• 제목/요약/키워드: Cytochrome P450

검색결과 936건 처리시간 0.046초

Tilapia Oreochromis niloticus의 성분화시 Aromatase의 작용시기 (The Timing of Aromatase Action for Sex Differentiation in the Nile Tilapia, Oreochromis niloticus)

  • 권준영;;권혁추
    • 한국발생생물학회지:발생과생식
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    • 제10권3호
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    • pp.197-202
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    • 2006
  • 어류의 체내에서 성분화를 유도하는 물질이 성스테로이드호르몬(sex steroid hormone)이라는 사실이 잘 밝혀져 있으며, 성스테로이드 생합성 효소의 하나인 aromatase도 성분화에 직접적인 역할을 하는 것으로 알려져 있다. 본 연구에서는 유전적으로 암컷인 틸라피아 자어(larvae) 집단을 aromatase 저해제(aromatase inhibitor, AI)인 Fadrozole로 침지 처리하여 초기 발생단계 중 어느 시기에 aromatase가 성분화 유도 작용을 하는 지를 조사하였다. Fadrozole 처리 유무 및 처리 농도의 차이는 부화 자어의 생존율에 유의한 차이를 유발하지 않았다. 하지만, 부화후 11일과 13일째에 고농도의 Fadrozole로 처리한 실험군의 자어는 유전적인 성이 암컷임에도 불구하고 유의하게 높은 비율의 자어가 수컷으로 분화하였다. 이 결과는 틸라피아 부화 자어가 스테로이드 생합성 효소의 저해에 아주 민감하게 반응하며, 이 종에서 aromatase의 주된 작용시기가 예상보다 훨씬 빠른 부화 후 11일 전후라는 사실을 보여준다. 또한 이상의 결과는 단 3시간의 AI 침지 처리가 유전적으로 설정되어 있는 성과 반대방향으로의 성분화를 유도하기에 충분할 정도로 강력함을 의미한다.

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납(Lead)이 취외분비 기능에 미치는 영향 (Effect of Lead Acetate on Pancreatico-biliary Secretion)

  • 신윤용;김원준
    • 대한약리학회지
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    • 제17권1호
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    • pp.17-25
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    • 1981
  • No evidence has accumulated that lead compound is an essential component for biological function in animals. Lead is absorbed primarily through the epithelial mucosal cells in duodenum and the absorption can be enhanced by the substances which bind lead and increase its solubility. Iron, zinc and calcium ions, however, decrease the absorption of lead without affecting its solubility, probably by competing for shared absorptive receptors in the intestinal mucosa. Therefore, the absorption of lead is increased in iron deficient animals. Lead shows a strong affinity for ligands such as phosphate, cysteinyl and histidyl side chains of proteins, pterins and porphyrins. Hence lead can act on various active sites of enzymes, inhibiting the enzymes which has functional sulfhydryl groups. lead inhibits the activity of ${\delta}$-aminolevulinic acid dehydratase for the biosynthesis of hemoproteins and cytochrome, which catalyzed the synthesis of monopyrrole prophobilinogen from ${\delta}$-aminolevulinic acid. Accordingly lead decrease hepatic cytochrome p-450 content, resulting an inhibition of the activity of demethylase and hydroxylase in liver. Little informations are available on the effect of lead on digestive system although the catastrophic effects of lead intoxication are well documented. The present study was, therefore, attempted to investigate the effect of lead on pancreaticobiliary secretion in rats. Albino rats of both sexes weighing $170{\sim}230g$ were used for this study. The animals were divided into one control and three treated groups, i.e., control (physiologic saline 1.5ml/kg i.p.), lead acetate $(l0{\mu}mole/kg/day\;i.p.)$, $Pb(Ac)_2$ and EDTA$(each\;10{\mu}mole/kg/day\;i.p.)$, $Pb(Ac)_2$ and $FeSO_4(each\;l0{\mu}mole/kg/day\;hp)$. The pancreatico-biliary juice was collected under urethane anesthesia, and activities of amylase and lipase were determined by employing Sumner's and Cherry and Crandall's methods. The summarized results are follows. 1) In the experiment for acute toxicity of lead acetate, 20% of mortality was observed in rat treated with lead acetate as well as inhibition of the activity of amylase in the juice at the 3 rd day of the treatment. 2) No increases in body weight were observed in rats treated with lead acetate, while in control group the significant increases were observed. However, the body weights of animals were increased in the group lead acetate plus EDTA or $FeSO_4$. 3) Lead acetate decreased significantly the volume of pancreatico-biliary juice whereas additional treatment of EDTA and $FeSO_4$ prevented it. 4) Total activity of amylase was markedly reduced due to lead acetate treatment, but no change was showed following additional treatment with EDTA and $FeSO_4$. 5) No changes in the cholate and lipase output were observed in rats treated with lead acetate as compared with that of control rats. 6) Increase in bilirubin output in rats treated with lead acetate was shown on the 2nd and 3rd weeks treatment. 7) In the case of in vitro experiment, lead acetate also markedly inhibited release of amylase from pancreatic fragment. 8) Histologic finding indicated that acini vacuolation was induced in the pancreatic tissue of rat treated with lead acete. From the above results, it might be concluded that lead acetate decreases the volume of pancreatico-biliary secretion and inhibits the amylase activity, by acting directly on pancreatic cells.

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Screening of Genetic Polymorphisms of CYP3A4 and CYP3A5 Genes

  • Lee, Jin Sol;Cheong, Hyun Sub;Kim, Lyoung Hyo;Kim, Ji On;Seo, Doo Won;Kim, Young Hoon;Chung, Myeon Woo;Han, Soon Young;Shin, Hyoung Doo
    • The Korean Journal of Physiology and Pharmacology
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    • 제17권6호
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    • pp.479-484
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    • 2013
  • Given the CYP3A4 and CYP3A5's impact on the efficacy of drugs, the genetic backgrounds of individuals and populations are regarded as an important factor to be considered in the prescription of personalized medicine. However, genetic studies with Korean population are relatively scarce compared to those with other populations. In this study, we aimed to identify CYP3A4/5 polymorphisms and compare the genotype distributions among five ethnicities. To identify CYP3A4/5 SNPs, we first performed direct sequencing with 288 DNA samples which consisted of 96 Koreans, 48 European-Americans, 48 African-Americans, 48 Han Chinese, and 48 Japanese. The direct sequencing identified 15 novel SNPs, as well as 42 known polymorphisms. We defined the genotype distributions, and compared the allele frequencies among five ethnicities. The results showed that minor allele frequencies of Korean population were similar with those of the Japanese and Han Chinese populations, whereas there were distinct differences from European-Americans or African-Americans. Among the pharmacogenetic markers, frequencies of $CYP3A4^*1B$ (rs2740574) and $CYP3A5^*3C$ (rs776742) in Asian groups were different from those in other populations. In addition, minor allele frequency of $CYP3A4^*18$ (rs28371759) was the highest in Korean population. Additional in silico analysis predicted that two novel non-synonymous SNPs in CYP3A5 (+27256C>T, P389S and +31546T>G, I488S) could alter protein structure. The frequency distributions of the identified polymorphisms in the present study may contribute to the expansion of pharmacogenetic knowledge.

CYP1A1 (Ile462Val), CYP1B1 (Ala119Ser and Val432Leu), GSTM1 (null), and GSTT1 (null) Polymorphisms and Bladder Cancer Risk in a Turkish Population

  • Berber, Ufuk;Yilmaz, Ismail;Yilmaz, Omer;Haholu, Aptullah;Kucukodaci, Zafer;Ates, Ferhat;Demirel, Dilaver
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권6호
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    • pp.3925-3929
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    • 2013
  • We aimed to investigate bladder cancer risk with reference to polymorphic variants of cytochrome p450 (CYP) 1A1, CYP1B1, glutathione S-transferase (GST) M1, and GSTT1 genes in a case control study. Polymorphisms were examined in 114 bladder cancer patients and 114 age and sex-matched cancer-free subjects. Genotypes were determined using allele specific PCR for CYP1A1 and CYP1B1 genes, and by multiplex PCR and melting curve analysis for GSTM1 and GSTT1 genes. Our results revealed a statistically significant increased bladder cancer risk for GSTT1 null genotype carriers with an odds ratio of 3.06 (95% confidence interval=1.39-6.74, p=0.006). Differences of CYP1A1, CYP1B1 and GSTM1 genotype frequencies were not statistically significant between patients and controls. However, the specific combination of GSTM1 null, GSTT1 null, and CYP1B1 codon 119 risk allele carriers and specific combination of GSTM1 present, GSTT1 null, and CYP1B1 432 risk allele carriers exhibited increased cancer risk in the combined analysis. We did not observe any association between different genotype groups and prognostic tumor characteristics of bladder cancer. Our results indicate that inherited absence of GSTT1 gene may be associated with bladder cancer susceptibility, and specific combinations of GSTM1, GSTT1 and CYP1B1 gene polymorphisms may modify bladder cancer risk in the Turkish population, without any association being observed for CYP1A1 gene polymorphism and bladder cancer risk.

CYP1A1, GSTM1, GSTT1 and TP53 Polymorphisms and Risk of Gallbladder Cancer in Bolivians

  • Sakai, Kazuaki;Loza, Ernesto;Roig, Guido Villa-Gomez;Nozaki, Ryoko;Asai, Takao;Ikoma, Toshikazu;Tsuchiya, Yasuo;Kiyohara, Chikako;Yamamoto, Masaharu;Nakamura, Kazutoshi
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.781-784
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    • 2016
  • The Plurinational State of Bolivia (Bolivia) has a high incidence rate of gallbladder cancer (GBC). However, the genetic and environmental risk factors for GBC development are not well understood. We aimed to assess whether or not cytochrome P450 (CYP1A1), glutathione S-transferase mu 1 (GSTM1), theta 1 (GSTT1) and tumor suppressor protein p53 (TP53) genetic polymorphisms modulate GBC susceptibility in Bolivians. This case-control study covered 32 patients with GBC and 86 healthy subjects. GBC was diagnosed on the basis of histological analysis of tissues at the Instituto de Gastroenterologia Boliviano-Japones (IGBJ); the healthy subjects were members of the staff at the IGBJ. Distributions of the CYP1A1 rs1048943 and TP53 rs1042522 polymorphisms were assayed using PCR-restriction fragment length polymorphism assay. GSTM1 and GSTT1 deletion polymorphisms were detected by a multiplex PCR assay. The frequency of the GSTM1 null genotype was significantly higher in GBC patients than in the healthy subjects (odds ratio [OR], 2.35; 95% confidence interval [CI], 1.03-5.37; age-adjusted OR, 3.53; 95% CI, 1.29-9.66; age- and sex-adjusted OR, 3.40; 95% CI, 1.24-9.34). No significant differences were observed in the frequencies of CYP1A1, GSTT1, or TP53 polymorphisms between the two groups. The GSTM1 null genotype was associated with increased GBC risk in Bolivians. Additional studies with larger control and case populations are warranted to confirm the association between the GSTM1 deletion polymorphism and GBC risk suggested in the present study.

리팜핀이 와파린의 항응고 효과에 미치는 영향 (Interaction of Rifampin and Warfarin)

  • 오연목
    • Tuberculosis and Respiratory Diseases
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    • 제47권6호
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    • pp.768-774
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    • 1999
  • 연구배경: 리팜핀(rifampin)은 간의 시토크폼 P-450 효소를 유도하여 이 효소에 의해서 대사되는 와파린(warfarin)의 항응고 효과를 감소시킨다. 이와 같은 리팜핀과 와파린의 약제 상호작용에 대해서 건강한 지원자가 아닌 환자를 대상으로 아래의 문제를 해결하고자 본 연구를 수행하였다. 첫째 와파린을 투여하는 환자에게 리팜핀을 추가할 경우 리팜핀 투여 전, 중, 후에 항응고 효과를 적절히 유지하기 위한 와파린 용량, 둘째 리팜핀 추가 후 적절한 와파린 증량 방법(시간 계획), 셋째 와파린과 리팜핀을 함께 투여하는 경우 합병증등을 살펴 보았다. 방 법: 1995년 1월부터 1999년 8월까지 부천 세종병원에 입원한 환자 중 와파린과 리팜핀을 동시에 투여한 환자를 찾아서 질병 기록을 후향적으로 확인하였다. 리팜핀 투여 전, 중, 후의 와파린 필요량을 '적절한 항응고' 상태를 유지한 환자를 대상으로 조사하였다. 그리고, 리팜핀 추가 시 와파린 증량 방법(시간 계획)을 리팜핀 투여 후 prothrombin time 이 INR 1.1이하로 떨어지는데 걸리는 시간을 측정하여 간접적으로 평가하였다. 마지막으로 리팜핀과 와파린 동시 투여시 합병증을 조사하였다. 결 과: 라팜핀과 와파린을 동시에 투여한 환자는 모두 12명이었고 이 중 리팜핀 투여 기간 중에 '적절한 항응고' 상태를 유지한 환자는 6명이었다. 이 6명환자의 와파린 용량은 리팜핀 투여 중에 증가하여(p<0.05) 리팜핀 투여 전과 비교하여 $2.4{\pm}0.6$(평균${\pm}$표준편차) 배이었다. 그라고, 리팜핀을 중지한 후의 와파린 용량은 다시 감소하여 거의 리팜핀 사용 전의 용량으로 돌아갔다. 리팜핀 투여 후 prothrombin time이 INR 1.1이하로 떨어지는데 걸리는 시간은 $5.8{\pm}2.9$ (평균$\pm$표준편차) 일이었다. 2명이 리팜핀과 와파린 동시 투약과 관련되어 합병증이 발생하였다. 한 명은 낮은 항응고 상태 때문에 뇌색전증이 발생하였고, 다른 한명은 높은 항응고 상태 때문에 뇌출혈이 발생하여 사망하였다. 결 론: 와파린과 리팜핀을 동시에 투약하는 경우, 적절한 항응고 효과를 유지하기 위해서 리팜핀 추가 시 와파린을 약 1주에 걸쳐서 단계적으로 약 2배 증량하고 리팜핀 중단 시 리팜핀 투여 전의 와파린 용량으로 감량하는 방법을 시도해 불 수 있겠고, 이를 향후 전향적 연구를 통해서 확인하는 것이 필요하다. 또한, 리팜핀을 추가하거나 중단할 때 합병증이 발생하지 않도록 항응고 상태를 자주 감시하는 것이 필요하리라 생각된다.

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오이 발효음료가 만성적으로 에탄올을 급여한 흰쥐의 에탄올 대사와 항산화방어계에 미치는 영향 (Effect of Fermented Cucumber Beverage on Ethanol Metabolism and Antioxidant Activity in Ethanol-treated Rats)

  • 이해인;서권일;이진;이점숙;홍성민;이주혜;김명주;이미경
    • 한국식품영양과학회지
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    • 제40권8호
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    • pp.1099-1106
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    • 2011
  • 본 연구는 다량으로 폐기되는 오이를 이용하기 위하여 개발한 오이 발효원액을 주원료로 제조한 숙취해소 음료의 간보호 효능을 검증하기 위하여 만성적으로 에탄올을 섭취시킨 흰쥐에서 에탄올 대사, 항산화 방어계, 간독성 관련지표 및 지질함량 변화를 살펴보았다. 실험동물은 4주령의 수컷 SD계 흰쥐 24마리를 1주간 고형식이로 적응시킨 후 난괴법에 의하여 에탄올대조군(Control) 및 에탄올 섭취 흰쥐에게 헛개열매 추출물을 주원료로 하여 개발한 숙취해소 물질인 SKM 급여군(SKM) 또는 SKM을 함유한 오이 발효음료 급여군(CF+SKM)으로 나누었다. SKM과 CF+SKM은 사람의 하루 섭취량을 기준으로 체중 kg당 7 mL씩 매일 일정시각에 경구투여 하였다. SKM과 CF+SKM은 체중과 식이섭취에는 영향을 미치지 않았으며, CF+SKM군의 신장무게가 대조군보다 낮았다. 혈장 중 에탄올 함량은 대조군에 비하여 CF+SKM군에서 유의적으로(p<0.05) 낮았으며, SKM군은 낮은 경향을 보였다. 혈장 중의 아세트알데히드 함량은 대조군에 비하여 SKM과 CF+SKM군 모두 각각 40.6%와 48.4% 유의적인(p<0.05) 개선 효과를 보였다. 간조직 중의 ADH 활성은 실험군간 유의적인 변화가 없었으나 CYP2E1 활성은 SKM과 CF+SKM 모두 대조군에 비하여 유의적으로 (p<0.05) 낮았다. 간조직의 CYP2E1 활성은 혈장 중의 아세트알데히드 함량과 양의 상관관계(r=0.566, p<0.01)였다. 간조직의 ALDH 활성은 SKM과 CF+SKM 모두 대조군에 비하여 유의적으로(p<0.05) 높았으며 혈장의 아세트알데히드 농도와 유의적 음의 상관관계(r=-0.564, p<0.01)를 보였다. SKM군과 CF+SKM군의 간조직내 SOD와 CAT 활성과 GSH 함량이 대조군에 비하여 유의적으로 높았다. 반면, SKM과 CF+SKM은 간조직 중의 지질과산화물 생성을 대조군에 비하여 각각 유의적으로 낮추었다. SKM과 CF+SKM 급여 시 에탄올대조군에 비하여 각각 AST 활성은 29%와 44% 낮았으며, ALT 활성은 42%와 34% 낮았다. 혈장의 총 콜레스테롤과 간조직의 콜레스테롤 함량은 대조군에 비하여 SKM과 CF+SKM군에서 유의적으로(p<0.05) 낮았으며 특히, CF+SKM의 간조직내 중성지질 함량은 대조군에 비하여 유의적으로(p<0.05) 낮았다. SKM군과 CF+SKM군의 간조직 중 지방축적이 대조군에 비하여 감소되었다. 이와 같이 SKM과 CF+SKM은 간조직의 CYP2E1 활성을 억제하고 ALDH 활성과 항산화 방어계를 향상시킴으로써 에탄올로 인한 간독성을 보호할 수 있을 것으로 사료된다.

AtCYP78A7 과발현 환경스트레스 내성 형질전환 벼의 단백질 진단 키트 개발 (Development of a Kit for Diagnosing AtCYP78A7 Protein in Abiotic-tolerant Transgenic Rice Overexpressing AtCYP78A7)

  • 남경희;박정호;백인순;김호방;김창기
    • 생명과학회지
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    • 제28권7호
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    • pp.835-840
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    • 2018
  • 본 연구는 시토크롬 P450 단백질을 암호화하는 애기장대 유래의 AtCYP78A7을 과발현하는 형질전환 식물체로부터 AtCYP78A7 단백질을 특이적으로 인식하는 단일큰론 항체의 제조와 그 항체를 AtCYP78A7 단백질과 접촉시켜 항원-항체 복합체 형성을 검출함으로써 AtCYP78A7 단백질을 효소면역학적(ELISA) 방법으로 검출하는 진단 키트를 개발하기 위하여 수행하였다. 재조합한 GST-AtCYP78A7 단백질을 항원으로 사용하여 단일클론 항체를 분비하는 융합세포주를 제조한 후 비오틴화 및 페어링 테스트를 통해 포획항체와 검출항체를 선정하였으며, GST-AtCYP78A7 정제 단백질을 기준으로 일품벼, 화영벼, AtCYP78A7 과발현 벼(10B-5, 18A-4)의 용해물을 검출항원으로 사용하여 product test를 진행하였다. 그 결과 AtCYP78A7 단백질에 특이적으로 결합하는 4개의 단클론 항체(mAb 6A7, mAb 4C2, mAb 11H6, mAb 7E8)를 생산하였고, 포획항체 mAb 4C2와 검출항체 mAb 7E8-biotin의 조합으로 ELISA 키트를 개발하였다. 개발된 ELISA 키트를 이용한 벼 시료의 분석 결과 AtCYP78A7 과발현 벼는 전체 단백질 대비 AtCYP78A7 단백질의 비율이 0.1% 이상인 양성으로, 일품벼와 화영벼는 0.1% 미만인 음성으로 나타나 키트를 이용한 AtCYP78A7 단백질의 검출이 가능하였으며, 따라서 본 키트는 향후 AtCYP78A7를 과발현하는 형질전환 작물을 대상으로 하는 환경 모니터링 또는 인체 위해성 평가에 유용하게 활용될 수 있을 것으로 사료된다.

Meta-analysis of Association Studies of CYP1A1 Genetic Polymorphisms with Digestive Tract Cancers Susceptibility in Chinese

  • Liu, Chang;Jiang, Zheng;Deng, Qian-xi;Zhao, Ya-nan
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권11호
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    • pp.4689-4695
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    • 2014
  • Background: A great number of studies have shown that cytochrome P450 1A1 (CYP1A1) genetic polymorphisms, CYP1A1 Msp I and CYP1A1 Ile/Val, might be risk factors for digestive tract cancers, including esophageal cancer (EC), gastric cancer (GC), hepatic carcinoma (HC), as well as colorectal cancer (CC), but the results are controversial. In this study, a meta-analysis of this literature aimed to clarify associations of CYP1A1 genetic polymorphisms with digestive tract cancers susceptibility in Chinese populations. Materials and Methods: Eligible case-control studies published until December 2013 were retrieved by systematic literature searches from PubMed, Embase, CBM, CNKI and other Chinese databases by two investigators independently. The associated literature was acquired through deliberate search and selection based on established inclusion criteria. Fixed-effects or random-effects models were used to estimate odds ratios (ORs and 95%CIs). The meta-analysis was conducted using Review Manager 5.2 and Stata 12.0 softwares with stability evaluated by both stratified and sensitivity analyses. Moreover, sensitivity analysis and publication bias diagnostics confirmed the reliability and stability. Results: Eighteen case-control studies with 1,747 cases and 2,923 controls were selected for CYP1A1 MspI polymorphisms, and twenty case-control studies with 3, 790 cases and 4, 907 controls for the CYP1A1 Ile/Val polymorphisms. Correlation associations between CYP1A1 Ile/Val polymorphisms and digestive tract cancers susceptibility were observed in four genetic models in the meta-analysis (GG vs AA:OR= 2.03, 95%CI =1.52- 2.72; AG vs AA: OR=1.26, 95%CI =1.07-1.48; [GG+AG vs AA] :OR =1.42, 95%CI=1.20-1.68, [GG vs AA+AG]:OR=1.80, 95%CI =1.40-2.31). There was no association between CYP1A1 Msp I polymorphisms and digestive tract cancers risk. Subgroup analysis for tumor type showed a significant association of CYP1A1 Ile/Val genetic polymorphisms with EC in China. However, available data collected by the study failed to reveal remarkable associations of GC or HC with CYP1A1 Ile/Val genetic polymorphisms and EC, GC or CC with CYP1A1 MspI genetic polymorphisms. Conclusions: Our results indicated that CYP1A1 Ile/Val genetic polymorphisms, but not CYP1A1 Msp I polymorphisms, are associated with an increased digestive tract cancers risk in Chinese populations. Additional well-designed studies, with larger sample size, focusing on different ethnicities and cancer types are now warranted to validate this finding.

HMG CoA-reductase inhibitors를 복용하는 환자의 잠재적 약물상호작용 연구 (Evaluation of Potential Drug-Drug Interactions in Patients Taking HMG CoA-reductase Inhibitors)

  • 이경주;김경림;성재민;유승완;이현윤;조세경;정예지;남기남;이유정
    • 한국임상약학회지
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    • 제30권1호
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    • pp.31-35
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    • 2020
  • Objective: The 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (statins) are frequently prescribed medications worldwide for the treatment of hypercholesterolemia. Statins are considered to be well tolerated; however, they have a potential for myotoxicity. Concomitant drugs that inhibit cytochrome P450 3A4 can increase the concentration of statins and thus the risk of developing myotoxicity. The purpose of this study was to evaluate risk factors associated with potential drug-drug interactions in patients receiving statins. Methods: The subjects of this study were patients aged more than 18 years who received at least one prescription of statins in a general hospital located in Chuncheon-si, Korea, between January 1, 2018, and March 31, 2018. Data regarding statin use and baseline characteristics was collected from the computerized hospital database. Logistic regression analysis was used to identify risk factors associated with potential drug-drug interactions. Results: A total of 1061 patients were finally included in the study. The incidence of potential drug-drug interactions was 45% in all subjects. According to the results of the multivariate logistic regression analysis, myocardial infarction as the indication of statin, arrhythmia or heart failure as a comorbidity, and aspartate aminotransferase levels higher than 40 IU/L were significant risk factors for potential drug-drug interactions in study subjects. Diltiazem was the most commonly co-prescribed drug that caused potential drug-drug interactions with statins. Conclusion: There was a considerable rate of potential drug-drug interactions in patients receiving statins. Health care professionals should attempt to reduce potential drug-drug interactions during statin administration.