• Journal of Trauma and Injury
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• 제35권1호
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• pp.25-33
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• 2022

Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

• Toxicological Research
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• 제20권2호
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• pp.137-142
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• 2004

We investigated the effects of plant vinegar on platelets and blood coagulation system. Plant vinegar inhibited in vitro platelet aggregation in a concentration dependent manner, when platelets were activated by thrombin and collagen. In addition, plant vinegar showed inhibitory effects on the serotonin secretion induced by thrombin in a concentration dependent manner. However, treatment with plant vinegar to platelets did not induce any cytotoxicity, as determined by the release of lactate dehydrogenase. Plant vinegar did not change the coagulation parameters such as activated partial thromboplastin time (aPTT) and prothrombin time (PT) using rat citrated plasma. In vivo study revealed that, treatment with plant vinegar prolonged the bleeding time from mouse tail. All these results suggest that plant vinegar might improve blood hemostasis mediated via anti platelet activities.

• 한국식품영양과학회지
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• 제33권8호
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• pp.1262-1267
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• 2004

한약재의 재료로 사용되는 옥발에서 항응고물질(anticoagulant)을 추출하여 정제하였다. 정제된 항응고물질의 분자량은 135 kDa으로 측정되었고 옥발로부터 정제된 항응고물질의 회수율은 11%이고, 24배 농축되었다. 옥발의 항응고물질은 열에 안정하고 비특이적 단백질 가수분해 효소 처리 후에도 활성을 유지하였으나, periodate 산화 처리시 현저하게 활성이 소실되어 항응고물질의 성분은 당류인 것으로 추정된다. 옥발의 항응고물질을 thin layer chromatography(TLC)와 Bio-LC로 구성당을 분석한 결과 galactose, glucose, mannose, glucosamine, galactosamine, fucose로 구성되어있고, IR을 통하여 확인된 OH, N-H bond가 확인되어 항응고물질이 중성당과 아미노당으로 구성된 것을 뒷받침해주고 있다. 옥발의 항응고물질은 thrombin time(TT)에 가장 민감하고, TT에서 항응고 활성을 2배, 3배 지연시키는 농도는 60 nM와 88 nM이었다. Prothrombin time(PT)에도 민감하였지만, snake venom activity와 activated partial thromboplastin time(APTT)의 clotting activity에는 상대적으로 별 영향을 끼치지 않았다. 옥발의 항응고물질을 정제된 fibrinogen을 이용하여 thrombin과의 반응 시 fibrinogen의 농도가 증가함에 따라 응고 저해 정도가 감소하여 thrombin에 대해fibrinogen과 결합자리를 경쟁하고, 이 때 Ki 값은 23 nM이다.

• 한국식품영양과학회지
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• 제38권2호
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• pp.136-141
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• 2009

스피루리나를 세포벽 가수분해효소와 단백질 가수분해효소로 처리하여 조제한 스피루리나 가수분해물(enzymatic hydrolysate of spirulina, EHS)의 생리활성을 조사하였다. 효소처리 가수분해물의 유산균 증식효과, 항산화능, 암세포 증식저해 활성, 항혈전 활성을 분석한 결과 EHS는 유산균 증식활성과 항산화능에 큰 영향을 미치지 않았으며, 자궁경부암세포(HeLa)에 대해 1.42 mg/L의 농도에서 15% 미만의 증식저해효과를 나타내었다. 반면 항혈전 활성을 공통 경로(common pathway), 내인성 경로(intrinsic pathway), 외인성 경로(extrinsic pathway)로 구분하여 측정한 결과, 공통경로, 내인성 경로와 유사한 항혈전 활성이 있음을 확인하였다. 공통 경로를 thrombin time assay로 측정한 결과 EHS의 농도가 100 mg/L일 때 155.6초를 나타내었다. 내인성 경로는 activated partial thromboplastin time assay로 측정하였고, EHS의 농도가 1000 mg/L일 때 95.8초를 나타내었다. 외인성 경로를 prothrombin time assay로 측정한 결과 EHS의 농도가 1000 mg/L일 때 10.6초를 나타내었다. 결과적으로 스피루리나 효소가수분해물(EHS)이 항혈전경로 중 공통경로와 내인성 경로에 활성이 있음을 알 수 있었으며, 이를 토대로 신규의 항혈전 기능성 원료로 개발될 수 있을 것으로기대된다.

• 한국식품저장유통학회지
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• 제14권4호
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• pp.431-437
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• 2007

The primary objective of this study was to determine the effects of abalone in reducing blood pressure and increasing anti-coagulant capacity. The serum angiotensin-converting-enzyme (ACE) activities of rats on an abalone-supplemented diet did not significantly differ from the ACE levels of rats on a normal diet, at any time (before the experiment, or 1 week, 2 weeks, 3 weeks, and 4 weeks, after commencement of the abalone diet) during the experiment. This result showed that abalone-supplemented diets had no effect on the activity of ACE, which controls blood pressure. To determine if an abalone-containing diet might increase anti-coagulant capacity, both prothrombin (PT) and activated partial thromboplastin time (APTT) levels were measured. The PT levels of control rats remained constant throughout the experiment. In rats fed the abalone-containing diet, PT levels increased with time, and the increase became statistically significant after 2 weeks, when compared to pre-trial PT levels. Control rats showed no significant change in APTT levels over time. The rats fed abalone, however, showed significant differences in APTT levels. Specifically, when pre-trial APTT levels were compared with 4-week levels, and when 1-week levels were compared with 4-week levels, the differences attained statistical significance. These results indicate that an abalone-supplemented diet may inhibit blood coagulation in normal rats. The results of this study prove the inherent health value of abalone, and may encourage investment in the seafood industry. Future studies will explore other possible beneficial effects of abalone, apart from the anti-hypertension and anti-coagulant effects examined above.

• 생명과학회지
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• 제34권6호
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• pp.385-392
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• 2024

고추(Capsicum annuum L.)는 전 세계적으로 식용 및 의약용으로 널리 사용되는 향신 식물이다. 본 연구에서는 한국 재래종 5종(유월초, 수비초, 수미향, 고운빛, 및 칠성초)과 개량종 5종(다복, 청양, 충성, 올복합 및 신홍길동)의 에탄올 추출물을 조제하고, 추출물의 색차, polyphenol 함량, 항산화, 항당뇨 및 항응고 활성을 비교하였다. 개량종 고추 추출물은 재래종 고추 추출물에 비해 높은 적색과 낮은 황색을 보였다. 고추 추출물의 polyphenol 및 flavonoid 함량 분석결과, 유월초와 수미향 추출물에서 유의하게 높았으며, 이들은 우수한 DPPH 음이온 소거 활성, ABTS 양이온 소거 활성 및 환원력을 보였다. Nitrite 소거능의 경우 칠성초, 유월초 및 다복 품종에서 유의하게 높게 나타났다. 또한 항당뇨 활성은 수비초, 수미향 및 고운빛 추출물에서 우수하였다. 항혈전 활성 평가에서, 유월초 추출물은 5 mg/ml 농도에서 용매대조군과 비교하여 thrombin time을 1.61배 연장시켰으며, 다복 추출물은 prothrombin time 및 activated partial thromboplastin time을 각각 1.33배 및 2.21배 연장시켜 항혈전 활성을 확인하였다. 또한 모든 고추 추출물은 5 mg/ml 농도까지 적혈구 용혈 활성을 나타내지 않았다. 이러한 결과는 국내 재래종 고추를 이용한 항산화, 항당뇨 및 항혈전 소재 개발이 가능함을 제시하고 있으며, 향후 국내 재래종 고추 품종이 나고야 의정서 발효에 대응하면서 막대한 종자 사용료를 지불하고 있는 개량종 고추를 대치할 수 있음을 제시하고 있다.

• Toxicological Research
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• 제13권1_2호
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• pp.139-147
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• 1997

Four-week toxicity of EPO(erythropoietin) was investigated using New Zealand White rabbits according to the established regulations of Korean National Institute of Safety Research. Rabbits were administered intravenously seven days per week for 28 days with dosage of 0, 80, 400 and 2000IU/kg B. W./day. Animals administered with EPO showed no significant changes of body weight, water consumption and feed consumption, and no clinical signs and death. They were not significantly different from the control group in hematological and serum biochemical analysis, urinalysis, prothrombin time, and partial thromboplastin time. In this study, we concluded that EPO had no toxic effect in the New Zealand White rabbits when they were administered intravenously below 2000IU/ kg B.W./ day for 28 days.

• Natural Product Sciences
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• 제17권4호
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• pp.309-314
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• 2011

Synthetic coumarin and furocoumarin derivatives were evaluated for anticoagulant activity and the effect on liver and kidney function. It was found that all of the compounds under investigation proved to be neither toxic nor lethal up to 500 mg/100 g body weight as a single dose for 24 hrs. All tested compounds showed a significant increase in prothrombin time (PT) in the acute model but failed to show a significant action in the chronic model. Furthermore, all tested compounds revealed a significant increase in activated partial thromboplastin time (APTT) as compared to control value in both acute and chronic model. Also, all tested compounds did not cause any significant changes on liver and kidney functions in rats.

• BMB Reports
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• 제45권4호
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• pp.221-226
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• 2012

Curcumin, a polyphenol responsible for the yellow color of the curry spice turmeric, possesses antiinflammatory, antiproliferative and antiangiogenic activities. However, anticoagulant activities of curcumin have not been studied. Here, the anticoagulant properties of curcumin and its derivative (bisdemethoxycurcumin, BDMC) were determined by monitoring activated partial thromboplastin time (aPTT), prothrombin time (PT) as well as cell-based thrombin and activated factor X (FXa) generation activities. Data showed that curcumin and BDMC prolonged aPTT and PT significantly and inhibited thrombin and FXa activities. They inhibited the generation of thrombin or FXa. In accordance with these anticoagulant activities, curcumin and BDMC showed anticoagulant effect in vivo. Surprisingly, these anticoagulant effects of curcumin were better than those of BDMC indicating that methoxy group in curcumin positively regulated anticoagulant function of curcumin. Therefore, these results suggest that curcumin and BDMC possess antithrombotic activities and daily consumption of the curry spice turmeric might help maintain anticoagulant status.

• 생약학회지
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• 제33권2호통권129호
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• pp.120-123
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• 2002

The possibility of Galla Rhois(GR) water extract as an antithrombotic agent was investigated. The effect of GR on platelet aggregation in human platelet-rich plasma(PRP) induced by collagen and ADP in vitro and coagulation parameters in a pathological model induced by endotoxin and hydrocortisone acetate(HA) in vivo were examined. In platelet aggregation assay, GR extract significantly inhibited platelet aggregation induced by collagen and ADP in a dose-dependent manner. GR extract significantly increased the number of platelet and shortened prothrombin time(PT) and activated thromboplastin time(APTT) as compared with the control in pathological model induced by endotoxin and HA. Also, GR extract significantly increased fibrinogen level as compared with the control in a pathological model induced HA. These results suggest that GR may be a promising antithrombotic agent.