• Title/Summary/Keyword: N-Acetylcysteine

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A Fatal Case of Methylene Blue Threatment Failure in Methemoglobinemia (메틸렌블루에 반응하지 않는 메트헤모글로빈혈증 1례)

  • Shim, Ji-Yae;Seo, Yun-Seok;Yang, Jong-Oh;Lee, Eun-Young;Hong, Sae-Yong;Gil, Hyo-Wook
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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    • pp.151-154
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    • 2006
  • Acute toxic methemoglobinemia is an infrequent complication of the use of various drugs. Severe methemoglobinemia is very often fatal. Methylene blue is an effective drug in the treatment of methemoglobinemia patients. However, failure to respond to methylene blue has been described in patients with sulfhemoglobinemia, chlorate poisoning, and glucose-6-phosphate dehydrogenase deficiency. It is even possible that hemolysis may occur due to methylene blue treatment itself. We encountered a case of a 71-year-old woman who developed methemoglobinemia caused by alprazolam intoxication. She presented with hemolytic anemia and did not respond to methylene blue. In spite of concerted N-acetylcysteine therapy, the hemolytic anemia became aggravated and the patient died eleven days after intoxication.

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A Case of Acute Dapsone Poisoning Complicated with Methylene Blue-induced Hemolytic Anemia (급성 댑손 중독 환자에서 메틸렌블루 치료중 유발된 메트헤모글로빈혈증과 중증 용혈성 빈혈 1례)

  • Lee, Mi-Jin;Park, Kyu-Nam
    • Journal of The Korean Society of Clinical Toxicology
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    • v.4 no.2
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    • pp.170-174
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    • 2006
  • Methylene blue is a basic thiazine dye frequently used for histologic staining. In clinical toxicology settings, it is also used to treat clinically significant methemoglobinemia. It has dose-dependent oxidation or reduction properties, acting as a reducing agent at lower doses and as an oxidizing agent at higher doses. Hemolytic anemia and hyperbilirubinemia are known toxic effects of methylene blue treatment that have been reported clinically. A 42-year-old woman developed significant methemoglobinemia after acute dapsone overdose; she was treated appropriately with intravenous methylene blue in the therapeutic range. The patient's methemoglobin levels returned to normal. However, 2-4 days later she was noted to have rebound methemoglobinemia, hemolytic anemia, and hyperbilirubinemia. A repeat of Coomb's test and other anemia workups were negative. For management of methylene blue-induced hemolytic anemia, she was administered steroid therapy, N-acetylcysteine, and a blood transfusion. She ultimately recovered, and there were no long-term sequelae from the methylene blue poisoning.

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Staurosporine Induces ROS-Mediated Process Formation in Human Gingival Fibroblasts and Rat Cortical Astrocytes

  • Lee, Han Gil;Kim, Du Sik;Moon, Seong Ah;Kang, Jeong Wan;Seo, Jeong Taeg
    • International Journal of Oral Biology
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    • v.40 no.1
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    • pp.27-33
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    • 2015
  • In the present study, we investigated the effect of staurosporine on the formation of cellular processes in human gingival fibroblasts and rat astrocytes. Staurosporine caused a rapid induction of process formation in human gingival fibroblasts and rat astrocytes in a concentration dependent manner. The process formation of human gingival fibroblasts and rat astrocytes was prevented by the pretreatment with N-acetylcysteine, suggesting that staurosporine-induced ROS production was responsible for the process formation. Colchicine, a microtubule depolymerizing agent, inhibited the staurosporine-induced process formation, whereas cytochalasin D, an actin filament breakdown agent, failed to suppress the formation of cellular processes. This result indicated that polymerization of microtubule, and not actin filament, was responsible for the formation of cellular processes induced by staurosporine. In support of this hypothesis, Western blot analysis was conducted using anti-tubulin antibody, and the results showed that the amount of polymerized microtubule was increased by the treatment with staurosporine while that of depolymerized beta-tubulin in soluble fraction was decreased. These results indicate that staurosporine induces ROS-mediated, microtubule-dependent formation of cellular processes in human gingival fibroblasts and rat astrocytes.

Reactive Oxygen Species are Involved in Y-27632-induced Neurite Outgrowth in PC12 Cells

  • Park, So Yeong;Moon, Seong Ah;An, Jeong Mi;Kim, Du sik;Seo, Jeong Taeg
    • International Journal of Oral Biology
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    • v.41 no.4
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    • pp.231-236
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    • 2016
  • Inhibition of Rho-associated coiled coil-containing kinase (ROCK) has been reported to promote differentiation of neuronal cells. Here, we examined the effect of Y-27632, a ROCK inhibitor, on the outgrowth of neurites in PC12 cells. Y-27632 caused a rapid induction of neurite outgrowth in PC12 cells in a time-dependent manner. The neurite outgrowth, triggered by Y-27632, was accompanied by Rac1 activation, and was attenuated by Rac1 inhibitor NSC23766, in a concentration-dependent manner. Y-27632 also induced an increase in the production of reactive oxygen species (ROS). Pretreatment with N-acetylcysteine, an ROS scavenger, inhibited the ROS generation and neurite outgrowth in response to Y-27632. These results indicate that the activation of Rac1 and the generation of ROS contribute to the neurite outgrowth triggered by Y-27632 in PC12 cells.

NSA9, a human prothrombin kringle-2-derived peptide, acts as an inhibitor of kringle-2-induced activation in EOC2 microglia

  • Kim, Ji-Yeon;Kim, Tae-Hyong;Kim, Soung-Soo
    • BMB Reports
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    • v.42 no.6
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    • pp.380-386
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    • 2009
  • In neurodegenerative diseases, such as Alzheimer' and Parkinson', microglial cell activation is thought to contribute to CNS injury by producing neurotoxic compounds. Prothrombin and kringle-2 increase levels of NO and the mRNA expression of iNOS, IL-1$\beta$, and TNF-$\alpha$ in microglial cells. In contrast, the human prothrombin kringle-2 derived peptide NSA9 inhibits NO release and the production of pro-inflammatory cytokines such as IL-1$\beta$, TNF-$\alpha$, and IL-6 in LPS-activated EOC2 microglia. In this study, we investigated the anti-inflammatory effects of NSA9 in human prothrombin- and kringle-2-stimulated EOC2 microglia. Treatment with 20-100 ${\mu}M$ of NSA9 attenuated both prothrombin- and kringle-2-induced microglial activation. NO production induced by MAPKs and NF-$\kappa$B was similarly reduced by inhibitors of ERK (PD98059), p38 (SB203580), NF-$\kappa$B (N-acetylcysteine), and NSA9. These results suggest that NSA9 acts independently as an inhibitor of microglial activation and that its effects in EOC2 microglia are not influenced by the presence of kringle-2.

Differential Effect of Harmalol and Deprenyl on Dopamine-Induced Mitochondrial Membrane Permeability Change in PC12 Cells

  • Lee, Chung-Soo
    • Biomolecules & Therapeutics
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    • v.12 no.1
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    • pp.9-18
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    • 2004
  • Opening of the mitochondrial permeability transition pore has been recognized to be involved in cell death. The present study investigated the effect of ${\beta}$-carbolines (harmaline and harmalol) and deprenyl on the dopamine-induced change in the mitochondrial membrane permeability and cell death in differentiated PC12 cells. Cell death due to 250 4{\mu}$M dopamine was inhibited by caspase inhibitors (z-IETD.fmk, z-LEHD.fmk and z-DQMD.fmk) and antioxidants (N-acetylcysteine, ascorbate, superoxide dismutase, catalase and carboxy-PTIO). ${\beta}$-Carbolines prevented the dopamine-induced cell death in PCl2 cells, while deprenyl did not inhibit cell death. ${\beta}$-Carbolines decreased the condensation and fragmentation of nuclei caused by dopamine in PC12 cells. ${\beta}$-Carbolines inhibited the decrease in mitochondrial transmembrane potential, cytochrome c release, formation of reactive oxygen species and depletion of GSH caused by dopamine in PC12 cells, whereas deprenyl did not decrease dopamine-induced mitochondrial damage. ${\beta}$-Carbolines, deprenyl and antioxidants depressed the formation of nitric oxide and melanin in dopamine-treated PC12 cells. The results suggest that cell death due to dopamine PC12 cells is mediated by caspase-8, -9 and -3. Unlike deprenyl, ${\beta}$-carbolines may attenuate the dopamineinduced cell death in PC12 cells by suppressing change in the mitochondrial membrane permeability through inhibition of the toxic action of reactive oxygen and nitrogen species.

Chronic Treatment of Ethanol Inhibits Proliferation of Normal Fibroblasts, but Not Oncogenic ras-Transformed Cells

  • Gu, Young-Hwa;Park, Mi-Sun;Jhun, Byung-H.
    • Biomolecules & Therapeutics
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    • v.6 no.4
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    • pp.345-350
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    • 1998
  • The adverse effects of ethanol on cell proliferation have been described for a variety of tissues and cells. In the present study, we investigated whether chronic ethanol intoxication impairs the cell proliferation and DNA synthesis induced by oncogenic $H-ras^{V12}$ - and $v-K-ras^{V12}$-transformed cells. Ethanol treatment inhibited the cell proliferation and the DNA synthesis of control parental fibroblasts in a time- and dose-dependent manner. In contrast, ethanol did not suppress the proliferation of either oncogenic $H-ras^{V12}$ - or $v-K-ras^{V12}$ -transformed fibroblasts. Microinjection of oncogenic $H-Ras^{V12}$ protein induces DNA synthesis and ethanol treatment did not interfere with the DNA synthesis. The antiproliferative toxicity of ethanol was rescued by antioxidants, such as N-acetylcysteine and 4-methlpyrazole. These results indicate that the antiproliferative action site of ethanol toxicity lies upstream or is independent of Ras and ethanol exerts its toxicity through a free radical formation.

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Effect of Scutellaria Baicalensis Georgi Extract on Oxidant-Induced Apoptosis in Renal Epithelial Cells (Renal epithelial cells에서 oxidant에 의한 apoptosis에 미치는 황금(黃芩)의 영향)

  • Lee, Dong-Joon;Yoon, Cheol-Ho
    • The Journal of Internal Korean Medicine
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    • v.25 no.4
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    • pp.75-85
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    • 2004
  • 목적 : 黃芩(황금)과 黃芩(황금)의 주요 flavonoid 성분인 baicalein이 신장세뇨관 상피세포에서 산화제에 의한 apoptosis에 미치는 효과를 살펴보고자 한다. 방법 : 신장세뇨관 상피세포주인 opossum kidney (OK) 세포를 유기산화제인 t-butylhydroperoxide (tBHP)에 노출시켜 apoptosis를 일으킨 후 관련된 변화를 관찰하였다. 결과 : tBHP는 농도에 의존하여 apoptosis를 유발시켰는데, 이러한 효과는 黃芩(황금)과 baicalein에 의해 농도 의존적으로 방지 되었다. tBHP에 의한 OK 세포사는 항산화제인 Trolox와 N-acetylcysteine에 의해 방지 되었다. tBHP는 mitogen-activated protein kinase의 subfamily인 extracellular signal-regulated kinase (ERK)를 활성화시켰다. ERK 억제제인 PD98059와 U0126은 tBHP에 의한 세포 사망을 방지하였다. tBHP에 의한 ERK 활성화는 U0126에 의해 억제되었으나 黃芩(황금)과 baicalein에 의해서는 영향을 받지 않았다. 철착염제인 deferoxamine은 tBHP에 의한 세포 사망과 ERK 활성화를 방지하였다. tBHP에 의한 세포 사망은 casopase 억제제인 BOD-U-FMK와 zDEVD-FMK에 의해 방지되었다. 결론 : 黃芩(황금)은 산화제에 의한 세포 사망을 방지하는데, 이는 kinase 억제, 항산화제 역할 및 철착염제의 작용에 기인하지 않았다. 黃芩(황금)의 이러한 효과는 산화제에 의관 신부전 예방 및 치료제로 개발하는데 이용될 수 있는 가능성을 보였다.

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Broussochalcone B from Broussonetia papyrifera Induce Apoptosis via Activation of a Caspase Cascade and Reactive Oxygen Species Production in Human HepG2 cells (꾸지나무 유래 화합물 Broussochalcone B의 HepG2 간암세포의 세포사멸에 미치는 영향)

  • Park, Jin Ryang;Ryu, Hyung Won;Cho, Byoung Ok
    • Korean Journal of Pharmacognosy
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    • v.48 no.4
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    • pp.273-279
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    • 2017
  • The aim of this study was to investigate the mechanisms underlying apoptosis induced by a broussochalcone B (BCB) from Broussonetia papyrifera in HepG2 cells. The results showed that BCB treatment for 24 hr significantly inhibited cell viability in a dose-dependent manner, and induced apoptosis in HepG2 cells. More so, BCB treatment triggered the cleavage of caspase-8, -9, -3, poly (ADP-ribose) polymerase (PARP), increase of Bax level, and decrease of Bcl-2 expression. A general caspase inhibitor (z-VAD-fmk) blocked BCB-induced cell death. Furthermore, BCB treatment caused reactive oxygen species (ROS) production in a dose-dependent manner. In addition, an antioxidant N-acetylcysteine (NAC) blocked BCB-induced ROS production and cell death. Therefore, these results indicate that BCB-induced apoptosis is mediated by a caspase dependent pathway and ROS production in HepG2 cells.

Effects of Protease Inhibitors and Antioxidants on In Vitro Survival of Porcine Primordial Germ Cells

  • Lee, Chang-Kyu;Jorge A. Piedrahita
    • Proceedings of the KSAR Conference
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    • 2001.10a
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    • pp.47-47
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    • 2001
  • One of the problems associated with in vitro culture of primordial germ cells (PGCs) is the large loss of cells during the initial period of culture. This study characterized the initial loss and determined the effectiveness of two classes of apoptosis inhibitors, protease inhibitors and antioxidants, on the ability of porcine PGCs to survive in culture. Results from electron microscopic analysis and in situ DNA fragmentation assay indicated that porcine PGCs rapidly undergo apoptosis when placed in culture. Additionally,? 2-macroglobulin, a protease inhibitor and cytokine carrier, and N-acetylcysteine, an antioxidant, increased the survival of PGCs in vitro. While other protease inhibitors tested did not affect survival of PGCs, all antioxidants tested improved survival of PGCs (p〈0.05). Further results indicated that the beneficial effect of the antioxidants was critical only during the initial period of culture. Finally, it was determined that in short-term culture, in the absence of feeder layers, antioxidants could partially replace the effect(s) of growth factors and reduce apoptosis. Collectively, these results indicate that the addition of ?2-macroglobulin and antioxidants can increase the number of PGCs in vitro by suppressing apoptosis.

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