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Abstract

°á·Ð
ÀúÀÚµéÀº ¹æ±¤Ãⱸ ºÎºÐÆó»öÀ» À¯µµÇÑ Áã¿¡°Ô IFN-¥ã¸¦ Åõ¿©ÇÑ ÈÄ ¹æ±¤³» Äݶó°Õ ħÂøÀÇ
ºÐÆ÷¿Í ¾çÀ» ÇüÅÂÇÐÀûÀÎ ¹æ¹ýÀ¸·Î °üÂûÇÏ¿© IFN-¥ã°¡ Æó»ö¹æ±¤¿¡¼­ Äݶó°Õ ħÂøÀ» °¨¼Ò½Ã
Å°´ÂÁö¸¦ È®ÀÎÇϱâ À§ÇÏ¿© ½ÃÇàµÇ¾ú´Ù. ¾ÏÄÆ ¼ºÀÎ Sprague-DawleyÁã¿¡¼­ ¹æ±¤Ãⱸ ºÎºÐÆó
»öÀ» 4ÁÖ°£ À¯ÁöÇÑ ±º°ú ¹æ±¤Ãⱸ ºÎºÐÆó»ö ÈÄ 4ÁÖ°£ IFN-¥ã 100,000´ÜÀ§¸¦ Åõ¿©ÇÑ ±º¿¡¼­
Äݶó°Õ ħÂøÀÇ º¯È­¸¦ ÇüÅÂÇÐÀûÀÎ ¹æ¹ýÀ¸·Î ÃøÁ¤ÇÏ¿© ´ÙÀ½°ú °°Àº °á·ÐÀ» ¾ò¾ú´Ù.
1 ÇüÅÂÇÐÀûÀÎ ºÐ¼® °á°ú, IFN-¥ãÅõ¿©´Â ¾Ó±¤Ãⱸ ºÎºÐÆó»öÀ¸·Î ÀÎÇØ Ä§ÂøÀÌ Áõ°¡µÈ Äݶó
°ÕÀ» À¯ÀÇÇÏ°Ô °¨¼Ò½ÃÄ×´Ù
2. IFN-¥ã´Â °¡Àå¼ö¼ú±º¿¡ Åõ¿©ÇÑ °æ¿ì¿Í Æó»ö±º¿¡ Åõ¿©ÇÑ °æ¿ì ¸ðµÎ¿¡¼­ Äݶó°ÕÀ» °¨¼Ò
½ÃÄ×´Ù. ÀÌ»óÀÇ °á°ú·Î IFN-¥ãÅõ¿©´Â Æó»ö¹æ±¤¿¡¼­ ¹æ±¤³» Äݶó°Õ »ý¼ºÀ» ¾ïÁ¦ÇÏ¿© ¹æ±¤À¯
¼øµµ¸¦ Áõ°¡½ÃÅ°´Â È¿°ú¸¦ ³ªÅ¸³¾ ¼ö ÀÖÀ» °ÍÀ¸·Î »ý°¢ÇÑ´Ù.
#ÃÊ·Ï#
Purpose: Recent studies of bladder outlet obstruction have provided evidence that poor
bladder compliance is closely related to collagen content in the bladder wall. To decrease
collagen content in the obstructed bladder, we examined the collagen changes by
interferon gamma after creating partial bladder outlet obstruction in the rat.
Experimental studies of interferon-¥ã(IFN-¥ã)have been tried to decrease fibrosis in liver
disease. We applied interferon-¥ã to the obstructed bladder and observed its effect on
collagen changes in the bladder wall by morphometric analysis.
Materials and Methods: In a total of 50 Sprague-Dawley adult female rats(200-
220gm), we created partial bladder outlet obstruction by placing metal rod (diameter 1
§®). We divided the rats Into 5 groups(n=10 in each group): normal control(N), sham
operation(5), sham operation and IFN-¥ã4 weeks(S+IFN), bladder outlet obstruction 4
weeks(BOO), and bladder outlet obstruction and IFN-¥ã4 weeks(BOO+IFN) groups. IFN-
¥ã(LG Chemical, Korea) was injected daily(100,000IU) for 4 weeks through subcutaneous
route from obstruction day 1 in the injection groups. The rats in each group were
sacrificed at 4 weeks of the experimental day and bladder body was prepared for
Masson's trichrome special staining. With the image analyser, we calculated the percent
collagen area(collagen/collagen muscle) in each bladder.
Results: With obstruction, bladder weights of BOO group and BOO+IFN group were
increased 4.6 and 4.4 times, respectively, compared to S group. The percent collagen
area in each group was 40.7 1.6% in N group, 38.2¡¾2.0% in S group, 26.6¡¾3.8% in
S+IFN group, 19.9¡¾2.5% in BOO group, and 12.4¡¾2.0% in BOO+IFN group(meanÞÍ
standard error). There was no significant statistical difference between N group and S
group(p>0.05 by Wilcoxon's rank sum test). On the contrary, there were significant
statistical differences between N group and S+IFN group and between S group and
S+IFN group. Also there was significant statistical difference between BOO group and
BO0+1FN group(p<0.05).
Conclusions: From the above results, IFN-¥ãseems to have the effect to decrease
collagen content in the obstructed rat bladder. However, furthers investigations are
required to evaluate the therapeutic relevance of IFN-¥ã on bladder outlet obstruction
patients.

Å°¿öµå

Rat; Bladder outlet obstruction; Interferon-¥ã Collagen; Morphometric analysis;

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