• Title/Summary/Keyword: targeted therapy

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Chemoquiescence with Molecular Targeted Ablation of Cancer Stem Cells in Gastrointestinal Cancers

  • Jong-Min Park;Young-Min Han;Migyeong Jeong;Eun Jin Go;Napapan Kangwan;Woo Sung Kim;Ki Baik Hahm
    • Journal of Digestive Cancer Research
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    • v.4 no.1
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    • pp.1-9
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    • 2016
  • The abundance of multi-drug resistance ATPase binding cassette and deranged self-renewal pathways shown in cancer stem cells (CSCs) played a crucial role in tumorigenesis, tumor resistance, tumor recurrence, and tumor metastasis. Therefore, elucidation of CSCs biology can improve diagnosis, enable targeted treatment, and guide the follow up of GI cancer patients. In order to achieve chemoquiescence, seizing cancer through complete ablation of CSCs, CSCs are rational targets for the design of interventions that will enhance responsiveness to traditional therapeutic strategies and contribute in the prevention of local recurrence as well as metastasis. However, current cancer treatment strategies fail to either detect or differentiate the CSCs from their non-tumorigenic progenies mostly due to the absence of specific biomarkers and potent agents to kill CSCs. Recent advances in knowledge of CSCs enable to produce several candidates to ablate CSCs in gastrointestinal (GI) cancers, especially cancers originated from inflammation-driven mutagenesis such as Barrett's esophagus (BE), Helicobacter pylori-associated gastric cancer, and colitis-associated cancer (CAC). Our research teams elucidated through revisiting old drugs that proton pump inhibitor (PPI) and potassium competitive acid blocker (p-CAB) beyond authentic acid suppression, chloroquine for autophage inhibition, sonic hedgehog (SHH) inhibitors, and Wnt/β-catenin/NOTCH inhibitor can ablate CSCs specifically and efficiently. Furthermore, nanoformulations of these molecules could provide an additional advantage for more selective targeting of the pathways existing in CSCs just like current molecular targeted therapeutics and sustained action, while normal stem cells intact. In this review article, the novel approach specifically to ablate CSCs existing in GI cancers will be introduced with the introduction of explored mode of action.

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Study on the Awareness and the Necessity of Home and Visiting Physical Therapy (가정 및 방문 물리치료의 인식도와 필요성에 대한 연구)

  • Kim, Jin-Hee;Lee, Kwang-Jae
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.4
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    • pp.465-474
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    • 2014
  • PURPOSE: This study aims to provide basic materials to re-establish terms and to build the institutional framework for the home and visiting physical therapy. METHODS: For such purpose of the study conducted the research that targeted the physical therapists, who were working at the rehabilitation hospital located in Gyeonggi-do as for the survey questionnaires as to the need and awareness of development of the adequate insurance fee of home physical therapy and visiting physical therapy. RESULTS: The survey result shows the awareness is low on the term separation in referring the home physical therapy and the visiting physical therapy. On the question regarding the performance obligation in the current system of the home and the visiting physical therapies, the answers for the recognition are shown to be 58% and 88.1% while no significant differences according to ages and working periods are found in all questions (p>.05). In the meanwhile, on the question regarding necessities of the home and the visiting physical therapies, answers agreeing the necessity is shown as 96.3%. And, on the question regarding the expected effect, the score shows to be very high with 40.5 points out of 50 points and significant differences according to the age and the working period (p<.05). CONCLUSION: It directly reflects the result, as the age and the working period are longer, the necessity shows to be higher.

Effect of Therapeutic Feedback on Non-Face to Face Exercise for Forward Head Posture: Posture, Muscle Strength, Pressure pain Threshold

  • Kim, Yeri;Kim, Gayoung;Kim, Daye;Shin, Hyeri;Oh, Seonghoon;Yu, Pyeonghwa;Jung, Kyusang;Shin, Wonseob
    • Physical Therapy Rehabilitation Science
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    • v.10 no.2
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    • pp.147-155
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    • 2021
  • Objective: This study is to investigate the effect of real-time feedback from the therapist on posture, muscle strength, pain of subjects with forward head posture based on a non-face-to-face complex exercise program. Design: Two-group pretest-posttest design. Methods: Thirty healthy men and women in their twenties with forward head posture with a Craniovertebral angle of 52° or less were targeted, the final selection was made as 15 experimental groups who performed the non-face-to-face intervention program while receiving real-time feedback and 15 control subjects who performed the non-face-to-face intervention program without providing feedback. Six of them were eliminated, and a total of 24 were conducted as subjects. All exercise groups performed an exercise program three times a week, 30 minutes each, for a total of two weeks. Before and after exercise, Craniovertebral angle (CVA), CranioRotation angle (CRA), muscle strength, and tenderness threshold were evaluated. Results: Significant differences were shown in both groups in CVA, and tenderness threshold before and after exercise (p<0.05), and CRA, the left middle trapezius muscle strength, only in the experimental group (p<0.05). In the comparison of theamount of change between exercise groups, the group that received feedback on CVA, CRA and tenderness threshold showed a significant change than the group without feedback (p<0.05). Conclusions: As a result of this study, it can be seen that the therapist's real-time feedback is more effective in improving the forward head posture. This requires feedback from the therapist on posture correction during non-face-to-face exercise intervention.

The Effects of Traditional Physical Therapy on Pain Reduction and Depression Level of Patients with Chronic Low Back Pain (만성요통 환자의 우울수준과 통증감소에 미치는 전통적 물리치료의 효과)

  • You, Jae-Eung;Jung, Eun-Ha
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.677-683
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    • 2001
  • The object of this study is in the comparison of level of depression between patients with chronic low back pain & normal adult, of the relation between reduction of pain & level of depression and in the examination of the influence of traditional physical therapy against the reduction of pain & level of depression of the patients with chronic low back pain for the new recognition of psychological factors to the physical therapists as well as patients. This study was targeted for 40 patients with chronic low back pain who were diagnosed as lumbar sprain & herniated intervertebral disk and compared & analyzed how traditional physical therapy has an influence to their reduction of pain and level of depression by questioning with visual an analog scale of Beck's depression inventory & pain inventory to them. The results are as follows. 1. Traditional physical therapy has an effect in the reduction of pain of the patients with chronic low back pain. 2. Although traditional physical therapy relieved a little the level of depression of patients with chronic low back pain. there was no evident effect statistically. 3. In the relation between the reduction of pain and level of depression, level of depression also showed somewhat relief according to the reduction of pain and appeared that they have some relationship. However, it's degree was not big. 4. In the comparison of the level of depression between the normal adult and the patient with chronic low back pain, the level of depression of the patient with low back pain are high rather than that of normal adult.

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Research Trends of Traditional Chinese Medicine on Combined Treatment of Acupuncture and Relaxation Therapy (침과 이완요법 병행치료에 대한 중의학 연구동향)

  • Lee, Seung-Hwan;Bae, Yeong-Long;Shin, A-Ri;Kim, Sang-Ho;Lim, Jung-Hwa
    • Journal of Oriental Neuropsychiatry
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    • v.28 no.2
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    • pp.109-121
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    • 2017
  • Objectives: The purpose of this study was to investigate clinical trends of Traditional Chinese Medicine (TCM) on combined treatment of acupuncture and relaxation therapy. Methods: Clinical trials based on acupuncture and relaxation therapy searched and were selected from China National Knowledge Infrastructure (CNKI). In this study we selected clinical research articles using acupuncture and relaxation therapy as intervention. Studies were assessed by Risk of Bias (RoB) tool, and Jadad scale. Results: Eleven randomized controlled trials on combined treatment of acupuncture and relaxation therapy were selected, and these studies were published in China. Most studies have targeted psychiatric disorders such as insomnia and anxiety. Manual Acupuncture (MA) was the most used acupuncture treatment, and in five studies two or more relaxation therapies were used in parallel. Although the treatment result using acupuncture and relaxation therapy was superior, heterogeneity of the control group was high and it was difficult to estimate additional effects of relaxation therapy. Conclusions: Qualitative analysis revealed that the combination of acupuncture and relaxation was more effective than control in most studies. However, quality of most studies was low. Therefore, higher quality clinical research on combined treatment of acupuncture and relaxation therapy is required.

Effect of Kinesio Tape for Fascia on Trunk Muscle Activity during Plank

  • Kim, Ji Young;Park, Seol
    • The Journal of Korean Physical Therapy
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    • v.32 no.5
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    • pp.290-294
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    • 2020
  • Purpose: Many studies have reported increased muscle activities in treatments using kinesio tape. However, most studies have focused on only muscles, so the effects of kinesio tape on structures other than the muscles are unknown. The purpose of this study is to explore the effect of kinesio tape for the fascia on trunk muscle activity during plank. Methods: Eighteen healthy participants took part in this study. The participants were asked to perform the plank in two conditions: on stable surface and unstable surface. Two kinesio tapes were attached along the spiral line introduced in the anatomy train. EMG was measured in each condition. EMG data were collected before and after attaching kinesio tape in each condition. Repeated analysis of variance (repeated ANOVA) was conducted to compare EMG activities levels between conditions. Results: EMG activities levels of trunk muscles, especially rectus abdominis and erector spinae activities were significantly increased during the plank with KT on both stable and unstable surfaces. Conclusion: KT applying on the fascia of targeted muscle increases the muscle activity. Therefore, we can also focus on the fascia to increase muscle activities not only on muscles.

Tyrosine Kinase Inhibitors in Ph+ Chronic Myeloid Leukemia Therapy: a Review

  • Shah, Krupa;Parikh, Sonia;Rawal, Rakesh
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3025-3033
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    • 2016
  • Chronic myeloid leukaemia (CML) is a clonal myeloproliferative hematopoietic stem cell disorder. Deregulated BCR-ABL fusion tyrosine kinase activity is the main cause of CML disease pathogenesis, making BCR-ABL an ideal target for inhibition. Current tyrosine kinase inhibitors (TKIs) designed to inhibit BCR-ABL oncoprotein activity, have completely transformed the prognosis of CML. Interruption of TKI treatment leads to minimal residual disease reside (MRD), thought to reside in TKI-insensitive leukaemia stem cells which remain a potential reservoir for disease relapse. This highlights the need to develop new therapeutic strategies for CML either as small molecule master TKIs or phytopharmaceuticals derived from nature to achieve chronic molecular remission. This review outlines the past, present and future therapeutic approaches for CML including coverage of relevant mechanisms, whether ABL dependent or independent, and epigenetic factors responsible for developing resistance against TKIs. Appearance of mutant clones along the course of therapy either pre-existing or induced due to therapy is still a challenge for the clinician. A proposed in-vitro model of generating colony forming units from CML stem cells derived from diagnostic samples seems to be achievable in the era of high throughput technology which can take care of single cell genomic profiling.

Growth inhibition of human pancreatic cancer cells by CR2945-targeted liposome

  • Yoon, Na-Young;Kim, Jin-Seok
    • Proceedings of the PSK Conference
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    • 2002.10a
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    • pp.416.3-417
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    • 2002
  • Among the promising cancer therapy is targeting of the drug to tumor cells via receptor specific ligands. CR2945, $\beta$-2-( [2-(8-azaspiro [4.5] dec-8-ylcarbony!)-4.6-dimethylphenyl]amino-2-oxoethyl] -(R)-1-naphthalenepropanoic acid. is known to have an inhibitory effect on a gastrin receptor of colorectal cancer cells. As the human pancreatic cancer cells (BxPC-3) express gastrin receptors. interruption of binding of gastrin with gastrin receptor of human pancreatic cancer cells by CR2945 inhibits the growth of human pancreatic cancer cells. (omitted)

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Modulation of Reactive Oxygen Species to Overcome 5-Fluorouracil Resistance

  • Chun, Kyung-Soo;Joo, Sang Hoon
    • Biomolecules & Therapeutics
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    • v.30 no.6
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    • pp.479-489
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    • 2022
  • 5-Fluorouracil (5-FU) remains to be an important chemotherapeutic drug for treating several cancers when targeted therapy is unavailable. Chemoresistance limits the clinical utility of 5-FU, and new strategies are required to overcome the resistance. Reactive oxygen species (ROS) and antioxidants are balanced differently in both normal and cancer cells. Modulating ROS can be one method of overcoming 5-FU resistance. This review summarizes selected compounds and endogenous cellular targets modulating ROS generation to overcome 5-FU resistance.

(A)Study on the relationship between back pain experiences of Japanese employees with spinal disorder and body Musculoskeletal disorder (척추 질환으로 내원한 일본 직장인의 허리 통증 경험이 신체 부위 근골격계질환과의 관련성에 관한 연구)

  • Jung, Han-Suk;Tanabe, Hajime;Kuwaoka, Toshifumi;Amano, Minae;Onodera, Yasushi;Inouchi, Takashi;Imoto, Yuichi;Tanabe, Keiichi
    • Journal of the Korea Safety Management & Science
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    • v.17 no.2
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    • pp.107-115
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    • 2015
  • The study targeted Japanese employees who have visited hospital for spinal disorder. The study analyzed work environment and pain relief methods of work-related back pain patients, and the relationship between back pain and other body parts. The purpose of this study was to provide draw up measures for patients with back pain and to provide basic data for the sustainable prevention program. The study result of back pain, in other words, employees suffering from lumbago, had disparity between occupations; the highest number of patients were made up of 16-years or above long-serving employees, and below 5-years of short-serving employees. There were more patients complaining of chronic lumbago than acute lumbago, and patients recognized poor posture as the primary cause of lumbago. Furthermore, 99.5% of spinal disorder patients complain back pain, 23.2% use only alternative therapy, and 15.2% visit clinic and hospital with alternative therapy. Patients showed pain reduction and high satisfaction after using alternative therapy. The study targeted Japanese employees where complement therapy is more generalized than that of Korea, and thus there should be multilateral management programs provided in Korea as well.