• 대한본초학회지
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• 제32권6호
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• pp.23-29
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• 2017

Objective : Hyperuricemia is a metabolic disease characterized by elevated blood uric acid levels, and its prevalence is rapidly increasing worldwide. Alpiniae Oxyphyllae Fructus (AO) belonging to Zingiberaceae is one of well-known traditional medicines in China and Korea, and has been used to treat intestinal disorders, urosis, diuresis, and chronic glomerulonephritis traditionally. However, the effect of AO has not been studied. In this study we investigated the anti-hyperuricemic effect of AO, and the mechanisms underlying the effect in potassium oxonate (PO)-induced hyperuricemic rats. Methods : To examine the anti-hyperuricemic effects of the AO extract, serum uric acid levels were analyzed in normal and PO-induced hyperuricemic rats. The mechanism underlying the effects of the AO extract on uric acid levels was studied through xanthine oxidase (XOD) activity test and uric acid uptake assay in vitro. The chemical finger printing of the AO extract was analyzed using HPLC-DAD. Results : The AO extract significantly reduced serum uric acid levels in normal as well as PO-induced hyperuricemic rats. It also significantly inhibited the uptake of uric acid in oocytyes and human embryonic kidney cells (HEK293) expressing urate transporter (URAT)1, but not XOD activity in vitro. The chemical finger printing analysis of the AO extract showed nootkatone as a main component. Conclusion : The AO extract exhibits anti-hyperuricemic effects, and these effect were accompanied by increasing excretion of uric acid in kidney. Therefore, the AO extract could be used for prevention or treatment of hyperuicemia and gout.

• 한국응용과학기술학회지
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• 제38권5호
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• pp.1282-1291
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• 2021

본 연구는 NaF 경구 투여가 Sprague Dawley계 수컷 흰쥐의 혈청 중 non-esterified fatty acid (NEFA), blood urea nitrogen (BUN), creatinine, uric acid 및 전해질 농도에 미치는 영향을 조사하기 위하여, 기본식이를 급여한 대조군인 BG군과 기본식이에 NaF 경구 투여군(NF3~50군) 9그룹의 식이군으로 나누어 5주간 실험사육을 행하였다. 흰쥐의 NEFA와 BUN, creatinine, uric acid 농도는 NaF 농도에 비례적으로 증가하였으며, 고농도의 NaF 투여군에서 대조군보다 유의적인 차이로 높게 관찰되었다(𝛼=0.05). 한편, 전해질 농도 중 total calcium (T-Ca)과 인(Pi) 농도는 대조군보다 NaF 투여군에서 낮게 동정되었으며, NaF 20 mg 이상 경구 투여한 군에서 유의적인 차이를 보였다(𝛼=0.05). 흰쥐의 NaF 경구 투여 처리는 농도가 증가함에 따라 NEFA 및 BUN, creatinine, uric acid의 농도가 상승하였으며, 전해질 농도는 저하되는 것으로 나타나 신장 기능 장애 등 바람직하지 않은 영향을 주는 것으로 확인되었다.

• Childhood Kidney Diseases
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• 제25권2호
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• pp.78-83
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• 2021

Background: Uric acid levels in urine are measured using urine specimens 24 hours or by uric acid glomerular filtration rate (UAGFR) with spot urine, which additionally requires a blood sample. This study aimed to investigate whether urinary uric acid creatinine ratio (UUACr) obtained by spot urine alone could be recognized as a substitute for UAGFR value, and hyperuricosuria can be screened by UUACr. UUACr is known to vary with age and regional differences. This study focused on the reference value of each value in Korean young populations. Method: We enrolled Korean subjects 1-20 years with normal kidney function, from a single hospital, classified into 5 age groups, 1-5 years, 6-8 years, 9-12 years, 13-15 years, and 16-20 years. We checked spot urine uric acid, creatinine and serum uric acid, creatinine levels on the same day from February 2014 to December 2018. We measured the average of UAGFR and UUACr in each groups. The UUACr cut-off value of the upper 2 standard deviation (SD) of UAGFR were taken. Results: The upper 2 SD of UUACr (mg/mg) and UAGFR (mg/dL) were determined in all age groups. UUACr decreased with grown up (P=0.000), but UAGFR were not statistically different among the groups. UUACr and UAGFR were not significantly different by gender. UUACr and UAGFR were positively correlated; UUACr cut-off value of upper 2 SD UAGFR (0.54 mg/dL) was 0.65 mg/mg in total age. Conclusions: UUACr could potentially be used to screen for hyperuricosuria.

• Journal of Acupuncture Research
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• 제40권2호
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• pp.135-142
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• 2023

Background: This study aimed to investigate hyperuricemia, renal inflammation, and xanthine oxidase (XO) activity improvement in a rat model treated with Scutellaria baicalensis extract (SBE). Methods: The rats were divided into 4 groups (n = 5 each), including sham, potassium oxonate (PO) injected hyperuricemia (control group), PO + 10 mg/kg allopurinol administrated (allopurinol group), and a PO + 50 mg/kg SBE administrated (SBE group), to investigate the effectiveness and molecular mechanisms of SBE. The effects of SBE on PO-induced hyperuricemia rats, renal inflammation, and XO activity were measured. Body weight and organ index of the kidney and liver were measured in PO-induced hyperuricemia rats, and serum uric acid level was extracted from whole blood and was measured. Renal inflammation was observed under a microscope after sections. XO activity was measured by liver tissue and serum XO levels. Results: Organ indexes of the kidney and liver in rats were significantly decreased in the allopurinol group than in the control group and with no significant difference in the SBE group. A PO injection for 5 days significantly increased serum uric acid levels in the control group compared to the sham group. Meanwhile, the SBE and allopurinol groups have significantly decreased serum uric acid levels compared to the control group. The SBE group revealed effectively improved renal histopathological changes compared to the control group. The XO inhibitor, allopurinol, significantly decreased XO activity. Additionally, SBE significantly lowered XO activity in rats. Conclusion: SBE can be used as an effective treatment for gout in the future.

• Mass Spectrometry Letters
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• 제8권3호
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• pp.59-64
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• 2017

In clinical diagnosis, it's well known that the abnormal level of uric acid (UA) in human body is implicated in diverse human diseases, for instance, chronic heart failure, gouty arthritis, diabetes, and so on. As a primary method, an isotope dilution mass spectrometry (IDMS) has been used to obtain the accurate quantity of UA in blood or serum and also develop the certificated reference material (CRM) so as to provide a SI-traceability to clinical laboratories. Due to the low solubility of UA in water, an ammonium hydroxide ($NH_4OH$) has been considered as a promising solvent to increase the solubility of UA that enables the preparation of both UA and its isotope standard solution for next IDMS-based absolute quantification. But, because of using this $NH_4OH$ solvent, it gives rise to the unwanted degradation of UA. In this study, we sought to optimize condition for the stability of UA in $NH_4OH$ solution by varying the mole ratios of UA to $NH_4OH$, followed by ID-LC-MRM analysis. In addition, we also inspected minutely the effect of the storage temperatures. Additionally, we also performed the quantitative analysis of UA in the KRISS serum certificated reference material (CRM, 111-01-02A) with diverse mixing ratios of UA to $NH_4OH$ and then compared those values to its certification value. Based on our experiments, adjusting the mole ratio of 1/2 ($UA/NH_4OH$) with the storage temperature of $-20^{\circ}C$ is an effective way to secure both the solubility and stability of UA in $NH_4OH$ solution for next IDMS-based quantification of UA in serum.

• Journal of Korean Biological Nursing Science
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• 제15권4호
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• pp.237-246
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• 2013

Purpose: A few Korean studies have reported that low urine acidity and hyperuricemia are related to metabolic syndrome. Therefore, we evaluated the relationships between urine pH, serum Uric Acid (UA), and metabolic risk factors in university students. Methods: Data were obtained from student health examinations in one university. Participants were 3,412 male and 4,214 female students. Descriptive statistics, t-test, logistic regressions and multiple logistic regression using SPSS version 18.0 were performed. Results: No significant relationship was found between metabolic risk factors and urine pH. From the univariate analysis, serum UA was significantly higher in obese ($BMI{\geq}25$), elevated blood pressure ($SBP{\geq}130$ and $DBP{\geq}85$), and higher triglyceride (${\geq}150$) groups for males and in obese, higher triglyceride and fasting blood sugar (${\geq}100$), and lower HDL-cholesterol (<50) groups for females. From the results of multivariate analysis, age, BMI, and triglyceride were significantly related to serum UA in males, BMI and HDL-cholesterol were significantly related to serum UA in females. Conclusion: Although there was no significant relationship between urinary pH and metabolic risk factors, significant associations between some of the metabolic risk factors and serum UA were found in the young adult population. Further studies are required to know the exact pathway between serum UA and metabolic syndrome.

• 대한지역사회영양학회지
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• 제5권4호
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• pp.633-641
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• 2000

본 연구는 체중과다나 비만에서 총항산화능의 변화를 관찰하고, 총항산화능과 평소의 식사섭취상태와는 어떤 관계가 있는가를 관찰하고져 실시하였다. 20대의 젊은 남성을 대상으로 정상체중군(n = 17, BMI 20∼25, 비만지수 90∼110% 체지방 16∼20%)과 체중과다군(n = 13, BMI > 25, 비만지수 120%이상, 체지방 25%이상)으로 분류한 후, 인체계측, 생화학적 검사(총콜레스테롤, glucose, albumin, creatinine, GOT, GPT, uric acid), 식이섭취 조사(24회상법)를 실시하였다. 총항산화능은 체중과다군에서 유의적으로(p <0.01) 높게 나타났으며 , 측정된 생화학적 지수들에서는 uric acid의 함량이 체중과다군에서 유의하게(p<0.05) 높았다 평소의 식이섭취 상태는 두 군 모두 칼슘과 비타민 B2의 섭취량이 권장량에 비해 부족한 것으로 나타났으며, 체중과다군에서 비타민 C(p <0.05)의 섭취량이 유의적으로 낮게 나타났다. U-carotene과 비타민 E 섭취량에는 두 군간 차이가 없었고, 채소와 과일의 섭취량은 체중과다군이 적게 섭취한 반면, 음주와 흡연량은 체중과다군이 더 높게 나타났다. 두 군 모두 식사의 질은 양호하였다. 총항산화능 및 uric acid 함량과 측정지표들간의 상관관계를 살펴본 결과에서는 두 군 모두에서 총항산화능 및 uric acid 함량에서 서로 다른 경향을 보였다. 체중과다군에서는 총항산화능과 음주량이 부( - )의 상관 관계를 보였으며, uric acid 함량과 BMI, 비만지수, 및 총항산화능은 유의적인 정 (+)의 상관관계를 보였다. 이상의 결과에서 체중과다군은 정상체중군에 비해 총항산화능에 유의적인 차이가 있었으며 식이섭취상태와의 관련성은 나타나지 않았다. Uric acid 함량의 측정은 총항산화능과 정 (+)의 상관관계를 보여 또 다른 항산화능을 나타내주는 좋은 지표임을 알 수 있었다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권1호
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• pp.23-30
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• 2006

목 적: 급성 장염은 소아의 유병률과 사망률의 중요한 원인이기 때문에, 탈수 정도를 정확하게 평가하여 교정하는 것이 매우 중요하다. 이러한 탈수평가에서 임상적 척도들과 검사실 지표들의 효용성이 비교 연구되어 왔고, 검사실 지표들의 효용성이 비교 연구되어 왔고, 검사실 지표들 중 BUN, creatinine, 중탄산엽, 혈당, 요비중 등이 쉽게 검체를 얻을 수 있고 신속하게 결과를 알 수 있어 많이 연구되어 왔다. 본 연구는 이러한 검사실 지표들과 함께 요산을 체중 변화에 의한 탈수의 정도와 비교하고자 하였다. 방 법: 2002년 6월부터 2003년 12월까지 관동대학교 명지병원에 장염으로 인한 탈수증세로 입원한 환자 90명을 대상으로 하였다. 수액치료를 하기 전에 각각의 환자의 체중을 측정하였고, 퇴원 전에 다시 체중을 측정하여, ([최종 체중-초기 체중/최종체중]${\times}100$)으로 환아의 체중 감소량을 측정하여 각각 경증, 중등도, 중증 탈수군으로 분류하여, BUN, creatinine, 혈청 중탄산염, 혈당, 혈청 요산, 요비중과 비교하였다. 결 과: 경증 탈수군은 54명으로 전체의 60%, 중등도 탈수군은 24명으로 전체의 26%, 중증 탈수군 12명으로 전체의 14%에 해당하여 경증 탈수군이 가장 많은 비율을 차지한 것으로 나타났다. BUN, creatinine, 혈청 중탄산염, 혈당, 요비중은 탈수 정도와 통계학적으로 유의하지 않았으나, 요산은 통계학적으로 유의한 결과를 보였다. 혈청 요산 7 mg/dL을 기준으로 중등도 이상의 탈수 예측치의 민감도와 특이도를 조사한 결과 민감도는 66.6%, 특이도는 87.1%, 양성 예측도는 77.4%, 음성 예측도는 79.6%이었다. 결 론: 본 연구에 혈청 요산이 탈수 정도와 연관이 있었다. 따라서 임상적 지표와 함께 혈청 요산을 탈수 판단의 지표로 사용했을 경우 소아장염 환아에서 조기에 탈수 정도를 파악하는데 도움을 줄 수 있을 것으로 생각되나 이에 대해서는 좀 더 광범위한 연구가 필요할 것으로 사료된다.

• Genomics & Informatics
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• 제12권4호
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• pp.231-235
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• 2014

Elevated serum uric acid levels are associated with a variety of adverse health outcomes, including gout, hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular diseases. Several genome-wide association studies on uric acid levels have implicated the ATP-binding cassette, subfamily G, member 2 (ABCG2) gene as being possibly causal. We investigated an association between the single-nucleotide polymorphism (SNP) rs2725220 in the ABCG2 gene and uric acid levels in the Korean population. A total of 991 subjects in Seoul City were used for a replication study with ABCG2 SNP rs2725220. The rs2725220 SNP in the ABCG2 gene was associated with mean uric acid levels (effect per allele 0.25 mg/dL, p < 0.0001). Subjects with the GC/CC genotype had a 1.78-fold (range, 1.22- to 2.62-fold) higher risk of having abnormal uric acid levels (${\geq}7.0mg/dL$) than subjects with the GG genotype. When analyzed by gender, the association with ABCG2 was stronger in men than in women. The association with ABCG2 was much stronger in male subjects with body mass index (BMI) ${\geq}26.4$ (odds ratio, 5.09; 95% confidence interval, 2.41 to 10.8) than in male subjects with BMI < 26.4. This study clearly demonstrates that genetic variations in ABCG2 influence uric acid levels in Korean adults.

• 대한한의학회지
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• 제18권2호
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• pp.283-315
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• 1997

The effects of Geumguesingitang and Dohongsamultang on rats with nephrosis induced by a single tail-intravenous injection of puromycin aminonucleoside(PAN), 2.5mg/l00g of body weight were evaluated in the present study. The effects of Geumguesingitang and Dohongsamultang on PAN nephrosis were evaluated by measuring (1)the concentrations of albumin, total protein, total lipid, cholesterol, triglyceride, creatinine, blood urea nitrogen(BUN) and uric acid in the serum, (2)the concentrations of protein, creatinine, glucose, occult blood and volume of the 24 hours urine and (3)the volume of intake water. The results are summerized as follows; 1. In the Control group as compared to the Normal. the amount of protein of 24 hours urine was significantly increased, the concentrations of albumin and total protein were significantly decreased. Total lipid, cholesterol and triglyceride in the serum were significantly increased. The concentrations of creatinine, BUN, uric acid in the serum, the amount of glucose and occult blood of 24 hours urine were also increased significantly. 2. In the Geumguesingitang group as compared to the Control, the increase in the amount of urinary protein during 24 hours induced by PAN was significantly suppressed, and the concentrations of total protein and albumin in the serum were significantly increased. The concentrations of total lipid, cholesterol and triglyceride in the serum were significantly inhibited. The decrease of the concentrations of creatinine and uric acid in the serum were also observed significantly. 3. In the Dohongsamultang group as compared to the Control, the increase of the amount of protein and glucose of the 24 hours urine induced by PAN were significantly inhibited, and the concentrations of total protein and albumin in the serum were increased significantly. The concentrations of total lipid, cholesterol and triglyceride in the serum were decreased significantly. The decrease of the concentrations of creatinine and uric acid in the serum were observed significantly. It can be inferred that Geumguesingitang has effects on improving proteinuria, hypoproteinemia effectively. It has an effect on hyperlipidemia significantly relieved. And relieving azotemia when nephrotic syndrome is accompanied by the acute renal failure. It can be inferred that Dohongsamultang improves hyperlipidemia effectively. It has effects on proteinuria, hypoproteinemia in nephrotic syndrome significantly relieved. And relieving azotemia when nephrotic syndrome is accompanied by the acute renal failure.