• 제목/요약/키워드: $P2Y_{12}$ Inhibitors

검색결과 93건 처리시간 0.032초

고콜레스테롤혈증 환자에서 Simvastatin($Zocor^{(R)}$) 단기 투여후 효과와 안정성 평가 (Evaluation of short-term Hypolipidemic Effect and Safety of Simvastatin($Zocor^{(R)}$) in Patients with Hyperlipidemia)

  • 김민경;박용호;박종선;신동구;김영조;김기식
    • Journal of Yeungnam Medical Science
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    • 제20권2호
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    • pp.152-159
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    • 2003
  • 고지혈증이 관상동맥 죽상 동맥경화증의 가장 중요한 위험 인자이며 또한 고지혈증을 치료할 경우 관상동맥 질환의 발생이 감소한다고 인정되고 있다. 이러한 고지혈증 치료제로 새로 개발된 simvastatin($Zocor^{(R)}$)의 단기사용 시 효과와 안정성을 알아보기 위해 저자들은 simvastatin을 12주 사용하여 연구를 시행하였다. 대상 환자는 원발성 고콜레스테롤 혈증으로 진단받은 환자로서 첫(0주)방문일 기준으로 측정한 혈중 콜레스테롤 농도가 240 mg/dl이상이거나 220 mg/dl이상이면서 병력이 있는 환자를 대상으로 하였으며 HMG-CoA reductase 억제제인 simvastatin을 저녁에 1일 20 mg씩 경구투여하였다. 12주 후 시행한 혈액검사소견상 혈청 총 콜레스테롤치, 저비중 지단백 콜레스테롤치 및 중성지방은 치료전에 비하여 치료후에 의미있게 감소하였고(p<0.05) 고비중 지단백 콜레스테롤치는 변화가 없었으며 simvastatin 투여기간중 약물 부작용은 없었다. 이상의 결과로 보아 simvastatin은 고지혈증 환자의 치료에 단기간 사용할 경우 그 효과가 확실하고 안전한 치료제라 생각된다.

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K562 백혈병 세포주에서 방사선에 의해 유도되는 Apoptosis에 미치는 PTK Inhibitors의 영향 (Radiation-induced Apoptosis is Differentially Modulated by PTK Inhibitors in K562 Cells)

  • 이형식;문창우;허원주;정수진;정민호;이정현;임영진;박헌주
    • Radiation Oncology Journal
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    • 제18권1호
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    • pp.51-58
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    • 2000
  • 목적 : 방사선에 의해 유도되는 apoptosis에 내성을 가진 세포로 알려진 KS62 세포를 대상으로, PTK inhibitors인 herbimycin A와 genistein을 이용한 방사선에 의한 apoptosls의 내성 기전을 연구하고자 하였다. 대상 및 방법 : 6 MV 체외 X-선 방사선 치료기를 이용하여 200$\~$300 cGy/min의 선량률로 10 Gy의 X-선을 세포에 균일하게 조사하였다. Apoptosis의 관찰은 래arose gel electrophoresis를 이용하여 DNA frgmentation의 지표인 ladder를 관찰하였고, TUNEL 염색을 이용하여 정량 분석을 시행하였다. Western blot 방법으로 apoptosls 관련 유전 단백인 bel-2, bel-X$_L$ 및 bax들의 발현을 관찰하였다. 방사선 조사 및 약물 처치 후의 세포 주기 분석은 flow cytometry로 분석하였다. 결과 : Agarose gel electrophoresis 실험에서 방사선을 조사하지 않은 K562 세포와 방사선을 10 Gy 조사한 세포를 48시간에 걸쳐 12시간 간격으로 관찰하였을 때 DNA fragmentation를 관찰할 수 있었다. 이러한 현상은 genistein을 투여한 세포들에서도 동일한 현상을 관찰할 수 있었지만, 방사선 조사 후 herbimycin A를 투여한 세포들에서는 48 시간째 확연한 DNA fragmentation을 관찰할 수 있었다. 이를 TUNEL assay에서 정량적으로 확인하였다. 방사선만조사한 세포들과 방사선과 genistein 투여 후 48시간째 관찰한 세포들에서는 10$\%$, 미만의 apoptosis 양성 세포의 빈도를 관찰할 수 있었지만, 방사선 조사 후 herbimycin A를 투여한 세포들에서는 30$\~$35$\%$ 빈도로 apoptosis 양성 세포들이 관찰되었다. Western blot analysis에서 bcl-2의 경우 방사선을 조사하지 않았던 대조군에 비하여 전체적인 발현은 증가되었지만 방사선 및 약제간의 발현의 차이는 없었다. 그 외 bcl-X$_{L}$과 bax는 대조군에 비해 방사선 및 약제간의 발현의 차이를 관찰할 수 없었다. KS62 세포에 방사선을 10 Gy 조사하였을 때 나타나는 세포 주기의 변화는 시간이 경과함에 따라 전형적인 G2/M block의 소견을 보였다. 이러한 소견은 genistein을 투여했을 경우에는 특별한 변화를 보이지 않지만, herbimycin A를 투여했을 경우에는 12시간째부터 G2/M block이 소실되면서 세포가 세포 주기를 재 순환하는 양상을 보였고, 48시간째 관찰한 소견에서는 G2/M block이 거의 소실된 양상을 띠었다. 이러한 소견을 토대로 apoptosis 유도와의 상호 연관성을 유추할 수 있었다. 결론 : herbimycin A는 방사선에 의해 유도되는 apoptosis가 억제된 K562 세포에서 apoptosis를 유도할 수 있었다. 이러한 유도 기전에 apoptosis 관련 유전 단백들인 bcl-2, bcl-X$_{L}$ 및 bax와 관련된 영향은 관찰되지 않았다. 세포 주기의 분석에서 G2/M block의 해소와 apoptosis 유도와의 연관성을 유추할 때, 세포 주기 관련 인자들에 대한 연구가 방사선에 의한 apoptosis의 내성의 극복 및 방사선에 의한 세포의 감수성 조절 약제로서의 역할에 이바지할 것으로 생각한다.

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혈합육어 멘헤이든의 장기조직분포Trypsin-유사효소에 관한 비교효소학적 연구 (Comparative Studies on the Enzymatic Properties of two Trypsin-like Enzymes from Menhaden, Brevoortia tyranus)

  • 변재형;김형락;제이 에스 갇버
    • 한국수산과학회지
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    • 제23권1호
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    • pp.12-24
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    • 1990
  • 멘헤이든의 장기에서 황산암모늄염석, 친화성크 로마토그라피(Benzamidine-Sepharose 6B), 이온교환크로마토그라피 (DEAE-Sephacel), 겔여과크로마토그라피(Sephadex G-75)등의 정제과정을 거쳐 2종의 trypsin-유사효소를 정제하고 다른 혈압육어 trypsin의 성질과 비교 검토할 수 있는 효소학적 성질에 관하여 분석하였다. 이들 두 효소는 trypsin에 대한 선택성 합성기질인 $N\alpha$-benzoyl-DL-arginine-p-nitroanilide ( BA-p-NA)를 분해하고, 이미 알려져 있는 trypsin 저해제 tosyl Iysyl chloromethyl ketone(TLCK), soybean trypsin inhibitor(SBTI), benzamidine, leupetin, antipain 등에 의하여 현저히 저해를 받으므로서 serine계의 trypsin임이 확증되었다. 이들 두 효소의 분자량은 겔여과법과 SDS-polya-crylamide 전기영동법에 의하여 trypsin A가 약 25,000, trypsin B가 약 26,200이었으므로 이미 밝혀진 혈압육어의 trypsin 중에서는 비교적 작았다. 이들 효소는 다른 혈압육어들에 비하여 염기성아미노산에 속하는 arginine과 Iysine이 다소 적었든 반면, 중성아미노산인 glycine과 alanine, 그밖에 tryptophan이 조금 많았다. 한편, 이들 효소는 BA-p-NA 기질에 대하여 $60^{\circ}C$전후, pH $8\~11$에서 최대활성을 보였으며, 산성 pH의 조건과 $40^{\circ}C$ 이상의 온도에서는 극히 불안정하였다. 이들 두 효소의 BA-p-NA에 대한 Km 정수는 trypsin A가 $1.4\times10^{-4}M$, trypsin B가 $4.3\times10^{-5}M$였다.

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진행성 비소세포폐암 환자에서 Gefitinib와 Erlotinib의 비교 (Comparison of Gefitinib and Erlotinib for Patients with Advanced Non-Small-Cell Lung Cancer)

  • 이진화;이경은;류연주;천은미;장중현
    • Tuberculosis and Respiratory Diseases
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    • 제66권4호
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    • pp.280-287
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    • 2009
  • 연구배경: 표피성장인자수용체(epidermal growth factor receptor, EGFR) 티로신 활성효소 억제제(tyrosine kinase inhibitor, TKI)는 진행성 비소세포폐암의 새로운 치료제이다. 몇몇 연구 결과 gefitinib와 erlotinib에 대한 반응률과 반응 예측인자에 차이가 있을 가능성을 제시하였다. 저자들은 한국인 진행성 비소세포폐암에서 gefitinib와 erlotinib의 효과 및 독성을 비교하고 각 약제에 대해 서로 다른 반응 예측인자가 있는지 평가하였다. 방 법: 2003년 7월부터 2009년 2월까지 이화여자대학 교부속병원에서 진행성 비소세포폐암으로 gefitinib 또는 erlotinib로 치료 받은 환자들의 임상정보를 수집하였다. 중앙 생존기간은 Kaplan-Meier법으로 계산하였다. 결 과: 대상 환자는 총 86명이었다(gefitinib군 52명 대 erlotinib군 34명). 나이의 중앙값은 64세였고 53명(62%)이 남자였다. 86명 중 83명에서 반응평가가 가능했으며, 83명 중 35명이 반응을 보였고 12명이 안정성 질환이었으며 36명이 진행성 질환으로, 치료 반응률이 42%였고 질병 조절률이 57%였다. 중앙 추적관찰기간 502일 동안, 진행까지의 중앙기간은 129일이었으며 중앙 생존기간은 259일이었다. 치료 반응률(gefitinib 44% 대 erlotinib 39%, p=0.678), 중앙 생존기간(gefitinib 301일 대 erlotinib 202일, p=0.151) 및 병의 진행까지 기간의 중앙값(gefitinib 136일 대 erlotinib 92일, p=0.672)은 두 군 사이에 차이가 없었다. 두 약제는 비슷한 독성을 보였다. Cox 회귀모형을 이용한 다변수분석에서 선암이 생존과 관련된 독립적인 예후인자였다(상대위험도: 0.487, 95% 신뢰구간: 0.292~0.811, p=0.006). 아집단 분석 결과 두 약제에 대한 서로 다른 반응 예측인자는 없었다. 결 론: Gefitinib와 erlotinib 사이에 반응률, 생존기간, 진행까지의 기간 및 독성에 차이는 없었다. 각 약제에 대한 특이적인 반응 예측인자도 없었다.

Production and Characterization of Keratinolytic Proteases by a Chicken Feather-Degrading Thermophilic Strain, Thermoactinomyces sp. YT06

  • Wang, Lin;Qian, Yuting;Cao, Yun;Huang, Ying;Chang, Zhizhou;Huang, Hongying
    • Journal of Microbiology and Biotechnology
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    • 제27권12호
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    • pp.2190-2198
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    • 2017
  • Thermoactinomyces sp. strain YT06 was isolated from poultry compost and observed to degrade integral chicken feathers completely at $60^{\circ}C$, resulting in the formation of 3.24 mg/ml of free amino acids from 50 ml of culture containing 10 g/l chicken feathers. Strain YT06 could grow and secrete keratinase using feather as the only carbon and nitrogen sources without other supplement, but complementation of 10 g/l sucrose and 4 g/l $NaNO_3$ increased the production of the keratinolytic enzyme. The maximum protease activity obtained was 110 U/ml and for keratinase was 42 U/ml. The keratinase maintained active status over a broad pH (pH 8-11) and temperature ($60-75^{\circ}C$). It was inhibited by serine protease inhibitors and most metal ions; however, it could be stimulated by $Mn^{2+}$ and the surfactant Tween-20. A reductive agent (${\beta}$-mercaptoethanol) was observed to cleave the disulfide bond of keratin and improve the access of the enzyme to the keratinaceous substrate. Zymogram analysis showed that strain YT06 primarily secreted keratinase with a molecular mass of approximately 35 kDa. The active band was assessed by MALDI-TOF mass spectrometry and was observed to be completely identical to an alkaline serine protease from Thermoactinomyces sp. Gus2-1. Thermoactinomyces sp. strain YT06 shows great potential as a novel candidate in enzymatic processing of hard-to-degrade proteins into high-value products, such as keratinous wastes.

Effects of the CYP2C19 Genetic Polymorphism on Gastritis, Peptic Ulcer Disease, Peptic Ulcer Bleeding and Gastric Cancer

  • Jainan, Wannapa;Vilaichone, Ratha-Korn
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10957-10960
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    • 2015
  • Background: The CYP2C19 genotype has been found to be an important factor for peptic ulcer healing and H. pylori eradication, influencing the efficacy of proton pump inhibitors (PPIs) and the pathogenesis of gastric cancer. The aim of this study was to investigate clinical correlations of the CYP2C19 genotype in patients with gastritis, peptic ulcer disease (PUD), peptic ulcer bleeding (PUB) and gastric cancer in Thailand. Materials and Methods: Clinical information, endoscopic findings and H. pylori infection status of patients were assessed between May 2012 and November 2014 in Thammasat University Hospital, Thailand. Upper GI endoscopy was performed for all patients. Five milliliters of blood were collected for H. pylori serological diagnosis and CYP2C19 study. CYP2C19 genotypes were determined by polymerase chain reaction (PCR) and restriction fragment length polymorphism analysis (RFLP) and classified as rapid metabolizer (RM), intermediate metabolizer (IM) or poor metabolizer (PM). Results: A total of 202 patients were enrolled including 114 with gastritis, 36 with PUD, 50 with PUB and 2 with gastric cancer. Prevalence of CYP2C19 genotype was 82/202 (40.6%) in RM, 99/202 (49%) in IM and 21/202 (10.4%) in PM. Overall H. pylori infection was 138/202 patients (68.3%). H. pylori infection was demonstrated in 72% in RM genotype, 69.7% in IM genotype and 47.6% in PM genotype. Both gastric cancer patients had the IM genotype. In PUB patients, the prevalence of genotype RM (56%) was highest followed by IM (32%) and PM(12%). Furthermore, the prevalence of genotype RM in PUB was significantly greater than gastritis patients (56% vs 36%: p=0.016; OR=2.3, 95%CI=1.1-4.7). Conclusions: CYP2C19 genotype IM was the most common genotype whereas genotype RM was the most common in PUB patients. All gastric cancer patients had genotype IM. The CYP2C19 genotype RM might be play role in development of PUD and PUB. Further study in different population is necessary to verify clinical usefulness of CYP2C19 genotyping in development of these upper GI diseases.

Quercetin Derivatives from Siegesbeckia glabrescens Inhibit the Expression of COX-2 Through the Suppression of NF-κB Activation in Microglia

  • Lim, Hyo-Jin;Li, Hua;Kim, Jae-Yeon;Ryu, Jae-Ha
    • Biomolecules & Therapeutics
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    • 제19권1호
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    • pp.27-32
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    • 2011
  • The activation of microglia induces the overproduction of inflammatory mediators that are responsible for the neurodegenerative disorders including Alzheimer's disease and Parkinson's disease. The large amounts of prostaglandin $E_2$ ($PGE_2$) produced by inducible cyclooxygenase (COX-2) is one of the main inflammatory mediators that can contribute to neurodegeneration. The inhibition of COX-2 thus may provide therapeutic strategy for the treatment of neurodegenerative diseases. From the activity-guided purification of EtOAc soluble fraction of Siegesbeckia glabrescens, four compounds were isolated as inhibitors of $PGE_2$ production in LPS-activated microglia. Their structures were determined as 3, 4'-dimethylquercetin (1), 3, 7-dimethylquercetin (2), 3-methylquercetin (3) and 3, 7, 4'-trimethylquercetin (4) by the mass and NMR spectral data analysis. The compounds 1-4 showed dose-dependent inhibition of $PGE_2$ production in LPS-activated microglia with their $IC_{50}$ values of 7.1, 4.9, 4.4, $12.4\;{\mu}M$ respectively. They reduced the expression of protein and mRNA of COX-2 through the inhibition of I-${\kappa}B{\alpha}$ degradation and NF-$\kappa}B$ activity that were correlated with the inactivation of p38 and ERK. Therefore the active compounds from Siegesbeckia glabrescens may have therapeutic effects on neuro-inflammatory diseases through the inhibition of overproduction of $PGE_2$ and suppression of COX-2 overexpression.

Effects of Porcine Placenta Extract Ingestion on Ultraviolet B-induced Skin Damage in Hairless Mice

  • Hong, Ki-Bae;Park, Yooheon;Kim, Jae Hwan;Kim, Jin Man;Suh, Hyung Joo
    • 한국축산식품학회지
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    • 제35권3호
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    • pp.413-420
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    • 2015
  • The aim of our study was to evaluate the potential benefits of an oral supplement containing porcine placenta extract (PPE) on skin parameters related to cutaneous physiology and aging. PPEs were administered orally to hairless mice for 12 wk. The effects of oral PPE administration on skin water-holding capacity and Transepidermal Water Loss (TEWL) were similar to those of oral collagen (HYCPU2) administered as a positive control. Magnified photographs and replica images showed a reduction in UVB-induced wrinkle formation after collagen and PPE treatments. PPE treatments ameliorated the thicker skin surface that results from UVB exposure, based on a histological examination of skin tissue. The groups that were orally administered PPE (0.05%, OL; 0.1%, OH group) showed significantly reduced Matrix Metaloproteinase-2 (MMP-2) mRNA expression levels compared with the UVB control (Con), by 33.5% and 35.2%, respectively. The mRNA expression of another collagen-degrading protein, MMP-9, was also significantly lower in the groups that received oral administration of PPE (especially in the OH group) than in the control group. Additionally, oral administration of PPE significantly upregulated tissue inhibitor of metalloproteinase-1 (TIMP-1) and -2 mRNA expression levels compared with expression levels in the control group (p<0.05). This indicates that orally administered PPE activated the expression of Timp-1 and -2, inhibitors of MMP, which is responsible for collagen degradation in skin. Taken together, we propose that long-term oral administration of PPE might have a beneficial effect with respect to skin photo-aging.

고혈압 치료 지침 Vl에 의한 항고혈압제의 사용평가 (Drug Use Evaluation of Antihypertensive Agents by JNC VI Guidelines)

  • 김경화;이숙향
    • 한국임상약학회지
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    • 제12권1호
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    • pp.29-38
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    • 2002
  • Hypertension is an important public health problem because it increases the risk of stroke, angina, myocardial infarction, heart failure, and end-stage renal disease. If it is not actively treated, morbidity and mortality increase with hypertension-induced complications and quality of life decreases. This study was to evaluate the use of antihypertensive drugs and blood pressure changes and to compare algorithms chosen (or the 1st and 2nd line therapy of hypertension based on the JNC VI recommendations. The medical charts of 222 patients with essential hypertension at St. Vincent's Hospital in Suwon from January 1997 to January 2000 were reviewed retrospectively. Data collection and analysis included baseline BP underlying diseases and complications, administered antihypertensives, BP changes, changes of antihypertensive regimen, and adverse effects with treatments. As results, the higher BP the patients had, the more frequent they had target organ damages and clinical cardiovascular diseases. Mean duration to reduce blood pressure less than 140/90 mmHg was 8 weeks in $85.3\%$ of the patients. The rate of control in BP was $82.4\%$ at 6 months. The major antihypertensive drugs prescribed were calcium channel blockers $(61.8\%)$ , ACE inhibitors $(19.1\%),\;\beta-blockers\;(13.7\%)$ and diuretics $(5.3\%)$ as the 1st-line monotherapy. The methods of treatment used as the 1st-line therapy were monotherapy$(59\%)$ and combination therapy $(41\%)$. Blood pressure change was significantly greater for combination therapy than monotherapy$(-26.2\pm21.4\;vs.\;-18.56\pm16.7$ mmHg for systolic blood pressure; P<0.003, $-16.9\pm13.2\;vs.\;-9.2\pm12.8$ mmHg for diastolic blood pressure; p<0.001). When blood pressure was not completely controlled with the first antihypertensive selected, the 2nd line therapy had 4 options: addition of 2nd agent from different class; $66.2\%$, substitution with another drug, $21.9\%$ increase dose $11.9\%$ continue first regimen $27.9\%$ Calcium channel blockers were the most frequently prescribed agents. This was not comparable to the JNC VI guideline which recommended diuretics and $\beta-blockers$ for the 1st-line therapy. Most of patients achieved the goal BP and maintained it until 6 months, but the remaining patients should be controlled more tightly to improve their BP with combination of life style modification, patient education, and pharmacotherapy.

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Exopolysaccharide-Overproducing Lactobacillus paracasei KB28 Induces Cytokines in Mouse Peritoneal Macrophages via Modulation of NF-${\kappa}B$ and MAPKs

  • Kang, Hee;Choi, Hye-Sun;Kim, Ji-Eun;Han, Nam-Soo
    • Journal of Microbiology and Biotechnology
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    • 제21권11호
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    • pp.1174-1178
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    • 2011
  • Exopolysaccharides (EPSs) are microbial polysaccharides that are released outside of the bacterial cell wall. There have been few studies on EPS-producing lactic acid bacteria that can enhance macrophage activity and the underlying signaling mechanism for cytokine expression. In the current study, EPS-overproducing Lactobacillus (L.) paracasei KB28 was isolated from kimchi and cultivated in conditioned media containing glucose, sucrose, and lactose. The whole bacterial cells were obtained with their EPS being attached, and the cytokine-inducing activities of these cells were investigated. Gas chromatography analysis showed the presence of glucose, galactose, mannose, xylose, arabinose, and rhamnose in EPS composition. EPS-producing L. paracasei KB28 induced the expression of tumor necrosis factor (TNF)-${\alpha}$, interleukin (IL)-6, and IL-12 in mouse macrophages. This strain also caused the degradation of $I{\kappa}B{\alpha}$ and phosphorylation of the major MAPKs: Jun N-terminal kinase (JNK), p38, and extracellular signal-regulated kinase (ERK)1/2. The use of pharmacological inhibitors showed that different signaling pathways were involved in the induction of TNF-${\alpha}$, IL-6 and IL-12 by L. paracasei KB28. Our results provide information for a better understanding of the molecular mechanisms of the immunomodulatory effect of food-derived EPS-producing lactic acid bacteria.