Original Article

The Acupuncture 2015; 32(1): 1-11

Published online March 20, 2015

https://doi.org/10.13045/acupunct.2015001

© Korean Acupuncture & Moxibustion Medicine Society

카드뮴으로 유발된 산화적 스트레스에 대한 침 자극의 신장 보호 효과

신화영, 이현종, 김재수*

대구한의대학교 부속대구한방병원 침구의학과

Received: December 3, 2014; Revised: February 27, 2015; Accepted: March 2, 2015

The Protective Effects of Acupuncture on Oxidative Stress Caused by Cadmium in the Kidney

Hwa Young Shin, Hyun Jong Lee and Jae Soo Kim*

Department of Acupuncture & Moxibustion Medicine, Daegu Oriental Hospital of Daegu Haany University

Correspondence to : *Department of Acupuncture & Moxibustion Medicine, Daegu Oriental Hospital of Daegu Haany University, 136, Sincheondong-ro, Suseong-gu, Daegu, 704-123, Republic of Korea
Tel : +82-53-770-2112 E-mail : jaice@hanmail.net
※ This study was supported by Dongil Munhwa Student Aid Foundation in 2013.

Received: December 3, 2014; Revised: February 27, 2015; Accepted: March 2, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Objectives : This study was performed to inquire into the protective effects of acupuncture on oxidative stress caused by cadmium accumulation in the kidney.
Methods : Sprague-Dawley male(150±30 g) rats were stabilized for 1 week and divided into 5 groups: normal, control, LR3 acupuncture, BL23 acupuncture and sham acupuncture. For three days experimental groups received oral doses of cadmium 2 ㎎/㎏ twice a day. Acupuncture was applied bilaterally at each point 10 times for two weeks. The depth of stimulation was 1 ㎜ at right angles and torsion of acupuncture was produced 2 times per second for 1 minute. The kidneys were extracted and weighed after two weeks, and renal function was confirmed through blood urea nitrogen(BUN). We measured reactive oxygen species of the serum and kidney, and compared expression levels of superoxide dismutase(SOD), catalase, glutathione peroxidase(Gpx), nuclear factor erythroid derived 2-related factor 2(Nrf-2), heme oxygenase-1(HO-1), nuclear factor-κB(NF-κB), cyclooxygenase-2(COX-2), inducible nitric oxide synthase (iNOS), Bax and Cytochrome c.
Results : The LR3 acupuncture group and BL23 acupuncture group experienced significantly increased kidney weight, and decreased BUN compared to control group. In terms of oxidative stress, the LR3 acupuncture group and BL23 acupuncture group experienced significantly reduced reactive oxygen species compared to the control group.
Conclusions : The LR3 acupuncture group and BL23 acupuncture group experienced showed the effects of antioxidant, anti-inflammatory and apoptosis protection. The BL23 acupuncture group was more effective than LR3 acupuncture group.

Keywords Acupuncture; Cadmium; Oxidative stress; LR3; BL23

Fig. 1.

Renal antioxidant enzyme-related protein expressions

(A) superoxide dismutase(SOD). (B) Catalase. (C) glutathione peroxidase(Gpx).

*: p < 0.05, **: p < 0.01, ***: p < 0.001 compared to cadmium-treated control group by ANOVA.


Fig. 2.

Renal antioxidant gene-related protein expressions

(A) nuclear factor erythroid derived 2-related factor 2(Nrf-2).

(B) heme oxygenase-1(HO-1).

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.


Fig. 3.

Renal inflammation-related protein expressions

(A) nuclear factor-κB(NF-κB). (B) cyclooxygenase-2(COX-2). (C) inducible nitric oxide synthase(iNOS).

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.


Fig. 4.

Renal apoptosis-related protein expressions

(A) Bax. (B) cytochrome c.

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.


Fig. 5.

Predictable mechanisms in renal tissues applied acupuncture


Body Weight Gain and Kidney Weight

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
Body weight gain (g/3 weeks)89.8±4.2c81±7.074.6±12.977.6±9.679.8±10.5
Tissue weight (g) Kidney2.52±0.07c2.01±.0.032.05±0.052.41±0.10b1.96±0.08
% of tissue weight (g/100 g B.W.) Kidney0.99±0.03c0.81±0.010.85±0.01a1.16±0.07b0.81±0.03

ap < 0.05,

bp < 0.01,

cp < 0.001 compared to cadmium-treated control group by ANOVA.


Parameters of Renal Function

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
BUN(mg/dl)13.6±1.0b23.6±1.415.3±1.7a14.4±1.4b20.6±0.5

ap < 0.05,

bp < 0.01 compared to cadmium-treated control group by ANOVA.


ROS Generation in the Serum and Kidney

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
Serum ROS(flu/min/mℓ)61±3b145±1762±5b34±2c145±21
Renal ROS(flu/min/mg protein)214±29c485±35176±17c169±18c466±19

bp < 0.01,

cp < 0.001 compared to cadmium-treated control group by ANOVA.


  1. Piscator, M. Dietary exposure to cadmium and health effect: impact of environmental changes. Environ Health Perspect 1985;63:127-32.
  2. Lee, BK. Health effect due to heavy metal intoxication institute of industrial medicine. Journal Korea Association of Occupational Health Nurses 2002;9:10-6.
  3. Underwood, EJ. Trace elements in human and animail nutrition. New York: Academic Press; 2012. 319 p.
  4. Degraeve, N. Carcinogenic, teratogenic and mutagenic effects of cadmium. Mutat Res 1981;86:115-35.
  5. Chao, JI, and Yang, JL. Opposite roles of ERK and p38 mitogen-activated protein kinases in cadmium-i nduced genotoxicity and mitotic arrest. Chem Res Toxicol 2001;14:1193-202.
  6. Fergusson, JE. The heavy elements: chemistry, environmental impact and health effects. Oxford: Pergamon Press. 359 p.
  7. Lee, SH, Lee, KT, and Lee, JH. Effects of chelators on liver cadmium contents in chronic cadmium intoxication rats. Korean J Hepatol 1998;4:59-68.
  8. Craton, EM. Kidney effects of ethylene diamine tetraacetic acid(EDTA): a literature review. J Holistic Med 1982;2:227-34.
  9. Han, SH, Shin, MK, and Jung, YH. Effects of the () extract on the metabolism and renal cadmium contents in cadmium administered rats. Korean J Soc Food Sci Nutr 2002;31:1102-6.
  10. Son, YH, Kil, IH, and Lee, CS. A study on detoxication effects of fols carthami against cadmium poisoning in rats. J Traditional Korean Med 1998;8:86-94.
  11. Mun, YJ, Park, KO, and Lee, JM. A study on antitoxic effects of . Against Cadmium Toxicity. J Environmental Science 1995;4:43-8.
  12. Lim, JA, Kim, YH, and Baek, SH. Inhibitory effects of the methanolic fraction from pueraria radix on hydrogen peroxide-induced lipid peroxidation and cadmium-induced cytotoxicity(ⅲ). Korean J Physiology & Pathology 2006;20:1556-60.
  13. Cho, MS, Jang, KJ, and Song, CH. The effect of carthami semen herb-acupuncture on the HgCl2- induced acute renal failure in rabbit. The Acupuncture 1998;15:503-13.
  14. Kim, HS, and Song, CH. Beneficial effect of scutellaria baicalensis georgi extract on mercury chloride-induced membrane transport dysfunction in rabbit renal cortical slices. Korean J Pharmacopuncture 2001;4:49-56.
  15. Lee, BH, Park, SY, and Lee, JH. Duration pattern of the effect of acupuncture at HT in morphine self-administration. The Acupuncture 2010;27:55-65.
  16. Jeon, HJ, Lee, BH, and Lee, KM. A synergy effect of combination of acupoints in cocaine take. The Acupuncture 2010;27:31-41.
  17. Jung, TK. The effects of acupuncture on K for reducing alcohol craving in patients with alcohol dependence. J Oriental Rehabilitation Medicine 2004;14:75-88.
  18. Lee, BH, Lim, SC, and Kim, JS. A short review on the acupoint used in the studies about morphine addiction. The Acupuncture 2012;29:179-87.
  19. Lee, BH, Lim, SC, and Kim, JS. A short review on the acupoints used in cocaine studies. The Acupuncture 2013;30:145-50.
  20. Park, JS, Youn, DH, and Na, CS. Anti-apoptotic and neuroprotective effects of acupuncture techniques of tonification or sedation at LR on focal brain ischemic injury induced by intraluminal filament insertion in rats. Korean J Meridian & Acupoint 2006;23:81-98.
  21. Youn, DH, and Na, CS. Hepatoprotective effects of electro-acupuncture at g(LR) and (TE) on experimental liver injury in rats. Korean J Meridian & Acupoint 2006;23:167-76.
  22. Liu, S, Zhou, W, and Liu, H. Electroacupuncture attenuates morphine withdrawal signs and c-Fos expression in the central nucleus of the amygdala in freely moving rats. Brain Res 2005;1044:155-63.
  23. Park, IK, and Lim, JK. Effects of moxibustion at the meridian points (BL) and (BL) on the renal function in spontaneously hypertensive rats. The Acupuncture 1995;11:1-25.
  24. Lee, YW. Food contamination caused by water pollution, air pollution and soil pollution. J National Nutrition 1986;10:23-6.
  25. Perry, HM, and Yunice, A. Acute pressor of intra-arterial cadmium and mercuric ions in anesthetized rats. Pros Soc Exp Bio Med 1965;120:805-8.
  26. Essing, HG, Schaller, KH, and Szadkowski,. Common cadmium intake through food stuffs and beverages. Arch Hyg Baktenol 1969;153:490-4.
  27. Kazantzis, G, Flynn, FV, and Spowag, JS. Renal tubular malfunction and pulmonary emphysema in cadmium pigment workers. Quari J Med 1963;32:165-92.
  28. Schroeder, HA. Cadmium as a factor in hypertention. J Chron Dis 1965;18:647-56.
  29. Kowel, NE, Johnson, DE, and Kraemer, DF. Normal levels of cadmium in diet, urine blood and tissues inhabitants of the United States. J Toxical Environ Health 1979;5:995-1014.
  30. Szuster-Ciesielska, A, Stachura, A, and Slotwinska, M. The inhibitory effect of zinc on cadmium-induced cell apoptosis and reactive oxygen species(ROS) production in cell cultures. Toxicology 2000;145:159-71.
  31. Sen, CK. Oxidative and antioxidants in exercise. J Appl Physiol 1995;79:675-86.
  32. Crap, JD, and Tierney, DF. Superoxide dismutase and pulmonary oxygen toxicity. Int J Mol Med 2001;7:13.
  33. Turpaev, KT. Keap1-Nrf2 signaling pathway: Mechanisms of regulation and role in protection of cells against toxicity caused by xenobiotics and electrophiles. Biochemistry 2013;78:111-26.
  34. Straus, DS, Pascual, G, and Li, M. 15-Deoxy-Δ 12,14-prostaglandin J2 inhibits multiple steps in the NF-kappa B signaling pathway. Proc Natl Acad Sci USA 2000;97:4844-9.
  35. Kulms, D, and Schwarz, T. Molecular mechanisms of UV-induced apoptosis. Photodermatology 2000;16:195-201.
  36. Kondoh, M, Araragi, S, and Sato, K. Cadmium induces apoptosis partly via caspase-9 activation in HL-60cells. Toxicology 2002;170:111-7.
  37. Acupuncture & Moxibusion. Seoul: Jipmundang; 2005. 667 p.
  38. Juhlshamn, K, Utne, F, and Bracckan, OR. Interactions of cadmium with copper, zinc and iron in different organs and tissues of the rat. Acta Pharmacol Toxicol 1977;41:515-24.
  39. Kim, HI, Bae, KH, and Lee, HJ. Effect of hesperidin extracted from tangerine peel on Cd and lipid metabolism, and antioxidative capacity in rats. Korean J Nutrition 1999;32:137-49.

Article

Original Article

The Acupuncture 2015; 32(1): 1-11

Published online March 20, 2015 https://doi.org/10.13045/acupunct.2015001

Copyright © Korean Acupuncture & Moxibustion Medicine Society.

카드뮴으로 유발된 산화적 스트레스에 대한 침 자극의 신장 보호 효과

신화영, 이현종, 김재수*

대구한의대학교 부속대구한방병원 침구의학과

Received: December 3, 2014; Revised: February 27, 2015; Accepted: March 2, 2015

The Protective Effects of Acupuncture on Oxidative Stress Caused by Cadmium in the Kidney

Hwa Young Shin, Hyun Jong Lee and Jae Soo Kim*

Department of Acupuncture & Moxibustion Medicine, Daegu Oriental Hospital of Daegu Haany University

Correspondence to:*Department of Acupuncture & Moxibustion Medicine, Daegu Oriental Hospital of Daegu Haany University, 136, Sincheondong-ro, Suseong-gu, Daegu, 704-123, Republic of Korea
Tel : +82-53-770-2112 E-mail : jaice@hanmail.net
※ This study was supported by Dongil Munhwa Student Aid Foundation in 2013.

Received: December 3, 2014; Revised: February 27, 2015; Accepted: March 2, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives : This study was performed to inquire into the protective effects of acupuncture on oxidative stress caused by cadmium accumulation in the kidney.
Methods : Sprague-Dawley male(150±30 g) rats were stabilized for 1 week and divided into 5 groups: normal, control, LR3 acupuncture, BL23 acupuncture and sham acupuncture. For three days experimental groups received oral doses of cadmium 2 ㎎/㎏ twice a day. Acupuncture was applied bilaterally at each point 10 times for two weeks. The depth of stimulation was 1 ㎜ at right angles and torsion of acupuncture was produced 2 times per second for 1 minute. The kidneys were extracted and weighed after two weeks, and renal function was confirmed through blood urea nitrogen(BUN). We measured reactive oxygen species of the serum and kidney, and compared expression levels of superoxide dismutase(SOD), catalase, glutathione peroxidase(Gpx), nuclear factor erythroid derived 2-related factor 2(Nrf-2), heme oxygenase-1(HO-1), nuclear factor-κB(NF-κB), cyclooxygenase-2(COX-2), inducible nitric oxide synthase (iNOS), Bax and Cytochrome c.
Results : The LR3 acupuncture group and BL23 acupuncture group experienced significantly increased kidney weight, and decreased BUN compared to control group. In terms of oxidative stress, the LR3 acupuncture group and BL23 acupuncture group experienced significantly reduced reactive oxygen species compared to the control group.
Conclusions : The LR3 acupuncture group and BL23 acupuncture group experienced showed the effects of antioxidant, anti-inflammatory and apoptosis protection. The BL23 acupuncture group was more effective than LR3 acupuncture group.

Keywords: Acupuncture, Cadmium, Oxidative stress, LR3, BL23

Fig 1.

Figure 1.

Renal antioxidant enzyme-related protein expressions

(A) superoxide dismutase(SOD). (B) Catalase. (C) glutathione peroxidase(Gpx).

*: p < 0.05, **: p < 0.01, ***: p < 0.001 compared to cadmium-treated control group by ANOVA.

Journal of Acupuncture Research 2015; 32: 1-11https://doi.org/10.13045/acupunct.2015001

Fig 2.

Figure 2.

Renal antioxidant gene-related protein expressions

(A) nuclear factor erythroid derived 2-related factor 2(Nrf-2).

(B) heme oxygenase-1(HO-1).

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.

Journal of Acupuncture Research 2015; 32: 1-11https://doi.org/10.13045/acupunct.2015001

Fig 3.

Figure 3.

Renal inflammation-related protein expressions

(A) nuclear factor-κB(NF-κB). (B) cyclooxygenase-2(COX-2). (C) inducible nitric oxide synthase(iNOS).

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.

Journal of Acupuncture Research 2015; 32: 1-11https://doi.org/10.13045/acupunct.2015001

Fig 4.

Figure 4.

Renal apoptosis-related protein expressions

(A) Bax. (B) cytochrome c.

*: p < 0.05, **: p < 0.01 compared to cadmium-treated control group by ANOVA.

Journal of Acupuncture Research 2015; 32: 1-11https://doi.org/10.13045/acupunct.2015001

Fig 5.

Figure 5.

Predictable mechanisms in renal tissues applied acupuncture

Journal of Acupuncture Research 2015; 32: 1-11https://doi.org/10.13045/acupunct.2015001

Table 1 .. Body Weight Gain and Kidney Weight.

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
Body weight gain (g/3 weeks)89.8±4.2c81±7.074.6±12.977.6±9.679.8±10.5
Tissue weight (g) Kidney2.52±0.07c2.01±.0.032.05±0.052.41±0.10b1.96±0.08
% of tissue weight (g/100 g B.W.) Kidney0.99±0.03c0.81±0.010.85±0.01a1.16±0.07b0.81±0.03

ap < 0.05,

bp < 0.01,

cp < 0.001 compared to cadmium-treated control group by ANOVA.


Table 2 .. Parameters of Renal Function.

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
BUN(mg/dl)13.6±1.0b23.6±1.415.3±1.7a14.4±1.4b20.6±0.5

ap < 0.05,

bp < 0.01 compared to cadmium-treated control group by ANOVA.


Table 3 .. ROS Generation in the Serum and Kidney.

ItemNormalCadmium 2 mg/kg
ControlLR3BL23Sham
Serum ROS(flu/min/mℓ)61±3b145±1762±5b34±2c145±21
Renal ROS(flu/min/mg protein)214±29c485±35176±17c169±18c466±19

bp < 0.01,

cp < 0.001 compared to cadmium-treated control group by ANOVA.


References

  1. Piscator, M. Dietary exposure to cadmium and health effect: impact of environmental changes. Environ Health Perspect 1985;63:127-32.
  2. Lee, BK. Health effect due to heavy metal intoxication institute of industrial medicine. Journal Korea Association of Occupational Health Nurses 2002;9:10-6.
  3. Underwood, EJ. Trace elements in human and animail nutrition. New York: Academic Press; 2012. 319 p.
  4. Degraeve, N. Carcinogenic, teratogenic and mutagenic effects of cadmium. Mutat Res 1981;86:115-35.
  5. Chao, JI, and Yang, JL. Opposite roles of ERK and p38 mitogen-activated protein kinases in cadmium-i nduced genotoxicity and mitotic arrest. Chem Res Toxicol 2001;14:1193-202.
  6. Fergusson, JE. The heavy elements: chemistry, environmental impact and health effects. Oxford: Pergamon Press. 359 p.
  7. Lee, SH, Lee, KT, and Lee, JH. Effects of chelators on liver cadmium contents in chronic cadmium intoxication rats. Korean J Hepatol 1998;4:59-68.
  8. Craton, EM. Kidney effects of ethylene diamine tetraacetic acid(EDTA): a literature review. J Holistic Med 1982;2:227-34.
  9. Han, SH, Shin, MK, and Jung, YH. Effects of the () extract on the metabolism and renal cadmium contents in cadmium administered rats. Korean J Soc Food Sci Nutr 2002;31:1102-6.
  10. Son, YH, Kil, IH, and Lee, CS. A study on detoxication effects of fols carthami against cadmium poisoning in rats. J Traditional Korean Med 1998;8:86-94.
  11. Mun, YJ, Park, KO, and Lee, JM. A study on antitoxic effects of . Against Cadmium Toxicity. J Environmental Science 1995;4:43-8.
  12. Lim, JA, Kim, YH, and Baek, SH. Inhibitory effects of the methanolic fraction from pueraria radix on hydrogen peroxide-induced lipid peroxidation and cadmium-induced cytotoxicity(ⅲ). Korean J Physiology & Pathology 2006;20:1556-60.
  13. Cho, MS, Jang, KJ, and Song, CH. The effect of carthami semen herb-acupuncture on the HgCl2- induced acute renal failure in rabbit. The Acupuncture 1998;15:503-13.
  14. Kim, HS, and Song, CH. Beneficial effect of scutellaria baicalensis georgi extract on mercury chloride-induced membrane transport dysfunction in rabbit renal cortical slices. Korean J Pharmacopuncture 2001;4:49-56.
  15. Lee, BH, Park, SY, and Lee, JH. Duration pattern of the effect of acupuncture at HT in morphine self-administration. The Acupuncture 2010;27:55-65.
  16. Jeon, HJ, Lee, BH, and Lee, KM. A synergy effect of combination of acupoints in cocaine take. The Acupuncture 2010;27:31-41.
  17. Jung, TK. The effects of acupuncture on K for reducing alcohol craving in patients with alcohol dependence. J Oriental Rehabilitation Medicine 2004;14:75-88.
  18. Lee, BH, Lim, SC, and Kim, JS. A short review on the acupoint used in the studies about morphine addiction. The Acupuncture 2012;29:179-87.
  19. Lee, BH, Lim, SC, and Kim, JS. A short review on the acupoints used in cocaine studies. The Acupuncture 2013;30:145-50.
  20. Park, JS, Youn, DH, and Na, CS. Anti-apoptotic and neuroprotective effects of acupuncture techniques of tonification or sedation at LR on focal brain ischemic injury induced by intraluminal filament insertion in rats. Korean J Meridian & Acupoint 2006;23:81-98.
  21. Youn, DH, and Na, CS. Hepatoprotective effects of electro-acupuncture at g(LR) and (TE) on experimental liver injury in rats. Korean J Meridian & Acupoint 2006;23:167-76.
  22. Liu, S, Zhou, W, and Liu, H. Electroacupuncture attenuates morphine withdrawal signs and c-Fos expression in the central nucleus of the amygdala in freely moving rats. Brain Res 2005;1044:155-63.
  23. Park, IK, and Lim, JK. Effects of moxibustion at the meridian points (BL) and (BL) on the renal function in spontaneously hypertensive rats. The Acupuncture 1995;11:1-25.
  24. Lee, YW. Food contamination caused by water pollution, air pollution and soil pollution. J National Nutrition 1986;10:23-6.
  25. Perry, HM, and Yunice, A. Acute pressor of intra-arterial cadmium and mercuric ions in anesthetized rats. Pros Soc Exp Bio Med 1965;120:805-8.
  26. Essing, HG, Schaller, KH, and Szadkowski,. Common cadmium intake through food stuffs and beverages. Arch Hyg Baktenol 1969;153:490-4.
  27. Kazantzis, G, Flynn, FV, and Spowag, JS. Renal tubular malfunction and pulmonary emphysema in cadmium pigment workers. Quari J Med 1963;32:165-92.
  28. Schroeder, HA. Cadmium as a factor in hypertention. J Chron Dis 1965;18:647-56.
  29. Kowel, NE, Johnson, DE, and Kraemer, DF. Normal levels of cadmium in diet, urine blood and tissues inhabitants of the United States. J Toxical Environ Health 1979;5:995-1014.
  30. Szuster-Ciesielska, A, Stachura, A, and Slotwinska, M. The inhibitory effect of zinc on cadmium-induced cell apoptosis and reactive oxygen species(ROS) production in cell cultures. Toxicology 2000;145:159-71.
  31. Sen, CK. Oxidative and antioxidants in exercise. J Appl Physiol 1995;79:675-86.
  32. Crap, JD, and Tierney, DF. Superoxide dismutase and pulmonary oxygen toxicity. Int J Mol Med 2001;7:13.
  33. Turpaev, KT. Keap1-Nrf2 signaling pathway: Mechanisms of regulation and role in protection of cells against toxicity caused by xenobiotics and electrophiles. Biochemistry 2013;78:111-26.
  34. Straus, DS, Pascual, G, and Li, M. 15-Deoxy-Δ 12,14-prostaglandin J2 inhibits multiple steps in the NF-kappa B signaling pathway. Proc Natl Acad Sci USA 2000;97:4844-9.
  35. Kulms, D, and Schwarz, T. Molecular mechanisms of UV-induced apoptosis. Photodermatology 2000;16:195-201.
  36. Kondoh, M, Araragi, S, and Sato, K. Cadmium induces apoptosis partly via caspase-9 activation in HL-60cells. Toxicology 2002;170:111-7.
  37. Acupuncture & Moxibusion. Seoul: Jipmundang; 2005. 667 p.
  38. Juhlshamn, K, Utne, F, and Bracckan, OR. Interactions of cadmium with copper, zinc and iron in different organs and tissues of the rat. Acta Pharmacol Toxicol 1977;41:515-24.
  39. Kim, HI, Bae, KH, and Lee, HJ. Effect of hesperidin extracted from tangerine peel on Cd and lipid metabolism, and antioxidative capacity in rats. Korean J Nutrition 1999;32:137-49.
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