• 한국임상약학회지
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• 제30권2호
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• pp.81-86
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• 2020

Background: The number of patients with dementia continues to increase as the age of aging continues to grow. Psychiatric symptoms caused by senile dementia are controlled using antipsychotics. However, these antipsychotics can lead to Parkinson's disease, and abuse of dopamine derivatives such as levodopa among Parkinsonian drugs can lead to psychosis. Therefore, we evaluated the patterns of prescribed antipsychotics and antiparkinsonian drugs in patients with senile dementia. Methods: We used data from the sample of elderly patients from the Health Insurance Review and Assessment Service (HIRA-APS-2016). We analyzed the patterns of prescribing antipsychotics and antiparkinsonian drugs including prescribed daily dosage, period of prescription, and number of patients with both antipsychotics and antiparkinsonian drugs for senile dementia. Results: Among the 159,391 patients with dementia included in this analysis, 4,963 patients (3.1%) and 16,499 patients (10.4%) were prescribed typical and atypical antipsychotic drugs, respectively. The most frequently prescribed typical antipsychotic was haloperidol (4,351 patients with dementia), whereas the atypical agent was quetiapine (12,719 patients). The most frequently prescribed antiparkinsonian drugs were in the order of levodopa/carbidopa, benztropine, and ropinirole. In addition, 1,103 and 3,508 patients prescribed typical and atypical antipsychotics, respectively, were co-prescribed antiparkinsonian drugs. Conclusions: Atypical antipsychotics were the preferred prescription in patients with senile dementia. The prescription dose was relatively low; however, the average treatment duration was mostly long-term. Selection of antipsychotics and/or antiparkinsonian drugs should be made carefully in senile dementia and the causal relationship of adverse drug reactions needs further study.

• 한국발생생물학회:학술대회논문집
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• 한국발생생물학회 2003년도 제3회 국제심포지움 및 학술대회
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• pp.101-101
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• 2003

Main strategy for a treatment of Parkinson's disease (PD), due to a progressive degeneration of dopaminergic neurons, is a pharmaceutical supplement of dopamine derivatives or ceil replacement therapy. Both of these protocols have pros and cons; former exhibiting a dramatic relief but causing a severe side effects on long-term prescription and latter also having a proven effectiveness but having availability and ethical problems Embryonic stem (ES) cells have several characteristics suitable for this purpose. To investigate a possibility of using ES cells as a carrier of therapeutic gene(s), human ES (hES, MB03) cells were transfected with cDNAs coding for tyrosine hydroxylase (TH) in pcDNA3.1 (+) and the transfectants were selected using neomycin (250 $\mu /ml$). Expression of TH being confirmed, two of the positive clone (MBTH2 & 8) were second transfected with GTP cyclohydrolase 1 (GTPCH 1) in pcDNA3.1 (+)-hyg followed by selection with hygromycin-B (150 $\mu /ml$) and RT-PCR confirmation. By immune-cytochemistry, these genetically modified but undifferentiated dual drug-resistant cells were found to express few of the neuronal markers, such as NF200, $\beta$-tubulin, and MAP2 as well as astroglial marker GFAP. This results suggest that over-production of BH4 by ectopically expressed GTPCH I may be involved in the induction of those markers. Transplantation of the cells into striatum of 6-OHDA- denervated PD animal model relieved symptomatic rotational behaviors of the animals. Immunohistochemical analyses showed the presence of human cells within the striatum of the recipients. These results suggest a possibility of using hES cells as a carrier of therapeutic gene(s).

• 한국식품과학회지
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• 제38권6호
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• pp.730-737
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• 2006

국내 유통발효식품 중 BAs 함량을 분석하고자 HPLC를 이용한 최적 분석방법을 확립하고, 유통 발효식품 중 BAs 함량을 조사하였다. BAs의 분석에는 0.1N 염산으로 추출한 후 dansyl 유도체를 사용하는 방법이 최적 분석방법으로 선택이 되었고, 검출한계가 0.10 ${\mu}g/mL$ 이하로 나타났다. 식품별 BAs의 함유량은 장류의 경우 한식된장에서 HIS 및 TYR의 함량이 높게 나타났고, 청국장의 경우도 유사하였다. 특히 전통적으로 생산한 된장과 청국장에서 BAs함량이 높게 나타나 종국 및 제조공정의 개선이 필요한 것으로 사료되었다. 간장의 경우 양조간장과 전통간장의 차이가 크지 않았으나, 젓갈류 중에서는 멸치액젓과 까나리 액젓에서 PUT, CAD, TRY, HIS, 및 TYR의 함량이 높게 나타났다. 과실주와 맥주에서는 보통 발효에 관여하는 효모가 BAs 생성능이 없기 때문에 낮은 HIS 수치를 보여주었고, 치즈에서는 TYR의 농도가 약간 높게 나왔을 뿐 전체적인 BAs의 함량은 낮은 수준이었다. 배추김치의 경우 PUT, HIS 및 TYR의 함량이 높게 나타났으나, 김치 제조에 부재료로 들어가는 멸치액젓과 까나리 액젓이 BAs의 함량을 높이는 것으로 추정되었다. 각 식품의 BAs의 함량 결과를 국민건강${\cdot}$영양조사의 일일섭취량에 대입하여 일일섭취량을 조사한 결과 매우 적은 수준으로 나타났으나 TYR의 MAOIs를 복용하는 환자의 경우 BAs가 많이 함유한 식품의 섭취는 가급적 피하는 것이 좋을 것으로 사료된다.