• Title/Summary/Keyword: Drug response

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Emergence of macrolide resistance and clinical use of macrolide antimicrobials in children (Macrolide계 항균제 내성 출현과 소아에서의 임상적 적용)

  • Choi, Eun Hwa
    • Clinical and Experimental Pediatrics
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    • v.51 no.10
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    • pp.1031-1037
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    • 2008
  • Macrolide antimicrobial agents including erythromycin, roxithromycin, clarithromycin, and azithromycin are commonly used in the treatment of respiratory tract infections in children. Newer macrolides that have structural modifications of older drug erythromycin show improved change in the spectrum of activity, dosing, and administration. However, recent studies reported that increasing use of macrolide antibiotics is the main force driving the development of macrolide resistance in streptococci. In particular, azithromycin use is more likely to select for macrolide resistance with Streptococcus pneumoniae than is clarithromycin use, a possible reflection of its much longer half life. Recently, erythromycin resistance rates of S. pneumoniae and Streptococcus pyogenes are rapidly increasing in Korea. Two main mechanisms of acquired macrolide resistance have been described, altered binding site on the bacterial ribosome encoded by the ermB gene and active macrolide efflux pump encoded by the mef gene. Relationship between the susceptibility of S. pneumoniae and the response to macrolides has been shown in studies of acute otitis media, but less clear in cases of pneumonia. This article reviews the spectrum of activity, pharmacokinetic properties, mechanisms of action and resistance, and clinical implication of resistance on the treatment of respiratory tract infections in children.

The Mechanisms of Atypical Antipsychotics-Induced Weight Gain and Related Pharmacogenetics (비전형적 항정신병약물에 의한 체중증가의 기전 및 약리유전학)

  • Lee, Joon-Noh;Yang, Byung-Hwan
    • Korean Journal of Biological Psychiatry
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    • v.10 no.1
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    • pp.3-19
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    • 2003
  • The use of atypical antipsychotics is limited by occurrence of adverse reactions such as weight gain, despite of their benefits. This article provides a comprehensive review and discussion of the most significant findings regarding obesity-related pathways and integrates these with the known mechanism of atypical antipsychotic action. The focus of this article is primarily on the genetics of obesity related pathways that may be disrupted by atypical antipsychotics. This review also discussed weight gain, hyperglycemia or occurrence of diabetes while being treated with atypical antipsychotics from the point of view of pharmacogenetics. Pharmacogenetic research seeks to uncover genetic factors that will help clinicians identify the best treatment strategies for their patients. It will aid clinically in the prediction of response and side effects, such as antipsychotic-induced weight gain, and minimize the current "trial and error" approach to prescribing in the near future. This article also presents the genetics of both central and peripheral pathways putatively involved in antipsychotic-induced weight gain while providing a comprehensive review of the obesity literature. This article also review obesity related candidate molecules which may be disrupted during atypical antipsychotic drug treatment.

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Aripiprazole-Related Oculogyric Dystonia

  • Lee, Jae-Eun;Cho, Seung-Hun
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.3
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    • pp.257-262
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    • 2013
  • Objectives : Aripiprazole is unique drug among the SGA (Second generation antipsychotics) in its pharmacology and pharmacokinetics,but is similar in clinical efficacy. Aripiprazole acts as a partial agonist at dopamine D2 receptors, activating the receptor but eliciting a reduced response compared to the natural neurotransmitter. There are some side effects of aripiprazole, the most common side effects of aripiprazole are headache, nausea, vomiting, insomnia, tremor, constipation and EPS. Difficulty in opening eyes is not defined EPS yet, but it is a rare but important side-effect symptom of aripiprazole. Methods : This article is about a case of side-effect symptom of aripiprazole, 26-year-old single female suffering from schizophrenia had difficulty in opening eyes while she was taking antipsychotics. During the hospitalization, the relaxation therapy is helpful not only to reduce tension in the eyelids but also to headache. Results : It is important that early recognition of aripiprazole-induced oculogyric dystonia can prevent life-threatening complications. Education medical staff to this easily treatable reaction will improve overall quality of health care. Conclusions : This case notifies the need for awareness of the risk of acute oculogyric dystonia in adolescent female patients receiving aripiprazole.

Synthesis of the Multifunctional Core/Intermediate/Shell Nanoparticles: Tunable Magnetic and Photoluminescence Properties (자성 및 발광 특성이 조절 가능한 다기능 코어/중간체/쉘 나노 입자 합성)

  • Kim, Mun-Kyoung;Kim, Seyun;Moon, Kyoung-Seok;Shin, Weon Ho;Jeong, Hyung Mo
    • Journal of Powder Materials
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    • v.26 no.6
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    • pp.463-470
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    • 2019
  • Fe3O4/SiO2/YVO4:Eu3+ multifunctional nanoparticles are successfully synthesized by facile stepwise sol-gel processes. The multifunctional nanoparticles show a spherical shape with narrow size distribution (approximately 40 nm) and the phosphor shells are well crystallized. The Eu3+ shows strong photoluminescence (red emission at 619 nm, absorbance at 290 nm) due to an effective energy transfer from the vanadate group to Eu. Core-shell structured multifunctional nanoparticles have superparamagnetic properties at 300 K. Furthermore, the core-shell nanoparticles have a quick response time for the external magnetic field. These results suggest that the photoluminescence and magnetic properties could be easily tuned by either varying the number of coating processes or changing the phosphor elements. The nanoparticles may have potential applications for appropriate fields such as laser systems, optical amplifiers, security systems, and drug delivery materials.

Nanoparticle Induced Oxidative Stress in Cancer Cells: Adding New Pieces to an Incomplete Jigsaw Puzzle

  • Nogueira, Daniele Rubert;Rolim, Clarice M. Bueno;Farooqi, Ammad Ahmad
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.12
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    • pp.4739-4743
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    • 2014
  • Nanotechnology is an emerging field with many promising applications in drug delivery systems. Because of outstanding developments in this field, rapidly increasing research is directed to the development of nanocarriers that may enhance the availability of drugs to the target sites. Substantial fraction of information has been added into the existing scientific literature focusing on the fact that nanoparticles usually generate reactive oxygen species to a greater extent than micro-sized particles. It is worth mentioning that oxidative stress regulates an array of cell signaling cascades that resulted in cancer cell damage. Accumulating experimental evidence over the years has shown that wide-ranging biological mechanisms are triggered by these NPs in cultured cells due to the unique properties of engineered nanoparticles. In this review, we have attempted to provide an overview of the signaling cascades that are activated by oxidative stress in cancer cells in response to different kinds of nanomaterials, including quantum dots, metallic and polymeric nanoparticles.

Amphetamine-induced ERM Proteins Phosphorylation Is through $PKC{\beta}$ Activation in PC12 Cells

  • Jeong, Ha-Jin;Kim, Jeong-Hoon;Jeon, Song-Hee
    • The Korean Journal of Physiology and Pharmacology
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    • v.15 no.4
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    • pp.245-249
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    • 2011
  • Amphetamine, a synthetic psychostimulant, is transported by the dopamine transporter (DAT) to the cytosol and increases the exchange of extracellular amphetamine by intracellular dopamine. Recently, we reported that the phosphorylation levels of ezrin-radixin-moesin (ERM) proteins are regulated by psychostimulant drugs in the nucleus accumbens, a brain area important for drug addiction. However, the significance of ERM proteins phosphorylation in response to drugs of abuse has not been fully investigated. In this study, using PC12 cells as an in vitro cell model, we showed that amphetamine increases ERM proteins phosphorylation and protein kinase C (PKC) ${\beta}$ inhibitor, but not extracellular signal-regulated kinase (ERK) or phosphatidylinositol 3-kinases (PI3K) inhibitors, abolished this effect. Further, we observed that DAT inhibitor suppressed amphetamine-induced ERM proteins phosphorylation in PC12 cells. These results suggest that $PKC{\beta}$-induced DAT regulation may be involved in amphetmaine-induced ERM proteins phosphorylation.

Antifungal Effect of Amentoflavone derived from Selaginella tamariscina

  • Jung, Hyun-Jun;Sung, Woo-Sang;Yeo, Soo-Hwan;Kim, Hyun-Soo;Lee, In-Seon;Woo, Eun-Rhan;Lee, Dong-Gun
    • Archives of Pharmacal Research
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    • v.29 no.9
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    • pp.746-751
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    • 2006
  • Amentoflavone is a plant biflavonoid that was isolated from an ethyl acetate extract of the whole plant of Selaginella tamariscina (Beauv.) spring. 1D and 2D NMR spectroscopy including DEPT, HMQC, and HMBC were used to determine its structure. Amentoflavone exhibited potent antifungal activity against several pathogenic fungal strains but had a very low hemolytic effect on human erythrocytes. In particular, amentoflavone induced the accumulation of intracellular trehalose on C. albicans as a stress response to the drug, and disrupted the dimorphic transition that forms pseudo-hyphae during pathogenesis. In conclusion, amentoflavone has great potential to be a lead compound for the development of antifungal agents.

The Association between Sasang Constitution and Quality of Life according to the Personality Pattern (성격 특성에 따른 사상체질과 삶의 질 연관성)

  • Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo;Jang, Eun-Su
    • Journal of Sasang Constitutional Medicine
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    • v.23 no.3
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    • pp.330-339
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    • 2011
  • 1. Objectives: The purpose of this study is to find the association between personality pattern and quality of life according to Sasang Constitution. 2. Methods: The 529 subjects whose constitutions had been confirmed by the experts on the base of drug response were recruited. Personality questionnaire was composed of 15 personal characteristics items measuring the influence of yin/yang and health estimating instrument was SF-12 evaluating the quality of life. Two-way ANOVA was conducted to analyze the Sasang Constitutional difference according to personality pattern. 3. Results: There were 5 different items in PCS(physical component summary), 7 different items in MCS(mental component summary). The individual scores of 3 items - give up easily/stand, decide easily/hard and be exited easily/rationalwere different according to the Sasang Constitution. 4. Conclusions: We suggest that psychological factors may affect the health state, especially might affect the health state of Sasang Constitution differently.

Recent Progress in HER2 Associated Breast Cancer

  • Wang, Wei-Jia;Lei, Yuan-Yuan;Mei, Jin-Hong;Wang, Chun-Liang
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.7
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    • pp.2591-2600
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    • 2015
  • Breast cancer is the most common cancer worldwide among women and the second most common cancer. Approximately 15-23% of breast cancers over-express human epidermal growth factor receptor2 (HER2), a 185-kDa transmembrane tyrosine kinase, which is mainly found at the cell surface of tumor cells. HER2-positive breast cancer, featuring amplification of HER2/neu and negative expression of ER and PR, has the three following characteristics: rapid tumor growth, lower survival rate, and better response to adjuvant therapies. Clinically, it is notable for its role in a pathogenesis that is associated with increased disease recurrence and acts as a worse prognosis. At the same time, it represents a good target for anti-cancer immunotherapy despite the prevalence of drug resistance. New treatments are a major topic of research, and a brighter future can be expected. This review discusses the role of HER2 in breast cancer, therapeutic modalities available and prognostic factors.

The Research on the Association between Psychosocial Well-being Index and Health Behaviors according to Sasang Constitution (사상체질에 따른 정신적 건강과 건강행위 실천정도의 연관성 연구 - Psychosocial Well-being Index Short From(이하 PWI-SF)을 중심으로 -)

  • Baek, Young-Hwa;Kim, Ho-Seok;Jeong, Jong-Wook;Ryu, Jong-Hyang;Lee, Si-Woo;Jang, Eun-Su
    • Korean Journal of Oriental Medicine
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    • v.14 no.3
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    • pp.65-71
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    • 2008
  • Objectives : We intended to know the association between Psychosocial Well-being Index(PWI) and health behaviors and also know the useful health guide according to Sasang Constitution Methods : We recruited the 137 subjects from oriental medical clinics around the country and the expert diagnosed Sasang constitution with drug response guide. We used the PWI-SF paper to estimate psychosocial well-being. We used excel program and analyzed with SPSS 14.0K Results : 1. PWI were associated with no passive smoking, everyday regular exercise, eating anything, much eating vegetable and sea-food, no eating snacks. 2. PWI were associated with no passive smoking, 4-5 times regular exercise a week, unconcern in sanitary thought, less or normal amount of meals in Soeumin, no smoking in Taeeumin, and there were not particularly associated ones in Soyangin Conclusions : Health behaviors for PWI are a little different according to Sasang Constitution.

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