• Title/Summary/Keyword: alanine aminotransferase

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Ursodeoxycholic Acid in the Prevention of Pediatric Parenteral Nutrition-associated Cholestasis (소아 총정맥영양의 간담도계 합병증에 대한 Ursodeoxycholic acid의 예방효과에 대한 연구)

  • Kim, Ji Hee;Min, Myung Sook;In, Yong Won;Shon, Kie Ho;Choi, Kyung Eob;Choe, Yon Ho;Beck, Nam Sun;Lee, Suk Hyang;Park, Tae Sung
    • Korean Journal of Clinical Pharmacy
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    • v.15 no.1
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    • pp.9-20
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    • 2005
  • Cholestatic liver disease is a frequent complication of prolonged parenteral nutrition, especially in premature infants. Numerous factors have been cited as contributing to TPN associated cholestasis. However the exact etiology remains obscure. Ursodeoxycholic acid (UDCA) has been reported to be beneficial far children and adults with various chronic cholestatic liver disease. The aim of this prospective, randomized, double-blind, placebo-controlled study was to determine the preventive effects of UDCA administration during TPN. Seventeen pediatric patients (8 boys and 9 girls) undergoing TPN were assigned randomly to two groups, UDCA and placebo group. UDCA group (n=9) received 15 mg/kg/day UDCA and placebo group (n=8) received 15 mg/kg/day placebo enterally during the TPN period. Liver function tests (total bilirubin, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase) were per-formed before TPN and weekly or three times a week. The patients' weights, complete blood count, composition of TPN, and the infusion rate of TPN and lipid were monitored everyday. Calcium and phosphate were monitored twice a week. Between the UDCA and placebo groups, there were no differences in weight at the onset of TPN, birth weight, duration of TPN, respiratory distress syndrome associated with prematurity, age at the onset of TPN, gestational age, the number of days the patients received antibiotics, the number of patients received enteral nutritions and the composition of TPN. In contrast, there was a significant difference between the UDCA and placebo groups in alanine aminotransferase levels during TPN. It doesn't seem that UDCA administration during TPN correlates directly with improvement of liver function. But the preventive administration of UDCA may be effective in reducing liver enzyme, alanine aminotransferase and has no adverse effects.

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Predictors of nonresponse to intravenous immunoglobulin therapy in Kawasaki disease

  • Park, Hyo Min;Lee, Dong Won;Hyun, Myung Chul;Lee, Sang Bum
    • Clinical and Experimental Pediatrics
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    • v.56 no.2
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    • pp.75-79
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    • 2013
  • Purpose: It has been reported that 10% to 20% of children with Kawasaki disease (KD) will not respond to intravenous immunoglobulin (IVIG) treatment. In this study, we aimed to identify useful predictors of therapeutic failure in children with KD. Methods: We examined 309 children diagnosed with KD at the Kyungpook National University Hospital and the Inje University Busan Paik Hospital between January 2005 and June 2011. We retrospectively reviewed their medical records and analyzed multiple parameters in responders and nonresponders to IVIG. Results: Among the 309 children, 30 (9.7%) did not respond to IVIG. They had significantly higher proportion of neutrophils, and higher levels of aspartate aminotransferase, alanine aminotransferase (ALT), total bilirubin, and N-terminal fragment of B-type natriuretic peptide than did responders. IVIG-nonresponders had a significantly longer duration of hospitalization, and more frequently experienced coronary artery lesion, and sterile pyuria. No differences in the duration of fever at initial treatment or, clinical features were noted. Conclusion: Two independent predictors (ALT${\geq}$84 IU/L, total bilirubin${\geq}$0.9 mg/dL) for nonresponse were confirmed through multivariate logistic regression analysis. Thus elevated ALT and total bilirubin levels might be useful in predicting nonresponse to IVIG therapy in children with KD.

Protein Status of Indigenous Nguni and Crossbred Cattle in the Semi-arid Communal Rangelands in South Africa

  • Mapiye, C.;Chimonyo, M.;Dzama, K.;Marufu, M.C.
    • Asian-Australasian Journal of Animal Sciences
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    • v.23 no.2
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    • pp.213-225
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    • 2010
  • The objective of the current study was to determine factors influencing concentrations of protein-related blood metabolites in indigenous Nguni and crossbred cattle in the semi-arid communal rangelands in South Africa. The body condition scores (BCS), packed cell volume (PCV) and serum concentrations of protein-related metabolites were determined seasonally in 100 cattle raised on communal rangelands from August 2007 to May 2008. Nguni cattle had lower (p<0.05) albumin-globulin ratio, albumin, urea and creatinine, and higher (p<0.05) globulin concentrations than the local crossbreds. Local crossbreds had higher (p<0.05) alanine aminotransferase and alkaline phosphatase concentrations and lower (p<0.05) aspartate aminotransferase concentrations in the postrainy season than Nguni cattle. The creatinine concentrations of Nguni and crossbred cattle were lowest in the sour rangeland during the hot-wet season. The albumin concentrations of Nguni and crossbred cattle were higher (p<0.05) whilst PCV, albumin-globulin ratio and creatine kinase concentration were lower (p<0.05) in the sour rangeland than in the sweet rangeland. Total protein, albumin, globulin, aspartate aminotransferase and creatine kinase concentrations of Nguni and crossbred cattle were lower (p<0.05) in the hot-wet and late cool-dry seasons than in other seasons across rangeland types. Urea concentrations in both breeds were highest in the sweet rangeland in the hot-dry season compared to other seasons. It was concluded that Nguni cattle had lower concentrations of protein metabolites than local crossbreds and protein deficiencies were most prominent in the sweet rangeland during the cool-dry seasons.

Effect of Acute Pretreatment of Ethanol on the Liver Damage in Toluene Treated Rats (흰쥐에 Toluene과 Alcohol의 병행투여가 간 손상에 미치는 영향)

  • 전재현;임영숙;윤종국
    • Journal of the East Asian Society of Dietary Life
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    • v.6 no.3
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    • pp.289-294
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    • 1996
  • To evaluate an effect of acute ethanol pretreatment on the liver injury in toluene-treated rats, toluene(50% in olive oil) was intraperitoneally given four times at 0.3ml/100g body weight at interval of one day to the ethanol-pretreated rats(0.3ml of 50%/100g body weight). The increasing rate of liver weitht per body weight(%), serum levels of alanine aminotransferase (ALT) activity, liver lipid peroxide content was higher in toluene treated rats pretreated with ehtanol than those treated with toluene alone. Concomitantly the hepatic glucose-6-phosphatase activity was increased whereas glutathione content was decreased by ehtanol pretreatment before toluene administration in rats. In case of direct administration of acetaldhyde or benzaldehyde to the rats, the liver weitht per body weight(%) and serum levels of ALT activity were almost higher than the control group. There results indicate that the toluene treated rats showed the reversible injury of liver and intensified. however, by the ethanol treatment.

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Application of Veterinary Chemistry Analyzer used to Hematological Analysis of Marine fish Cultured in Floating Netcage (해상가두리 양식장 어류의 혈액 검사에 사용된 동물용 생화학 분석장치의 활용 가능성)

  • Jung, Sung-Hee;Jee, Bo-Young;Byun, Soon-Gyu;Choi, Hye-Sung
    • Journal of fish pathology
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    • v.19 no.3
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    • pp.253-265
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    • 2006
  • The purpose of this study was to obtain reference data of parameters for hematological health diagnosis in marine fish and also evaluate application of veterinary chemistry analyzer used to those blood tests. A blood profile of total 522 fish for black rockfish (Sebastes schlegeli), red seabream (Pagrus major), rock bream (Oplegnathus fasciatu) and black seabream (Acanthopagrus schlegeli) cultured in mari-floating netcage of Gyeongnam province was determined by hematocrit (Ht), hemoglobin (Hb) and blood chemistry tests (total protein, albumin, alkaline phosphatase, blood urea nitrogen, lactate dehydrogenase, triglyceride, total cholesterol, creatinine, aspartate aminotransferase, alanine aminotransferase, glucose). Ht was measured by microhematocrit method. Hb and plasma chemistry were analysed by establishing baseline ranges for a dry chemical system of FUJI DRI-CHEM 3000. Actually recorded values of Hb and plasma chemistry by the analyzer were notably outside from the minimum and/or maximum of the established reference value. Albumin and alanine aminotransferase were not detectable in the range of 68~66%. Lactate dehydrogenase, total protein, alkaline phosphatase and glucose were not detectable in the range of 42~21%. Total cholesterol, aspartate aminotransferase, triglyceride, hemoglobin and creatinine were not detectable in the range of 18~3%. However, the values of blood urea nitrogen were below the detectable limits of the analyzer.

The Effect of Fungicide Carbendazim on Hepatic detoxication systems of rat (살균제 carbendazim이 랫드 간 해독체계에 미치는 영향)

  • Lee, Je-Bong;Shin, Jin-Sup;Jeong, Mi-Hye;Park, Yeon-Ki;Kang, Kyu-Young
    • The Korean Journal of Pesticide Science
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    • v.9 no.4
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    • pp.338-346
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    • 2005
  • Serum alanine aminotransferase(ALT), aspartate aminotransferase (AST), hepatic glutathione, glutathione S-transferase(GST), cytochrome P450 and cytochrome P450 reductase activity were measured to investigate the effects of hepatic detoxication system and metabolic activities of carbendazim in Sprague Dawley(S.D.) male rat at dose levels of 375, 750 or 1,500 mg/kg body weight. Serum alanine aminotransferase(ALT) and aspartate aminotransferase(AST) activities were slightly increased in all test groups after 120 minutes of administration. Glutathione was increased about 20% at high and medium dose level within 120 minutes after administration, while activity of glutathione S-transferase was decreased $36{\sim}50%$. However, the enzyme activity was recovered from all test groups after 240 minutes of administration. Cytochrome P450 and activity of cytochrome P450 reductase were decreased $25{\sim}50%$ until 120 minutes after administration, but recovered after 240 minutes.

A Study on the Hypoglycemic Effects and the Production Conditions of the Korean Organic Native Rice Cultured by Ganoderma lucidum (영지버섯으로 배양된 한국 유기농 토종 쌀의 생산 조건과 혈당강하 효과에 관한 연구)

  • Yang, Byung-Keun;Lee, Sang-Hwa;Lee, Tae-Geun;Park, Seok-Hwan
    • Korean Journal of Organic Agriculture
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    • v.22 no.3
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    • pp.423-434
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    • 2014
  • This study was conducted to investigate the hypoglycemic effects and the production conditions of the Korean organic native rice cultured by Ganoderma lucidum. The broth culture of Ganoderma lucidum, the innoculation and culture of Ganoderma lucidum to the Korean organic native rice, and the oral administration of the Korean organic native rice cultured by Ganoderma lucidum to the streptozotocin-induced diabetic rats, were carried out. Then, the blood glucose level, the serum total cholesterol and triglyceride, and the activities of alanine aminotransferase and aspartate aminotransferase, were analyzed. The pH 4.5 at $30^{\circ}C$ was the optimal condition of the broth culture of Ganoderma lucidum. When the physical shape and the smell of the produced rice were considered, the optimal conditions to produce the Korean organic native rice cultured by Ganoderma lucidum, were the seeding of Ganoderma lucidum to Korean organic native rice in the rate of 7.5% weight, and the culture period of 9days at $28^{\circ}C$. In streptozotocin-induced diabetic rats, the blood glucose level of the dieted group by the Korean organic native rice cultured by Ganoderma lucidum for 2 weeks, were significantly decreased when compared with the control. And, the levels of the total cholesterol and triglyceride in serum were ranked less than those of the control. Also, in streptozotocin-induced diabetic rats, the activities of alanine aminotransferase and aspartate aminotransferase in the serum of the dieted group by the Korean organic native rice cultured by Ganoderma lucidum for 2 weeks, were lower than those of the control.

Molluscicidal Activity and Clinico-pathological Effect of Agave lophantha

  • El-Sayed, M.M.;Abdel-Hadi, M.;El-Nahas, H.A.
    • Archives of Pharmacal Research
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    • v.14 no.1
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    • pp.81-86
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    • 1991
  • Dry powder and different extracts of Agave lophantha were tested against Biomphalaria alexandrina. The results showed that the butanol extract has high molluscicidal activity. The activity of the dry powder has been found to be stable under the effect of some simulated field conditions. Also the toxicological effect of the plant on mice was tested through determination of certain parameters such as total protein, aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase and acid phosphatase enzymes as well as histopathological study on liver and kidney.

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Effect of Long-Term Pyridoxine Depletion on Lipid Composition in the Developing Rat Brain (장기간의 Pyridoxine 부족이 새끼쥐 뇌의 지방조성에 미치는 영향)

  • 김정희
    • Journal of Nutrition and Health
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    • v.20 no.5
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    • pp.318-329
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    • 1987
  • Weanling female Sprague Dawley rate were fed 1.2mg pyridoxine' HCl/kg diet Cdepleted diet) and 2 22mg pyridoxine' HCI/kg dietCcontrol diet). The control and one depleted group were fed their diets throughout growth, gestation, and lactation. Other three depleted groups were fed the depleted diet throught growth and gestation, and then pyridoxine w was supplemented by feeding control diet at 5, 10, and 21 days postpartum. The brains were analyzed for proteolipid protein, cholesterol, and cerebrosi­d de. Percentage stimulation of erythrocyte alanine aminotransferase activity was also determined. Body and brain weight were significantly lower at all ages in depleted group than the control and depleted group showed inadequacy of B6 at all ages. PProteolipid protein and cholesterol were significa­n ntlylower in the depleted group at 10, 21, 35 and 5 50 days. The postnatal development of cerebroside in brain was delayed in depleted groups suppleme­I nted at 5, 10, and 21 days. When supplementation was initiateo at 5 days postparturn, contents of cho­lesterol proteolipid protein were reversed. But some differences in brain development of pups we­re evident when supplementation of dams was de­layed to 10 days or 21 days.

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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
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    • v.59 no.9
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    • pp.362-367
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    • 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.