• 제목/요약/키워드: Drug Effect

검색결과 3,369건 처리시간 0.038초

약의 허가시점분포가 사망률에 매치는 영향 : 신약의 거시경제적 효과 (The Effect of Drug Vintage on Mortality : Economic Effect of New Drug)

  • 정기택;김정윤
    • 보건행정학회지
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    • 제16권4호
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    • pp.147-168
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    • 2006
  • Technological innovation has been regarded as the core competence for the economic growth of individual, as well as organization and country. Pharmaceutical innovation, what we call new medicines, influence people's longevity and productivity by increasing output per hour worked. Therefore, using claims data on virtually all the drugs and diseases of over 550,000 people enrolled in National Health Insurance Program in Korea, we examined the impact of the vintage (original FDA and KFDA approval year) of drugs used to treat a patients from July 1st to December 31st in 2002 on the patient's mortality at the end of 2004, controlling for demographic characteristics(age and sex), utilization of medical services, and the nature and complexity of illness. We found that people using newer drugs are less likely to die at the end of 2004, conditional on covariates. The estimated mortality rates were declining with respect to drug vintage for 1970s, 1980s and 1990s and highly significant. In addition to estimating the model for the entire sample, we estimated the model separately for several disease categories classified by Korean Classification of Disease. Estimates of three drug vintage variables for subgroups of people with (1)neoplasms, (2)endocrine, nutritional and metabolic diseases, and (3)the diseases of circulatory system displayed similar patterns.

Human Liver Microsomes과 HepG2 세포를 이용한 약물유래 간독성 평가 방법의 최적화 (The Optimization of Method for Prediction of Drug-Induced Liver Injury Using HepG2 Cells Cultured with Human Liver Microsomes)

  • 최종민;전장수;김상겸
    • 약학회지
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    • 제59권5호
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    • pp.201-206
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    • 2015
  • The aim of the present study was to optimize in vitro method for the prediction of drug-induced liver injury using human liver microsomes (HLM). Cytotoxicity test of cyclophosphamide and acetaminophen in HepG2 cells cultured with HLM showed that the newly established condition using 0.375 mg/ml HLM for 24 hr incubation was comparable or more sensitive than the previously established condition using 0.75 mg/ml HLM for 12 hr incubation. Although the cytotoxic effect of troglitazone was completely attenuated by 0.75 mg/ml HLM, it was augmented by 0.375 mg/ml HLM in the presence of the NADPH-generating system. The cytotoxic effect of chlormezanone, a withdrawn drug due to hepatotoxicity in human, was increased by HLM in the presence of the NADPH-generating system. In contrast, the cytotoxic effect of methapyrilene, a withdrawn drug due to hepatotoxicity in rats, was decreased by HLM in the presence of the NADPH-generating system. The present study suggests that the optimized in vitro method using HLM can be useful for the prediction of drug-induced hepatotoxicity.

비타민 A 및 $B_2$ 유도체의 Aminopyrine Demethylase 활성도에 대한 영향 (Effect of Vitamin A and $B_2$ Derivatives on Aminopyrine Demethylase Activity)

  • 이향우
    • 약학회지
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    • 제28권1호
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    • pp.53-59
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    • 1984
  • Drug-metabolizing system which has the important role in drug metabolism is localized in smooth endoplasmic reticulum of hepatocytes and is composed of NADPH, NADPH-cytochrome $P_{450}$ reductase, cytochrome $P_{450}$ and others. It is well known that the enzyme system is induced by phenobarbital and methylcholanthrene. Lipid peroxidation is reaction of oxidative deterioration of polyunsaturated lipids. Formation of lipid peroxides in liver microsome has been found to produce degradation of phospholipid, which are major components of microsomal membrane. The relationship between the formation of lipid oxides and the activities of drug-metabolizing enzyme in the liver of rats was reported by several investigators. In this study the effect of riboflavin tetrabutylate, an antioxidant on lipid peroxidation, specially the relationship between lipid peroxidation and drug-metabolizing enzyme system was investigated. In addition the effect of vitamin A derivatives, such as retinoic acid and retinoid on the enzyme was also observed. Results are summarized as followings. 1) The pretretment with riboflavin tetrabutylate inhibited completely the lengthened sleeping time due to $CCl_{4}$ treatment. 2) The increase of TBA value was prevented by the pretreatment with riboflavin tetrabutylate. 3) The pretreatment with riboflavin tetrabutylate also prevented the decrease of drug-metabolizing enzyme caused by $CCl_{4}$. 4) Both retinoic acid and retinoid remarkably decreased the activity of aminopyrine demethylase. Pretreatment of riboflavin tetrabutylate, however, prevented inhibitory effect of retinoic acid on the enzyme activity.

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생체이용률에 미치는 음식물의 영향 및 식후 생물학적동등성시험 (Food-Effect Bioavailability and Fed Bioequivalence Studies)

  • 최선옥;권광일;정성희;엄소영;정서정;김주일;정수연;김옥희
    • 한국임상약학회지
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    • 제15권2호
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    • pp.82-88
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    • 2005
  • A new medical system was started in Korea in 2000 and pharmaceutical affairs law was revised in 2001. According to the revised law, generic substitution is permitted only to therapeutically equivalent generic product. Bioequivalence studies are usually used to demonstrate therapeutic equivalence between reference listed drugs and generic drugs. The issues that are recently heating up in Korea are to increase bioequivalent drug products and at the same time to ensure the credibility of the therapeutic equivalence of generic drugs. Sometimes food can change the bioavailability (BA) of a drug and influence the bioequivalence (BE) between test and reference products as well. Food effects on BA can have clinically significant consequences. Food can alter BA by various means including delaying gastric emptying, stimulating bile flow and changing gastointestinal pH. This paper provides the recently published Korean guideline on food-effect BA and fed BE studies.

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The effect of drug holiday before tooth extraction on the development of medication-related osteonecrosis of the jaw in cancer patients receiving intravenous bisphosphonates

  • Cigdem Karaca;Goknur Topaloglu-Yasan;Selen Adiloglu;Ecem Usman
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제49권2호
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    • pp.68-74
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    • 2023
  • Objectives: Drug holidays are suggested to reduce the formation of osteonecrosis in patients under intravenous (IV) bisphosphonates (BPs) therapy. The objectives of this study are to evaluate the incidence of medication-related osteonecrosis of the jaw (MRONJ) following tooth extraction in cancer patients using IV BP, and to assess the effect of drug holiday on the development of MRONJ. Patients and Methods: A manuel search of the patient folders of Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hacettepe University was undertaken to identify cancer patients who used IV BPs and had at least one tooth extraction between 2012 and 2022. Patents' age, sex, systemic condition, the type of BP used, duration of BP used, number of tooth extraction, duration of drug holiday, localization of tooth extraction and incidence of MRONJ were recorded. Results: One hundred nine teeth were removed from 57 jaws in 51 patients. All tooth extractions were performed under perioperative antibiotic prophylaxis and with primary wound closure. The incidence of MRONJ was 5.3%. Stage 1 MRONJ developed in 3 patients (only one had a drug holiday). The median duration of drug holiday was 2 months. No significant difference between the patients with and without a drug holiday and MRONJ development was found (P=0.315). The mean age of patients developed MRONJ was 40.33±8.08 years. A statistically significant difference was found between age and MRONJ development (P=0.002). Conclusion: The effect of a short-term drug holiday on the development of MRONJ may be limited because BPs remain in bone tissue for a long time. Drug holidays should be applied with the approval of an oncologist with other preventive measurements.

수용성과 지용성 항고지단백혈증제에 대한 Xanthan Gum 기재에서의 경피투과 (Transdermal Permeation of Xanthan Gum Bases on the Water-soluble and Lipophilic Antihyperlipoproteinemic Drugs)

  • 이석우;임윤택;공승대;황성규;이우윤
    • KSBB Journal
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    • 제16권3호
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    • pp.253-258
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    • 2001
  • 항고지단백혈증제제를 이용한 경펴투과제제흘 제조하고자 기 재로서 xathan gum을 사용하여 약물의 함량 및 투과 촉전제에 따라서 경피투과체제를 제조하고 경피투과 항고지단백혈증제의 가능성 등을 연구하였다. 기재로 사용한 xanthan gum의 체 타전위를륜 측정하여 응결, 침전이 나타나는 등천점으로부터 제타전위 값의 차이가 나타나 있으므로 피부와 접촉시 연고제제외 석출 가능성이 없다는 것을 확인할 수 있었다. 각각의 지용성과 수용성 항고지단백혈증제제를 함유한 정피투과제제를 사용하여 진행된 투과 실험에서는 자용성인 clofibrat$\xi$의 투파속도가 현저하게 빠르게 나타났는데 이는 지용성인 피부 각질과의 친화 즉 lipophilicity를 증가시킴으로써 지용성인 clofibrate의 경피투과를 촉진시키는 것이라 생각된다. 지용성 경피투과제제에 투과촉진제를 첨가했을 경우, 그렇지 않은 경우에 비해 lag time파 투과속도가 빠르게 나타냈다. 특히 PEG 600을 사용했윤 경우가 가장 빠른 투과속도흘 나타냈고 글리세린, 올레산의 순오로 투과속도의 증가를 나타냈다. PEG 600븐 다른 투과촉진제보다 지용성 약물인 clofibrate에 대해 피부내의 지방과 단백겔의 유동성(fluidity) 과 피부 각질의 lipophilicity를 증가시컴으로서 각질로의 약물분배를 촉진한다고 생각된다.

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Effect of Enterotoxigenic Escherichia coli on Microbial Communities during Kimchi Fermentation

  • Lee, Woojung;Choi, Hyo Ju;Zin, Hyunwoo;Kim, Eiseul;Yang, Seung-Min;Hwang, Jinhee;Kwak, Hyo-Sun;Kim, Soon Han;Kim, Hae-Yeong
    • Journal of Microbiology and Biotechnology
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    • 제31권11호
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    • pp.1552-1558
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    • 2021
  • The diverse microbial communities in kimchi are dependent on fermentation period and temperature. Here, we investigated the effect of enterotoxigenic Escherichia coli (ETEC) during the fermentation of kimchi at two temperatures using high-throughput sequencing. There were no differences in pH between the control group, samples not inoculated with ETEC, and the ETEC group, samples inoculated with ETEC MFDS 1009477. The pH of the two groups, which were fermented at 10 and 25℃, decreased rapidly at the beginning of fermentation and then reached pH 3.96 and pH 3.62. In both groups, the genera Lactobacillus, Leuconostoc, and Weissella were predominant. Our result suggests that microbial communities during kimchi fermentation may be affected by the fermentation parameters, such as temperature and period, and not enterotoxigenic E. coli (ETEC).

Effect of Sarcotride A on Membrane Potential in C6 Glioma Cells

  • Lee Yun-Kyung;Liu Yong-Hong;Jung Jee-H.;Im Dong-Soon
    • Biomolecules & Therapeutics
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    • 제14권2호
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    • pp.110-113
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    • 2006
  • We tested effect of sarcotride A, a bioactive cyclitol derivative from a marine sponge, on membrane potential in C6 glioma cells. Membrane potential was estimated by measuring fluorescence change of DiBAC-loaded glioma cells. Sarcotride A increased membrane potential in a concentration-dependent manner. We tested effects of pertussis toxin, U73122, EIPA, and $Na^+-free$ media on sarcotride A-induced increase of membrane potential to investigate involvement of G proteins, phospholipase C, $Na^+/H^+$ exchanger, and $Na^+$ channels. However, we were not able to observe any significant effect of those pharmacological inhibitors, excluding the involvement of the molecules as candidate targets or signaling molecules of sarcotride A-induced increase of membrane potential. Further investigation is necessary to elucidate action mechanism of sarcotride A.

Effect of Scutellariae Radix Extract on Human CYP450 Mediated-Drug Metabolism

  • Yoo, Hye-Hyun;Lim, Sun-Young;Kim, Dong-Hyun
    • Journal of Pharmaceutical Investigation
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    • 제41권3호
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    • pp.143-146
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    • 2011
  • Scutellariae Radix is widely used in the traditional herbal medicine for the treatment of fever, cough, dysentery, hepatitis and hypertension in Korea, China and Japan. In this study, we investigated the effects of 70% ethanolic extract of Scutellariae Radix (SRE) on CYP450-mediated drug metabolism in the in vitro systems using human liver microsomes and hepatocytes. The microsomal incubation assay showed that SRE inhibited the drug metabolism reactions catalyzed by CYP1A2, CYP2C8 and CYP2C9 in a dose-dependent manner. In particular, SRE was shown to strongly inhibit the metabolic activity of CYP1A2 with an $IC_{50}$ value of 4.6 ${\mu}g/mL$. When SRE was evaluated for its effect on the induction of CYP450 enzyme activities in cryopreserved human hepatocytes, SRE did not exhibit any effect.