ํŽ˜๋‹์•Œ๋ผ๋‹Œ์ด๋ž€?

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ์ธ์ฒด์— ์ž์—ฐ์ ์œผ๋กœ ์กด์žฌํ•˜๋Š” ํ•„์ˆ˜ ์•„๋ฏธ๋…ธ์‚ฐ์ž…๋‹ˆ๋‹ค.

์•„๋ฏธ๋…ธ์‚ฐ์€ ์ฒด๋‚ด์—์„œ ์‚ฌ์Šฌ๋กœ ์—ฐ๊ฒฐ๋œ ๋ถ„์ž๋กœ ํŽฉํƒ€์ด๋“œ์™€ ๋‹จ๋ฐฑ์งˆ์„ ๊ตฌ์„ฑํ•˜๋Š” ์š”์†Œ์ž…๋‹ˆ๋‹ค. ํŽฉํƒ€์ด๋“œ๋Š” ์•„๋ฏธ๋…ธ์‚ฐ์œผ๋กœ ๊ตฌ์„ฑ๋œ ์งง์€ ์‚ฌ์Šฌ์ธ๋ฐ, 2~50๊ฐœ์˜ ์•„๋ฏธ๋…ธ์‚ฐ์œผ๋กœ ์ด๋ฃจ์–ด์ ธ ์žˆ์Šต๋‹ˆ๋‹ค. ์‚ฌ์Šฌ์„ ๊ตฌ์„ฑํ•˜๋Š” ์•„๋ฏธ๋…ธ์‚ฐ์ด 50๊ฐœ ์ด์ƒ์ด๋ฉด ์ด ์‚ฌ์Šฌ์„ ๋‹จ๋ฐฑ์งˆ ๋˜๋Š” ํด๋ฆฌํŽฉํƒ€์ด๋“œ๋ผ๊ณ  ํ•ฉ๋‹ˆ๋‹ค. ๋‹จ๋ฐฑ์งˆ์€ ์กฐ์ง ๊ตฌ์กฐ์™€ ์‹ ์ฒด ๊ธฐ๋Šฅ์—์„œ ๋‹ค์–‘ํ•œ ์—ญํ• ์„ ํ•ฉ๋‹ˆ๋‹ค.

์•„๋ฏธ๋…ธ์‚ฐ์˜ ์ˆ˜์™€ ์„œ์—ด์— ๋”ฐ๋ผ ๋‹จ๋ฐฑ์งˆ์˜ ๋ชจ์–‘๊ณผ ๊ธฐ๋Šฅ์ด ๊ฒฐ์ •๋ฉ๋‹ˆ๋‹ค. ์ด๋Ÿฌํ•œ ์ ์—์„œ ์•„๋ฏธ๋…ธ์‚ฐ์€ ๋‹จ์–ด๋ฅผ ๊ตฌ์„ฑํ•˜๋Š” ์•ŒํŒŒ๋ฒณ๊ณผ ๋น„์Šทํ•ฉ๋‹ˆ๋‹ค.

์ธ์ฒด๋Š” ์ ์ ˆํžˆ ๊ธฐ๋Šฅํ•˜๊ธฐ ์œ„ํ•ด 20๊ฐ€์ง€ ์„œ๋กœ ๋‹ค๋ฅธ ์•„๋ฏธ๋…ธ์‚ฐ์„ ์ด์šฉํ•ฉ๋‹ˆ๋‹ค. ์ด ์ค‘ 9๊ฐ€์ง€ ์•„๋ฏธ๋…ธ์‚ฐ์€ ํ•„์ˆ˜ ์•„๋ฏธ๋…ธ์‚ฐ์œผ๋กœ ๋ฐ˜๋“œ์‹œ ์‹๋‹จ์„ ํ†ตํ•ด ์„ญ์ทจํ•ด์•ผ ํ•ฉ๋‹ˆ๋‹ค. ๋‚˜๋จธ์ง€ 11๊ฐ€์ง€๋Š” ์ฒด๋‚ด์—์„œ ํ˜•์„ฑ๋  ์ˆ˜ ์žˆ์œผ๋ฏ€๋กœ ๋น„ํ•„์ˆ˜ ์•„๋ฏธ๋…ธ์‚ฐ์ด๋ผ๊ณ  ํ•ฉ๋‹ˆ๋‹ค.

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ์ฒด๋‚ด ๋‹จ๋ฐฑ์งˆ ํ•ฉ์„ฑ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ๋‡Œ์™€ ์‹ ๊ฒฝ, ์‹ฌํ˜ˆ๊ด€์˜ ์ ์ ˆํ•œ ๊ธฐ๋Šฅ์— ํ•„์š”ํ•œ ์ฃผ์š” ํ™”ํ•ฉ๋ฌผ์˜ ์ƒ์„ฑ์— ์ด์šฉ๋˜๋ฏ€๋กœ ์‹ ์ฒด์—์„œ ์ค‘์š”ํ•œ ์—ญํ• ์„ ํ•˜๋Š” ํ•„์ˆ˜ ์•„๋ฏธ๋…ธ์‚ฐ์ž…๋‹ˆ๋‹ค.

D,L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์ด๋ž€?

D,L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ(DLPA)์€ L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ ๊ทธ ๊ฑฐ์šธ์ƒ์ธ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์ด ๋™์ผํ•œ ๋น„์œจ๋กœ ๊ตฌ์„ฑ๋œ ํ˜ผํ•ฉ๋ฌผ์ž…๋‹ˆ๋‹ค. L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ DLPA๋Š” ๋ชจ๋‘ ๋ณด์ถฉ์ œ๋กœ ์„ญ์ทจํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

์‹ํ’ˆ ๊ณต๊ธ‰์›

ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ๋Œ€๋ถ€๋ถ„์˜ ์‹ํ’ˆ์— ํ•จ์œ ๋˜์–ด ์žˆ๋Š”๋ฐ, ๊ณ„๋ž€, ์œก๋ฅ˜, ์œ ์ œํ’ˆ ๊ฐ™์€ ๊ณ ๋‹จ๋ฐฑ ์‹ํ’ˆ๊ณผ ๊ฒฌ๊ณผ๋ฅ˜, ์”จ์•—๋ฅ˜, ์ฝฉ๋ฅ˜์— ๋”์šฑ ํ’๋ถ€ํ•˜๊ฒŒ ํ•จ์œ ๋˜์–ด ์žˆ์Šต๋‹ˆ๋‹ค.

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์˜ ๊ฑด๊ฐ• ํšจ๋Šฅ

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ์ฒด๋‚ด ๋‹จ๋ฐฑ์งˆ์— ์ด์šฉ๋˜์ง€๋งŒ ์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ ์ƒ์„ฑ์— ๊ธฐ์—ฌํ•˜๋Š” ์—ญํ• ๋กœ ๊ฐ€์žฅ ํฐ ๊ด€์‹ฌ์„ ๋ฐ›๊ณ  ์žˆ์Šต๋‹ˆ๋‹ค.

์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ์€ ํ•œ ์‹ ๊ฒฝ์—์„œ ๋‹ค๋ฅธ ์‹ ๊ฒฝ์œผ๋กœ ์‹ ๊ฒฝ ์ž๊ทน์„ ์ „๋‹ฌํ•˜๋Š” ํ™”ํ•™๋ฌผ์งˆ์ž…๋‹ˆ๋‹ค. ์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ ์ƒ์„ฑ ๊ณผ์ •์„ ๋ณด๋ฉด, L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ์•„๋ฏธ๋…ธ์‚ฐ L-ํ‹ฐ๋กœ์‹ ์œผ๋กœ ์ „ํ™˜๋˜๊ณ , ์ด ์•„๋ฏธ๋…ธ์‚ฐ์€ ์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ์ธ ๋„ํŒŒ๋ฏผ, ๋…ธ๋ฅด์—ํ”ผ๋„คํ”„๋ฆฐ, ์—ํ”ผ๋„คํ”„๋ฆฐ์œผ๋กœ ์ „ํ™˜๋  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ์ด๋Ÿฌํ•œ ์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ์€ ์šฐ๋ฆฌ๊ฐ€ ๋Š๋ผ๊ณ  ์ƒ๊ฐํ•˜๋Š” ๋ฐฉ์‹์— ์˜ํ–ฅ์„ ๋ฏธ์น  ๋ฟ๋งŒ ์•„๋‹ˆ๋ผ ์‹ฌ๋ฐ•์ˆ˜์™€ ํ˜ˆ์•• ๊ฐ™์€ ์ƒ์ฒด ๊ธฐ๋Šฅ์„ ์กฐ์ ˆํ•ฉ๋‹ˆ๋‹ค.

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ ๊ทธ ๊ฑฐ์šธ์ƒ์ธ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ ์‹ ๊ฒฝ์ „๋‹ฌ๋ฌผ์งˆ์ธ ํŽ˜๋‹์—ํ‹ธ์•„๋ฏผ(PEA)์œผ๋กœ ์ „ํ™˜๋  ์ˆ˜๋„ ์žˆ์Šต๋‹ˆ๋‹ค. ์ด ํฅ๋ฏธ๋กœ์šด ์•„๋ฏธ๋…ธ์‚ฐ์€ ๊ฐ์„ฑ ๋ฐ ๊ธฐ๋ถ„ ์ „ํ™˜ ์ž‘์šฉ์„ ํ•ฉ๋‹ˆ๋‹ค.[1]

PEA๋Š” ์‚ฌ๋ž‘์˜ ๊ฐ์ •์„ ํฌํ•จํ•˜์—ฌ ๊ฐ์ •์ ์œผ๋กœ ํ–‰๋ณต๊ฐ์„ ๋Š๋ผ๋Š” ์ˆœ๊ฐ„์— ๋‡Œ์„ธํฌ์—์„œ ๋ถ„๋น„๋ฉ๋‹ˆ๋‹ค. ์‚ฌ๋ž‘๊ณผ ๊ด€๋ จ๋œ ์‹ํ’ˆ์œผ๋กœ ์ดˆ์ฝœ๋ฆฟ์„ ๋– ์˜ฌ๋ฆฌ๊ธฐ ๋งˆ๋ จ์ž…๋‹ˆ๋‹ค. ์ดˆ์ฝœ๋ฆฟ์€ ๋น„๊ต์  PEA๋ฅผ ํ’๋ถ€ํ•˜๊ฒŒ ํ•จ์œ ํ•˜๊ณ  ์žˆ์œผ๋ฉฐ, ์ƒํ™”ํ•™์  ์ธก๋ฉด์œผ๋กœ ์ ‘๊ทผํ•˜๋ฉด ์ด๋Ÿฌํ•œ ์ด์œ ๋กœ ๋กœ๋งจ์Šค์™€ ์‚ฌ๋ž‘์„ ์ดˆ์ฝœ๋ฆฟ๊ณผ ์—ฐ๊ด€ ์ง“๋Š” ๊ฒƒ์ธ์ง€๋„ ๋ชจ๋ฆ…๋‹ˆ๋‹ค. PEA ํ•จ๋Ÿ‰์ด ๋†’์€ ๋‹ค๋ฅธ ์‹ํ’ˆ์œผ๋กœ๋Š” ์‚ด๋ผ๋ฏธ, ์ฒญ์–ด ์ ˆ์ž„, ์ฒด๋‹ค ์น˜์ฆˆ ๋“ฑ์ด ์žˆ์Šต๋‹ˆ๋‹ค.

์ฒด๋‚ด PEA ์ˆ˜์น˜๊ฐ€ ๋‚ฎ์„์ˆ˜๋ก ์šฐ์šธํ•œ ๊ธฐ๋ถ„์„ ๋” ๋งŽ์ด ๋Š๋‚€๋‹ค๋Š” ์—ฐ๊ตฌ ๊ฒฐ๊ณผ๊ฐ€ ์žˆ์Šต๋‹ˆ๋‹ค. ์ธ๊ฐ„์„ ๋Œ€์ƒ์œผ๋กœ ์‹ค์‹œํ•œ ์ž„์ƒ ์—ฐ๊ตฌ์—์„œ PEA(10~60mg/์ผ)๋ฅผ ๋ณด์ถฉ์ œ๋กœ ์„ญ์ทจํ•˜๋ฉด ๊ธฐ๋ถ„์ด ์ข‹์•„์ง€๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ์Šต๋‹ˆ๋‹ค.[1,2] L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ ๋ณด์ถฉ์ œ๋„ ๋™์ผํ•œ ํšจ๊ณผ๋ฅผ ๋ฐœํœ˜ํ•  ๊ฐ€๋Šฅ์„ฑ์ด ์žˆ์Šต๋‹ˆ๋‹ค. ํ•˜์ง€๋งŒ ์‹ ์ฒด ์šด๋™์ด PEA ์ˆ˜์น˜๋ฅผ 77% ๋†’์ผ ์ˆ˜ ์žˆ๋‹ค๋Š” ์ ์„ ๊ธฐ์–ตํ•˜์‹ญ์‹œ์˜ค.[3]

L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ DLPA๋ฅผ ๋ณด์ถฉํ•˜๋ฉด ๊ธฐ๋ถ„์ด ์ข‹์•„์ง„๋‹ค๋Š” ์‚ฌ์‹ค๋„ ์ž„์ƒ ์—ฐ๊ตฌ์—์„œ ๋ฐํ˜€์กŒ์Šต๋‹ˆ๋‹ค. L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์˜ ๊ฒฝ์šฐ, DLPA(150~200mg/์ผ)์— ๋น„ํ•ด ๋ณต์šฉ๋Ÿ‰์ด ์ƒ๋Œ€์ ์œผ๋กœ ๋งŽ์Šต๋‹ˆ๋‹ค(1~10g/์ผ).[4-6]

DLPA์˜ ๊ฑด๊ฐ• ํšจ๋Šฅ

์œ„์—์„œ ์–ธ๊ธ‰ํ•œ ๋ฐ”์™€ ๊ฐ™์ด, DLPA๋Š” L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ ๊ทธ ๊ฑฐ์šธ์ƒ์ธ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์ด ๋™์ผํ•œ ๋น„์œจ๋กœ ํ•จ์œ ๋œ ํ˜ผํ•ฉ๋ฌผ์ž…๋‹ˆ๋‹ค. DLPA์— ์กด์žฌํ•˜๋Š” D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์˜ ์•ฝ 1/3์€ L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์œผ๋กœ ์ „ํ™˜๋ฉ๋‹ˆ๋‹ค. ์ „ํ™˜๋˜์ง€ ์•Š์€ ๋‚˜๋จธ์ง€ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์€ L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ๋Š” ๋‹ค๋ฅธ ๋…ํŠนํ•œ ํšจ๊ณผ๋ฅผ ๋ฐœํœ˜ํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

์˜ˆ๋ฅผ ๋“ค์–ด, ์‹ ์ฒด์˜ ํ†ต์ฆ ์™„ํ™” ์—”๋„๋ฅดํ•€ ์‹œ์Šคํ…œ์— ๊ด€ํ•œ ์‹คํ—˜ ๋ชจ๋ธ์—์„œ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ(DPA)์€ ๋งŒ์„ฑ ํ†ต์ฆ, ์—ผ์ฆ, ์•ฝ๋ฌผ ๋‚จ์šฉ์— ํšจ๊ณผ๋ฅผ ๋ฐœํœ˜ํ•  ์ˆ˜ ์žˆ๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ์Šต๋‹ˆ๋‹ค.

ํ•˜์ง€๋งŒ DPA ๋ณด์ถฉ์ œ์— ๋Œ€ํ•œ ์ธ์ฒด ์ž„์ƒ ์—ฐ๊ตฌ๋Š” ์—‡๊ฐˆ๋ฆฐ ๊ฒฐ๊ณผ๋ฅผ ๋ณด์˜€์Šต๋‹ˆ๋‹ค. ๊ธ์ •์ ์ธ ๋ณด๊ณ ๋„ ์žˆ์ง€๋งŒ, ํ…์‚ฌ์Šค ๋Œ€ํ•™๊ต(University of Texas) ์—ฐ๊ตฌ์ง„์ด ์‹ค์‹œํ•œ ์ธ์ฒด ์ด์ค‘๋งน๊ฒ€ ์กฐ์‚ฌ์—์„œ๋Š” ๋งŒ์„ฑ ํ†ต์ฆ์„ ๊ฒช๋Š” 30๋ช…์—๊ฒŒ 4์ฃผ ๋™์•ˆ ๋งค์ผ 1,000mg์˜ DPA๋ฅผ ํˆฌ์—ฌํ•œ ๊ฒฐ๊ณผ ์œ„์•ฝ์— ๋น„ํ•ด ๋ณ„๋‹ค๋ฅธ ํšจ๊ณผ๊ฐ€ ๋‚˜ํƒ€๋‚˜์ง€ ์•Š์€ ๊ฒƒ์œผ๋กœ ๋ฐํ˜€์กŒ์Šต๋‹ˆ๋‹ค. ๋ช‡๋ช‡ ์—ฐ๊ตฌ์—์„œ๋Š” DPA๊ฐ€ ์นจ์ˆ ์ด๋‚˜ ์˜คํ”ผ์˜ค์ด๋“œ์˜ ํ†ต์ฆ ์น˜๋ฃŒ ํšจ๊ณผ๋ฅผ ๋†’์ผ ์ˆ˜ ์žˆ๋Š” ๊ฒƒ์œผ๋กœ ๋‚˜ํƒ€๋‚ฌ์Šต๋‹ˆ๋‹ค. DLPA์˜ ์ผ๋ฐ˜์ ์ธ ๊ถŒ์žฅ ๋ณต์šฉ๋Ÿ‰์€ ํ•˜๋ฃจ 1,500~2,500mg์ž…๋‹ˆ๋‹ค.[7-10]

์œ„ํ—˜์„ฑ

์œ ์ „ ์งˆํ™˜์ธ ํŽ˜๋‹์ผ€ํ†ค๋‡จ์ฆ(PKU)๊ณผ ์—ฐ๊ด€ ์ง€์–ด L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์„ ์•Œ๊ณ  ์žˆ๋Š” ์‚ฌ๋žŒ์ด ๋งŽ์Šต๋‹ˆ๋‹ค. ์ „ ์„ธ๊ณ„ ๋งŽ์€ ๋‚˜๋ผ์—์„œ ์‹ ์ƒ์•„๋ฅผ ๋Œ€์ƒ์œผ๋กœ PKU ๊ฒ€์‚ฌ๋ฅผ ์‹ค์‹œํ•ฉ๋‹ˆ๋‹ค. ์ด ์œ ์ „์  ๊ฒฐํ•จ์€ L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ์˜ ์ ์ ˆํ•œ ์ด์šฉ์„ ๋ฐฉํ•ดํ•ฉ๋‹ˆ๋‹ค. ๊ทธ ๊ฒฐ๊ณผ ํŽ˜๋‹์•Œ๋ผ๋‹Œ์ด ์ถ•์ ๋˜๊ณ  ํŽ˜๋‹ํ”ผ๋ฃจ๋ฒ ์ดํŠธ๋กœ ์ „ํ™˜๋˜์–ด ๋ฐœ์ž‘, ๋‡Œ ์†์ƒ, ์ง€์  ์žฅ์• ๋ฅผ ์œ ๋ฐœํ•ฉ๋‹ˆ๋‹ค. PKU์˜ ์น˜๋ฃŒ์—๋Š” ํŽ˜๋‹์•Œ๋ผ๋‹Œ ํ•จ๋Ÿ‰์ด ๋†’์€ ์‹ํ’ˆ์„ ํ”ผํ•˜๋Š” ์‹์ด ์ œํ•œ์ด ํฌํ•จ๋ฉ๋‹ˆ๋‹ค.

๋ถ€์ž‘์šฉ

ํฌ๊ท€ ์œ ์ „ ์งˆํ™˜์ธ ํŽ˜๋‹์ผ€ํ†ค๋‡จ์ฆ(PKU)์ด ์žˆ๋Š” ์‚ฌ๋žŒ์€ ๋ชจ๋“  ํ˜•ํƒœ์˜ ํŽ˜๋‹์•Œ๋ผ๋‹Œ์„ ํ”ผํ•ด์•ผ ํ•ฉ๋‹ˆ๋‹ค. PKU๊ฐ€ ์—†๋Š” ์‚ฌ๋žŒ์„ ๋Œ€์ƒ์œผ๋กœ L-ํŽ˜๋‹์•Œ๋ผ๋‹Œ๊ณผ D-ํŽ˜๋‹์•Œ๋ผ๋‹Œ, DLPA์— ๊ด€ํ•ด ์ธ์ฒด ์ž„์ƒ์‹œํ—˜์„ ์‹ค์‹œํ•œ ๊ฒฐ๊ณผ, ์ผ๋ฐ˜์ ์ธ ๋ณต์šฉ๋Ÿ‰ ์ˆ˜์ค€์—์„œ ์‹ฌ๊ฐํ•œ ๋ถ€์ž‘์šฉ์ด๋‚˜ ์•ˆ์ „์„ฑ ๋ฌธ์ œ๊ฐ€ ๋ณด๊ณ ๋˜์ง€ ์•Š์•˜์Šต๋‹ˆ๋‹ค.

์ฐธ๊ณ ๋ฌธํ—Œ:

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