• 한국임상약학회지
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• 제29권3호
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• pp.209-214
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• 2019

Doxycycline is frequently prescribed to treat urogenital infections or acne vulgaris. A 39-year-old man was prescribed doxycycline as a treatment for his skin infection. He took each tablet on an empty stomach in the morning, and just before going to bed with insufficient water. After taking the prescribed medication for approximately 3 weeks, he was diagnosed with esophageal ulcer. He had not experienced these symptoms before, and the drug label says that doxycycline rarely causes esophageal ulcer. After discontinuing the medication, the symptoms disappeared. Using the World Health Organization-Uppsala Monitoring Center criteria, the causality for doxycycline-induced esophageal ulcer was evaluated as "possible." Additionally, using the Naranjo scale and Korean causality assessment algorithm (Ver. 2), the causality was evaluated as "probable." Previous reports have stated that most patients who took doxycycline with insufficient water just before going to bed or in the supine position developed esophageal ulcer. Therefore, all patients taking doxycycline must be provided with detailed instructions about the appropriate administration methods.

• Journal of Microbiology and Biotechnology
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• 제18권7호
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• pp.1308-1316
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• 2008

Propionibacterium acnes is known to playa pivotal role in the pathogenesis of acne vulgaris. CBT-SL5 is one of the antimicrobial peptides from Enterococcus faecalis SL5, and it has shown antimicrobial activity against P. acnes. The aim of this study was to investigate the anti-inflammatory effect of CBT-SL5 on the inflammation induced by P. acnes in cultured human keratinocyes. Cultured human keratinocytes derived from neonatal foreskin were treated with heat-killed P. acnes to induce inflammation, and then various concentrations of CBT-SL5 were added to the P. acnes-treated keratinocytes. The mRNA expression and protein secretion of interleukin (IL)-8, an inflammation marker, was analyzed by real-time reverse transcription polymerase chain reaction and enzyme-linked immunosorbent assay, respectively. We also analyzed the nuclear factor-kappa B (NF-$\kappaB$) p65 translocation by performing immunofluorescent staining. P. acnes treatment up regulated the IL-8 mRNA expression in the keratinocytes, and this was brought about through both toll-like receptor (TLR)2 and TLR4. At the concentrations of 10, 50, and 100 ng/ml, CBT-SL5 significantly down regulated the P. acnes-induced IL-8 mRNA expression and protein production (p<0.05). At 6 hand 12 h of the treatment, CBT-SL5 significantly suppressed the P. acnes-induced IL-8 mRNA expression. Secretion of IL-8 protein was significantly reduced at 24 h. The functional inhibitory activity of CBT-SL5 was shown by CBT-SL5 suppressing the P. acnes-induced NF-$\kappaB$ translocation from the cytoplasm to the nucleus. These results demonstrated that CBT-SL5 suppressed the P. acnes-induced IL-8 expression in keratinocytes. Therefore, CBT-SL5 may be a novel anti-inflammatory treatment for acne.

• Fisheries and Aquatic Sciences
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• 제21권7호
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• pp.18.1-18.6
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• 2018

Background: Cutaneous bacterial pathogens including Staphylococcus aureus, Staphylococcus epidermidis, Pseudomonas aeruginosa, and Propionibacterium acnes are often involved in acne vulgaris. The currently available therapeutic option for these skin pathogens is an antibiotic treatment, resulting in the emergence of antibiotic-resistant bacteria. The objective of this study was to discover an alternative antibacterial agent with lower side effect from marine algae. Results: The ethanolic extract of edible brown algae Ishige okamurae exhibits potent antibacterial activity against cutaneous bacterial pathogens. Among the ethanol soluble fractions, the n-hexane (Hexane)-soluble fraction exhibited the strongest antibacterial activity against the pathogens with MIC values ranging 64 to $512{\mu}g/mL$ and with minimum bactericidal concentration values ranging 256 to $2048{\mu}g/mL$. Furthermore, the combination with Hexane fraction and antibiotics (ceftazidime, ciprofloxacin, and meropenem) exhibited synergistic effect. Conclusion: This study revealed that the I. okamurae extract exhibited a synergistic antibacterial effect against acnerelated cutaneous bacterial pathogens acquired antibiotic resistant. Thus, the results of the present study suggested that the edible seaweed extract will be a promising antibacterial therapeutic agent against antibiotic-human skin pathogens and its infections.

• 한국환경독성학회:학술대회논문집
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• 한국환경독성학회 2003년도 춘계학술대회
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• pp.150-151
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• 2003

Benzoyl peroxide is a high production volume chemical, which was produced about 1,375 tons/year in Korea as of 2001 survey. Most of them are used as initiators in polymerization, catalysts in the plastics industry, bleaching agents for flour and medication for acne vulgaris. The substance is one of the sever chemicals of which human and environmental risks are being assessed by National Institute of Environmental Research under the frame of OECD SIDS Program. It has a melting point of 104-106 $^{\circ}C$ and has solubility of 9.1 mg/1 in water at 25 $^{\circ}C$. The substance was readily biodegradable (83 % after 21days) and had toxic effects to aquatic organisms. The range of 72 hr-EbC50 (biomass) for algae was 0.07-0.44 mg/1 and 48 hr-EC50 for daphnia was 0.07-2.91 mg/1. The LC50 of acute toxicity to fish was 0.24-2.0 mg/1. Although the toxic effects of benzoyl peroxide to aquatic organisms were investigated, environmental monitoring data were not studied. In this study, distribution of the chemical among multimedia environment was estimated using EQC model based on the physical-chemical properties to evaluate the risk of benzoyl peroxide in environment. In level I, II calculation the chemical was distributed to soil (68.3 %) and water (28.7 %). In level III calculation it was primarily distributed to soil (99.9 %) and overall residence time of 3.4 years was estimated. Benzoyl peroxide could be persistent in environment.

• 한국환경독성학회:학술대회논문집
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• 한국환경독성학회 2002년도 추계국제학술대회
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• pp.154-154
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• 2002

Benzoyl peroxide is a High Production Volume Chemical, which is produced about 1,375 tons/year in Korea as of 2001 survey. The substance is mainly used as initiators in polymerization, catalysts in the plastics industry, bleaching agents for flour and medication for acne vulgaris. The substance is one of seven chemicals of which human health and environmental risks are being assessed by National Institute of Environmental Research (NIER) under the frame of OECD SIDS Program. In this study, Quantitative Structure-Activity Relationships (QSAR) is used for getting adequate information on the physical-chemical property and the environmental fate of this chemical. For the assessment of benzoyl peroxide, models such as MPBPWIN for vapor pressure, KOWWIN for octanol/water partition coefficient, HENRYWIN for Henry's Law constant, AOPWIN for photolysis and BCFWN for bioconcentration factor (BCF) were used. These (Q)SAR model programmes were worked by using the SHILES (Simplified Molecular Input Line Entry System) notations. The physical-chemical properties and the environmental fate of benzoyl peroxide were estimated as followed : vapor pressure =0.00929 Pa, Log Kow = 3.43, Henry's Law constant = 0.00000354 atm-㎥/mole at 25 $^{\circ}C$, the half-life of photodegradation = 3 days, bioconcentration factor (BCF) = 92

• Obstetrics & gynecology science
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• 제61권6호
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• pp.649-654
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• 2018

Objective Isotretinoin is a notorious teratogen otherwise used for the treatment of acne vulgaris. Some countries, including those in North America and the European Union, implemented the pregnancy prevention program (PPP); however, no PPP has yet been established in South Korea. So the aim of this study was to evaluate the rate of pregnant women exposed to isotretinoin among the callers of the Korean Mother Safe Counseling Center. Methods This is a prospective cohort study. We evaluated the demographic characteristics, obstetric history, and isotretinoin exposure of pregnant women based on the mother safe registry from April 2010 to July 2016. Results Among 22,374 callers, 650 (2.9%) pregnant women were exposed to isotretinoin. The mean age was $29.0{\pm}4.4$ years in the isotretinoin-exposed group and $32.0{\pm}4.2$ years in the unexposed group (P<0.001). Moreover, the incidence of pregnancies within 30 days after isotretinoin discontinuation or during isotretinoin intake was 78.9% (513/650). The median duration of isotretinoin exposure was 18 (1-4,231) days. Furthermore, from 2011 to 2015, the incidence of isotretinoin exposure was $2.9{\pm}1.2$ pregnancies per 10,000 births in South Korea. Conclusion Approximately 80% of pregnant women are exposed to isotretinoin within the recommended 30 days of contraception or during pregnancy. Therefore, the PPP has to be established in South Korea.

• Environmental Analysis Health and Toxicology
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• 제19권1호
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• pp.33-40
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• 2004

Benzoyl peroxide is a High Production Volume Chemical, which is produced about 1,371 tons/year in Korea as of 2001 survey. The substance is mainly used as initiators in polymerization, catalysts in the plastics industry, bleaching agents for flour and medication for acne vulgaris. In this study, Quantitative Structure-Activity Relationships (QSAR) are used for getting adequate information on the physical -chemical properties of this chemical. And hydrolysis in water, acute toxicity to aquatic and terrestrial organisms for benzoyl peroxide were studied. The physical -chemical properties of benzoyl peroxide were estimated as followed; vapor pressure=0.00929 Pa, Log $K_{ow}$ = 3.43, Henry's Law constant=3.54${\times}$10$^{-6}$ atm-㎥/mole at $25^{\circ}C$, the half-life of photodegradation=3 days and bioconcentration factor (BCF)=92. Hydrolysis half-life of benzoyl peroxide in water was 5.2 hr at pH 7 at $25^{\circ}C$ and according to the structure of this substance hydrolysis product was expected to benzoic acid. Benzoyl peroxide has toxic effects on the aquatic organisms. 72 hr-Er $C_{50}$ (growth rate) for algae was 0.44 mg/1.,48 hr-E $C_{50}$ for daphnia was 0.07mg/L and the 96hr-L $C_{50}$ of acute toxicity to fish was 0.24mg/L. Acute toxicity to terrestrial organisms (earth worm) of benzoyl peroxide was low (14 day-L $C_{50}$ = > 1,000 mg/kg). Although benzoyl peroxide is high toxic to aquatic organisms, the substance if not bioaccumulated because of the rapid removal by hydrolysis (half-life=5.2 hr at pH 7 at $25^{\circ}C$) and biodegradation (83% by BOD after 21 days). The toxicity observed is assumed to be due to benzoyl peroxide rather than benzoic acid, which shows much lower toxicity to aquatic organisms. One can assume that effects occur before hydrolysis takes place. From the acute toxicity value of algae, daphnia and fish, an assessment factor of 100 was used to determine the predicted no effect concentration (PNEC). The PNEC was calculated to be 0.7$\mu\textrm{g}$/L based on the 48 hr-E $C_{50}$ daphnia (0.07 mg/L). The substance shows high acute toxicity to aquatic organisms and some information indicates wide-dispersive ore of this substance. So this substance is, a candidate for further work, even if it hydrolysis rapidly and has a low bioaccumulation potential. This could lead to local concern for the aquatic environment and therefore environmental exposure assessment is recommended.

• 대한화장품학회지
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• 제46권1호
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• pp.23-29
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• 2020

피부에는 여러 종의 미생물들이 군집을 이루며 서식하고 있고, 서로 상호작용을 하며 균형을 유지하고 있다. 하지만, 여드름, 건선 및 아토피 피부염과 같은 질병 상태에서는 피부 미생물의 균형이 깨져 건강한 피부와는 다른 미생물 군집 구성을 보인다. 피부 미생물 군집 구성의 조절은 이러한 피부 질환에 대한 잠재적인 치료 방법이 될 수 있다. Quorum sensing (QS)은 세포간 전달인자로, QS을 조절하면 유해균의 바이오필름 형성이나 효소 분비등을 억제할 수 있고, 이 역시 피부 미생물 군집 구성에 영향을 준다. 이번 연구에서는 아모레퍼시픽의 특허 성분인 유산균 발효 용해물(Lactobacillus plantarum APsulloc 331261, KCCM 11179P 이용)의 QS억제능력 및 피부 유익균과 피부 유해균의 생장에 미치는 영향을 확인하였다. 유산균 발효 용해물 10 ㎍/mL 처리시, QS에 의해 제어되는 Chromobacterium violaceum의 자주색 안료 생산을 대조군 대비 27.4% 감소시켰다. 또 피부 유익균인 Staphylococcus epidermidis의 생장을 대조군 대비 12% 증가 시켰고, 피부 유해균인 Pseudomonas aeruginosa의 생장을 38.5% 감소, 바이오필름 형성을 17.7% 감소시켰다. S. epidermidis를 같은 속(genus)에 포함되어 있는 대표적인 피부 유해균 Staphylococcus aureus와 함께 공배양 하였을 때 S. epidermidis의 생장은 대조군 대비 134% 증가시켰고, S. aureus의 생장은 13% 억제시켰다. 이러한 결과들을 종합하였을 때 L. plantarum APsulloc 331261을 이용한 발효 용해물은 피부 미생물의 균형을 조절해 줄 수 있는 화장품 원료로 유용하게 사용 될 수 있다고 사료된다.

• 농촌의학ㆍ지역보건
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• 제24권1호
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• pp.103-113
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• 1999

이 연구는 1997년 3월부터 1999년 2월까지 경상북도 소재 일개 군지역에서 피부질환으로 피부과 전문의의 검진을 받은 환자 847명 중 설문조사가 가능하였던 760명의 환자를 대상으로 이들 환자별 성별연령별 분포를 조사하고 치료 경험 여부와, 처음 치료를 시작한 곳과 민간 요법이나 개인적인 치료법 사용여부 및 치료 경험이 있을 경우 그 효과에 대한 만족도를 조사하여 환자들이 피부 질환의 진료 및 치료에 있어 어떤 경로를 밟고 그 일반적인 치료 행태의 경향은 어떠한지를 분석하고자 시행하였으며 다음과 같은 결과를 얻었다. 1. 총 760명의 조사대상자는 남자가 283명으로 37.2%였고 여자가 477명으로 67.3%였다. 총 대상환자 중 20대 환자가 3.3%로 가장 적었고 60대 환자가 21.3%로 가장 많았다. 2. 대상 환자들에게 빈도가 높은 15개 질환은 족부 백선이 34.9%로 가장 많았고 노인성 소양증, 접촉성 피부염, 주부습진, 지루성 피부염, 화폐상 습진, 아토피성 피부염, 체부 백선, 조갑 백선, 심상성 여드름, 전염성 농가진, 박탈성 각질용해층, 만성 두드러기 및 전염성 연속중의 순이었다. 3. 환자들이 피부질환을 위해 최초로 치료받은 곳은 약국이 39.6%로 가장 많았으며, 피부과 전문의가 아닌 개인의원, 피부과 의원 및 종합병원 피부과의 순이었다. 4. 대상환자 760명 중 121명(15.9%)이 민간 요법을 사용한 경험이 있었으며 이 중 가장 많이 사용하는 방법으로서는 환부를 식초에 담그거나 도포하는 방법이었다. 이러한 민간 요법을 시행한 후 환자 본인이 느끼는 자각증상은 변화가 없었다는 경우가 가장 많았고 호전되었다, 악화되었다의 순으로 빈도가 높았다. 결론적으로 농촌지역의 경우 다수의 피부과 환자들이 약국에서 일차진료를 받고 있는 현실이며 피부질환에 대한 인식이 낮음으로 인해 의학적 근거가 없는 다양한 민간요업을 시행하고 있었다. 그러므로 환자들이 잘못된 치료 행태로 인해 경제적, 시간적 손실을 입지 않게 올바른 보건교육이 이루어져야 될것으로 생각된다.