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Title of the Collaborating Centre
: WHO Collaborating Centre for Traditional Medicine
Institution name : East-West Medical Research Institute, Kyung Hee University
Exact name of the department which acts as the WHO Collaborating Centre
: 8 Divisions of Institute
City and country of location : Seoul, Korea
 

1. Implementation of the work plan for each main activity

   
1-1. Work performed in relation to the terms of reference
   
  1.1.1. KRF (Korea Research Foundation) Research Project
   
  The Institute received funds from the Korea Research Foundation in October 2001 as a new government research project, which is a 6-year program. The grant consisted of $150,000 from government and $75,000 from Kyung Hee University in 2003. The title of this project is ¡®The Study of East-West Integrated Medicine on Pain control¡¯, and the principle investigator of this project was professor Jin-Woo Kim, former head of this institute. This project is composed of two teams as follows;
   
 
(1) tThe 1st team
  Title : Developments of Therapeutic Models on East-West Integrated Medicine
Primary investigator : Yun-Ho Lee, OMD.
Department of Acupuncture & Moxibustion,
College of Oriental Medicine, Kyung Hee University
This team aims at development the therapeutic models for arthritis by the East-West Integrated Medicine at the East-West Arthritis Center, and to develop a pain control model by East-West Integrated Medicine at the East-West Pain Clinic.
We carried out ¨ç a clinical study of the effectiveness of East-West pain treatment on central poststroke (CPSP) at the East-West pain clinic in our hospital. We were able to evaluate its effect on alleviation of pain and rehabilitation of CPSP patients who were treated with electroacupuncture and Western pain treatment for four weeks. This study was a double-blind and randomized controlled trial. Seventy patients diagnosed by their pain characteristics of central pain from stroke were treated with sypathetic nerve block, gabapentin, amitripyline, or electroacupuncture for four weeks. Pain intensity through the visual analogue scale (VAS), and improvements of mobility and rehabilitation through the modified Barthel index (MBI) and Rankin scale (RS), respectively, before and after pain treatment were also assessed. Bee venom therapy has been used for the treatment of rheumatoid arthritis in traditional oriental medicine. In addition to the clinical trial of bee venom for therapeutic models of rheumatoid arthritis at the East-West Arthritis Center for 2002, ¨è we kept this clinical study. A double-blind and randomized controlled trial was also performed to evaluate the efficacy of the bee venom treatment with control of Methotrexate for three months.

This work was supported by grant KRF-2001-005-F00025 from Center of Research Institute Program in the Korea Research Foundation
(2) The 2nd team
  Title : Development of Pain-control Method on East-West Integrated Medicine
Primary investigator : Sabina Lim, OMD.
Department of Meridian and Acupoint,
College of Oriental Medicine, Kyung Hee University
This team intends to find new herbal medicine including herbal prescription and herbal acupuncture for the treatment of arthritis and neuropathic pain, and to develop an ultrasonic therapeutic system on non-invasive meridian points.

In addition to the project of the first year (from October 2001 to September 2002), we kept the study of screening of herbal medicine to develop therapeutic agents for rheumatoid arthritis (RA) in vitro and in vivo, and tried to make a new herbal prescription for arthritis and pain control. RA is an auto-immune disorder of unknown etiology that is characterized by progressive joint destruction, deformity, disability and premature death in most patients. In results, several herbal medicine showed acute anti-inflammatory and anti-nociceptive effects on carrageenan induced paw edema. Among them, KHM-10, exhibited chronic anti-inflammatory and anti-nociceptive effects on complete Freund's adjuvant-induced arthritis in rats through paw edema, mechanical hyperalgesia, thermal hyperalgesia, ankle flexion test. These herbal medicine may be a promising therapy for the long-term treatment of rheumatoid arthritis. Bee venom inhibited cell proliferation and COX-2 espression at dendate gyrus in rats on the acetic acid-induced hyperalgesia.
On the other hand, Ultrasonic therapeutic system was developed and validated on non-invasive meridian points.

This work was supported by grant KRF-2001-005-F00024 from Center of Research Institute Program of the Korea Research Foundation. The above research project can be summarized as follows.

Implementation of Activity :
- Effects of simultaneous Eastern and Western treatment on pain (of osteoarthritic patients)
- Effects of simultaneous Eastern and Western treatment on immunity (of patients with rheumatic arthritis)
- Development of intensive care programs for arthritic inpatients
- Development of a codiagnosis system model between Eastern and Western medicine for pain in the East-West pain clinic (of patients with central pain)
- Development of Eastern medication for arthritis
- Development of uninvasive ultrasonic Meridian treatment system

Publications and Other Outcomes : Some parts of outcomes were published and the rests of them are in processing.

Evaluation : We played an even more important role in promoting cooperation and collaboration between Eastern and Western medicine than the years before 2000. We plan to develop a workable unified medical system based on these continuous results.

Difficulties : There are two kinds of medicine in Korea. One is Western medicine and the other is Eastern medicine. Each medicine is rapidly progressing separately in technology. Policies that will promote more cooperation and collaboration between the two medicines are required.

   
  1.1.2. KOSEF (Korea Science and Engineering Foundation) Research Project
   
  The institute carried out three research project from the Korea Science and Engineering for 2003. The contents and results of each of these projects were as follows. The first project during the three years, (1), was terminated because of the end of the project duration. The 2nd project, (2), was carried out for the first year of the project period. The 3rd project, (3), was carried out only for the first year of the study period and terminated because of resignation of the PI. The funds for these projects were $50,000, $34,000 and $34,000, respectively, for one year.
(1) Title : Effects of acupuncture on alterations of immune responses evoked by hypothalamus lesions
Primary investigator : Byung-Il Min, MD.
Department of Physiology, College of Medicine,
Kyung Hee University
  Purpose of Research : A series of reports have demonstrated that the occurrence of stress-associated diseases has consistently increased in recent reduction. It also reported that the stress has a close relationship with the decrement of immune responses to foreign antigens. There is no doubt that the neuronal system and the immune system do not exist separately, rather cooperate each other to sustain the homeostasis of human body. Recently several reports strongly suggested that the acupuncture therapy induces the analgesia through the neuronal pathway and also modulates the immune responses. The reduced immune responses by stress are believed to be a result of cooperative interactions between the hypothalamus, pituitary grand and adrenal grand (H-P-A axis). Especially the hypothalamus is the key element to connect the neuronal sytem with the immune system. In addition, it has been demonstrated that the selective destruction of the nucleus in the hypothalamus induces turbulence in immune and endocrine homeostasis. The acupuncture stimuli not only covey the signal to the hypothalamus and induce the analgesic effects, but also increase the cytotoxic effect of natural killer cells (NK cell) and influence of the balance between CD4/CD8 T lymphocytes. However, there is virtually no information available demonstrating the direct connection between the acupuncture therapy and the neuro-immune system. Therefore, this study focuses on evaluating the acupuncture effects on the immune system using an animal model with selective destruction of hypothalamic nucleus in rat. Furthermore this study can provide valuable information about the mechanisms of acupuncture therapy on the immune modulation.
Objectives of investigation during three consecutive years: 1) 1st year - To evaluate immune responses induced by electrocuting hypothalamic nuclei. 2) 2nd year - To investigate the acupuncture effects on the immune responses induced by hypothalamic lesions. 3) 3rd year - To elucidate mechanism involved in the acupuncture effects on the immune responses induced by hypothalamic lesions.
Contents of Research : 1) The evaluation of acupuncture effects on immune responses induced by lateral hypothalamic area (LHA) lesions - the measurement of NK cell activity, cytokines, while giving acupuncture. 2) The evaluation of acupuncture effects on immune responses induced by anterior nucleus lesions - the measurement of NK cell activity. 3) The evaluation of acupuncture effects on immune responses induced by medial preoptic area (MPO) lesions - the measurement of NK cell activity as the above. 4) The evaluation of acupuncture effects on analgesia induced by LHA, MPO lesions using tail flick test. 5) The research for the gene expression in hypothalamus after acupuncture stimulation - microarray, real time PCR. 6) The research of gene expression in spleen after acupuncture stimulation - microarray, real time PCR, the measurement of SOD proteins. 7) The evaluation of physiological effects on immune responses when applied moxibustion - the measurement of NK cell activity, T, B cell proliferation, and cytokines - the evaluation of activity of sympathetic nerve system (SNS) in immune responses induced by moxibustion
Effectiveness of Research : We have found that: 1) LHA has been involved in the modulation of NK cell activity induced by acupuncture. 2) Anterior hypothalamus is involoved in the modulation of NK cell activity, and also acupuncture boosted NK cell activity. 3) MPO has not been involoved in the modulation of NK cell activity induced by acupuncture. 4) LHA, MPO lesions were not related to anlagesia using tail flick test. 5) The microarray and PCR results of hypothalamus show that EA treatment up-regulates expression of genes associated with ¨ç nerve growth such as NGF induced factor A and VGF, ¨è signal transduction such as 5HT3 receptor subunit, AMPA receptor binding protein and Na-dependent neurotransmitter transporter, and ¨é anti-oxidation such as superoxide dismutase and glutathione S-transferase. In addition, the activity of the anti-oxidative enzyme, SOD of hypothalamus, liver and RBC was enhanced compared to that of control. 6) The microarray and PCR results of the spleen show that EA treatment up-regulates expression of CD94, protein-tyrosine kinase and VCAM-1 mRNA, and down-regulates expression of protein tyrosine phosphatase and SHP-1 mRNA 7) Moxibustion affected the alteration of NK cell activity, and along with INF-gamma, SNS is suggested to be involved in these effects.
This work is supported by grant No. R01-2000-000-00170-0 from the Basic Research Program of the Korea Science and Engineering Foundation.
(2) Title : The study of the genetic polymorphism associated with rheumatoid arthritis by Sasang constitution
Primary investigator : Su-Young Kim, PhD.
East-West Medical Research Institute
Kyung Hee University
 

Backgrounds : Disease susceptibility of individuals is expected to be different depending on their personality traits. The Sasang Typology, a traditional Korean medical typology, is known to explain the individual differences of vulnerability to pathology and proposed guidelines for the safe and effective use of medical herbs depending on individual traits.
Objective : The purpose of this study is to examine the susceptibility of the patients diagnosed by rheumatoid arthritis to Sasang Typology.
Methods : This study is planned to detect the susceptibility of the patients diagnosed with rheumatoid arthritis to Sasang Typology. In order to analyze the susceptibility of rheumatoid arthritis to Sasang Typology, 147 rheumatoid arthritis patients and 147 matched controls are assessed with QSCCII question for Sasang Typology. Then the frequencies of patients by Sasang constitution are compared to those of control, which are statistically analyzed and adjusted by age, sex, smoking status, alchol intake, BMI, and economic status.
Results : The demographic characteristics of the study population are similar in sex and age distribution, smoking status, and alcohol intake (p>0.05). 147 rheumatoid arthritis patients and 147 matched controls are assessed with QSCCII question for Sasang constitution. Soeumin is the most susceptible to rheumatoid arthritis compared to Taeumin or Soyangin (Crude OR[95% CI]; 3.82[2.19-6.64]). It is statistically significant after adjusting age, sex, smoking status, alcohol intake, BMI, and economic status (Adjusted OR[95% CI]; 3.01[1.47-6.15]).
Conclusion : It is suggested that the specific Sasang Typology associated with rheumatoid arthritis is used as its susceptibility marker and further as basic data to prevent the risk factors for rheumatoid arthritis.
This work is supported by grant No. R03-2002-000-00033-0 from the Basic Research Program of the Korea Science and Engineering Foundation.

(3) Title : The absorption and metabolic pathways of antimalarial drugs with stereoselectivity
Primary investigator : Kyoung-Ah Kim, PhD.
East-West Medical Research Institute
Kyung Hee University
  Objectives : We first isolated human liver microsomes from the human liver by a differential centrifugation and stored them at -80 C. After this, we developed a new method for detection of desethylchloroquine and didesethylchloroquine, metabolites of chloroqine and carboxyprimaquine, a metabolite of primaquine using high-performance liquid chromatography (HPLC). Human liver microsomes were incubated with various concentrations of chloroquine or primaquine in the mixture of NADPH-generating system for 30 min at 37 C. We draw Michaelis-Menten curve with these results and calculated Km and Vmax values for metabolism of chloroquine. Each CYP-isoform specific inhibitors were co-incubated with chloroquine to determine the CYP isoforms involved in its metabolism. Additionally, chloroquine was also incubated with each various cDNA-expressed CYP isoforms (CYP1A2, 2A6, 2B6, 2C8, 2C9, 2C19, 2D6, 2E1, 3A4, 3A5) to confirm the CYP isoforms involved and calculated each Km and Vmax value in each CYP. Finally, we did a correlation study between chloroquine metabolism and metabolism of CYP isoform-specific probe drugs with various human liver microsomes to elucidate the metabolic pathways of chloroquine. This method was also done in primaquine study.
Brief Description of Research : We identified desethylchloroquine as a main metabolite of chloroqine in human liver microsomes but could not detect didesethylchloroquine. Eadie-Hofstee plot of chlroquine metabolism showed biphasic curve, suggesting the involvement of more than two CYP isoforms in the metabolism of chloroquine. From the experiments using cDNA-expressed CYP isoforms and CYP isoform-specific inhibitors, we identified CYP1A2, CYP2C8, CYP2D6, and CYP3A4/5 played crucial roles in the metabolism of chloroquine. However, we found chloroquine metabolism was correlated with metabolism of CYP2C8 and CYP3A4/5, suggesting these CYP isoforms are main metabolic enzymes of chloroquine. We also identified CYP2C8 and CYP3A4/5 had crucial role in the metabolism of primaquine in human liver microsomes. We also isolated chiral forms of chloroquine and primaquine to study stereoselective metabolism.
We submitted and published these result in Archives of Pharmacal Research (vol 26, No 8, pp631-637, 2003)
This work is supported by grant No. R03-2002-000-00028-0 from the Basic Research Program of the Korea Science and Engineering Foundation.
   
  1.1.3. Vision 2000 Project - Kyung Hee University, Pain and Neuroscience Team
   
  Principle investigator of the Vision 2000 Project was Prof. Jin-Woo Kim, former head of this institute. It was initiated in July 2000, admitted, supported and proceeded by the Kyung Hee University task force team. It was also terminated in 30 September 2003. All research was carried out through cooperation between western medicine, oriental medicine and pharmacy. The research team received funds from university of $167,000 in 2003.

Title : Studies of therapeutic modalities and new drugs on the east-west medicine
Primary Investigator : Sabina Lim, OMD.
Department of Meridian and Acupoint,
College of Oriental Medicine, Kyung Hee University

In order to study the therapeutic modalities and new drugs on the East-West medicine, the research teams investigated ¨ç the effects of herbal medicines screened in vitro to find the potential therapeutics for the treatment of arthritis and pain. A lot of herbal medicine showed inhibitory effects of PGE2 production, COX-2 and iNOS expression, and NO production on Raw 264.7 cells. ¨è The study was performed to develop oral therapeutics for the treatment of arthritis and pain. In this aim, several herbal medicines were also selected as effective candidates, KHM-02 markedly inhibited inflammatory and nociceptive effects on carrageenan induced paw edema in Rats and on adjuvant-induced chronic arthritis. ¨é Therapeutic modalities for arthritis and pain using herbal acupuncture were developed. ¨ê Development of the patch was conducted for the treatment of arthritis and pain. The ant anti-inflammatory effects of herbal medicine were tested in vitro and in vivo for patch or cream. In other words, lots of herbal medicine exhibited enzyme activities on hyaluronidase and trypsin in vitro, and acetic acid-induced hyperalgesia in vivo. ¨ë The toxicity test was performed for the herbal medicines screened in vitro or in vivo to find the potential therapeutics for the treatment of arthritis and pain.

   
  1.1.4. Development of Korean standard bronze figures
  Implementation of Activity : 10 professors of the 11 colleges of Eastern medicine worked in cohesion to develop the bronze figures
Publications and Other Outcomes : In processing
Evaluation : The development of the standard bronze figures will allow for a more standardized training in universities and training institutions of Korean Medicine. This development is also regarded as having upgraded the quality of education and raised esteem of Eastern medicine to the general public.
Difficulties : The price for each unit is yet high, due to the difference in material. The former bronze figures were usually made of plastic, but the new model is made of copper.
   
  1.1.5. Provision of training and special lectures
  Implementation of Activity : Invitational lectures from global scholars
Name Date Organization Subject
Peter Hand 2000.05.06 Univ. of Pennsylvania Development neuronal plasticity
Gregory Y Golden 2000.05.25 Univ. of Thomas Jefferson Alzheimers disease
Margaret Naeser 2000.05.25 Univ. of Boston Acupuncture and laser
Keum Hwa Kim Choi 2000.09.19 Univ. of Minnesota Invitational seminar
Jung Soo Han 2001.03.30 Johns Hopkins Univ. Invitational seminar
Kwang-soo Kim 2001.04.09 Harvard Univ. Med school Invitational seminar
Exchange of information
Agreement on long-term training for graduates
Vladimir Vuksan 2002.10.30 Univ. of Toronto Effects of red ginseng on patients with diabetes
Publications and Other Outcomes : None
Evaluation : The invitation of those scholars facilitated informational exchanges between many nations. It also gave Korean Eastern medical practitioners and education personnel chances to obtain information which will be valuable in both training future medical manpower and directly treating patients.
Difficulties : Due to the schedules of the scholars, not many visited our center in the period between December to April.
   
  1.2. Further Activity
   
  1.2.1. Formulating policies on the protection and conservation of indigenous health resources in Korea
  (1) Establishment of the Korean Medicine Promotion Act in Korea (2003)
(2) Procurement of additional Eastern public health doctors (2003)
   
  1.2.2. Fostering respect for the cultural integrity of traditional medicine
  (1) Relating tourism to Eastern medicine
- travel packages including Eastern Medical hospitals have been developed
- 3 major TV series have been broadcasted; some of which are attracting many tourists
(2) A private Korean Medical doctor for the president has been appointed.
(3) Sports-related activities
- providing medical support for the Olympics and World Cup games
   
  1.2.3. Public Relations activities
  Implementation of Activity :
- Media briefings through various broadcasting channels including MBC, SBS, and Arirang TV
- Publications in various magazines
- Internet exposure of the 11 Eastern medical colleges and other organizations
Web page address list
Kyung Hee University
Kyung Hee Medical Center
Institute of Oriental Medicine at Kyung Hee Univ.
Kyung Hee College of Oriental Medicine
Kyung Won University
Daegu Haany University
Daejeon University
Dongguk University
Dongshin University
Dong-Eui University
Sangji University
Semyung University
Woosuk University
Wonkwang University
East-West Medical Research Institute
Graduate School of East-West Medical Science
The Association of Korean Oriental Medicine
Korean Acupuncture and Moxibustion
The Korean Society of Meridian and Acupoint
The Korean Institute of Herbal Acupuncture
http://www.khu.ac.kr/
http://www.khmc.or.kr/
http://www.iomkhu.com/
http://omc.khu.ac.kr/
http://www.kyungwon.ac.kr/
http://www.dhu.ac.kr/
http://www.dju.ac.kr/
http://wwwk.dongguk.ac.kr/
http://www.dongshinu.ac.kr/
http://www.deu.ac.kr
http://www.sangji.ac.kr/
http://www.semyung.ac.kr/
http://www.woosuk.ac.kr/
http://come.wonkwang.ac.kr/
http://www.kewmri.re.kr/
http://web.kyunghee.ac.kr/~gsm/
http://www.koma.or.kr/
http://www.acumoxa.or.kr/
http://www.acupoint.org/
http://www.kiha.co.kr/
Publications and Other Outcomes :
- 3 major TV series featuring Eastern Medicine from 2 major broadcasting stations
- a 26-piece documentary featuring Eastern Medicine named Healthfinder from Arirang TV
- numerous fixed corners on health and Eastern Medicine
- many online and offline magazines on Eastern Medicine
Evaluation : Our public relations efforts, combined with other efforts in a similar direction, have led to a big increase in exposure to media, especially television broadcasting. Many special documentaries and features have been filmed, and 3 major TV series dealing with Eastern medicine have been aired within the 4-year period. One is currently on air, and our efforts combined with such results have led to a major elevation in the public's regard for Eastern medicine, and has formed a national background which has been invaluable in the formation of some major policies within this time period.
Difficulties : Before the results of our efforts were presented to the general public, there was considerably less enthusiasm for Eastern Medicine, and the general public did not respond well at first to the infrequent exposure. But after the major results came to the public, the responses became very gratifying.
   
  1.2.4. Revision of the terms of reference
  We wish to revise the terms of reference for the period 2004-2008, if possible, as described below :

(1) To cooperate with the WHO in studying the best ways of harmonizing the existing dual medical system - Eastern and Western medicine - with a view to developing a workable unified medical care system
(2) To encourage and strengthen research into evidence-based practice of traditional medicine
(3) To establish appropriate standards of traditional medicine
(4) To develop a national policy for traditional medicine
(5) To promote public awareness of and access to traditional medicine
(6) To foster respect for the cultural integrity of traditional medicine

   
  1.2.5. Preparation of the terms of reference of the next designation period (4 years)
 
(1) To cooperate with the WHO in studying the best ways of harmonizing the existing dual medical system - Eastern and Western medicine - with a view to developing a workable unified medical care system
- International symposium on East-West medicine by School of Oriental Medicine, Graduate school of East-West Medical Science, Institute of Oriental Medicine and related organization
(2) To encourage and strengthen research into evidence-based practice of traditional medicine
- Announcement of excellent paper on East-West medicine
- Inspection of Ko-Hwang Medical Award
(3) To establish appropriate standards of traditional medicine
- Union and cooperation of the 11 Eastern medical colleges and other organizations
(4) To develop a national policy for traditional medicine
- Establishment of the Korean Medicine Promotion Act in Korea (2003)
- Media briefings
(5) To promote public awareness of and access to traditional medicine
- Update the Korean homepage on the Web site and create an English homepage
(6) To foster respect for the cultural integrity of traditional medicine
- travel packages including Eastern Medical hospitals have been developed
- 3 major TV series have been broadcasted; some of which are attracting many tourists
   
  1.3. Research papers published in 2003
 
(1) Mi-Hyeon Jang, Sabina Lim, Seung-Moo Han, Hi-Joon Park, Insop Shin, Jin-Woo Kim, Nam-Jae Kim, Ji-Suk Lee, Kyung-Ah Kim, Chang-Ju Kim
Harpagophytum Procumbens Suppresses Lipopolysaccharide-Stimulated Expressions of Cyclooxygenase-2 and Inducible Nitric Oxide Synthase in Fibroblast Cell Line L929
J Pharmacol Sci 93, 367-371 (2003)
(2) Kwang Sik Suh, Gwanpyo Koh, Cheol Young Park, Jeong Taek Woo, Sung Woon Kim, Jin Woo Kim, In Kook Park, Young Seol Kim
Soybean isoflavones inhibit tumor necrosis factor-¥á-induced apoptosis and the production of interleukin-6 and prostaglandin E2 in osteoblastic cells
Phytochemistry 63 (2003) 209-215
(3) Kwang Sik SUH, Yeon Ho NAN, Young Min AHN, Nam Jae KIM, Cheol Young PARK, Gwanpyo KOH, SeungJoon OH, Jeong Taek WOO, Sung Woon KIM, Jin Woo KIM, Young Seol KIM
Effect of Scutellariae Radix Extract on the High Glucose-Induced Apoptosis in Cultured Vascular Endothelial Cells
Biol. Pharm. Bull. 26(11) 1629-1632 (2003)
(4) Jung-Ae HONG, Seok-Hee CHUNG, Jong-Soo LEE, Sung-Soo KIM, Hyung -Dae SHIN, Hong KIM, Mi-Hyeon JANG, Taeck-Hyun LEE, Baek-Vin LIM, Young-Pyo KIM, Chang-Ju KIM
Effects of Paeonia radix on 5-Hydroxytryptamine Synthesis and Tryptophan Hydroxylase Expression in the Dorsal Raphe of Exercised Rats
Biol. Pharm. Bull. 26(2) 166-169 (2003)
(5) Mi-Hyeon Jang, Min-Chul Shin, Gyo-Sung Koo, Choong-Yeol Lee, Ee-Hwa Kim, Chang-Ju Kim
Acupuncture decreases nitric oxide synthase expression in periaqueductal gray area of rats with streptozotocin-induced diabetes
Neuroscience Letters 337 (2003) 155-158
(6) Min-Hyeon Jang, Mi-Chul Shin, Sabina Lim, Seung-Moo Han, Hi-Joon Park, Insop Shin, Ji-Suk Lee, Kyoung-Ah Kim, Ee-Hwa Kim, Chang-Ju Kim
Bee Venom Induces Apoptosis and Inhibits Expression of Cyclooxygenase -2 mRNA in Human Lung Cancer Cell Line NCI-H1299
J Pharmacol Sci 91, 95-104 (2003)
(7) Mi-Hyeon Jang, Hyun-Kyung Chang, Min-Chul Shin, Taeck-Hyun Lee, Young-Pyo Kim, Ee-Hwa Kim, Chang-Ju Kim
Effect of Ginseng radix on c-Fos Expression in the Hippocampus of Streptozotocin-Induced Diabetic Rats
J Pharmacol Sci 91, 149-152 (2003)
(8) Hong KIM, Mi-Hyeon JANG, Min-Chul SHIN, Hyun-Kyung CHANG, Taeck-Hyun LEE, Baek-Vin LIM, Chang-Young JUNG, Choong-Yeol LEE, Ee-Hwa KIM, Chang-Ju KIM
Folium mori Increases Cell Proliferation and Neuropeptide Y Expression in Dentate Gyrus of Streptozotocin-Induced Diabetic Rats
Biol. Pharm. Bull. 26
(9) Mi-Hyeon Jang, Min-Chul Shin, Baek-Vin Lim, Hyun-Bae Kim, Young-Pyo Kim, Ee-Hwa Kim, Hong Kim, Mal-Soon Shin, Sung-Soo Kim, Chang-Ju Kim
Acupuncture Increases Nitric Oxide Synthase Expression in Hippocampus of Streptozotocin-induced Diabetic Rats
The American J Chinese Medicine 31(2) 305-313 (2003)
(10) Mi-Hyeon Jang, Min-Chul Shin, Youn-Jung Kim, Chang-Ju Kim, Joo-Ho Chung
Protective Effect of Acanthopanax senticosus Against Ethanol-induced Apoptosis of Human Neuroblastoma Cell Line SK-N-MC
The American J Chinese Medicine 31(3) 379-388 (2003)
(11) Mi-Hyeon Jang, Min-Chul Shin, Taeck-Hyun Lee, Baek-Vin Lim, Mal-Soon Shin, Byung-Il Min, Hong Kim, Sonhae Cho, Ee-Hwa kim, Chang-Ju Kim
Acupuncture suppresses ischemia-induced increase in c-Fos expression and apoptosis in the hippocampal CA1 region in gerbils
Neuroscience Letters 347 (2003) 5-8
(12) Ji-Eun Kang, Hye-Jung Lee, Sabina Lim, Ee-Hwa Kim, Tae-Hee Lee, Mi-Hyeon Jang, Min-Chul Shin, Baek-Vin Lim, Youn-Jung Kim, Chang-Ju Kim
Acupuncture Modulates Expressions of Nitric Oxide Synthases and c-Fos in Hippocampus After Transient Global Ischemia in Gerbils
The American J Chinese Medicine 31(4) 581-590 (2003)
(13) Yeong-Ki Min, Seok-Hee Chung, Jong-Soo Lee, Sung-Soo Kim, Hyun-Dae Shin, Baek-Vin Lim, Min-chul Shin, Mi-Hyeon Jang, Ee-Hwa Kim, Chang-Ju Kim
Red Ginseng Inhibits Exercise-Induced Increase in 5-Hydroxytryptamine Synthesis and Tryptophan Hydroxylase Expression in Dorsal Raphe of Rats
J Pharmacol Sci 93, 218-221 (2003)
(14) Min-Chul Shin, Mi-Hyeon Jang, Hyun-Kyung Chang, Sabina Lim, Seung-Moo Han, Hi-Joon Park, Insop Shim, Ji-Suk Lee, Kyung-Ah Kim, Chang-Ju Kim
Modulation of Chelidonii herba on glycine-activated and glutamate -activated ion currents in rat periaqueductal gray neurons
Clinica Chimica Acta 337 (2003) 93-101
(15) Mi-Hyeon JANG, Min-Chul SHIN, Taeck-Hyun LEE, Geon-Ho BAHN, Hye-Sook SHIN, Sabina LIM, Ee-Hwa KIM, Chang-Ju KIM
Effect of Puerariae radix on c-Fos Expression in Hippocampus of Alcohol -Intoxicated Juvenile Rats
Biol. Pharm. Bull. 26(1) 37-40 (2003)
(16) Ee-Hwa KIM, Mi-Hyeon JANG, Min-Chul SHIN, Mal-Soon SHIN, Chung-Ju KIM
Protective Effect of Aqueous Extract of Ginseng radix against 1-Methyl-4 -phenylpyridinium-Induced Apoptosis in PC12 Cells
Biol. Pharm. Bull. 26(12) 1668-1673 (2003)
(17) Jong-Ju Lee, Eu-Teum Hahm, Byung-Il Min, Seung-Ho Han, Jung-Je Cho, Young-Wuk Cho
Roles of protein kinase A and C in the opioid potentiation of the GABAA response in rat periaqueductal gray neuron
Neuropharmacology 44 (2003) 573-583
(18) Jae-Bok Han, Sang-Duck Oh, Ki-Seok Lee, Ki-Soon Choi, Young-Wuk Cho, Hyun-Jong Ahn, HyunSu Bae, Byung-Il Min
The role of the sympathetic nervous system in moxibustion-induced immunomodulation in rats
Journal of Neuroimmunology 140 (2003) 159-1624) 434-437 (2003)
(19) Gi-Seog Lee, Jae-Bok Han, Min-Kyu Shin, Moo-Chang Hong, Sung-Woon Kim, Byung-Il Min, HyunSu Bae
Enhancement of electroacupuncture-induced analgesic effect in cholecystokinin-A receptor deficient rats
Brain Research Bulletin 62 (2003) 161-164
(20) Eui-joon Lee, Eunjung Ko, Jinwoo Lee, Samwoong Rho, Seonggyu Ko, Min-Kyu Shin, Byung-il Min, Moo-Chang Hong, Si-young Kim, Hyunsu Bae
Ginsenoside Rg1 enhances CD4+ T-cell activities and modulates Th1/Th2 differentiation
International Immunopharmacology (2003), in press
(21) Sabina Lim, Yeun-Hee Ryu, Seung-Tae Kim, Mee-Suk Hong, Hi-Joon Park
Acupuncture increases neuropeptide Y expression in hippocampus of maternally-separated rats
Neuroscience Letters 343 (2003) 49-52
(22) Hi-Joon Park, Sabina Lim, Wan-Seok Joo, Chang-Shik Yin, Hyang-Sook Lee, Hye-Jung Lee, Jung-Chul Seo, Kanghyun Leem, Yang-Sun Son, Youn-Jung Kim, Chang-Ju Kim, Yong-Sik Kim, Joo-Ho Chung
Acupuncture prevents 6-hydroxydopamine-induced neuronal death in the nigrostriatal dopaminergic system in the rat Parkinson's disease model
Experimental Neurology 180 (2003) 92-97
(23) Ji Hoon Kim, Byung-Il Min, Heung Sik Na, Dong Suk Park
Relieving effects of electroacupuncture on mechanical allodynia in neuropathic pain model of inferior caudal trunk injury in rat: mediation by spinal opioid receptors
Brain Research 998 (2004) 230-236
(24) Byung-Shik Cheong, Sang-Soo Nam, Do-Young Choi
Modulation of Corydalis tuber on Glycine-induced Ion Current in Acutely Dissociated Rat Periaqueductal Gray Neuron
Korean J Oriental Medicine 24(4) 34-42 (2003)
(25) Young-Chul Kim, Jang-Hoon Lee, Hong-Jung Woo
Effect of Samul-tang (Siwu-tang) on Procollagen Synthesis in Cultured Murine Hepatic Non-parenchymal Cells
Korean J Oriental Medicine 24(4) 120-126 (2003)
(26) Do Young Choi, Doo Ik Lee, Su Young Kim, Keon Sik Kim, Jae Dong Lee, Yun Ho Lee
Specific Electric Acupuncture for the Management of the Central Poststroke Pain
The Korean Pain Research Society 13, 74-80 (2003)
(27) Keon Sik Kim, Su Young Kim, Doo Ik Lee, Do Young Choi, Jae Dong Lee, Yun Hoo Lee
Thermographic Findings in Central Poststroke Pain - Correlation between the changes of pain and temperature -
J Korean Society of Diagnostic Thermology 3(1) 34-39 (2003)
(28) Lee Hyun-jong, Kim Su-young, Lee Sang-Hoon, seo Dong-mino, Lee Doo-ik, Kim Keun-sik, Lee Jae-dong, Lee Yun-ho, Yang Hyung-in, Park Jae-kyung, Choi Do-young
Effect of East-West pain treatment for Central Poststroke Pain on alleviation of pain and Rehabilitation
J Kor. Acupuncture & Moxibustion Society 20(2) 42-49 (2003)
(29) Lee Sang-hoon, Lee Hyun-jong, Park Sang-Min, Kim Su-young, Park Jae-kung, Hong Seung-jae, Yang Hyung-in, Lee Jae-dong, Choi Do-young, Kim Keon-Sik, Lee Doo-ik, Lee Yun-ho
Effects of Bee Venom Acupuncture on the Rahabilitation and Quality of Life in Rheumatoid Arthritis Patients
J Korean Institute of Herbal Acupuncture 5(2) 63-70 (2003)
(30) Kim Kyoung-ah, Lee Ji-suk, Park Hi-joon Park, Jin-Woo Kim, Chang-Ju Kim, In-Sop Shim, Seung-Moo Han, Sabina Lim
The Inhibitory Effect of Achyranthes bidentata radix Extracts on Cytochrome P450-Catalyzed Reactions in Human Liver Microsomes
J Korean Oriental Med 2003; 24(2): 40-46
(31) Lee Sang-hoon, Lee Hyun-jong, Baek Yong-hyeon, Kim Su-young, Park Jae-kyung, Hong Seung-jae Hong, Yang Hyung-in, Kim Keon-sik, Lee Jae-dong, Choi Do-young, Lee Doo-ik, Lee Yun-ho
Effects of Bee Venom on the pain, edema, and acute inflammatory reactant of Rheumatoid Arthritis patients
J Kor. Acupuncture & Moxibustion Society 20(2) 77-84 (2003)
(32) Park Hi-joon, Ryu Yeon-hee, Hong Mee-suk, Kim Seung-tae, Lim Sabina
The effect of HT7 acupuncturing on the food intake and hypothalamic neuropeptide Y expression changed by maternal separation in rat pups
J Kor. Acupuncture & Moxibustion Society 20(4) 93-101 (2003)
(33) Lee Sang-hoon, Hong Seung-jae, Kim Su-young, Yang Hyung-in, Lee Jae-dong, Choi Do-young, Lee Doo-ik Lee, Lee Yun-Ho
Randomized Controlled Double Blind Study of Bee Venom Therapy on Rheumatoid Arthritis
J Kor. Acupuncture & Moxibustion Society 20(6) 80-88 (2003)
(34) Hyun-Suk Seung, Young-Chul Kim, Jang-Hoon Lee, Hong-Jung Woo
Inhibitory Effect of Injinchunggantang (Yinchenqinggan-tang) on Hepatic Sclerosis
Korean J Orient. Int. Med. 2003: 24(1) 21-32
(35) Dae-Won Yeo, Jin-Sung Kim, Sang-Hyub Yoon, Bong-Ha Ryu, Ki-Won Ryu
Experimental Studies on Antitumor Effect and Immune Responses of Bunsimgieum
Korean J. Orient. Int. Med. 2003: 24(2) 315-328
(36) Sang-Hyub Yoon, Bong-Ha Ryu, Ki-Won Ryu, Jin-Sung Kim
Evaluation for Therapeutic Effectiveness of Banwhasashim-tang in Functional Dyspepsia
Korean J. Orent. Int. Med. 2003: 24(2) 329-336
(37) Hyung-Kil Yang, Young-Suk Kim, Hyung-Sup Bae, Ki-Ho Cho, Ji-Eun Shin, Nam-Jae Kim, Dong-Hyun Kim
Rhei Rhizoma and Chunghyuldan Inhibit Pancreatic Lipase
Natural Product Sciences 9(1): 38-43 (2003)
(38) BAE, EUN-AH, NA-YOUNG KIM, MYUNG JOO HAN, MIN-KYUNG CHOO
Transformation of Ginsenosides to Compound K (IH-901) by Lactic Acid Bacteria of Human Intestine
J. Microbiol. Biotechnol. (2003), 13(1), 9-14
(39) Hae-Woong Lee, Min-Kyung Choo, Eun-Ah Bae, Dong-Hyun Kim
¥â-Glucuronidase inhibitor tectorigenin isolated from the flower of Pueraria thunbergiana protects carbon tetrachloride-induced liver injury
Liver International 2003, 23, 221-226
(40) Min-Kyung Choo, Eun-Kyung Park, Myung-Joo Han, Dong-Hyun Kim
Antiallergic Activity of Ginseng and its Ginsenosides
Planta Medica 2003; 69: 518-522
(41) Yeo-Ok Han, Myung Joo Han, Sung-Hwan Park, Dong-Hyun Kim
Protective Effects of Kakkalide From Flos Puerariae on Ethanol-Induced Lethality and Hepatic Injury Are Dependent on Its Biotransformation by Human Intestinal Microflora
J Pharmacol Sci 93, 331-336 (2003)
(42) Eun-Kyung PARK, Min-Kyung CHOO, Eun-Jin KIM, Myung Joo HAN, Dong-Hyun KIM
Antiallergic Activity of Ginsenoside Rh2
Biol. Pharm. Bull. 26(11) 1581-1584 (2003)
(43) Hyun-Ju Jung, Hee-Juhn Park, Ryung-Gue Kim, Kyoung-Min Shin, Joohun Ha, Jong-Won choi, Hyoung Ja Kim, Young Sup Lee, Kyung-Tae Lee
In vivo Anti-Inflammatory and Antinociceptive Effects of Liriodendrin Isolated from the Stem Bark of Acanthopanax senticosus
Planta Medica 2003; 69: 610-616
(44) Hyeon Ka, Hee-Juhn Park, Hyun-Ju Jung, Jong-Won Choi,Kyu-Seok Cho, Joohun Ha, Kyung-Tae Lee
Cinnamaldehyde induces apoptosis by ROS-mediated mitochondrial permeability transition in human promyelocytic leukemia HL-60 cells
Cancer Letters 196 (2003) 143-152
(45) Rung-Gyu KIM, Kyung-Min SHIN, Young-Kwan KIM, Hyeh-Jean JEONG, Joohun HA, Jong-Won CHOI, Hee-Juhn PARK, Kyung-Tae LEE
Inhibition of Methanol Extract from the Aerial Parts of Saururus chinensis on Lipopolysaccharide-Induced Nitric Oxide and Prostagladin E2 Production from Murine Macrophage RAW 264.7 Cells
Biol. Pharm. Bull. 26(4) 481-486 (2003)
(46) Hee-Juhn Park, Ryung-Gue Kim, Bo-Rim Seo, Joohun Ha, Byung-Tae Ahn, Song-Hae Bok, Yong Sup Lee, Hyoung Ja Kim, Kyung-Tae Lee
Saucernetin-7 and Saucernetin-8 Isolated from Saururus chinensis inhibit the LPS-induced Production of Nitric Oxide and Prostaglandin E2 in Macrophage RAW 264.7 Cells
Planta Medica 2003; 69: 947-950
(47) Shin Yong-Wuk, Kim Dong-Hyun, Kim Nam-Jae
Studies on the Processing of Crude Drugs(¥¶) - on the Constituents and Biological Activities of Gardeniae Fructus by Processing -
Kor. J. Pharmacogn. 34(1) 45-54 (2003)
The full contents of Nos. 1-25 and 37-46 were written in English.
   
  1.4. Publications in 2003
   
  1.4.1. East-West Medical Research Institute Journal 2002 :
  This book contains 35 articles which were researched and published in this institute. The journal is attached.
   
  1.4.2. Alternative and Complementary Diabetes Care :
  The book Alternative and complementary Diabetes Care by Diana W. Guthrie was translated into Korean by Prof. Young-Seol Kim (MD) and Prof. Young-Min Ahn (OMD). The book is attached.
   
2. Collaboration between the centre and the WHO
   
  2.1. Visits by WHO staff (HQ and /or Regional Office) to the centre
  Name of WHO staff : Dr. George J. Slama
WHO country liaison officer, Republic of Korea
Dr. George J. Slama (WHO collaborating centre, WHO CC) was met and welcomed by the vice president for Medical Affairs and director general of the Medical Center of the Kyung Hee University, Prof. Choong Yoon, and by the director of the WHO CC, Prof. Kim Jin-Woo on 6 March 2003. The WHO CLO introduced himself and thanked the Director for the recently submitted 2002 annual report and 2003 work plan of the WHO Collaborating Centre. The points of meeting were as follows :
(1) The history of the East-West Medical Research Institute and WHO CC, its cooperation with the WHO and its current activities.
(2) Training programmes for traditional medicine professionals
(3) tSupplemental information on the international activities of the WHO CC in addition to the information provided in the 2002 annual report.
   
  2.2. Visits by centre staff to the WHO (HQ and /or Regional Office)
  - None.
   
  2.3. Use of the centre staff by WHO
  We were requested to support and collaborate the project on traditional medicine from the World Health organization (WHO). These requests from WHO numbered seven items during the period 2003. Some of them were already answered and the rest of them are in process of response.
(1) WHO draft guidelines on safety monitoring and pharmacovigilance of herbal medicines : Request for the development of a strategy to promote the safety, efficacy and quality of traditional medicine (Dr. Xiaorui Zhang, Coordinator, Traditional Medicine (TRM), Department of Essential Drugs and Medicines Policy (EDM))(from 18 February, 2003 to the end of May, 2003).
(2) Linking Up Database on Traditional Medicine between the World Health Organization and WHO collaborating Centres for Traditional Medicine : Request to strengthen the adopted Executive Board Resolution (document reference number: EB111.R.12), which requests the director-general of WHO to see, together with WHO Collaborating Centres, evidence-based information on quality, safety and cost -effectiveness of traditional therapies so as to provide guidance to member states on definition of products to be included in national directives and proposals on traditional-medicine policy as used in national health systems (Dr. Chen Ken, Regional adviser, Traditional Medicine)(from 17 February, 2003 to 14 April, 2003).
(3) WHO Medicines Strategy 2004-2007 (Dr. Jonathan D. Quick)(from 27 March, 2003 to 15 May, 2003) : The WHO Medicine Strategy is intended to be a guide for action for the WHO, but also policy makers, managers, and other stakeholders in the area of medicine. It will also be used as a communications tool portraying our vision to key partners. As a WHO collaborative centre in this field, the WHO wants our institute to play a vital role in implementing this shared agenda and responding effectively to the needs of the people the WHO serves and to provide points of view on revised draft to update the contents of the WHO Medicines Strategy 2000-2003. The point of views the WHO wants to get were as follows :
¨ç Does the document present a clear picture of the major challenges currently being faced, and the way WHO is planning to respond to them in the next four years?
¨è Are there any important omissions-areas in which you feel WHO should be involved, but for which no work is planned?
¨é Are there any aspects that you feel should be omitted-either because they are unimportant or because you feel they should be undertaken by others?
(4) WHO monographs on selected medicinal plants, Volume 4 (by Dr Xiaorui Zhang, Coordinator, Traditional Medicine (TRM), Department of Essential Drugs and Medicines Policy (EDM), from 31 July, 2003 to the end of November, 2003) : Request to help us to provide the comments and additional scientific information on eight draft manuscripts on the monographs with the proposed list of medicinal plants and format (Fructus Agni Casti, Cortex Berberidis, Gummi Boswellii, Semen Cardamomi, Lichen Islandicus, Cortex Magnoliae, Herba Millefolii, and Flos Trifolii)
(5) WHO guidelines on safety monitoring and pharmacovigilance of Herbal Medicines : The 2nd comments on the firsts draft of the draft Guidelines, especially, on the suggestion to include an example of a reporting form for adverse events related to herbal medicine (By Dr. Xiaorui Zhang, Coordinator, Traditional Medicine (TRM), Department of Essential Drugs and Medicines Policy (EDM), from 21 October, 2003 to 15 December, 2003).
(6) Proposed WHO intermational standard terminology in acupuncture for basic training : (By Dr. Xiaorui Zhang, Coordinator, Traditional Medicine (TRM), Department of Essential Drugs and medicnes policy (EDM), from 1 October, 2003 to the end of February, 2004) : Invitation to join and support a new project as part of the implementation of WHO traditional Medicine Strategy : 2002-2005 in May 2002, one major objectives of which is to promote rational use of traditional medicine.
(7) WHO guidelines for assessing quality of herbal medicines with reference to contaminants and residues : (By Dr Xiaorui Zhang, Coordinator, traditional Medicine (TRM), Department of Essential Drugs and Medicines Policy (EDM), from 20 November, 2003 to the end of January, 2004) : Support and collaboration on the project carried out as a joint effort between the traditional medicine (TRM) and the Food Safety (FOS) programmes at the WHO Headquarters in Geneva.
  2.4. Support provided by centre staff for courses cosponsored or organized by the WHO (HQ and /or Regional Office)
  - None
   
  2.5. WHO financial support to the centre through contractual or Technical Services Agreement
  - None
   
  2.6. Other type of support provided by the WHO
  - None
   
  2.7. Any other collaborative activities
  - None
   
  2.8. Any difficulties encountered in the collaboration
 
(1) Deficiency of recognition in the type of collaboration
(2) Continuous PR about WHO collaborating centers from the WHO deployed personnel to our centre would be appreciated
   
  2.9. Suggestions for increased and improved collaboration with the WHO
 
(1) We wish to play a leading role in holding international conventions for the standardization of traditional medicine.
(2) Early notice from WHO on cooperative activities, at least 6 months in advance, would improve cooperation.
   
3. Collaboration with other WHO collaborating centres
   
  3.1. Name(s) of the other WHO collaborating centre(s) with which the centre has collaborated
 
(1) Institute of Chinese Materia Medica, Chinese Academy of Traditional Chinese Medicine, Beijing, People's Republic of China (from 2001)
(2) Department of Japanese Oriental Medicine, Toyama Medical and Pharmaceutical University, Toyama, Japan (from 2001)
   
  3.2. Name of the network of collaborating centres with which the centre belongs
  - None
   
  3.3. Nature of the collaboration
 
(1) Agreements concluded on international exchange of education and research (from 2000) : Conclusion of these exchange agreements with prominent foreign institutions has made recognized the value of Korean Medicine internationally and has helped in securing a bridgehead for our clinical and educational programs in advancing to the global society.
(2) Oriental medicine education program for international care practitioners
(3) Advice activity of our researcher at WHO
   
  3.4. Outcome of the collaboration
 
(1) Agreements concluded on international exchange of education and research (from 2000)
- Institute of Chinese Materia Medica, Chinese Academy of Traditional Chinese Medicine, Beijing, People's Republic of China (2001.12.2) : exchange agreement concluded for a herbal educational and research facility
- Department of Japanese Oriental Medicine, Toyama Medical and Pharmaceutical University, Toyama, Japan (2001.6.22) : exchange agreement concluded for a herbal educational and research facility
(2) Oriental medicine education program for international care practitioners
(Kyung Hee University's postgraduate hospital residency certification program)
- Becky A Boros, D.C., Dipl. Ac. from Chicago, Illinois
(3) Advice activity of our researcher at WHO
- Yong Suk Kim (researcher at Kyung Hee East-West medical center and professor at Kyung Hee College of Oriental Medicine)
: WHO/WPRO (Temporary adviser 2nd consultation meeting on traditional and modern medicine) (2003.9.17-2003.9.20)
: WHO/WPRO (Temporary adviser Informal consultation meeting on development of standard international acupuncture of location) (2003.10.31-2003.11.1)
   
  3.5 Suggestions for increased and improved collaboration with other WHO collaborating centers
  : Further publicity on the role of our institute in the standardization of traditional medicine would be appreciated.
   
   
  - END -