• Proceedings of the Korean Society of Applied Pharmacology
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• 1994.04a
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• pp.172-172
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• 1994

1960년대 이후 광범위한 항암제로서 그 임상효과가 탁월한 물질로 알려진 Anthracycline계 항생물질이 화학구조상 B환의 Hydroquinone형에 의한 생체내 산화환원 반응으로 이해 심근 독성에 영향을 준다고 알려져 있다. 이에 본 연구실에서는 Anthracycline의 Aqlycone 부분 12번 탄소의 전자친화력을 증가시키는 11번 탄소의 Hydroxy group이 제거되고 9번 탄소의 Hydroxy group을 Amine으로 대체함과 동시에 4번 탄소의 Methoxy group이 제거된 보다 독성이 적을 것이라 생각되는 Anthracycline의 새로운 Aglycone 유도체를 Design 하여 전합성 하였다.

• The Korean Journal of Nuclear Medicine
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• v.24 no.1
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• pp.138-144
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• 1990

두개골과 신장에 골스캔재제의 미만성 섭취증가를(Hot Skull, Hot Kidney) 항암제투여를 받은 4례의 암환자와 검상적혈구 빈혈환자에서 발견하여 추적 관찰하였다. Hot Kidney는 항암제 투여후 관찰되어 항암제투여를 중단한 후 소실되었으나, Hot Skull은 항암제 투여와 관계없이 시간이 경과함에 따라 변화가 없거나 점차 진전되었다. 겸상적혈구 빈혈환자 1례에서 두개골, 신장, 비장에 증가된 섭취를 보였고 30개월동안 추적관찰하였으나 섭취정도에 변화가 없었다. 결론적으로 항암제의 투여는 골스캔재제의 신장섭 취를 증가시키나 두개골 섭취에는 영향을 미치지 않은 것으로 관찰되었다.

• Journal of Preventive Medicine and Public Health
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• v.20 no.1 s.21
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• pp.1-9
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• 1987

Sister chromatid exchanges (SCEs) observed by means of bromodeoxyuridine substitution and fluorescence plus Giemsa (FPG) technique were proposed as a sensitive and quantitative assay for mutagenicity and cytotoxicity in short-term cultures of phytohaemagglutinin (PHA)-stimulated human lymphocytes. Therefore, this study was carried out to investigate the relation between anticancer agents and cytotoxic effects. Chromosomal analysis was performed on metaphase cells that had divided one, two, or three or more times after treatment for SCEs, mitotic indices (MI) and cell cycle kinetics by FPG technique. The results indicate that anticancer agents led to a dose dependent increase in SCE frequency except methotrexate. But, highly inhibited mitotic indices and delayed cell cycle kinetics were observed except for cyclophosphamide. The author suggest that the difference of SCE frequency is due to the differences in the cytotoxic action of anticancer agents, but although the induction of SCEs has a correlation with cell cycle delay, in some cases the induction of SCEs is not always related to cell cycle delay because of different cytotoxic action of anticancer agents.

• Korean Journal of Clinical Pharmacy
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• v.21 no.3
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• pp.228-236
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• 2011

배경: 약물로 인한 Clostridium difficile-associated diarrhea (CDAD)는 널리 알려져 있으며 우리나라에서 항생제와 프로톤 펌프 억제제 소모량을 고려할 때 질환 치료과정에서의 CDAD 발생빈도 및 CDAD 유발 이전에 투여한 약물의 사용빈도와 CDAD의 치료방법을 조사할 필요성이 있다. 방법: 경상대학교 병원에서 2011년 1월부터 6월까지의 입원환자를 대상으로 대변 독소 검사에 의해 CDAD로 판명된 환자의 성별, 연령분포, 질환명, 입원병동, 재발률을 조사하였으며 CDAD 판명이전에 투여한 약제 및 CDAD 판명후 치료약제를 조사하였다. 결과: 연구기간 동안 CDAD 대변 독소 검사 의뢰된 환자수는 1,500명이었으며 CDAD 양성은 111명(9.3%)이었고, 재발은 29명(26.1%)이었다. CDAD를 주소로 입원한 환자는 17명 (15.3%)이었고, 나머지는 입원기간 중에 발생하였다. CDAD 양성인 환자의 연령대는 60대에서 32.4% (36/111명) 이었고, 내과병동에서 34.2%를 나타내었고, 재발률은 외과계 병동에서 41.4%로 가장 높게 나타났다. CDAD 환자의 17% (19/111명)은 항암제 투여 동안 발생하였으며 CDAD 발생 전 사용약물로는 세팔로스포린계 항생제가 162회로 가장 빈번하게 사용 되었으며, 히스타민2 수용체길항제 107회, 스테로이드 82회, 비 스테로이드 항염제 79회, 프로톤 펌프 억제제 77회, 하제 59회, 항암제가 33회 처방되었다. CDAD 치료약제로는 8종의 약제가 241회 처방 되었으며 metronidazole이 99회로 가장 빈번하게 사용되었고, vancomycin이 37회로 나타났다. 결론: 입원환자에 있어서 CDAD양성은 특히 고령의 암환자가 많아 항암제 투여 시에는 CDAD 발생에 주의해야 할것으로 보인다. CDAD의 치료약제로는 metronidazole이 vancomycin 보다 많이 사용되는 것으로 나타났다.

• Journal of the Korean hospital association
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• v.17 no.4 s.153
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• pp.14-22
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• 1988

• Journal of Gastric Cancer
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• v.8 no.3
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• pp.120-128
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• 2008

Purpose: Mistletoe extract was widely used for cancer treatment as complementary or alternative therapy in European area from early twenty century. It is currently used as alternative anti-cancer remedy by piecemeal in domestic medical group, however, the anti-cancer mechanism of mistletoe extract was not known precisely until now. In this study the effect of mistletoe extract on gastric cancer was studied vis cell line experiments. Materials and Methods: The SNU719 gastric cancer cell line was used, and ABNOBAviscum-Q and ABNOBAviscum-F were treated to cells as mistletoe extract, or 5-FU and cisplatin were used with mistletoe extract. The cell viability and cell death rate were estimated by CCK-8 assay kit and lactate dehydrogenase (LDH) assay kit in each. Caspase 3 assay kit was used to measure caspase 3 activity. The protein expression amounts of Bcl2, p53, and PTEN were estimated through Western blot analysis. Results: The co-treatments of mistletoe extract Q/F and 5-FU/cisplatin decreased lesser cell viability than only mistletoe treat. Caspase 3 activity was increased 4~6 times in co-treatment of mistletoe extracts and 5-FU than control. Bcl2 protein expression was reduced by mistletoe extracts or anti-cancer drugs, further more, the co-treatment of mistletoe extracts and 5-FU/cisplatin diminished more the expression than only mistletoe treatment. Mistletoe extracts did not affect the protein expressions of p53 and PTEN. Conclusion: It was concluded that the anti-cancer mechanism of mistletoe extracts was made by caspase 3 activation and lowered Bcl2 expression, and this apoptosis inducing mechanism was independent to p53.

• Journal of Veterinary Clinics
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• v.26 no.1
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• pp.8-16
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• 2009

The production of reactive oxygen species (ROS) and nitric oxide (NO) by anticancer agents in rat polymorphonuclear leukocytes (PMN) was examined. PMN treated for short term (< or = 4 h) with cyclophosphamide, cisplatin, tamoxifen and doxifluridine, respectively, exhibited an enhanced respiratory burst upon formylmethionylleucy1-phenylalanine (FMLP) stimulation. In the long term (> 4h), the production of ROS was suppressed in a concentration-dependent manner. The production of superoxide anion (${O_2}^-$) from the FMLP-stimulated PMN was enhanced by the treatment (for 1 hr) of cyclophosphamide, cisplatin, tamoxifen and doxifluridine, respectively. While 1 hr-treatment with cyclophosphamide, cisplatin, tamoxifen, and doxifluridine, respectively, suppressed the production of NO from the FMLP-stimulated PMN, while 8 hr-treatment enhanced the production of NO. Neomycin suppressed chemiluminescence in cisplatin-, tamoxifen- and doxifluridine-pretreated PMN, however near suppression of chemiluminescence by ethanol and genistein was observed in PMN pretreated with these agents. Staurosporine and bisindolylmaleimide suppressed chemiluminescence in cisplatin- and doxifluridine- pretreated PMN. Wortmannin has shown a slight suppression in cyclophosphamide-, cisplatin- and tamoxifen-pretreated PMN, but a strong suppression in doxifluridine-pretreated PMN. Methionine strongly suppressed in cyclophosphamide and cisplatin-pretreated PMN. In conclusion, these results indicate that long term treatment of PMN with cisplatin and doxifluridine inhibit respiratory burst through protein kinase C (PKC) translocation, phospholipase C (PLC), D (PLD) and tyrosine phosphorylation kinase (TPK) activation. Tamoxifen inhibits respiratory burst through PLC, PLD, TPK. Cyclophosphamide inhibits respiratory burst through myeloperoxidase (MPO) activity.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1992.05a
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• pp.52-52
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• 1992

cisplatin 자체는 용혈작용이 고농도에서 얼었는데 반하여 호중구 자극상등액에서는 저농도에서 높은 용혈작용을 나타내 신장독성이 호중구 활성화에 기인할 것이라는 가능성을 시사하였다. In vitro에서 대부분의 활성산소 제거제는 세포독성 억제효과가 있었으며 in vivo 투여시에도 합성 항산화제인 BHA 등은 혈청 BUN, creatinine치의 현저한 감소를 나타내 좋은 신장독성억제 효과를 보여주었다.

• Proceedings of the Korean Society of Applied Pharmacology
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• 1994.04a
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• pp.170-170
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• 1994

항암제 KR 53170 및 관련 화합물의 항암 효과에 관한 연구의 일환으로 Phellinus linteus 균사배양물로부터 분리한 항암성 단백다당체 (분자량 8000 이상의 고분자 분획) PL-KP률 장내세균의 효소활성을 이용하여 부분분절(partial fragmentation)시킴으로써 항암력 증강 가능성을 검토하였다. 1. 장내세균을 이용한 PL-Kp의 처리 :PL-Kp 5.62g을 기본배지 281m1에 용해 시킨후 그 중 100m1에는 Py-92 균주(endoglucanase 생성균주)를, 다른 100m1에는 초식동물로부터 분리한 활성 균총을 접종한후 배양물 100m1 당 BH1 broth 10n1를 첨가하고 24시간 배양하였다. 배양물을 원심분리하여 그 상등액을 열탕에서 15분간 가열하고 투석, 동결건조하여 건조분말로 획득하였다. 이증 Py-92 균주로 처리한 시료를 Kp-F1, 균총으로 처리한 시료를 Kp-F2, 균을 접종하지 않고 처리한 시료를 Kp-FC라 한다. 2. 분절 (Fragmentation) 확인 : 증류수에 용해시킨 시료의 Sephadex G-25 컬럼을 이용한 gel filtration 유형(컬럼 통과 속도 및 착색대 유형)등을 관찰하여 Kp-F1 및 Kp-F2가 성공적으로 분절되었음을 확인하였다. 3. 분절 Kp의 항암력 실험 : ICR 마우스내 피하에 이식한 sarcoma 180고형암에 대한 항암력을 비교실험하여 부분분절에 의해 항암력이 증가 여부를 확인하였다. 그 결과 PL-Kp가100mg/kg/day ip의 용량에서 49.5%의 종양저지율을 발휘하였으나 균총을 이용하여 부분분절시킨 시료(Kp-F2)는 그 1/5용량에서도 87%의 종양저지율을 발휘하여 항암력이 현저히 증가 되었음을 확인하였다. 한편 Py-92 균주를 이용하여 분절시킨 Kp-F1도 100mg/kg용량에서 76%의 종양저지율을 나타내었다. 이로써 부분분절 조작을 통하여 항암성 단백다당류인 PL-Kp 의 항암력을 현저히 증가시킬 수 있음이 입증되었다.

• Journal of Korean Clinical Nursing Research
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• v.22 no.2
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• pp.217-224
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• 2016

Purpose: The purpose of this study was to evaluate the effects of safe handling education of antineoplastic drug on knowledge and performance of clinical nurses. Methods: This was a nonequivalent control-group pretest-posttest study. A total of 49 nurses (25 for the experimental group and 24 for the control group) who dealt with antineoplastic drug within the previous 1 week participated in the study. The guidelines for safe handling of antineoplastic drugs and antineoplastic drugs side effects were provided to the experimental groups whereas only antineoplastic drugs side effects was given to the control groups. Knowledge and performance in reference to antineoplastic drug handling were measured before and 8-week after interventions. Results: The knowledge scores between the pretest and posttest were not statistically significant in both groups. However, the performance scores in the experimental group was significantly higher than that of the control group. Conclusion: The given education of safe handling of antineoplastic drugs had an effect on improving clinical nurses' performance. Thus this education could be routinely administered in practice for those who deal with antineoplastic drugs in their everyday practice.