• 한국임상약학회지
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• 제20권3호
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• pp.205-212
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• 2010

The prescription sheets for outpatients from July 2008 to June 2009 from 7 community pharmacies in Ulsan City were surveyed for the anti-inflammatory drug (AID) prescription pattern. The AID prescription rate of pediatricians and ENT physicians were 30.0% and 34.8%, respectively. The oral steroidal anti-inflammatory drugs (SAIDs) were prescribed as much as 3.9% by pediatricians and 10.3% by ENT physicians. The chiefly prescribed oral SAID was prednisolone in pediatric clinics and methylprednisolone in ENT clinics. Meanwhile the prescription rate of oral non-steroidal anti-inflammatory drug (NSAID) was 22.5% by pediatricians and 21.4% in ENT physicians. The most favorable NSAIDs were propionate derivatives in both clinics. In case of externally-applied SAIDs, the prescription rate of pediatricians was 3.6% and that of ENT physicians was 2.8%. Among them, nasal spray, inhalant and gargle formulations for upper respiratory infection (URI) treatment occupied 35.8% of externally-applied SAIDs in pediatric clinics and 59.7% in ENT clinics. Further, it was observed that ENT physicians favored much stronger SAIDs in Group III of ATC classification (75.4% of externally-applied SAIDs) than pediatricians (49.2%). In the survey of AID combination rate, pediatric clinics showed much lower rate (1.4% of total AID prescriptions) than ENT clinics (7.5%). Among them, the combination rate of oral SAID and oral NSAID by ENT physicians (52.2% of total AID combinations) was much higher than pediatricians (36.6%), which might be over-prescription of AID agents. In conclusion, the AID prescription rate as well as AID combination rate, especially in SAID prescriptions, was much higher in ENT than pediatric clinics, which implies the higher confidency on AID drugs of ENT physicians even though the severity of patient's symptom could be considered.

• The Korean Journal of Physiology and Pharmacology
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• 제24권4호
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• pp.299-310
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• 2020

Alzheimer's disease (AD) is a multi-faceted neurodegenerative disease. Thus, current therapeutic strategies require multitarget-drug combinations to treat or prevent the disease. At the present time, single drugs have proven to be inadequate in terms of addressing the multifactorial pathology of AD, and multitarget-directed drug design has not been successful. Based on these points of views, it is judged that combinatorial drug therapies that target several pathogenic factors may offer more attractive therapeutic options. Thus, we explored that the combination therapy with lower doses of cilostazol and aripiprazole with add-on donepezil (CAD) might have potential in the pathogenesis of AD. In the present study, we found the superior efficacies of donepezil add-on with combinatorial mixture of cilostazol plus aripiprazole in modulation of expression of AD-relevant genes: Aβ accumulation, GSK-3β, P300, acetylated tau, phosphorylated-tau levels, and activation of α-secretase/ADAM 10 through SIRT1 activation in the N2a Swe cells expressing human APP Swedish mutation (N2a Swe cells). We also assessed that CAD synergistically raised acetylcholine release and choline acetyltransferase (CHAT) expression that were declined by increased β-amyloid level in the activated N2a Swe cells. Consequently, CAD treatment synergistically increased neurite elongation and improved cell viability through activations of PI3K, BDNF, β-catenin and α7-nicotinic cholinergic receptors in neuronal cells in the presence of Aβ_1-42. This work endorses the possibility for efficient treatment of AD by supporting the synergistic therapeutic potential of donepezil add-on therapy in combination with lower doses of cilostazol and aripiprazole.

• Plant Resources
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• 제4권3호
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• pp.192-195
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• 2001

Human immunodeficiency virus (HIV), the causative agent of AIDS, still continues to spread rapidly in the world population, especially in Africa and Southeast Asia. At present, two kinds of therapeutic approaches are used for treatment of AIDS. One is to target HIV reverse transcriptase, which is responsible for the viral genome transcription. The other is to inhibit HIV pretense PR, which is essential for the processing of viral proteins. Drug combinations based on these approaches can reduce the blood virus to an undetectable level. However, a small amount of virus may lurk inside the immune cells in a dormant state. Another major obstacle of long-term treatment of the disease is remarkable mutation in HIV. Most of the clinical chemotherapeutic agents have one or more of these problems. High cost and harmful side-effects further reduced the desirability of these drugs. In the course our studies on development of anti-HIV agents from natural products, we investigated various crude drugs for their inhibitory activity against HIV-induced cytopathic effects (CPE) in culture cells, HIV-pretense (PR), HIV-reverse transcriptase (RT) including ribonuclease H (RNase H), and HIV integrase (INT). In the present paper, some inhibitory substances relating to the development of anti-HIV agents are reported.

• Archives of Pharmacal Research
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• 제27권3호
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• pp.295-299
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• 2004

The antifungal activities of the essential oil from Agastache rugosa and its main component, estragole, combined with ketoconazole, one of the azole antibiotics commonly used to treat infections caused by Trichophyton species, were evaluated in this study. The combined effects were measured by the checkerboard microtiter and the disk diffusion tests, against T. erinacei, T. mentagrophytes, T. rubrum, T. schoenleinii and T. soudanense. Susceptibility of the five Trichophyton species to the oil alone, or ketoconazole alone, differed distinctly. The fractional inhibitory concentration indices (FICI) of ketoconazole combined with estragole or A. rugosa essential oil, against the tested Trichophyton species, were between 0.05 and 0.27, indicating synergistic effects. These drug combinations exhibited the most significant synergism against T. mentagrophytes, with FICIs of 0.05 and 0.09 for estragole and the essential oil fraction from A. rugosa, respectively. Isobolograms based on the data from checkerboard titer tests also indicated significant synergism between ketoconazole and the Agastache oil fraction or estragole, against the Trichophyton species evaluated. Trichophyton susceptibility to ketoconazole was significantly improved by combination with the Agastache rugosa oil fraction or its main component, estragole.

• 약학회지
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• 제43권4호
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• pp.464-468
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• 1999

In order to find less toxic antiviral agents from basidiomycetes, EA, the water soluble substance, was isolated from the carpophores of Elfvingia applanata (Pers.) Karst. Anti-encephalomyocarditis (EMC) virus activity of EA was examined in Vero cells by plaque reduction assay in vitro. And the combined antiviral effects of EA with interferon (IFN) alpha and gamma were examined on the multiplication of EMC virus. EA exhibited a concentration-dependent reduction in the plaque formation of EMC virus with 50% effective concentration ($EC_{50}$) of 2.12 mg/ml. The results of combination assay were evaluated by the combination index (CI) that was analysed by the multiple drug effect analysis. The combination of EA with IFN alpha showed potent synergism with CI values of 0.40~0.60 for 50%, 70% and 90% effective levels, but that with IFN gamma showed antagonism with CI values of 2.16~2.83.

• 약학회지
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• 제43권4호
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• pp.469-473
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• 1999

EA, the water soluble substance, was prepared from the carpophores of Elfvingia applanata (Pers). Karst. Anti-influenza A virus (anti-Flu A) activity of EA was examined of Vero cells by plaque reduction assay in vitro. And the combined antiviral effects fo EA with interferon (IFN) alpha and gamma were examined on the multiplication of Flu A with 50% effective concentration ($EC_50$) of 1.50 mg/ml. The results of combination assay were evaluated by the combination index (CI) that was analysed by the multiple drug effect analysis. The combination of EA with IFN alpha on Flu A showed more potent synergism with CI values of 0.50~0.52 of 50%, 70%, 90% effective levels than that with IFN gamma with CI values of 0.82~0.99.

• Archives of Pharmacal Research
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• 제21권5호
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• pp.527-530
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• 1998

The antibacterial activity of novel ${\beta}$-lactamase inhibitors, 6-exomethylene penamsulfones (CH1240, CH2140), has been compared in vivo with that of sulbactam and clavulanic acid against b-lactamase producing strains. In vivo microbiological assessment was used as experimental mouse infection model by gram negative strains. Against Pseudomonas aeruginosa F0013, cefoperazone/CH 1240 was slightly less active than sulbactam. ampicillin/CH 2140 was less effective than sulbactam against escheriachia coli 3457. Especially against Citrobacter diversus 2046E, amoxicillin/CH 2140 was the most potent and amoxicillin/CH 1240 was slightly more active than clavulanic acid. consequently the difference in efficacy between the drug combinations appers to be related to the degree of protection afforded the animals by the b-lactamasse inhibitors. CH1240 and CH2140 are promising new agents and should undergo further investigations.

• 한국어병학회지
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• 제19권3호
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• pp.267-276
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• 2006

제주도내 양식넙치 병어에서 분리된 연쇄상구균 75균주의 항균제에 대한 감수성 경향 및 내성균 출현빈도를 조사하고 다재내성 균주로부터 전이성 R plasmid를 검출하였다. 넙치 병어에서 분리된 모든 연쇄상구균은 flumequine (AR)과 oxolinic acid (OA)에 대하여 저항성이었으며, 그 중 30균주 (41%)는 ampicillin (ABPC), doxycycline (DOXY), erythromycin (EM), norfloxacine (NFLX), oxyteracycline (OTC)의 약제에 대하여 다양한 조합으로 동시내성을 나타내었다. AR과 OA를 포함하여 4～6약제에 대하여 다재내성을 보인 균주는 26주였다. 연쇄상구균의 다재내성 전이에 관여하는 R plasmid인 pST9와 DNA구조가 유사한 plasmid의 분포를 알아보기 위하여 60 분리 균주에 대한 colony 혼성화를 실시하였다. 그 결과 13 분리균에서 혼성화 양성반응이 나타났으며 생사료의 원료로 사용되는 양치와 고등어에서도 양성반응이 나타남으로써 동일 DNA구조의 plasmid가 분포함을 시사하였다. 혼성화 양성반응을 보인 13균주로부터 전이성 R plasmid를 검출하기 위하여 conjugation을 실시하였다. OTC, DOXY, EM에 대한 항균제 내성 marker인 Otc, Doxy, Em은 R plasmid에 의하여 수용균인 Streptococcus sp.로 전이가 이루어졌다. 또한 이들 전이성 R plasmid를 보유하고 있는 연쇄상구균들이 동일 분류군에 속하는지를 알아보기 위하여 RAPD pattern을 분석하였다. 내성균주들의 RAPD pattern은 모두 유사하였으며, Streptococcus iniae type의 RAPD pattern (Kim and Kim, 2003)은 나타나지 않았다. 그러므로 pST9와 동일 DNA 구조의 R plasmid는 S. iniae에서의 출현빈도가 매우 낮을 것으로 예상되었다.

• 한국식품과학회지
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• 제40권3호
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• pp.243-250
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• 2008

경인지역내 초등학교 주변에 유통되고 있는 어린이 기호식품 총 6종 439개를 대상으로 국내허용 타르색소 9종의 사용실태를 분석한 결과, 어린이 기호식품에서 사용빈도가 높은 색소는 황색제4호, 청색제1호, 적색제40호, 황색제5호 순으로 나타났다. 껌, 빙과류, 청량음료, 건과류는 단일 또는 두 가지의 타르색소를 사용하였으며, 캔디류와 초코릿류는 주로 2-3가지의 색소를 혼용하여 사용하였다. 타르색소의 검출농도 범위는 캔디류 0.11-1169.58mg/kg, 초코릿류 0.73-468.02 mg/kg, 껌 0.10-602.46 mg/kg, 빙과류 0.25-162.32 mg/kg, 건과류 0.11-753.68 mg/kg, 청량음료 0.21-69.45mg/kg으로 나타났다. 검출농도가 50.0 mg/kg 이하에는 71.2%가 분포하였으나, 300.1 mg/kg 이상 검출된 것도 1.5%였다. 초콜릿과 껌에서의 타르색소 평균함량이 높았고, 청량음료와 빙과류에서는 낮았다. 황색 제4호와 황색 제5호의 평균함량이 다른 색소보다 높았다. 7-12세 아동의 각 식품에 대한 총 EDI는 0.004-1.017mg/day/person이었고, 각 타르색소의 총 EDI는 0.04-3.98 mg/day/person이었으며, 색소의 총 ADI에 대한 총 EDI의 비율은 0.02-5.98%이었다.

• 한국어병학회지
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• 제9권2호
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• pp.195-201
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• 1996

군산근교의 양만장에서 애드와드병에 이환된 뱀장어로부터 총 96균주의 E.tarda균을 분리한 후 이들 분리균의 약제감수성 검사를 실시하고 아울러 내성균의 내성인자 전달 시험을 실시하였다. 공시한 모든 균주는 SM, AK, NF 및 GM등에는 100% 감수성을 보였으나, 대부분의 균주가 SD(86균주), AM(84균주), PM(80균주), NA(67균주), OT(44균주) 및 OA(37균주) 등의 내성을 보였다. 내성유형은 20유형으로서 거의 모든 균주가 2제 이상의 다제내성을 보였으며, 그중 SD-AM-PM-NA-OA(16균주), SD-AM-PM-NA(14균주), SD-AM-PM-NA-OT-OA(12균주), SD-AM-PM-OT(10균주) 및 SD-AM-PM-NA-OT(8균주) 유형등이 고빈도로 출현하였다. 내성균주의 내성인자 전달 빈도는 94균주중에서 78균주가 단계에서 6제까지의 다제내성인자의 전달을 보였다. 그중 AM 및 AM-PM-NA유형(8균주), PM,SD 및 AM-SD유형(6균주), AM-PM, PM-SD 및 AM-SD-OT유형(4균주)등이 고빈도 출현을 보였다. 이러한 결과는 양만장에서 다양한 항균제를 사용하였기 때문에 다제내성현상이 확산되어진 것으로 사료된다.