• The Korean Journal of Physiology
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• 제21권2호
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• pp.241-257
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• 1987

The effects of external $Ca^{2+}$ and $Ca^{2+}-antagonists$ on the spontaneous contractions and electrical activities were investigated in guinea-pig stomach in order to clarify the mechanism for the generation of slow waves. Electrical responses of circular smooth muscle cells were recorded using glass capillary microelectrodes filled with 3 M KCl. All experiments were performed in tris-buffered Tyrode solution which was aerated with 100% $O_2$ and kept at $35^{\circ}C$. The results obtained were as follows: 1) The amplitude of spontaneous contractions was maximal at around 2-4 mM $Ca^{2+}$, whereas their frequency was inversely related with external $Ca^{2+}$ within the range of 0.5 to 16 mM $Ca^{2+}$. 2) Verapamil suppressed the amplitude of spontaneous contraction in a dose-dependent manner, while the frequency of spontaneous contractions was almost not changed over the whole concentration of verapamil $(0.01{\sim}5\;mg/l)$. 3) Manganese increased both the amplitude and the frequency of spontaneous contractions dose-dependently in low $Mn^{2+}$ (below 0.05 mM $Mn^{2+}$), while their amplitude and frequency were decreased in high $Mn^{2+}$ (above 0.1 mM $Mn^{2+}$). 4) The ampltude and maximum rate of rise of slow waves were incrased in high $Ca^{2+}$ solution. In $Ca^{2+}-free$ solution, the spontaneous contractions recorded simultaneously with slow waves ceased and tonic contraction ($Ca^{2+}-free$ contracture) was developed in parallel with membrane depolarization and the disappearance of slow waves. 5) Verapamil (1 mg/1) decreased the amplitude and maximum rate of rise of slow waves and it depolarized the membrane by about 6 mV, whereas the frequency of slow waves was not affected by verapamil. 6) Manganese showed different characteristic effects between low and high $Mn^{2+}$ on the slow waves: In low $Mn^{2+}$ (0.05 mM $Mn^{2+}$), the initial rapid increases and the subsequent gradual decreases in three parameters of slow waves (amplitude, rate of rise, and frequency of slow waves) till a new steady state were observed. However, in high $Mn^{2+}$ (0.5 mM $Mn^{2+}$) slow waves disappeared and membrane was depolarized. From the above results, the following conclusions could be made: 1) $Ca^{2+}$ is necessary for a generation of the slow waves, even though it is small amount. 2) Verapamil suppresses the spontaneous contractions of gastric antral strip by the decreases in amplitude and maximum rate of rise of slow waves, while this drug does not block the $Ca^{2+}-channel$ involved in the generation of slow waves. 3) Manganese has dual actions on the $Ca^{2+}-channels$; the $Ca^{2+}-channel$ involved in the generation of slow waves (or Na-Ca exchange system) or the channel for the generation of spike potentials are stimulated by a low concentration of $Mn^{2+}$, while both the $Ca^{2+}$. Channels are blocked by high concentration of $Mn^{2+}$.

• Toxicological Research
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• 제14권3호
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• pp.333-339
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• 1998

Sambutoxin, a newly purified mycotoxin in Koea, caused hemorrhage in the stomach and intestine of rats. To elucidate the mechanism of hemorrhage, effects of sambutoxin on rabbit platelet aggregation were investigated. First of all, the effects of sambutoxin on the platelet aggregation response and ATP release from platelet by various appregating factors were investigated. And then the role of $Ca^{2+}$ on the platelet aggregation was investigated by flow cytometer. Finally, morphological effect of sambutoxin on platelet ultrastructure was examined by transmission electron microscope. Sambutoxin inhibited aggregation induced by ADP, collagen, thrombin, and arachidonic acid and decreased platelet activating factor-induced disaggregation time in a dose dependent manner. Sambutoxin also decreased thrombin and arachidonic acid-induced ATP release, but increased all factors induced $Ca^{2+}$ release. Sambutoxin showed severe ultrastructural changes of platelet such as appearance of disorganization debri of cellular organelle in intercellular space. Our results indicate that sambutoxin inhibitis rabbit platelet aggregation, and it may be party due to the decrease of ATP release. However, it is not clear whether the antiaggregating effect of sambutoxin is related to $Ca^{2+}$ increase.

• The Korean Journal of Physiology
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• 제28권1호
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• pp.37-50
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• 1994

Synthetic potassium channel openers (KCOs) are agents capable of opening K-channels in excitable cells. These agents are known to have their maximal potency in the smooth muscle tissue, especially in the vascular smooth muscle. Much attention has been focused on the type of K-channel that is responsible for mediating the effects of KCOs. As the KCO-induced changes are antagonized by glibenclamide, an $K_{ATP}$ (ATP-sensitive K-channel) blocker in the pancreatic ${\beta}-cell,\;K_{ATP}$ was suggested to be the channel responsible. However, there also are many results in favor of other types of K-channel $$(maxi-K,\;small\;conductance\;K_{Ca,}\; SK_{ATP}) mediating the effects of KCOs. Effects of lemakalim, (-)enantiomer of cromakalim (BRL 34915), on the spontaneous contractions and slow waves, were investigated in the antral circular muscle of the guinea-pig stomach. Membrane currents and the effects on membrane currents and single channel activities were also measured in single smooth muscle cells and excised membrane patches by using the patch clamp method. Lemakalim induced hyperpolarization and inhibited spontaneous contractions in a dose-dependent manner. These effects were blocked by glibenclamide and low concentrations of tetraethyl ammonium (< mM). Glibenclamide blocked the effect of lemakalim on the membrane potential and slow waves. The mechanoinhibitory effect of lemakalim was blocked by pretreatment with glibenclamide. In a whole ceIl patch clamp condition, lemakalim largely increased outward K currents. These outward K currents were blocked by TEA, glibenclamide and a high concentration of intracelIular EGTA (10 mM). Volatage-gated Ca currents were not affected by lemakalim. In inside-out patch clamp experiments, lemakalim increased the opening frequency of the large conductance $Ca^{2+}-activated$ K channels $(BK_{Ca},\;Maxi-K).$ From these results, it is suggested that lemakalim induces hyperpolarization by opening K-channels which are sensitive to internal Ca and such a hyperpolarization leads to the inhibition of the spontaneous contraction.

• The Korean Journal of Physiology
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• 제27권2호
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• pp.115-122
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• 1993

There is evidence that noradrenaline enhances spontaneous contractions dose-dependently in guinea-pig antral circular muscle. To investigate the mechanism of this excitatory action, slow waves and membrane currents were recorded using conventional microelectrode techniques in muscle strips and the whole cell patch clamp technique in isolated gastric myocytes. On recording slow waves, noradrenaline $(10^{-5}\;M)$ induced the hyperpolarization of the membrane potential, although the shape of the slow waves became tall and steep. Also, spike potentiaIs occurred at the peaks of slow waves. These changes were completely reversed by administration of phentolamine $(10^{-5}\;M),\;an\;{\alpha}-adrenoceptor$ blocker. Noradrenaline-induced hyperpolarization was blocked by apamin $(10^{-7}\;M)$, a blocker of a class of $Ca^{2+}\;-dependent\;K^+$ channels. To investigate the mechanisms for these effects, we performed whole cell patch clamp experiments. Norndrenaline increased voltage-dependent $Ca^{2+}$ currents in the whole range of test potentials. Noradrenaline also increased $Ca^{2+}\;-dependent\;K^+$\;currents, and this effects was abolished by apamin. These results suggest that the increase in amplitude and the generation of spike potentials on slow waves was caused by the activation of voltage-dependent $Ca^{2+}$ channel via adrenoceptors, and hyperpolarization of the membrane potential was mediated by activation of apamin-sensitive $Ca^{2+}\;-dependent\;K^+\;channels$.

• 핵의학기술
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• 제25권2호
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• pp.25-28
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• 2021

CA 72-4는 두 종류의 단일클론항체 CC49와 B72.3을 사용하여 혈청 내 종양관련단백인 TAG-72(tumor associated glycoprotein 72)를 측정 하여 결과를 나타내는 종양표지자이다. CA 72-4는 위암, 난소암, 췌장암등의 진단에 사용되고 있으며 특히 위암에 높은 특이도를 나타내는 것으로 알려져 있다. 본 연구는 CA 72-4의 참고치 재검증을 통하여 제조사에서 제공하는 참고치를 재평가 하고, 나아가 임상에서 보다 정확한 진단을 내리는데 유용한 도움을 주고자 진행하였다. 2020년 11월 국립암센터 건강검진센터에서 건강검진을 진행한 환자 271명을 대상으로 하였다. 대상자의 성별은 남자 140명 여자 131명 이었고, 30대부터 60대까지의 환자를 대상으로 진행하였다. 시약은 CA 72-4 IRMA KIT (ISOTOPES, Hungary)를 사용하였고, 감마카운터는 Dream Gamma-10(신진메딕스, Korea)을 사용하여 측정하였다. 종양표지자 참고치 설정 시 주로 사용하는 Hoffmann 법과 Bayesian 법으로 통계처리 하였다. 대상자 271명의 CA72-4를 측정한 결과 평균(Mean, M)값은 4.54 U/mL 이었고 중앙값(Median)은 3.30 U/mL 이었다. 3SD(standard deviation)를 벗어난 24명의 값을 제외하고 측정한 결과 M값은 3.53 U/mL, 중앙값은 3.00 U/mL, SD는 1.89 이었다. 이 값을 토대로 계산한 참고치 값은 7.31 U/mL 이었다. 제조사에서 제공되는 참고치는 4 U/mL 이하이며 이것은 본 연구에서 계산되어진 값인 7.31 U/mL과는 다소 차이가 있어 검사실 환경에 맞게 참고치 재설정이 필요해 보인다. 현재 국립암센터 위암센터에서는 지속적으로 현재 사용하고 있는 참고치에 관하여 문의가 오고 있다. 이번에 진행된 연구와 더불어 추가적인 연구를 진행한다면 보다 정확한 참고치 설정이 가능할 것이다.

• The Korean Journal of Physiology
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• 제25권2호
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• pp.147-158
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• 1991

The effects of noradrenaline on the spontaneous contraction recorded from a strip of mucosa-free antral circular muscle were studied in the guinea-pig stomach, and the changes in slow waves and membrane resistance were analyzed in order to elucidate the mechanism for the excitatory response to noradrenaline. Electrical responses of circular muscle cells were recorded using glass microelectrodes filled with 3 M KCI. Electrotonic potentials were produced to estimate membrane resistance by the partition stimulating method. All experiments were performed in tris-buffered Tyrode solution which was aerated with 100% $O_2$ and kept at $35^{\circ}C$. The results obtained were as follows: 1) The spontaneous contractions were potentiated dose-dependently by the application of noradrenaline. 2) Through the experiments using adrenoceptor-blockers, the strong excitatory effect via $[\alpha}-adrenoceptors$ and the weak inhibitory efffect via ${\beta}-adrenoceptors$ were noted. 3) Noradrenaline produced hyperpolarization of membrane potential, and increases in the amplitude and the maximum rate of rise of slow waves. 4) In the presence of apamin, Ca-dependent K channel blocker, the characteristic hyperpolarization was not developed. However, the excitatory effect of noradrenaline on spontaneous contraction remained. 5) Membrane resistance was reduced during the hyperpolarized state by the application of noradrenaline, and the change of membrane resistance and the hyperpolarized state were completely abolished by apamin. From the above results, following conclusions could be made: Excitatory responses to noradrenaline result from the dominant ${\alpha}-excitatory$, and the weak ${\beta}-inhibitory$ action of noradrenaline. Hyperpolarization of membrane potential by noradrenaline is due to the activation of Ca-dependent K channel.

• Journal of Pharmaceutical Investigation
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• 제29권4호
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• pp.323-327
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• 1999

To protect ${\beta}-carotene$ at the stomach and to release rapidly at the intestine we prepared alginate beads containing ${\beta}-carotene$. ${\beta}-carotene$ and alginate solution was homogenized and prepared o/w emulsion was prepared. It was poured into $Ca^{2+}$ solution through syringe needle. The gel was formed spontaneously and alginate beads containing ${\beta}-carotene$ were prepared. ${\beta}-Carotene$ was incorporated into the beads more than 95%. The release rate of ${\beta}-carotene$ was dependent on the concentration of $Ca^{2+}$, ${\beta}-carotene$ and surfactants. However, the concentration of alginate did not affect the release rate of ${\beta}-carotene$. The high concentration of $Ca^{2+}$ slowed down the release rate of ${\beta}-carotene$. The addition of surfactants in the ${\beta}-carotene$beads increased the release rate of ${\beta}-carotene$ in the order of Tween 80 > Cremophor > Span 20. The contents of ${\beta}-carotene$ and diameter of ${\beta}-carotene$ beads did not change significantly at $50^{\circ}C$ for 20 days.

• The Korean Journal of Physiology and Pharmacology
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• 제4권3호
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• pp.227-234
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• 2000

Many reports suggest that neurotensin (NT) in the gastrointestinal tract may play a possible role as a neurotransmitter, a circulating hormone, or a modulator of motor activity. NT exerts various actions in the intestine; it produces contractile and relaxant responses in intestinal smooth muscle. This study was designed to investigate the effect of NT on motility of antral circular muscle strips in guinea-pig stomach. To assess the role of $Ca^{2+}$ influx in underlying mechanism, slow waves were simultaneously recorded with spontaneous contractions using conventional intracellular microelectrode technique. At the concentration of $10^{-7}$ M, where NT showed maximum response, NT enhanced the magnitude $(863{\pm}198%,\;mean\;SEM,\;n=13)$ and the frequency $(154{\pm}10.3%,\;n=11)$ of spontaneous contractions. NT evoked a slight hyperpolarization of membrane potential, tall and steep slow waves with abortive spikes $(278{\pm}50%,\;n=4).$ These effects were not affected by atropine $(2\;{\mu}M),$ guanethidine $(2\;{\mu}M)$ and tetrodotoxin (0.2μM). NT-induced contractile responses were abolished in $Ca^{2+}-free$ solution and reduced greatly to near abolition by $10\;{\mu}M$ of verapamil or 0.2 mM of $CdCl_2.$ Verapamil attenuated the effects of NT on frequency and amplitude of the slow waves. Taken together, these results indicate that NT enhances contractility in guinea-pig gastric antral circular muscle and $Ca^{2+}$ influx through the voltage-operated $Ca^{2+}$ channel appears to play an important role in the NT-induced contractile mechanism.

• The Korean Journal of Physiology
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• 제24권1호
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• pp.1-13
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• 1990

기니피그 유문동 부위를 절제한 뒤 점막층을 박리하고 윤상근 주행방향으로 길이 10 mm, 너비 2 mm 되는 조직 절편을 만들어 수평형 실험용기에 넣어 핀으로 고정하였다. 유리미세전극을 세포내에 삽입하여 서파를 기록하면서 조직양편에 설치한 백금자극전극(직경 0.5 mm)에 강도 $10{\sim}50V$, 기간 $50{\sim}100\;{\mu}s$ 되는 자극파를 주어 신경-근 부위의 접합부 전압을 기록하여 다음과 같은 결과를 얻었다. 1) 위저부에서는 흥분성 접합부 전압이, 유문동에서는 억제성 접합부 전압이 기록되었고 유문동의 억제성 접합부 전압은 atropine($10^{-6}\;M)$과 guanethidine$(5{\times}10^{-6}\;M)$을 동시 처치했을 때 영향을 받지 않았다. 2) 세포외 $Ca^{2+}$ 농도를 높였을 때(7 mM)는 억제성 접합부 전압의 크기가 증가하고 세포외 $Mg^{2+}$ 농도를 높였을 때(5 mM)와 verapamil($10^{-5}\;M$)을 주었을 때는 억제성 접합부 전압의 크기가 감소하였다. 3) 아데노신을 투여하였을 때와 ATP를 투여했을 때는 모두 억제성 접합부 전압의 크기가 감소하였다. 4) 5-HT$(10^{-6}\;M)$을 투여했을 때는 서파크기에는 변화없이 억제성 접합부 전압의 크기만 감소하였고 5-HT type 2 길항제인 ketanserin$(5{\times}10^{-6}\;M)$을 투여했을 때는 서파크기는 현저히 감소한 반면 억제성 접합부 전압크기는 변화가 없었다. 이상의 결과로부터 유문동에서 기록되는 억제성 접합부 전압은 비아드레날린, 비콜린 동작성 신경에 의해 유발되며 $Ca^{2+}$은 비아드레날린 비콜린 동작성 신경에서 신경흥분전달물질의 유리를 촉진시키고 분비된 신경흥분전달물질로 인해 $Ca^{2+}$ 의존성 $K^{+}$ 통로가 활성화되어 억제성 접합부 전압의 크기를 증가시킨다고 사료된다.

• Journal of Gastric Cancer
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• 제14권4호
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• pp.221-228
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• 2014

Purpose: This study aimed to evaluate the value of serum carcinoembryonic antigen (CEA) and carbohydrate antigen 19-9 (CA19-9) levels to detect gastric cancer recurrence. Materials and Methods: We retrospectively reviewed 154 patients who developed recurrence within 2 years after curative gastric cancer surgery and analyzed the relationship between postoperative CEA and CA19-9 levels and recurrence. We readjusted the cut-off values to improve the detection of recurrence. Subgroup analysis according to clinicopathologic variables was performed to further investigate the relationship between recurrence and CEA and CA19-9 levels. Results: The sensitivity and specificity for elevated CEA levels to detect recurrence were 40.6% and 89.5%, respectively, and those for CA19-9 were 34.2% and 93.6%, respectively. The sensitivity and specificity for elevation of either tumor marker were 54.3% and 84.0%, respectively; those for elevation of both tumor markers were 19.2% and 98.4%, respectively. By readjusting the cut-off values from 5.0 ng/ml to 5.2 ng/ml for CEA and from 37.00 U/ml to 30.0 U/ml for CA19-9, the sensitivity was increased from 34.2% to 40.2% for CA19-9, while there was no increase in sensitivity for CEA. In subgroup analysis, the sensitivity of CEA was higher in patients with elevated preoperative CEA levels than in patients with normal preoperative CEA levels (86.7% versus 33.7%; P<0.001). Furthermore, the sensitivity of CA19-9 was higher in patients with elevated preoperative CA19-9 levels than in patients with normal preoperative CA19-9 levels (82.61% versus 26.83%; P<0.001). Conclusions: CEA and/or CA19-9 measurement with the readjusted cut-off values allows for more effective detection of gastric cancer recurrence.