• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제25권3호
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• pp.263-275
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• 2022

Purpose: The present international survey among healthcare providers aimed to collect data on theoretical knowledge and clinical practices in the diagnosis and management of cow's milk protein allergy (CMPA) and lactose intolerance (LI) in infants. Methods: A global survey was conducted in several countries with diverse health care settings. The survey consisted of multiple-choice questions in 3 main domains: (1) understanding and clinical practices around CMPA and LI; (2) case scenarios; and (3) disease-specific knowledge and potential educational needs. Results: Responses were available from 1,663 participants. About 62% of respondents were general practitioners or general pediatricians, and the remainder were pediatric allergists/gastroenterologists (18%) or other health practitioners (20%). The survey identified knowledge gaps regarding the types of CMPA (IgE-mediated vs. non-IgE-mediated) and the clinical overlap with LI. The survey suggested diverse clinical practices regarding the use of hypoallergenic formulas, as well as misconceptions about the prebiotic benefits of lactose in extensively hydrolyzed formulas in non-breastfed infants with CMPA. Responses to the two case scenarios highlighted varying levels of awareness of the relevant clinical practice guidelines. While respondents generally felt confident in managing infants with CMPA and LI, about 80% expressed an interest for further training in this area. Conclusion: The current survey identified some knowledge gaps and regional differences in the management of infants with CMPA or LI. Local educational activities among general and pediatric healthcare providers may increase the awareness of clinical practice guidelines for the diagnosis and treatment of both conditions and help improve clinical outcomes.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권5호
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• pp.277-283
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• 2023

Purpose: Cow's milk protein allergy (CMPA) is a common condition in infants, but little is known about healthcare providers' clinical experience treating infants with CMPA. To address this gap, we analyzed prospectively collected data from healthcare providers (HCPs) who treated infants under six months old with suspected CMPA using hypoallergenic formulas. The study focused on a commercial extensively hydrolyzed formula containing Lactobacillus rhamnosus GG (ATCC53103) (eHF-LGG) or a commercial amino acid formula (AAF). Methods: In this secondary analysis of prospectively collected survey data, 52 HCPs treated 329 infants under six months old with suspected CMPA using hypoallergenic formulas. A series of two de-identified surveys per patient were collected by HCPs to assess short-term symptom relief in the patients and HCP's satisfaction with the management strategies. The initial survey was completed at the initiation of treatment of CMPA, and the second survey was completed at a follow-up visit. Results: The majority of HCPs (87%) in the study were general pediatricians, and most saw 2 to 10 CMPA patients weekly. Results showed that clinicians reported satisfaction with treatment in 95% of patients in the EHF cohort and 97% of patients in the AAF cohort and achieved expected clinical results in 93% and 97% of patients using eHF and AAF, respectively. Furthermore, few patients were switched from the hypoallergenic formula once initiated. Conclusion: The study provides new insights into HCP perspectives on treating infants with CMPA and supports using hypoallergenic formulas to manage this condition. However, additional prospective controlled studies are needed to confirm these initial findings.

• Animal Bioscience
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• 제36권10호
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• pp.1568-1577
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• 2023

Objective: A study was conducted to determine the chemical composition of banana meal and rice bran from Australia or South-East Asia and test the hypothesis that there are no differences in rice bran produced in different countries, but there are differences between full-fat and defatted rice bran. Methods: Two sources of banana meal and 22 sources of rice bran (full-fat or defatted) from Australia or South-East Asia were used. All samples were analyzed for dry matter, gross energy, nitrogen, amino acids (AA), acid hydrolyzed ether extract (AEE), ash, minerals, total starch, insoluble dietary fiber, and soluble dietary fiber. Banana meal was also analyzed for sugars including glucose, fructose, maltose, sucrose, stachyose, and raffinose. Results: Chemical analysis demonstrated that banana meal from the Philippines is primarily composed of starch. Full-fat rice bran from Australia had greater (p<0.05) concentrations of AEE, lysine, and glycine than samples from the Philippines and Vietnam. Full-fat rice bran from Australia and Thailand had greater (p<0.05) concentrations of gross energy and most AA than rice bran from Vietnam. Full-fat rice bran from Australia had greater (p<0.05) concentrations of tryptophan and manganese than all other sources, but full-fat rice bran from the Philippines contained less (p<0.05) zinc than all other sources of rice bran. Gross energy, AEE, and copper were greater (p<0.05) in full-fat rice bran compared with defatted rice bran, but defatted rice bran contained more (p<0.05) crude protein, ash, insoluble dietary fiber, total dietary fiber, AA, and some minerals than full-fat rice bran. Conclusion: Banana meal is a high-energy source that can be used as an alternative ingredient in livestock diets. Full-fat rice bran from Australia and Thailand contained more concentrations of AEE and AA than samples from the Philippines or Vietnam. Full-fat rice bran had more gross energy and AEE than defatted rice bran, whereas defatted rice bran contained more crude protein, ash, and total dietary fiber.

• 한국축산식품학회지
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• 제44권3호
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• pp.533-550
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• 2024

Peptides with bioactive effects are being researched for various purposes. However, there is a lack of overall research on pork-derived peptides. In this study, we reviewed the process of obtaining bioactive peptides, available analytical methods, and the study of bioactive peptides derived from pork. Pepsin and trypsin, two representative protein digestive enzymes in the body, are hydrolyzed by other cofactors to produce peptides. Bicinchoninic acid assay, sodium dodecyl sulfate-polyacrylamide gel electrophoresis, chromatography, and in vitro digestion simulation systems are utilized to analyze bioactive peptides for protein digestibility and molecular weight distribution. Pork-derived peptides mainly exhibit antioxidant and antihypertensive activities. The antioxidant activity of bioactive peptides increases the accessibility of amino acid residues by disrupting the three-dimensional structure of proteins, affecting free radical scavenging, reactive oxygen species inactivation, and metal ion chelating. In addition, the antihypertensive activity decreases angiotensin II production by inhibiting angiotensin converting enzyme and suppresses blood pressure by blocking the AT1 receptor. Pork-derived bioactive peptides, primarily obtained using papain and pepsin, exhibit significant antioxidant and antihypertensive activities, with most having low molecular weights below 1 kDa. This study may aid in the future development of bioactive peptides and serve as a valuable reference for pork-derived peptides.

• Journal of Chest Surgery
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• 제33권6호
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• pp.494-501
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• 2000

Background: Transmyocardial laser revascularization(TMLR) for revascularizing ischemic myocardium in patients was originally based on the assumption that laser channels remain their patency much longer. But recent studies show that laser channels did not remain open and that TMLR could achieve treatment benefits without long-term channel patency. The angiongencesis is currently thought to be induced by non-specific inflammatory response to mechanical tissue injury. This study is to evaluate hypothesis that various transmyocaridal mechanical revascularization(TMMR) may induce the angiogenic responses similar to that seen with TMLR, and transmyocaridal polymer stent revascularization(TMSR), the polymer stent in the myocardial tissue is hydrolyzed in 2 weeks, may enhance the non-specific inflammatory reaction resulting angiogenesis. Furthermore, polymer myocaridal stent channels remain long-term patency. Material and Method: Eight domestic pigs underwent ligation of the proximal circumflex artery, and 2 weeks later they were randomized to undergo transmycardial acupunctural revascularization (TMPR, Group I) of the left lateral wall with 18-G needle(n=2), to undergo transmyocardial (TMDR, Group II) with industrial 2mm steel drill(n=2), to undergo transmyocardial polymer stent revascularization (TMSR, Group III) after drilling the infarcted myocardium(n=2), the stent is poly(lactic acid-co-glycolic acid), which is self-degradated in the myocardium, and to a control group the ischemic zone was unterated(n=2). All the pigs were sacrificed after 4 weeks TMMR. Sections from the ischemic zone were submitted for vascular endothelial growth factor (VEGF) ELISA and histology. Result: There were makedly increase in the VEGF immunoassay in the ischemic zone of the TMMR group compared to the ischemic zone of the control group(control: each 30.85 and 43.15pg/mg protein, TMPR: each 44.14 and 68.61 pg/mg protein, TMDR: each 65.92 and 78.65 pg/mg protein, TMSR: each 177.39 and 168.87 pg/mg protein). TMSR channels caused greatest VEGF expression than channels made by other group and the polymer stent channels remained vacuole after 4 weeks. Conclusion: Transmyocardial polymer stent revascularization promoted the most angiogenci response by the VEGF immunoassay, although our study did not show the statistical significancy. The channels remained but the flow patency was not verified. Transmyocardial polymer stent revascularization (TMSR) is desirable in future experimental trials and in view of the significant cost implications comparable to that of laser.

• 한국식품과학회지
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• 제30권4호
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• pp.883-887
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• 1998

육류 조리에 사용되거나 또는 육류 섭취시 부식으로 제공되는 농산물을 위주로 단백분해효소의 활성을 측정한 결과, 청양고추, 꽈리고추, 깻잎, 콩나물, 숙주나물에서 높은 효소 활성을 보였으며, 이중 콩나물의 단백질분해 활성이 가장 높았다. 또한 효소의 사용시 중요한 지표인 효소의 안정성을 투석과 동결 해동 후 잔존 효소활성을 측정하였다. 투석 후 숙주나물, 청양고추, 꽈리고추와 깻잎은 12, 23, 45%와 37%의 잔존 활성을 보였으며, 콩나물은 64%의 잔존 활성을 보임에 따라 비교적 다른 효소에 비해 안정한 것을 확인하였다. 동결 해동 후 숙주나물과 콩나물의 단백분해효소는 100%와 65%의 높은 잔존 활성을 보였다. 비교적 효소의 활성이 높고 또한 안정성이 우수한 콩나물의 단백분해효소의 활성은 소고기보다는 돼지고기에 대한 분해 효과가 우수하였으며, stroma protein보다는 myofibrillar과 sarcoplasmic protein에 대한 분해력이 우수하였다. SDS-PAGE에 의한 육 단백의 분해 특성은 myosin heavy chain, actin, tropomyosin과 myosin light chain이 관찰되었으며, 반응시간이 경과할수록 myosin heavy chain, actin, tropomyosin이 분해되는 경향을 보였다. 특히 2시간 효소처리 시 근원섬유 단백질의 분해 효과가 뛰어났다. 육 단백의 농도가 증가할수록 단백분해 활성은 완만히 증가하다가 평형을 이루는 경향을 보였다.

• 한국식품영양과학회지
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• 제35권9호
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• pp.1166-1171
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• 2006

본 연구에서는 실크단백질 효소 가수분해물을 제 2형 당뇨병 모델인 C57BL/KsJ db/db mouse에 9주 동안 섭취시켜 혈당 변화를 관찰하였다. 실크단백질 효소 가수분해물의 펩타이드의 평균 분자량은 1357.11 Da이었으며, 2,000 Da 미만의 펩타이드가 87.52%이었다. 총 유리아미노산은 실크단백질 효소 가수분해물 100 g 당 14.80 g이었으며, proline, threonine, arginine, alanine 순으로 많았다. 실크단백질 효소 가수분해물 섭취군은 대조군에 비하여 체중감소가 유의적으로 낮았으며, 실크단백질 효소 가수분해물 농도에 비례하여 체중감소가 낮은 경향을 보였다. 식이 섭취량은 당뇨 대조군이 가장 높게 나타났으며, 실크단백질 효소 가수분해물 0.5% 섭취군의 섭취량이 가장 낮게 나타나 유의적인 차이를 보였다. 음수 섭취량은 식이 섭취량과 유사한 경향을 나타내었으며, 실크단백질 효소 가수분해물 섭취군은 당뇨대조군에 비해 전반적으로 낮은 섭취량을 보였다. 간장과 신장 무게(g/100 g body weight)는 당뇨 대조군과 실크단백질 효소 가수분해물 간에 유의적인 차이가 없었다. 신장의 무게는 실크단백질 효소 가수분해물 농도에 비례하여 감소하였으나 유의적인 차이는 없었다. 혈당은 실크 단백질 효소 가수분해물 섭취군이 대조군에 비하여 유의적으로 낮게 나타났으며, 내당능은 당뇨 대조군이 측정 기간 동안 높은 혈당을 유지하였으나, 반면에, 실크단백질 효소 가수분해물 섭취군의 경우 포도당 부하 후 60분 후부터 혈당의 감소가 나타나 180분 후 초기 혈당 수준으로 회복되었다. 실크단백질 가수분해물의 섭취는 혈당상승을 억제하는 효과가 있는 것으로 사료되며 혈당상승에 대한 억제 기전과 당뇨의 개선효과를 뒷받침 할 수 있는 향후 연구가 필요하다고 사료된다.

• Asian-Australasian Journal of Animal Sciences
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• 제27권2호
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• pp.237-246
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• 2014

Two experiments were conducted to evaluate the efficacy of feeding an Escherichia coli (E. coli) derived phytase to pigs fed P deficient, corn-soybean meal diets. In Exp. 1, one hundred and twenty crossbred piglets ($9.53{\pm}0.84$ kg) were allocated to one of five treatments which consisted of four low P diets (0.61% Ca, 0.46% total P and 0.24% non-phytate P) supplemented with 0, 500, 1,000, or 20,000 FTU/kg E. coli phytase as well as a positive control formulated to be adequate in all nutrients (0.77% Ca, 0.62% total P and 0.42% non-phytate P). The treatments were applied to six pens with four pigs per pen for 28 days. In Exp. 2, ten crossbred pigs ($19.66{\pm}1.16$ kg) fitted with ileal T-cannula were used in a nutrient balance study. The pigs were assigned to treatments similar to those used in Exp. 1 in a doubly replicated $5{\pm}4$ incomplete Latin square design (5 diets with 4 periods). Each period consisted of a 5-d adjustment period followed by a 3-d total collection of feces and urine and then a 2-d collection of ileal digesta. Supplementation with phytase linearly increased (p<0.05) weight gain, feed intake, feed efficiency, bone breaking strength and fat-free dry and ash bone weight. There were linear increases (p<0.01) in the apparent ileal digestibility (AID) of DM, GE, CP, Ca, total P, inositol hexaphosphate ($IP_6$) and some AA with increasing dose of E. coli phytase. Pigs fed 20,000 FTU/kg had a greater (p<0.05) AID of IP6 (80% vs 59% or 64%, respectively) than pigs fed diets with 500 or 1,000 FTU/kg phytase. There were linear increases (p<0.05) in the total tract digestibility of Ca, total P, Na, K, Mg, and Zn as well as in the retention of Mg and Zn with increased phytase dose. The retention and utilization of Cu, and the total tract digestibility of CP and Cu quadratic increased (p<0.05) with increased phytase dose. In conclusion, supplementation of 500 FTU of phytase/kg and above effectively hydrolyzed phytate in low-P corn-soybean diets for pigs. In addition, a super dose of phytase (20,000 FTU/kg) hydrolyzed most of the IP6 and consequently further improved mineral use, protein utilization and performance.

• 한국식품영양과학회지
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• 제40권5호
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• pp.738-746
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• 2011

Microbial transglutaminase(MTGase)를 이용하여 쌀 가수분해물과 초미세 생대두 분말을 혼합하여 전두부를 제조한 후 조직감, 동적점탄성, 단백질 결합패턴 및 미세구조를 평가하였다. 40%(w/v) 쌀 용액을 Termamyl 효소처리($85^{\circ}C$, 20분) 하였을 때 점조도 값 및 환원당 함량이 각각 $1.27\;Pa{\cdot}s^n$, 9.0%로 나타났다. MWSP 18~22% 농도에서 MTGase 효소로 응고시킨 전두부의 물성을 측정한 결과 MWSP 22% 첨가구에서 전형적인 두부의 조직감을 얻었으며, 쌀 가수분해물 7.5% 첨가구의 경우 경도 639.6 dyne/$cm^2$, 탄성 0.96으로 나타났다. MTGase 5%의 첨가 조건에서 MWSP 18~22% 농도에 따라 동적점탄성을 측정한 결과 MWSP 22% 첨가 경우 반응 6분 이내 G'(5.1 Pa) 및 G''(9.0 Pa)값으로 높게 나타났다. MWSP 22% 첨가구에서 시간에 따른 SDS-PAGE 상에서 대부분의 콩 단백질은 30분 이내에 중합되어 고분자중합체를 형성하였으며, 쌀 가수분해물이 첨가된 경우에도 대부분의 콩 단백질들이 중합되는 유사한 경향을 보였다. 쌀이 첨가된 전두부의 미세구조는 균일한 입자로 채워진 네트워크 구조를 보였으나 냉장저장 2일 후에는 쌀을 첨가하지 않은 대조구에 비해 더욱 거칠어진 표면을 확인할 수 있었다.

• Nutrition Research and Practice
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• 제16권6호
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• pp.685-699
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• 2022

BACKGROUND/OBJECTIVES: Platycodon grandiflorum (PG) has long been known as a medicinal herb effective in various diseases, including bronchitis and asthma, but is still more widely used for food. Fermentation methods are being applied to increase the pharmacological composition of PG extracts and commercialize them with high added value. This study examines the hydrolyzed and fermented PG extract (HFPGE) fermented with Lactobacillus casei in RAW 264.7 cells, and investigates the effect of amplifying the immune and the probable molecular mechanism. MATERIALS/METHODS: HFPGE's total phenolic, flavonoid, saponin, and platycodin D contents were analyzed by colorimetric analysis or high-performance liquid chromatography. Cell viability was measured by the MTT assay. Phagocytic activity was analyzed by a phagocytosis assay kit, nitric oxide (NO) production by a Griess reagent system, and cytokines by enzyme-linked immunosorbent assay kits. The mRNA expressions of inducible nitric oxide synthase (iNOS) and cytokines were analyzed by reverse transcription-polymerase chain reaction, whereas MAPK and nuclear factor (NF)-κB activation were analyzed by Western blots. RESULTS: Compared to PGE, HFPGE was determined to contain 13.76 times and 6.69 times higher contents of crude saponin and platycodin D, respectively. HFPGE promoted cell proliferation and phagocytosis in RAW 264.7 cells and regulated the NO production and iNOS expression. Treatment with HFPGE also resulted in increased production of interleukin (IL)-1β, IL-6, tumor necrosis factor (TNF)-α, C-X-C motif chemokine ligand10, granulocyte-colony-stimulating factor, granulocyte-macrophage colony-stimulating factor, and monocyte chemoattractant protein-1, and the mRNA expressions of these cytokines. HFPGE also resulted in significantly increasing the phosphorylation of NF-κB p65, extracellular signal-regulated kinase, and c-Jun N-terminal kinase. CONCLUSIONS: Taken together, our results imply that fermentation and hydrolysis result in the extraction of more active ingredients of PG. Furthermore, we determined that HFPGE exerts immunostimulatory activity via the MAPK and NF-κB signaling pathways.