• Title/Summary/Keyword: Serum ALT

검색결과 987건 처리시간 0.039초

Metabolic Syndrome Related with Serum Biochemical Factors Affecting Serum GGT at Transitional Ages in Gumi

  • 석성자
    • 대한의생명과학회지
    • /
    • 제16권4호
    • /
    • pp.317-322
    • /
    • 2010
  • This study has been done with 1,431 subjects who visited Health Promotion Centers of the hospitals in Gumi for National Health Screening Program for People at Transitional Ages from April to December 2007. Serum biochemical tests related with metabolic syndrome were performed. Among biochemical factors related with metabolic syndrome, the mean values of serum glucose, AST, ALT, triglyceride and HDL cholesterol except LDL cholesterol were significantly higher in males than in females, so a significant difference by sex was observed (P<0.001). AST, ALT, triglyceride and HDL were thought to be significantly affecting serum GGT for males. In contrast, ALT and HDL cholesterol were important factors for females (P<0.001). For both sexes, serum glucose and LDL cholesterol did not produce any meaningful effect on serum GGT. In males AST, ALT and HDL cholesterol were associated with high risk of abnormality of serum GGT and in females AST, ALT and LDL cholesterol were related with high risk of abnormality of serum GGT. Therefore, AST and ALT showed a significant effect on abnormality of serum GGT in both males and females. It was observed that males exhibited significantly high correlation between metabolic syndrome related biochemical factors and serum GGT than females, and their influence on abnormality of serum GGT was also higher in males than in females. Therefore, serum GGT tests performed for health screening are considered to be useful for managements of cardiovascular diseases and metabolic syndrome as well as liver function test.

인삼 사포닌이 훈련된 흰 쥐의 혈청 Alanine Aminotransferase 활성에 미치는 영향 (Effects of Ginseng Saponin on Serum Alanine Aminotransferase Activity in Trained Rats)

  • 김희경;남상열
    • 한국동물학회지
    • /
    • 제33권3호
    • /
    • pp.297-302
    • /
    • 1990
  • 본 연구는 인삼 사포닌이 수영으로 훈련된 웅성 흰 쥐의 혈청 alanine aminotransferase 활성에 미치는 영향을 연구하였다. 훈련군은 50일간 수영훈련시켰으며, 인삼군은 체중 Kg 당 150mg의 인삼 사포닌을 2주간 구강 투여하였다. 인삼 사포닌을 투여한 훈련군은 수영훈련 종료일 직전 2주간에 걸쳐 체중 Kg 당 150mg의 인삼 사포닌을 구강 투여하였다. 훈련군의 혈청 ALT 활성과 인삼군의 혈청 ALT 활성은 대조군 보다 각각 약 72.89%와 57.14%로 유의성 있게 증가하였다. 실험군인 인삼 투여 훈련군과 인삼 비투어 훈련군의 혈청 ALT 활성은 대조군인 비투여 및 비훈련군 보다 각각 79.31% 및 69.66%로 유의성 있게 증가하였다. 인삼 투여훈련군을 인삼 비투어 훈련군과 비교하여 본다면 인삼 사포닌의 영향은 무의성으로 나타났다. 따라서 훈련 및 인삼 사포닌은 각각 흰 쥐의 혈청 ALT 활성을 뚜렷하게 증가시키나, 인삼 투여 훈련군의 경우 인삼 사포닌은 훈련으로 인해 증가된 흰 쥐의 혈청 ALT 활성을 더욱 상승시키지는 않는 것으로 생각된다.

  • PDF

Cytomegalovirus Infection in Infantile Hepatitis

  • Na, So Young
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제15권2호
    • /
    • pp.91-99
    • /
    • 2012
  • Purpose: The aims of this study was to compare and evaluate the clinical characteristics, laboratory data, and prognosis for infants under age 1 year with CMV hepatitis and those with viral hepatitis of unknown etiology. Methods: A retrospective study was conducted of infants under age 1 year who were admitted with acute hepatitis. The exclusion criteria consisted of: autoimmune, genetic, metabolic, toxic, HAV, HBV, HCV, toxoplasma, rubella, herpes simplex, and Epstein-Barr virus. The 30 patients included were divided into two groups based on markers for CMV (IgM anti-CMV, CMV PCR in urine, CMV culture in urine). Results: The median age of patients (n=15) was 2.8 months. No other organ involvement was detected in any patient. Peak serum total bilirubin levels (n=4) ranged from 2.6 to 6.7 mg/dL. Peak serum ALT levels ranged from 51 to 1,581 IU/L. The duration of ALT elevation ranged from 1.5 weeks to 26 weeks (median 9 weeks). All had recovered in full without ganciclovir; there were no cases of hearing loss. The median age of controls (n=15) was 2.5 months. Peak serum total bilirubin levels (n=4) ranged from 1.6 to 9.1 mg/dL. Peak serum ALT levels ranged from 26 to 1,794 IU/L. No significant differences were observed between both groups regarding the peak serum ALT levels, peak serum total bilirubin levels, duration of hyperbilirubinemia and ALT elevation. Conclusion: Although it was not possible to differentiate congenital infection with perinatal infection in this study, the prognosis of patients with CMV hepatitis without other organ involvement was good without ganciclovir treatment.

CPs(단삼, 삼칠, 빙편 복합제)가 고지혈증에 미치는 영향 (Effects of CPs (Combined Preparations) of Radix Salvia Miltiorrhiza, Radix Notoginseng, and Borneolum on Hyperlipidemia)

  • 이건목;이길숭
    • 대한한의학회지
    • /
    • 제25권2호
    • /
    • pp.22-32
    • /
    • 2004
  • Objectives: In order to determine the effect of CPs, experimental studies were performed in hyperlipidemia humans. The contents of serum total cholesterol, TG (triglyceride), LDL cholesterol, HDL cholesterol, AST/ALT and BUN/creatinine were measured. Methods: We made a comparative study of total cholesterol, TG (triglyceride), LDL cholesterol, HDL cholesterol, AST/ALT and BUN/creatinine during one month off and on for twenty patients with hyperlipidemia who visited Gunpo Oriental Medical Center of Wonkwang University from December 2002 to July 2003. Results: The following result were obtained: 1. The serum TG and total cholesterol of patients who took CPs for one month showed significant (p<0.01) decrease. 2. The serum HDL-cholesterol and LDL-cholesterol of patients who took CPs for one month showed significantly increase in HDL, and decrease in LDL (p<0.05). 3. The serum AST/ALT and BUN/creatinine of patients who took CPs for one month showed no significant effects. Conclusions: According to the results mentioned above, the effects of CPs on serum triglyceride and total cholesterol of hyperlipidemia patients were significantly confirmed for decreasing effects.

  • PDF

당뇨한약복합처방(Herbal Remedy for Diabetes Mellitus-01, HRDM-01)이 당뇨병성 흰쥐의 간 및 혈중 지질에 미치는 영향 (Effects of Herbal Remedy for Diabetes Mellitus-01 (HRDM-01) on Liver and Serum Lipid Level in Diabetic Rats)

  • 김형우;하태훈;조명래;조수인
    • 대한본초학회지
    • /
    • 제25권3호
    • /
    • pp.117-121
    • /
    • 2010
  • Objective:The Herbal Remedy for Diabetes Mellitus-01 (HRDM-01) is composed of 11 species of medicinal plants. HRDM-01 is used as anti-hyperglycaemic agent. Anti-hyperglycaemic agents in western medicine often have hepatotoxicities. Therefore, we investigated safety of HRDM-01, especially in liver functions. Methods:We investigated the effects of HRDM-01 on liver function measuring serum AST, ALT and LDH levels and histopathological changes of liver tissue using photomicroscope. In addition, we also investigated the effects on serum lipid levels such as total cholesterol, HDL-cholesterol and triglyceride. Results:In our experiment, single injection of streptozotocin elevated levels of AST and ALT in serum. But LDH level was not affected. In addition, our animal model showed elevated levels of total cholesterol and triglyceride in serum. 30 days treatment with HRDM-01 lowered serum AST level. Serum levels of ALT and LDH did not affected. In addition, HRDM-01 lowered serum triglyceride level significantly. In histopathological observation, we did not find any abnormal changes in all experimental groups. Conclusions:Briefly, HRDM-01 did not elevate serum levels of ALT, LDH, total cholesterol and did not affect histopathological changes in liver tissues. Moreover, HRDM-01 lowered serum AST, triglyceride, which are elevated by induction of diabetes mellitus. These results suggest the safety of HRDM-01 in diabetic treatment.

Comparison of Protein Electrophoresis Fractions in the Leptospirosis Patient Serum

  • Kim Chong Ho;Park Seung-Taeck;Oh Geum-Ga
    • 대한의생명과학회지
    • /
    • 제10권3호
    • /
    • pp.253-257
    • /
    • 2004
  • The mechanisms by which leptospires caused disease are not well understood. A number of putative virulence factors have been suggested, but with few exceptions their role in pathogenesis remains unclear. In these days, many cases of leptospirosis are diagnosed by serological immunoassay. Leptospirosis is characterized by the histopathology of liver, kidney, heart, and lung, but the electrophoresis fractions of serum protein are not compared. We analyzed total protein, albumin, aspartic aminotranferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), creatinine and urea nitrogen (UN) in sera of patients diagnosed leptospirosis. Total protein and albumin were decreased in 18.5% and 31.2% of patients, respectively. AST, ALT, ALP, UN and creatinine were increased in 90.4%, 66.9%, 28.0%, 15.9% and 10.8% of patients, respectively. We performed cellulose acetate membrane electrophoresis (EP) on sera of patients increased both of AST and ALT, and of patients increased both of creatinine and UN. In patients increased both of AST and ALT, and in patients increased both of AST and ALT, the relative percentage of albumin to total protein in patient serum was dcreased in 89.1 % of patients. α₁-globulin, α₂-globulin, β-globulin and γ-globulin were increased in 85.1 %, 75.2%, 33.6% and 98.0% of patients, respectively. In patients increased both of creatinine and UN, the relative percentage of albumin to total protein in patient serum was dcreased in 93.8% of patients. α₁-globulin, α₂-globulin, β-globulin and γ-globulin were increased in 87.5%, 100%, 31.2% and 93.8% of patients, respectively. These data indicate that infection of Leptospira causes severe liver damage to most of leptospirosis patients, but doesn't cause renal damage to most of them. The relative rate of serum protein electrophoresis fractions to total protein are not identical with them of typical hepatitis patient.

  • PDF

四鹽化炭素에 依한 肝損傷時 Guanase 活性 變動 (Changes in Liver and Serum Guanase Activity following Administration of Carbon Tetrachloride in Rats)

  • Kang, Hoe Yang;Yoon, Chong Guk
    • 한국환경보건학회지
    • /
    • 제12권1호
    • /
    • pp.25-38
    • /
    • 1986
  • This paper was intented to charily the cause of an increase of serum guanase activity in rats following injection of $CCI_4$. The cause of increasing serum guanase was focused on the change of guanase activities in both serum and liver, and additionally, these results were compared with the previously known alanine aminotransferase (ALT). Concomitantly the microscopic investigation on the histologic changes, and the determination of lipid peroxides of liver were combined in this experiment for a correlation to observe that the activity of guanase would be effected by the various degree of hepatic injury induced by $CCI_4$. The serum levels of guanase were increased about 2 fold in the fatty change stage (3-12 days), 5.2 fold representing the peak value in necrosis stage (21days), 4.5 fold in early cirrhosis stage (48 days), and 2 fold in severe cirrhosis stage (92 days). These changes of serum guanase activity showed similar patterns to those of ALT activity and lipid peroxides in liver cell. The changes of liver guanase activities showed an increase, whereas ALT activities in liver were markedly decreased. It is likely that the increase of serum guanase activity is based on the excess leaking of guanase into blood by the result of accelerated enzyme synthesis in liver cell of $CCI_4$ intoxicated rats. In addition, the possibility could not be ruled out, however, that the increase of serum guanase activity would be caused by the alteration of membrane permeability.

  • PDF

Serum Liver Enzyme Pattern in Birth Asphyxia Associated Liver Injury

  • Chhavi, Nanda;Zutshi, Kiran;Singh, Niranjan Kumar;Awasthi, Ashish;Goel, Amit
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제17권3호
    • /
    • pp.162-169
    • /
    • 2014
  • Purpose: To study temporal pattern of serum liver enzymes levels in newborns with hepatic injury associated with birth asphyxia (BA). Methods: Singleton term newborns with BA and ${\leq}72$ hours of age admitted to neonatal intensive care unit were prospectively enrolled. Term newborns with physiological jaundice and without BA were studied as controls. Serum liver enzymes were measured at <24 hours, 24-72 hours, and at 6-12 days of age for cases and at 1-6 days of age for controls. BA was defined by 1 minute Apgar score <7 or delayed or absent cry with hypoxic ischemic encephalopathy. BA-associated liver injury was defined as serum alanine aminotransferase (ALT) elevation beyond +2 standard deviation (ALT > +2 SD) above the mean of control subjects at any of the three time points. Results: Sixty controls and 62 cases were enrolled. Thirty-five cases (56%) developed BA-associated liver injury (ALT>81 IU/L). They had higher serum levels of ALT, aspartate aminotransferase, lactate dehydrogenase than the control infants, with peak at 24-72 hours. In controls, serum liver enzyme levels were significantly higher in appropriate-for-date (AFD) babies than small-for-date (SFD) babies. Serum enzyme pattern and extent of elevation were comparable between SFD and AFD babies. Degree of serum liver enzyme elevation had no relationship with severity of hypoxic encephalopathy. Conclusion: Serum liver enzyme elevation is common in BA; it peaks at 24-72 hours followed by a sharp decline by 6-12 days of age. Pattern and extent of enzyme elevation are comparable between SFD and AFD babies.

비만아에서 지방간의 예측 인자로서 혈청 Aminotransferase의 임상적 유용성 (The Clinical Usefulness of Serum Aminotransferase Activities for Predicting Fatty Liver in Obese Children)

  • 임선웅;전명원;박신애;최경단
    • Pediatric Gastroenterology, Hepatology & Nutrition
    • /
    • 제6권2호
    • /
    • pp.174-182
    • /
    • 2003
  • 목 적: 지방간은 여러 비만 합병증 중의 하나로 최근 소아 비만이 늘어나면서 그 유병률이 증가하고 있다. 소아에서 지방간은 대부분 양성 경과를 보이지만 일부에서는 지방 섬유화와 지방 간경변으로 진행된 사례도 보고되고 있어서 지방간의 조기 진단과 관리의 필요성이 증가하고 있다. 저자들은 비만아에서 간 효소치의 상승으로 지방간의 동반 유무 및 그 정도를 예측할 수 있는지 알아보고, 비만아에서 지방간을 예측할 수 있는 다른 예측인자에 대해 알아보고자 하였다. 방 법: 2002년 3월부터 2003년 7월까지 예수병원 소아과 비만 클리닉에 내원한 4세부터 16세사이의 환아 중 비만도가 20% 이상인 44례의 환아를 대상으로 하였다. 대상 환아의 비만도, 체질량지수를 측정하였고 체성분 분석, 간 효소치, 혈청 지질 검사 및 복부 초음파 검사를 시행하였다. 결 과: 1) 대상 환아의 평균 연령은 $10.3{\pm}2$세였고 남자는 29례, 여자는 15례였다. 비만도는 경도 비만은 15례(34%), 중등도 비만은 16례(36%), 고도 비만은 13례(30%)였다. 34례에서 복부 초음파를 시행하였는데 지방간이 없는 군은 15%, 경도 지방간은 29%, 중등도 지방간은 47%, 고도 지방간은 9%였다. 2) ALT치의 상승은 지방간이 동반된 비만아에서 89.7%, 지방간이 없는 비만아에서 40%였고, AST/ALT비가 1보다 작은 경우는 지방간이 동반된 비만아에서 96.6%, 지방간이 없는 비만아에서 60%로 지방간의 동반 유무에 따라 유의한 차이를 보였다(p<0.05). 3) ALT치의 상승과 AST/ALT비의 감소는 지방간의 정도와 유의한 상관관계를 보이지 않았다(p>0.05). 4) 지방간 군에서 고콜레스테롤혈증, 고중성지방 혈증이 있는 환아의 수가 비지방간 군에 비해 유의하게 높았으나(p<0.05) 나이, 비만도, 체지방률, 복부비만율, HDL 콜레스테롤, LDL 콜레스테롤과는 유의한 차이를 보이지 않았다(p>0.05). 결 론: 비만아에서 ALT치가 상승하거나 AST/ALT비가 1보다 작은 경우는 지방간의 동반을 예측하는데 유용한 것으로 나타났고 총 콜레스테롤, 중성 지방이 높은 경우 또한 지방간의 예측 인자로 나타났다. 따라서 지방간의 예측 인자가 동반된 비만아에서는 지방간이 동반되어 있을 가능성이 높으므로 비만에 대한 적극적이고 지속적인 관리가 필요할 것으로 생각된다. 그러나 ALT치의 상승과 AST/ALT비의 감소를 통해 지방간의 정도를 예측하는 것은 어려운 것으로 나타나 지방간의 진행정도를 알기 위해서는 초음파 검사 등의 추가적인 검사가 필요할 것으로 생각된다.

  • PDF

Clinical significance of serum alanine aminotransferase and lifestyle intervention in children with nonalcoholic fatty liver disease

  • Kwon, Kyoung Ah;Chun, Peter;Park, Jae Hong
    • Clinical and Experimental Pediatrics
    • /
    • 제59권9호
    • /
    • pp.362-367
    • /
    • 2016
  • Purpose: This study aimed to investigate the clinical significance of serum alanine aminotransferase (ALT) levels in children with nonalcoholic fatty liver disease (NAFLD) and the effect of lifestyle intervention on NAFLD. Methods: The clinical data of 86 children diagnosed with NAFLD were reviewed retrospectively. Forty-six patients belonged to the elevated ALT group and 40 to the normal ALT group. The clinical parameters of patients with NAFLD were also compared based on the status of ALT levels after lifestyle intervention. Results: Patients with elevated ALT had significantly higher body mass index (BMI) scores than those with normal ALT (P<0.05). Of all the patients with elevated ALT, 89% exhibited moderate or severe degree of fatty change in the liver on ultrasonographic examination, whereas most patients with normal ALT exhibited mild or moderate degree changes. Liver biopsy was performed in 15 children with elevated ALT and all showed mild histological changes. Of all patients with elevated ALT, 49% achieved normal ALT levels after lifestyle intervention. Those with more severe histological changes tended to have continuously increasing ALT levels. There was no correlation between the normalization of posttreatment ALT level and BMI, as well as ultrasonographic findings at diagnosis. Conclusion: ALT elevation in NAFLD is highly associated with higher BMI scores and more severe degree of fatty changes on ultrasonographic examination. Lifestyle intervention can significantly improve ALT in children with NAFLD. The degree of histologic changes appears to be a predictor of the treatment response to NAFLD.