• Childhood Kidney Diseases
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• 제13권1호
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• pp.21-25
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• 2009

2008년 말 발생한 멜라민 파동은 멜라민에 오염된 분유를 섭취한 영아들에서 요로계 결석이 발생한 것으로부터 비롯되었다. 멜라민 관련 요로계 결석의 위험인자는 3세 미만의 나이, 많은 멜라민 섭취량과 탈수, 요산의 요 배설량 증가 등의 일반적인 요로계 결석 위험인자의 동반이다. 멜라민 관련 결석은 주 성분이 요산이므로 수분 공급과 소변 알칼리화의 보존적인 치료로 회복되는 경우가 대부분이다.

• 한국자기공명학회논문지
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• 제15권1호
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• pp.54-68
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• 2011

$^1H$ nuclear magnetic resonance (NMR) spectroscopy of biological samples has been proven to be an effective and nondestructive approach to probe drug toxicity within an organism. In this study, ketoprofen toxicity was investigated using $^1H$-NMR spectroscopy coupled with multivariate statistical analysis. Histopathologic test of ketoprofen-induced acute gastrointestinal damage in rats demonstrated a significant dose-dependent effect. Furthermore, principal component analysis (PCA) derived from $^1H$-NMR spectra of urinary samples showed clear separation between the vehicle-treated control and ketoprofen-treated groups. Moreover, PCA derived from endogenous metabolite concentrations through targeted profiling revealed a dose-dependent metabolic shift between the vehicle-treated control, low-dose ketoprofen-treated (10 mg/kg body weight), and high-dose ketoprofen-treated (50 mg/kg) groups coinciding with their gastric damage scores after ketoprofen administration. The resultant metabolic profiles demonstrated that the ketoprofen-induced gastric damage exhibited energy metabolism perturbations that increased urinary levels of citrate, cis-aconitate, succinate, and phosphocreatine. In addition, ketoprofen administration induced an enhancement of xenobiotic activity in fatty oxidation, which caused increase levels of N-isovalerylglycine, adipate, phenylacetylglycine, dimethylamine, betaine, hippurate, 3-indoxylsulfate, N,N-dimethylglycine, trimethyl-N-oxide, and glycine. These findings demonstrate that $^1H$-NMR-based urinary metabolic profiling can be used for noninvasive and rapid way to diagnose adverse drug effects and is suitable for explaining the possible biological pathways perturbed by nonsteroidal anti-inflammatory drug toxicity.

• Radiation Oncology Journal
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• 제26권4호
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• pp.237-246
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• 2008

목 적: 국소적 전립선암에 대한 근치적 목적의 방사선치료시 3차원 입체조형방사선치료(3-dimensional conformal radiotherapy, 3DCRT) 또는 세기조절방사선치료(intensity modulated radiotherapy, IMRT)를 시행하면 직장의 부작용이 현저히 감소하지만 비뇨기계 부작용의 발생률은 감소하지 않는다. 방사선 치료로 인한 급성 비뇨기계 부작용은 환자의 삶의 질을 저하시킬 뿐 아니라 만성 비뇨기계 부작용의 발생을 증가시킨다. 따라서 비뇨기계 부작용을 줄이기 위해 방광을 채운 상태에서 방사선치료를 하는 방법이 제안되었는데 이 경우 방사선 조사야에 포함되는 방광의 면적이 줄어들어 부작용이 감소한다고 알려져 있다. 본 연구에서는 전립선암의 방사선치료시 방광의 부피가 급성 비뇨기계 부작용에 미치는 영향에 대하여 알아보고자 한다. 대상 및 방법: 전립선암으로 근치적 목적의 방사선치료를 받은 환자 42명을 대상으로 하였으며 대조군과 실험군이 각각 21명씩 포함되었다. 대조군은 본 연구가 계획되기 전에 방광 조절을 하지 않고 방사선치료를 시행 받은 환자 중 무작위로 추출하였고, 실험군은 치료 1시간 전 450 ml의 물을 마셔 방광을 채운 상태에서 방사선치료를 받은 환자들이었다. 모의치료시 설계용 CT와 초음파를 이용하여 방광의 부피를 측정하였고, 실험군에서는 방사선 치료 기간 동안 초음파로 매주 방광의 부피를 측정하였다. 결 과: 모의치료시 초음파로 측정한 방광의 부피와 CT로 측정한 방광의 부피는 유의한 상관성을 보여(r=0.679) 방광 부피를 측정하는 데 있어 초음파의 정확성을 확인하였다. 실험군에서 같은 양의 물을 마셔도 방광의 부피는 환자에 따라 차이가 컸고(범위 $22{\sim}352\;ml$), 방사선치료 기간 동안 방광의 부피는 일정하게 유지되지 않았다. 그러나 모의치료시 방광의 부피가 컸던 환자는 치료기간 중에도 방광의 부피가 큰 경향을 보였다. 실험군의 방광 부피는 평균 $299{\pm}155\;mL$이었고 대조군은 평균 $187{\pm}155\;ml$로, 일정량의 물을 마시면 방광 조절을 하지 않았을 때보다 방광 부피가 유의하게 증가하였고(p=0.009), 실험군에서 급성 비뇨기계 부작용이 대조군보다 감소하였지만 통계적으로 유의하지는 않았다 또한 방광의 부피가 클수록 부작용이 감소하는 경향을 보였고, 모의치료시 CT로 측정한 방광의 부피가 150 ml 이상이면 1등급과 2등급의 비뇨기계 부작용이 현저히 감소하였다(p=0.023). 치료 기간 중의 방광 부피에 따른 부작용 발생률은 통계적으로 유의한 변화를 보이지 않았으나 방광의 부피가 클수록 1등급 부작용이 감소하는 경향을 보였고, 100 ml 이상인 경우에는 모든 등급의 부작용이 감소하는 경향을 보였다. 결 론: 방광을 채우고 방사선치료를 할 때 치료 기간 중 방광의 부피가 일정하게 유지되지 않았음에도 불구하고 방광 조절을 하지 않았을 때보다 비뇨기계 급성 부작용이 감소하는 경향을 보였고, 모의치료시 방광 부피가 150 mL 이상인 경우 부작용은 현저히 감소하였다. 따라서 전립선암 환자에서 방사선치료를 할 때 방광을 채우는 것이 급성 비뇨기계 부작용을 줄이는 데 도움이 될 것으로 생각한다.

• Journal of Nutrition and Health
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• 제29권5호
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• pp.461-471
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• 1996

This study was performed to investigate the effect of dietary protein and cysteine levels on cadmium toxicity in rats. Seventy-two male rats of Sprague-Dawley strain weighting 171$\pm$3g were blocked into 12 groups according to body weight, and were raised for 30 days. cadmium chloride was given at levels of 0 or 400ppm, protein at levels of 7, 15 and 40%, and cysteine was added(total dietary cysteine contents : 0.45%) to diet or not. The results are summarized as follow. Food intake, weight gain, food were lower than those of cadmium free group. But, these were increased with increasing dietary protein level and cysteine addition. Fecal cadmium excretion was remarkably increased in high protein (40%) groups. Thus, cadmium retention rates were decreased in high protein groups. Metallothionein concentrations in liver and kidney were increased in cysteine addition, and cadmium administration. Especially, these were remarkably increased in cadmium and cysteine added groups. Urinary calcium excretion was increased with cadmium administration, but urinary protein excretion and creatinine clearance were not changed in these animal. In conclusion, food intake, weight gain and organ weights were decreased with administration. Cadmium toxicity was alleviated by increasing fecal cadmium excretion, while cysteine addition increased metallothionein concentrations in liver and kidney. From these results, it was shown that cadmium toxicity was alliviated by synergistic effect of high protein level and cysteine addition.

• 고려인삼학회:학술대회논문집
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• 고려인삼학회 1990년도 Proceedings of International Symposium on Korean Ginseng, 1990, Seoul, Korea
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• pp.132-136
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• 1990

The metabolic disturbance and nephrotoxicity induced by sodium dichromate (20 mg/kg, SC) have been diminished by the administration of Korean red ginseng extract (100 mg/kg, PO). Red ginseng has a powerful potency on the blood urea nitrogen (BUN) increment shown in the early 2h after dichromate intoxication. It normalized the dichromate induced hepatic glycogenolysis. The effect of red ginseng on dichromate induced nephrotoxicity was investigated by hematological analysis, and urinalysis. Ginseng treatment significantly reduced the increases in the urinary excretion of protein and glucose. These effects were dose dependent. Ginseng protected the accumulation of BUN and cretonne in the blood, caused by dichromate intoxication. Unlike CaEDTA, ginseng did not change the urinary excretion chromium. And it could not convert htxavalent chromium to trivalent chromium. These results suggest that ginseng treatment is effective in decreasing the metabolic disturbance, one of the earliest signs of dichromate toxicity, resulting in the protective effect of dichromate induced renal damage.

• Journal of Ginseng Research
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• 제14권2호
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• pp.274-278
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• 1990

The metabolic disturbance and nephrotoxicity induced by sodium dichromate (20 mg/kg, SC) have been diminished by the administration of Korean red ginseng extract (100 mg/kg, PO). Red ginseng has a powerful potency on the blood urea nitrogen (BUN) increment shown in the early 2h after dichromate intoxication. It normalized the dichromate induced hepatic glycogenolysis. The effect of red ginseng on dichroamte induced nephrotoxicity was investigated by hematological analysis, and urinalysis. Ginseng treatment significantly reduced the increases in the urinary excretion of protein and glucose. These effects were dose dependent. Ginseng protected the accumulation of BUN and creatinine in the blood, caused by dichromate intoxication. Unlike CaEDTA, ginseng did not change the urinary excretion of chromiilm and it could not convert hexavalent chronlium to trialvalent chromium. These results suggest that ginseng treatment is effective in decreasing the metabolic disturbance, one of the earliest signs of dichromate toxicity, resulting in the protective effect of dichromate induced renal damage.

• 한국연초학회지
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• 제36권1호
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• pp.20-25
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• 2014

As part of a balanced testing battery, subchronic inhalation studies on rats are performed to ensure that proposed cigarette modifications do not increase the toxicity of smoke and to demonstrate any instances where a modification may actually contribute to harm reduction. For subchronic inhalation studies with aerosols, the OECD suggests an exposure regimen of 6 hours/day (OECD Guideline 413, 1981), but alternative regimens have also been published: 1 hour/day and $2{\times}1$ hour/day. The aim of this study was to validate a rodent nose-only exposure system for the assessment of inhalation toxicity of cigarette smoke. In this study, cigarette smoke exposure system is consisted of cigarette smoke generator, smoke concentration adjusting system, and 20-port nose-only exposure system. Male SD rats were exposed for 35 days ($2{\times}1$ hour/day) to 3R4F Reference cigarette smoke and analysed major monitoring items of OECD Gudeline 413. WTPM, was measured in the test atmosphere, respiratory function (Buxco Biosystems) during exposure, postexposure urinary exposure biomarkers and alveolar neutrophiles in BAL fluid (Day 35) were evaluated. Validation demonstrated steady WTPM ($257{\pm}20ug/L$, $502{\pm}27ug/L$) and spatial uniformity (<10%). Nose port temperature ($22{\sim}26^{\circ}C$ and RH (45~75%) were acceptable over 35 days. Reductions in respiratory rate and minute volume and increase in the neutrophiles in BALF and the urinary exposure biomarkers were observed cigarette smoke dose dependently. This validation and 35-day inhalation study has shown that the rodent nose-only exposure system may be useful in the inhalation toxicity assessment of cigarette smoke.

• Toxicological Research
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• 제12권2호
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• pp.277-281
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• 1996

To evaluate the renal toxicity of the antitumor agent, 5-(piperidonomethylphenyl)-2,3-dihydroimidazo[2,1-a]isoquinoline (SDZ-62-434), rats were treated with SDZ-62-434 of 50 mg/Kg, i.p., once and 10 mg/Kg, i.p., daily for 7 days. The kidney weights and urine volume after and during the treatment were observed. The concentrations of urinary creatinine, protein, and the activities of N-acetyl-$\beta $D-glucosaminidase (NAG), alanine aminopeptidase (AAP), $\gamma$-glutamyl transpeptidase (GGT) and lactate dehydrogenase (LDH) in 24 hr urine were also determined. The kidney weights after acute and subacute administration was not affected. The urine excretions were increased 5 days after the acute administration and increased after the daily 3rd day-administration. The excretion of creatinine was similar as that of urine excretion. The excretion of creatinine was increased 5 days after the acute and subacute administration. However, the protein excretion didn't changed in both treatment. Those indicate that SDZ-62-434 might induce the diuresis and also suggest that diuresis might be due to the some metabolites rather than the compound itself. The urinary activities of NAG and LDH were not affected after the acute treatment. However, the urinary activities of AAP and GGT were slightly increased 3 days after the acute administration but, returned to the control value. In subacute treatment, the activities of GGT was not changed. And the activities of NAG were declined after the 7th day-administration. However, the activities of AAP were significantly increased after the 5th day-administration. Furthermore, the urinary activities of LDH were continuously increased during the subacute administration. These results indicate that the high and subacute administration might induce a weak damage on the kidney cells. Furtherrnore, the present results suggest that SDZ-62-434 might have relatively slow-emerging and mild toxicity to the kidney.

• 약학회지
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• 제29권4호
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• pp.206-215
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• 1985

1) Puerariae Radix butanol ext. (100, 200, 400mg/kg, p.o. single treatment) alone partly showed blood pressure decreasing effect in SHRs and increasing effect of urinary volume in normal rats. 2) Cadmium nitrate (10mg/kg, s.c. single treatment) induced toxicity such as body weight decreasing effect, antidiuretic effect and muscle relaxant effect such as pull-up test, traction test and rota rod test in rats. However, Puerariae Radix butanol ext. (100, 200, 400mg/kg, p.o. single treatment) showed antidotal effects on the above and also in acute toxicity test when coadministered with both of them. 3) Cadmium nitrate (1mg/kg, s.c. 7 days consecutive treatment) did not showed toxicity in body weight change, blood pressure, change, serum biochemical parameters in rats. Puerariae Radix butanol ext. (100, 200, 400mg/kg, p.o. 7 days consecutive treatment) did not also showed any antidotal effects when coadministered with both of them for 7 days.

• 대한지역사회영양학회지
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• 제1권3호
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• pp.346-353
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• 1996

The anthropometric measurements, nutrient intake, concentrations of minerals in scalp hair and urine and urinary 5-hydroxyindoleacetic acid(5-HIAA) of 30 autistic children not taking psychoactive drugs and 30 nonautistic control children were determined. The autistic children were taking significantly lower amounts of vitamin A, niacin, ascorbic acid and iron. The intake of vitamin A, niacin, and iron in autistic children were found to be 22$\%$, 75$\%$ and 58 of RDA, respectively. The decreased anthropometric measurements in height and weight of autistic children seems partly due to lower intake of these micronutrients. The food intake in vitamin and mineral group of autistic children was significantly lower. It is probably related to decreased intake of fruit in autistic children. There was no toxicity of cadmium and aluminum in both groups according to their contents in scalp hair. Autistic children showed elevated levels of hair calcium and zinc but lowered levels of copper and iron. The urinary excretion urinary excretion of 5-HIAA.