• 생명과학회지
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• 제22권2호
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• pp.226-231
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• 2012

Cordycepin 고함유 번데기 동충하초(Cordyceps militaris JLM0636, $CM{\alpha}$)와 일반 번데기 동충하초(Cordyceps militaris, CM)의 생리활성 물질 및 영양성분 분석과 혈전 용해 활성을 비교 검토하였다. Total polyphenol compound, flavonoids 및 glutathione 함량은 CM 보다 $CM{\alpha}$에서 높은 함량을 보였다. CM 및 $CM{\alpha}$의 주요 미네랄 구성 성분으로는 K, Ca, Mg, Na이고, 주요 지방산 조성은 linolenic acid, linoleic acid, oleic acid, palmitic acid으로 나타났다. 혈전 용해 활성을 비교 검토한 결과 $CM{\alpha}$이 CM보다 높은 활성을 보였다. 이상의 실험 결과 $CM{\alpha}$의 생리활성물질과 혈전 용해 활성을 이용한 제품 개발에 필요한 기초 자료를 제공하고 유용하게 사용될 수 있을 것으로 사료되어 진다.

• 대한약침학회지
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• 제16권2호
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• pp.46-54
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• 2013

Objective: This study was undertaken to isolate a fibrin(ogen)olytic enzyme from the snake venom of Gloydius blomhoffii siniticus and to investigate the enzymatic characteristics and hemorrhagic activity of the isolated enzyme as a potential pharmacopuncture agent. Methods: The fibrinolytic enzyme was isolated by using chromatography, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and fibrin plate assay. The characteristics of the enzyme were determined by using fibrin plate assay, protein hydrolysis analysis, and hemorrhage assay. Its amino acid composition was determined. Results: The fibrin(ogen)olytic enzyme with the molecular weight of 27 kDa (FE-27kDa) isolated from G. b. siniticus venom consisted of two heterogenous disulfide bond-linked polypeptides with the molecular weights of 15 kDa and 18 kDa. When more than $20{\mu}g$ of FE-27kDa was applied on the fibrin plate, fibrinolysis zone was formed as indicating its fibrinolytic activity. The fibrinolytic activity was inhibited completely by phenylmethanesulfonylfluoride (PMSF) and ethylenediaminetetraacetic acid (EDTA) and partially by thiothreitol and cysteine. Metal ions such as $Hg^{2+}$ and $Fe^{2+}$ inhibited the fibrinolytic activity completely, but $Mn^{2+}$ did not. FE-27kDa preferentially hydrolyzed ${\alpha}$-chain of fibrinogen and slowly hydrolyzed ${\beta}$-chain, but did not hydrolyze ${\gamma}$-chain. High-molecular-weight polypeptides of gelatin were hydrolyzed partially into polypeptides with molecular weights of more than 45 kDa. A dosage of more than $10{\mu}g$ of FE-27kDa per mouse was required to induce hemorrhage beneath the skin. Conclusion: FE-27kDa was a serine proteinase consisting of two heterogeneous polypeptides, hydrolyzed fibrin, fibrinogen, and gelatin, and caused hemorrhage beneath the skin of mouse. This study suggests that the potential of FE-27kDa as pharmacopuncture agent should be limited due to low fibrinolytic activity and a possible side effect of hemorrhage.

• BMB Reports
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• 제28권5호
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• pp.398-401
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• 1995

Two fibrinolytic enzymes from the autolysate of Lumbricus rubellus were purified in homogeneous form. Their molecular sizes were 31,000 (Enz1) and 35,000 (Enz2) Da. respectively. However, the N-Terminal amino acid sequences of Enz1 and Enz2 were exactly the same: Ile-Val-Gly-Gly-Ile-Glu-Ala-Arg-Pro-Tyr-Glu-Phe-Pro-Trp-Gln-. These results indicate that Enz1 is a shortened form of Enz2 formed during autolysis. When a synthetic substrate, Ile-Pro-Arg-pNA, was used, the catalytic activity were observed in the pH range of 5-10 and the kinetic parameters including $K_m$ (1.6 ${\mu}m$) and $V_{max}$ (40 nmol/jmin/mg) were almost identical between the two enzymes. However, the fibrinolytic activity of Enz2 was at least 1.25 times higher than that of Enz1, suggesting that the C-terminal region of Enz2 is important in fibrinolysis but not in amidolysis. Furtheimore. fibrinolytic activity of the enzymes was increased by the addition of the lipid extracted from L. rubellus in the presence of $MgCl_2$ or $CaCl_2$. The stimulatary effect of lipid on Enz2 was higher compared to Enz1.

• Journal of Korean Neurosurgical Society
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• 제64권2호
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• pp.207-216
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• 2021

Objective : Rapid dissolution of blood clots reduces vasospasm and hydrocephalus after subarachnoid hemorrhage (SAH), and locally administered fibrinolytic drugs (LAFDs) could facilitate the dissolution. However, the efficacy of LAFDs remains controversial. The aim of this meta-analysis was to determine the efficacy of LAFDs for vasospasm and hydrocephalus and in clinical outcomes. Methods : From PubMed, EMBASE, and Cochrane database, data were extracted by two authors. Meta-analysis was performed using a random effect model. Inclusion criteria were patients who had LAFDs with urokinase-type or recombinant tissue-plasminogen activator after SAH in comparison with medically untreated patients with fibrinolytic drugs. We only included randomized controlled trials (RCTs) in this analysis. The outcomes of interest were vasospasm, hydrocephalus, mortality, and 90-day unfavorable functional outcome. Results : Data from eight RCTs with 550 patients were included. Pooled-analysis revealed that the LAFDs were significantly associated with lower rates of vasospasm (LAFDs group vs. control group, 26.5% vs. 39.2%; odds ratio [OR], 0.48; 95% confidence interval [CI], 0.32-0.73); hydrocephalus (LAFDs group vs. control group, 26.0% vs. 31.6%; OR, 0.54; 95% CI, 0.32-0.91); and mortality (LAFDs group vs. control group, 10.5% vs. 15.7%; OR, 0.58; 95% CI, 0.34-0.99). The proportion of 90-day unfavorable outcomes was lower in the LAFDs group (LAFDs group vs. control group, 32.7% vs. 43.5%; OR, 0.55; 95% CI, 0.37-0.80). Conclusion : This meta-analysis with eight RCTs indicated that LAFDs were significantly associated with lower rates of vasospasm and hydrocephalus after SAH. Thus, LAFDs could consequently reduce mortality and improve clinical outcome after SAH.

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 추계학술대회
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• pp.482-483
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• 1997

Antifibrinolytic effect of lumbrokinase in mice, in vivo, was studied. Liquid phase lumbrokinse from Lumbricus rubellus was purified by column chromatography method. Lumbrokinase was orally inserted to mice. Although oral dosage of lumbrokinase, to investigate whether lumbrokinase in mice causes antifibrinolytic effect, we have concentration of lumbrokinase varied, and detection of antifibrinolytic effect was carried out using a FDP (fibrin degradation product) test and euglobulin fibrinolytic activity test. FDP test and euglobulin fibrinolytic activity test were compared the data of PBS ingestion. control with lumbrokinase ingestion. As a result, FDP was increased in 7.8mg, 26mg lumbrokinase concentrations after 25 hours succeeding oral prescription of lumbrokinase, and decreased after 49 hours, but 7.8mg lumbrokinase ingestion more increased than 26mg. Also, FDP of PBS ingestion control and 1.3mg lumbrokinase ingestion were not been observed nothing. Euglobulin fibrinolytic activity of PBS ingestion control and 1.3mg lumbrokinase ingestion were not been observed any clear zone after 8, 25, 48 hours, and 7.8mg and 26mg were observed the most largest clear zone after 25 hours and decreased after 48 hours. However, antifibrinolytic effect of oral prescription of lumbrokinase in mice was observed. Now we need to determine an efficient amount of lumbrokinase for antifibrinolytic effect.

• KSBB Journal
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• 제21권1호
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• pp.20-27
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• 2006

미생물 및 동물에 비해 식물에서는 혈전용해효소에 대한 연구가 부족한 실정이며, 기존의 혈전용해효소가 가지는 혈전에 대한 비특이적, 부작용, 고가 등의 단점을 해결할 수 있는 새로운 혈전용해효소의 개발을 위하여 율무, 홍화, 아욱의 종자로부터 추출된 수용성 단백질의 혈전용해 활성을 조사하였다. 각각의 식물들로부터 추출된 조효소 용액은 기존 혈전 용해효소인 plasmin과 양성 대조군으로 하여 비교하여 fibrin 평판법으로 확인한 결과 피브린 응집을 효과적으로 분해하였다. 그 중 율무종자의 수용성 추출물의 혈전용해 활성은 양성 대조군인 plasmin과 비교하여 1.3배의 높은 활성을 나타내었다. 전체 수용성 단백질은 50-75% 에탄올을 이용하여 농축하였으며 율무의 혈전용해효소는 fibrin zymography를 수행하여 확인하고 직접 추출하였다. SDS-PAGE에 의하여 추출효소의 분자량을 측정한 결과 7.8 kDa으로 단일 polypeptide임을 확인하였으며, 효소 활성에 미치는 온도의 효과는 $50^{\circ}C$ 이상에서는 비교적 안정하였으나 더 낮은 온도에서는 급격히 효소활성이 감소하였다. 또한, 각종 단백질분해효소 저해제에 의한 영향을 조사한 결과 APMSF, PMSF, pepstatin A 그리고 TPCK에 강력하게 저해되는 것으로 보아 추출효소는 chymotrypsin과 유사한 serine protease의 하나로 생각되었다. 그러나 EGTA와 EDTA 처리에 의해서는 효소활성의 저해가 두드러지게 나타나지 않았다. 더욱이, 종자저장 중에 미생물에 의한 부패, 활력저하, 생리활성물질의 감소와 장기저장에 따른 에너지소비 증가 등이 문제가 되고 있어 저선량의 감마선 조사를 통해 율무, 홍화, 아욱의 종자로부터 혈전용해 효소활성에 미치는 효과 및 선량에 따른 차이를 조사하였는데 비조사 종자인 대조구와 비교하여 1 Gy, 4 Gy, 16 Gy, 32 Gy선량에서는 낮은 활성을 보였으면 반면에 8 Gy와 64 Gy의 선량에서는 더 높은 활성을 나타내었다. 이러한 결과는 Y선 조사가 종자의 혈전용해 활성을 향상시킬 가능성이 있을 것으로 생각된다. 이상의 모든 결과로 볼 때 율무의 추출 효소는 chymotrypsin-like serine protease에 속하는 혈전용해효소임을 확인할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제76권3호
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• pp.127-130
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• 2014

The risk of dying from a pulmonary embolism (PE) is estimated to be about 30% if inotropic support is required and no cardiopulmonary arrest occurs. Fibrinolysis in massive PE is regarded as a life-saving intervention, unless there is a high risk of bleeding following the use of the fibrinolytic therapy. Rivaroxaban is an oral factor Xa inhibitor, however its anticoagulation effects before or after administration of fibrinolytics in massive PE are still unknown. Two patents were admitted: 61-year-old woman with repeated syncope, and a 73-year-old woman was admitted with dyspnea and poor oral intake. Systemic arterial hypotension with radiologic confirmation led to a diagnosis of massive PE in both patients. Rivaroxaban was administered before in one, and after firbrinolytic therapy in the other. One showed similar efficacy of rivaroxaban with currently used anticoagulants after successful fibrinolysis, and the other one without antecedent administration of the fibrinolytic agent showed unfavorable efficacy of rivaroxaban.

• Archives of Pharmacal Research
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• 제21권4호
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• pp.374-377
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• 1998

The freeze-dried powder of Lumbricus rubellus earthworm was administered orally to rats and its fibrinolytic and antithrombotic effects were investigated. The fibrinolytic activity of plasma was determined by measuring the plasmin activity of the euglobulin fraction and was increased to two-folds of the control at a dose of 0.5 g/kg/day and five times with 1 g/kg/day after 4-day administration. The antithrombotic effect was studied in an arterio-venous shunt model of rats. The thrombus weight decreased significantly from 43.2 mg to 32.4 mg at a dose of 0.5 g/kg/day after 8-day treatment. The level of fibrinogen/fibrin degradation product (FDP) in serum was elevated in a dose-dependent manner during the treatment period. On the 8th day after administration, the FDP value was increased to 7.7 $\mu\textrm{g}$g/ml compared with the control value of 3.3 $\mu\textrm{g}$g/ml. These results support that earthworm powder is valuable for the prevention and/or treatment of thrombotic conditions.

• KSBB Journal
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• 제21권6호
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• pp.433-438
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• 2006

Bacillus subtilis BB-1 (KFCC l1344P)으로부터 분리된 혈전용해효소 유전자 (BCF-1)를 대량발현 벡터인 pEB 벡터에 크로닝하여 순수분리 된 혈전용해효소를 rat 경구 투여하여 출혈시간, 혈액의 응고, serum의 혈전용해능 등에 대한 in vivo 실험을 실시하였으며, 혈전용해효소의 단회경구투여에 따른 독성을 검사하였다. 효소의 경구투여에 따른 rat의 출혈시간에서는 대조군에 비하여 모든 경구 투여군에서 출혈시간이 유의적으로 약 1.75배 이상 길게 나타남을 확인하였고(P<0.05), 혈액의 출혈시간 또한 활발히 진행됨을 관찰하였다. 혈액으로부터 분리된 serum의 혈전용해작용 있어서는 경구투여 후 1시간부터 채혈한 혈액 내에서 혈전용해효소의 활성이 검출되기 시작하여 3시간째까지 높은 활성을 보였으며 4시간째부터 서서히 활성이 감소하는 것을 확인하였고 혈액의 응고 역시 대조군에 비하여 경구 투여군에서 상당히 지연되는 것을 알 수 있었다. Western blot에 의한 효소 검출에서는 경구 투여군에서 30,000 Da 크기의 단일밴드를 확인하였으며, 혈전용해효소의 rat에 대한 단회경구투여 독성실험에서 중량의 변화, 장기의 이상여부, 사망률 등에서 어떠한 이상이나 병변이 발견되지 않았다. 이상의 결과로 동물실험을 통한 혈전용해 효소의 경구투여에 의한 작용을 혈액 내에서 확인 할 수 있었으며, 본 효소의 단회 경구투여 시의 독성은 전혀 없음을 확인할 수 있었다.

• Tuberculosis and Respiratory Diseases
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• 제57권5호
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• pp.465-469
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• 2004

저자들은 패혈증이나 혈액응고장애가 이상이 없는 소방이 형성된 흉막삼출 환자에서 비교적 안전한 것으로 알려진 urokinase의 주입 후에 발생한 혈흉과 이로 인한 hypovolemic shock을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.