과 혈중 지질에 대한 영향을 조사한 결과, 공복혈당이 당뇨 대조군에 비해 유의적으로 감소하여 개선 되었으며, 경구 내당성도 1주 투여 시부터 개선되는 효과를 보이다가 8주간의 투여 시는 양성대조군인(메트포민 100 mg/kg) 수준으로 경구 내당성이 개선됨을 확인하였다. 이때 체중증가는 메트포민 투여군(10.36±3.15)에는 못 미치나 8.54±2.24로 당뇨 대조군 체중 증가(8.71±1.64)의 수준이었으며, food efficiency rates를 고려하면 식용피가 식이 섭취에는 큰 영향을 주지 않는 것으로 사료되었다. 총 콜레스테롤 농도는 당뇨 대조군의 총콜레스테롤(229.3±47.8)에 비해 식용피 EtOH 추출물 투여군(160.7±7.6)과 메트포민 투여군(176.0±25.6)에서 유의적으로 감소하였다. LDL-콜레스테롤 농도는 식용피 투여군에서 메트포민 투여군 수준으로 당뇨 대조군에 비해 약 41%정도 감소한 것에 반해, 중성지방은 식용피 추출물의 영향을 받지 않았다. 간독성은 식용피 추출물군의 GOT 값이 메트포민 투여군 보다 더 낮았으며, GPT 활성도는 모든 실험군들 간에 유의한 차이가 없었다. 이상의 연구 결과는 식용피 밀양3호가 항 당뇨 관련 우수한 소재 함유 곡류로 관련 질환 예방과 치료에 활용할 수 있음을 시사한다.

Bacillus subtilis 급여가 비육돈의 육질 특성, 생산성 및 분내 유해가스 발생에 미치는 영향 (Effects of Dietary Bacillus subtilis Supplementation on Meat Quality, Growth Performance and Fecal Malodor Gas Emission in Finishing Pigs)

  • 장해동;유종상;이제현;김효진;신승오;황염;주천상;진영걸;강대경
    • 한국축산식품학회지
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    • 제28권3호
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    • pp.327-332
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    • 2008
  • 본 연구는 Bacillus 균주가 함유된 배합사료 급여시 비육돈의 생산성, 육질 특성 및 분내 유해가스 발생에 미치는 영향을 알아보기 위해 실시하였다. 시험 개시시 체중이 $83.53{\pm}1.01\;kg$인 3원 교잡종(Landrace${\times}$Yorkshire${\times}$Duroc)의 비육돈 36두를 공시하였으며, 5주간 사양시험을 실시하였다. 시험설계는 1) CON(basal diet), 2) B1(basal diet + B. subtilis 제제 0.1%) 및 3) B2(basal diet + B. subtilis 제제 0.2%)로 3개 처리를 하여 처리당 3반복, 반복당 4두씩 완전임의 배치하였다. 전체 사양시험 기간 동안의 체중, 일당증체량, 일당사료섭취량 및 사료효율은 처리구간에 유의적인 차이가 없었다(p>0.05). 육질 특성에 있어서도 처리구간에 유의적인 차이가 없었다(p>0.05). 황화수소($H_2S$)는 B2처리구가 다른 처리구와 비교하여 가장 낮은 함량을 나타났다(p<0.05). 암모니아($NH_3$), 메캅탄(R SH) 및 acetic acid의 함량은 처리구간에 유의적인 차이는 없었지만 B2처리구가 대조구에 비해 감소하는 경향을 나타났다(p>0.05). 결론적으로 비육돈에 있어 생균제 0.2% 첨가 급여시 분내 악취 물질에 있어 효과가 있는 것으로 나타났다.

Effect of Trichostatin A on Anti HepG2 Liver Carcinoma Cells: Inhibition of HDAC Activity and Activation of Wnt/β-Catenin Signaling

  • Shi, Qing-Qiang;Zuo, Guo-Wei;Feng, Zi-Qiang;Zhao, Lv-Cui;Luo, Lian;You, Zhi-Mei;Li, Dang-Yang;Xia, Jing;Li, Jing;Chen, Di-Long
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권18호
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    • pp.7849-7855
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    • 2014
  • Purpose: To investigate the effect of deacetylase inhibitory trichostatin A (TSA) on anti HepG2 liver carcinoma cells and explore the underlying mechanisms. Materials and Methods: HepG2 cells exposed to different concentrations of TSA for 24, 48, or 72h were examined for cell growth inhibition using CCK8, changes in cell cycle distribution with flow cytometry, cell apoptosis with annexin V-FTIC/PI double staining, and cell morphology changes under an inverted microscope. Expression of ${\beta}$-catenin, HDAC1, HDAC3, H3K9, CyclinD1 and Bax proteins was tested by Western blotting. Gene expression for ${\beta}$-catenin, HDAC1and HDAC3 was tested by q-PCR. ${\beta}$-catenin and H3K9 proteins were also tested by immunofluorescence. Activity of Renilla luciferase (pTCF/LEF-luc) was assessed using the Luciferase Reporter Assay system reagent. The activity of total HDACs was detected with a HDACs colorimetric kit. Results: Exposure to TSA caused significant dose-and time-dependent inhibition of HepG2 cell proliferation (p<0.05) and resulted in increased cell percentages in G0/G1 and G2/M phases and decrease in the S phase. The apoptotic index in the control group was $6.22{\pm}0.25%$, which increased to $7.17{\pm}0.20%$ and $18.1{\pm}0.42%$ in the treatment group. Exposure to 250 and 500nmol/L TSA also caused cell morphology changes with numerous floating cells. Expression of ${\beta}$-catenin, H3K9and Bax proteins was significantly increased, expression levels of CyclinD1, HDAC1, HDAC3 were decreased. Expression of ${\beta}$-catenin at the genetic level was significantly increased, with no significant difference in HDAC1and HDAC3 genes. In the cytoplasm, expression of ${\beta}$-catenin fluorescence protein was not obvious changed and in the nucleus, small amounts of green fluorescence were observed. H3K9 fluorescence protein were increased. Expression levels of the transcription factor TCF werealso increased in HepG2 cells following induction by TSA, whikle the activity of total HDACs was decreased. Conclusions: TSA inhibits HDAC activity, promotes histone acetylation, and activates Wnt/${\beta}$-catenin signaling to inhibit proliferation of HepG2 cell, arrest cell cycling and induce apoptosis.

대형건축물 저수조의 수질실태 및 개선방안에 관한 연구 (A Study on the Water Quality of Reservoir Tank in the Building Complex on Jeonnam Area)

  • 이지헌;이해훈;김환범;안길원;박귀님;김양기;배주순;문희;박철웅;오은하;박송인;서윤규
    • 환경위생공학
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    • 제15권4호
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    • pp.59-77
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    • 2000
  • This study was carried out to investigate on several factors, which contaminative the water quality through the water pipe during feeding water, in 42 largescaled apart-ments(total 84 cases) and assayed the Volatile Organic Compounds(VOCs) and concen-tration of heavy metals that inflow and outflow in reservior water in Jeonnam area(Mokpo, Suncheon, Yeosu) from January 1999 to December 1999. The results obtained were summarized as follows ; 1. The quality of the water pipe composition in the order of frequency in the quality of water pipes were Copper(45.2%)> Zinc(38.9%)> Stainless steel(9.5%)> PVC(4.8%)> PM(2.4%) in observing 42 sites. All of the drain pipes were used the cast iron quality. 2. The result of certification curve from 12 items(17kind) of VOCs was $1.0-4.0{\mu{g}}/{\ell}$ range, a coefficient of correlation was shown 0.99 over. A MDL of each substance range was within $0.1-1.0{\mu{g}}/{\ell}$. 3. The result of the assay, 5 kinds(Viny chloride, Dichloromethane, Ethylbenzene, M,P-xylene, Styrene) of the VOCs of 14 kinds was not detected and the other items were detected slightly. The detection rate of one item and over in total VOCs samples, were 25.9% in inflow and 27.9% in outflow. And frequency of detect in inflow/outflow of THM(Chloroform, Bromodichloro-methane, Dibromochloromethane, Bromoform) were shown higher than 94.1%, 97.0% each stages. It comes to the conclusion that all of the samples were reason able for drinking water standards. 4. The coefficient of correlation were reasonable, it shown 0.999 over in $0.1-1.0{\mu{g}}/{\ell}$ of a measuring range conditions of 4kinds in organic substance(Zn, Cu, Fe, Mn). 5. The results were showed suitability in 78 cases(92.9%) and unsuitability in 6 cases (7.1%), in 84 cases of in organic substances. Compare to inflow stage, mean concentrations of heavy metal, were increased slightly in Zn, Cu, Fe except Mn than outflow stage. The result of the mean concentration in organic substance inflow and outflow in the apartment water tank using Pair-compared T-test, in 95% reliance index, were $0.179mg/{\ell}(0.151-0.307mg/{\ell})$ in Zinc, $0.136mg/{\ell}(0.113-0.230mg/{\ell})$ in Copper, $0.052mg/{\ell}(0.048-0.098mg/{\ell})$ in Fe, and there was a bit growing tendency but there was no differece in Mn. 6. The mean concentration of Copper which used Cu pipe as a water supply pipe in apartment were $0.216mg/{\ell}(0.161-0.338mg/{\ell})$ in case of the Zine pipe were $0.286mg/{\ell}(0.204-0.435mg/{\ell})$. It shows that the detection rate was more higher than the other material used in Cu or Zn as the water supply pipe. We supposed to Cu and Zn substance were gushing out water supply pipe.

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Proteomic Assessment of the Relevant Factors Affecting Pork Meat Quality Associated with Longissimus dorsi Muscles in Duroc Pigs

  • Cho, Jin Hyoung;Lee, Ra Ham;Jeon, Young-Joo;Park, Seon-Min;Shin, Jae-Cheon;Kim, Seok-Ho;Jeong, Jin Young;Kang, Hyun-sung;Choi, Nag-Jin;Seo, Kang Seok;Cho, Young Sik;Kim, MinSeok S.;Ko, Sungho;Seo, Jae-Min;Lee, Seung-Youp;Shim, Jung-Hyun;Chae, Jung-Il
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권11호
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    • pp.1653-1663
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    • 2016
  • Meat quality is a complex trait influenced by many factors, including genetics, nutrition, feeding environment, animal handling, and their interactions. To elucidate relevant factors affecting pork quality associated with oxidative stress and muscle development, we analyzed protein expression in high quality longissimus dorsi muscles (HQLD) and low quality longissimus dorsi muscles (LQLD) from Duroc pigs by liquid chromatography-tandem mass spectrometry (LC-MS/MS)-based proteomic analysis. Between HQLD (n = 20) and LQLD (n = 20) Duroc pigs, 24 differentially expressed proteins were identified by LC-MS/MS. A total of 10 and 14 proteins were highly expressed in HQLD and LQLD, respectively. The 24 proteins have putative functions in the following seven categories: catalytic activity (31%), ATPase activity (19%), oxidoreductase activity (13%), cytoskeletal protein binding (13%), actin binding (12%), calcium ion binding (6%), and structural constituent of muscle (6%). Silver-stained image analysis revealed significant differential expression of lactate dehydrogenase A (LDHA) between HQLD and LQLD Duroc pigs. LDHA was subjected to in vitro study of myogenesis under oxidative stress conditions and LDH activity assay to verification its role in oxidative stress. No significant difference of mRNA expression level of LDHA was found between normal and oxidative stress condition. However, LDH activity was significantly higher under oxidative stress condition than at normal condition using in vitro model of myogenesis. The highly expressed LDHA was positively correlated with LQLD. Moreover, LDHA activity increased by oxidative stress was reduced by antioxidant resveratrol. This paper emphasizes the importance of differential expression patterns of proteins and their interaction for the development of meat quality traits. Our proteome data provides valuable information on important factors which might aid in the regulation of muscle development and the improvement of meat quality in longissimus dorsi muscles of Duroc pigs under oxidative stress conditions.

Serum Biomarkers for Early Detection of Hepatocellular Carcinoma Associated with HCV Infection in Egyptian Patients

  • Zekri, Abdel-Rahman;Youssef, Amira Salah El-Din;Bakr, Yasser Mabrouk;Gabr, Reham Mohamed;El-Rouby, Mahmoud Nour El-Din;Hammad, Ibtisam;Ahmed, Entsar Abd El-Monaem;Marzouk, Hanan Abd El-Haleem;Nabil, Mohammed Mahmoud;Hamed, Hanan Abd El-Hafez;Aly, Yasser Hamada Ahmed;Zachariah, Khaled S.;Esmat, Gamal
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권3호
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    • pp.1281-1287
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    • 2015
  • Background: Early detection of hepatocellular carcinoma using serological markers with better sensitivity and specificity than alpha fetoprotein (AFP) is needed. Aims: The aim of this study was to evaluate the diagnostic value of serum sICAM-1, ${\beta}$-catenin, IL-8, proteasome and sTNFR-II in early detection of HCC. Materials and Methods: Serum levels of IL-8, sICAM-1, sTNFR-II, proteasome and ${\beta}$-catenin were measured by ELISA assay in 479 serum samples from 192 patients with HCC, 96 patients with liver cirrhosis (LC), 96 patients with chronic hepatitis C (CHC) and 95 healthy controls. Results: Serum levels of proteasome, sICAM-1, ${\beta}$-catenin and ${\alpha}FP$ were significantly elevated in HCC group compared to other groups (P-value<0.001), where serum level of IL-8 was significantly elevated in the LC and HCC groups compared to CHC and control groups (P-value <0.001), while no significant difference was noticed in patients with HCC and LC (P-value=0.09). Serum level of sTNFR-II was significantly elevated in patients with LC compared to HCC, CHC and control groups (P-value <0.001); also it was significantly higher in HCC compared to CHC and control groups (P-value <0.001). ROC curve analysis of the studied markers between HCC and other groups revealed that the serum level of proteasome had sensitivity of 75.9% and specificity of 73.4% at a cut-off value of $0.32{\mu}g/ml$ with AUC 0.803 sICAM-1 at cut off value of 778ng/ml, the sensitivity was 75.8% and the specificity was 71.8% with AUC 0.776. ${\beta}$-catenin had sensitivity and specificity of 70% and 68.6% respectively at a cut off value of 8.75ng/ml with an AUC of 0.729. sTNFR-II showed sensitivity of 86.3% and specificity of 51.8% at a cut off value of 6239.5pg/ml with an AUC of 0.722. IL-8 had sensitivity of 70.4% and specificity of 52.3% at a cut off value of 51.5pg/ml with AUC 0.631. Conclusions: Our data supported the role of proteasome, sICAM-1, sTNFR-II and ${\beta}$-catenin in early detection of HCC. Also, using this panel of serological markers in combination with ${\alpha}FP$ may offer improved diagnostic performance over ${\alpha}FP$ alone in the early detection of HCC.