• 제목/요약/키워드: channel blockers

검색결과 137건 처리시간 0.019초

약물성 치은비대로 인한 병적인 치아 이동이 있는 환자에서 치주치료 이후 자발적 치아 이동을 보인 증례 (Spontaneous teeth migration after periodontal treatment in the patients with drug-induced gingival enlargement)

  • 최윤경;정경화;김소연;전혜미;최점일;이주연;주지영;권은영
    • 구강회복응용과학지
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    • 제33권1호
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    • pp.34-41
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    • 2017
  • 치은비대와 연관된 대표적인 3가지 약물은 항경련제, 칼슘 길항제, 면역 억제재 등이다. 약물성 치은 비대를 위한 치료에서 근본적인 원인인 약물 대체가 선행되면 재발의 위험 등은 훨씬 낮아지는 이점이 있으나, 대체가 어려울 때는 치주치료와 철저한 유지관리가 병행되어야만 한다. 본 연구에서는 약물성 치은비대로 병적인 치아 이동이 일어난 경우, 약물 교체 없이 치주 치료로 염증이 해소 되면서 자발적으로 치아 이동이 함께 일어난 증례를 보고하고자 한다. 본 증례의 환자들도 치주치료 이후 적극적인 정기 점검을 통해 안정적으로 유지될 수 있었다.

Four Voltage-Gated Potassium Currents in Trigeminal Root Ganglion Neurons

  • Choi, Seung Ho;Youn, Chang;Park, Ji-Il;Jeong, Soon-Yeon;Oh, Won-Man;Jung, Ji-Yeon;Kim, Won-Jae
    • International Journal of Oral Biology
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    • 제38권1호
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    • pp.13-19
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    • 2013
  • Various voltage-gated $K^+$ currents were recently described in dorsal root ganglion (DRG) neurons. However, the characterization and diversity of voltage-gated $K^+$ currents have not been well studied in trigeminal root ganglion (TRG) neurons, which are similar to the DRG neurons in terms of physiological roles and anatomy. This study was aimed to investigate the characteristics and diversity of voltage-gated $K^+$ currents in acutely isolated TRG neurons of rat using whole cell patch clamp techniques. The first type (type I) had a rapid, transient outward current ($I_A$) with the largest current size having a slow inactivation rate and a sustained delayed rectifier outward current ($I_K$) that was small in size having a fast inactivation rate. The $I_A$ currents of this type were mostly blocked by TEA and 4-AP, K channel blockers whereas the $I_K$ current was inhibited by TEA but not by 4-AP. The second type had a large $I_A$ current with a slow inactivation rate and a medium size-sustained delayed $I_K$ current with a slow inactivation rate. In this second type (type II), the sensitivities of the $I_A$ or $I_K$ current by TEA and 4-AP were similar to those of the type I. The third type (type III) had a medium sized $I_A$ current with a fast inactivation rate and a large sustained $I_K$ current with the slow inactivation rate. In type III current, TEA decreased both $I_A$ and $I_K$ but 4-AP only blocked $I_A$ current. The fourth type (type IV) had a smallest $I_A$ with a fast inactivation rate and a large $I_K$ current with a slow inactivation rate. TEA or 4-AP similarly decreased the $I_A$ but the $I_K$ was only blocked by 4-AP. These findings suggest that at least four different voltage-gated $K^+$ currents in biophysical and pharmacological properties exist in the TRG neurons of rats.

귀리잎의 기저부 절간분열조직에서 분이한 원형질체의 암호흡 활성에 미치는 ABA와 $Ca^{2+}$의 억제효과 (Inhibitory Effects of ABA and $Ca^{2+}$ on Dark Respiration in Protoplasts Isolated from the Basal Intercalary Meristematic Tissues of Oat Leaves)

  • 홍영남
    • Journal of Plant Biology
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    • 제38권2호
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    • pp.195-201
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    • 1995
  • 본 연구는 귀리잎 기저부 절간 분열조직의 원형질체 암호흡에 미치는 ABA와 칼슘의 효과를 조사하였다. 동시에 암호흡동안 세포막내 칼슘통로 및 칼모듈린의 관련 가능성을 조사하기 위해 세포막의 칼슘통로 차단제인 diltiazem(DTZ), verapamil(VPM), 및 $LaCl_2$ 그리고 칼슘-칼모듈린 결합 저해제인 trifluoperazine(TFP)이 원형질체 호흡활성에 미치는 영향을 분석하였다. Abscisic acid 단독 처리시 $10^{-6}\;M$ 농도에서 21%의 호흡억제를 보였으며, ABA가 처리되지 않은 상태에서는 칼슘에 의한 호흡감소 현상이 거의 나타나지 않았다. 그러나 $10^{-6}\;M$ ABA 존재시 칼슘농도의 증가에 따라 현저한 호흡감소가 일어났다. 정도차이는 있었지만 DTZ나 VPM처리로 ABA와 칼슘에 의해 억제되었던 호흡활성이 회복되었으며 $LaCl_2$ 처리시에도 $10^{-4}\;M$ 농도를 제외하고는 유사한 결과를 보였고 TFP는 $10^{-6}\;M$에서 $10^{-4}\;M$ 농도범위에서 처리농도가 증가될수록 ABA에 의한 호흡억제를 회복시켰다. 이상의 결과로부터 ABA는 칼슘에 대한 agonist로서 세포막의 투과성을 증대시켜 칼슘 유입을 촉진시키고 그로인해 유입된 칼슘이 칼모듈린과 결합하여 귀리 원형질체 암호흡을 조절하는 것으로 생각되었다.

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A Study on the $Na^+/Ca^{2+}$ Exchange Mechanism in the Smooth Muscle of Guinea-pig Stomach

  • Kim, Eui-Yong;Han, Jin;Kim, Ki-Whan
    • The Korean Journal of Physiology
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    • 제26권1호
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    • pp.55-68
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    • 1992
  • The effects of changes in extracellular $Na^+\;and\;Ca^+$ concentration on the membrane potential and contractility were studied in the antral circular muscle of guinea pig stomach in order to elucidate the existence and the nature of $Na^+/Ca^{2+}$ exchange mechanism. All experiments were performed in tris buffered Tyrode solution which was aerated with 100% $O_2$ and kept at $35^{\circ}C.$ The treatment of $10^{-5}$ ouabain was performed to induce intracellular $Na^+$ loading prior to the start of experiment. The results were as follows: 1. $Na^+$-free Tyrode or high $Ca^{2+}$-Tyrode solution hyperpolarized the membrane potential and induced contracture. The time course of contracture was similar to that of change in membrane potential. 2. The degree of hyperpolarization and the amplitude of contracture decreased in accordance with the increase of extracellular $Na^+$ concentration. 3. $Na^+$-free contracture was developed even after blocking the influence of intrinsic nerves by the pretreatment with atropine, guanethidine and TTX. 4. $Ca^{2+}$-channel blockers(D-600 or $Mn^{2+}$) and the blocker of intracellular $Ca^{2+}$ release from sarcoplasmic reticulum(ryanodine) did not suppress the development of $Na^+$-free contracture. And also, dinitrophenol had no effect on $Na^+$-free contracture. 5. Dose-response relationship between extracellular $Na^+$ concentrations and the magnitude of contractures showed a sigmoid pattern. The slope of straight line from Hill plot was 2.7. 6. In parallel with the increase of extracellular $Ca^{2+}$ concentration, the amplitude of contracture increased dose dependently and was maximum at 8 mM $Ca^{2+}$-Tyrode solution. 7. The relationship between extracellular $Ca^{2+}$ concentrations and the magnitude of contractures showed hyperbolic pattern. The slope of straight line from Hill plot was 1.1. From the above results, it is suggested that $Na^+/Ca^{2+}$ exchange mechanism exists in the antral circular muscle of guinea pig stomach and this mechanism affects the membrane potential electrogenically.

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$Ca^{2+}$ is a Regulator of the WNK/OSR1/NKCC Pathway in a Human Salivary Gland Cell Line

  • Park, Soonhong;Ku, Sang Kyun;Ji, Hye Won;Choi, Jong-Hoon;Shin, Dong Min
    • The Korean Journal of Physiology and Pharmacology
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    • 제19권3호
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    • pp.249-255
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    • 2015
  • Wnk kinase maintains cell volume, regulating various transporters such as sodium-chloride cotransporter, potassium-chloride cotransporter, and sodium-potassium-chloride cotransporter 1 (NKCC1) through the phosphorylation of oxidative stress responsive kinase 1 (OSR1) and STE20/SPS1-related proline/alanine-rich kinase (SPAK). However, the activating mechanism of Wnk kinase in specific tissues and specific conditions is broadly unclear. In the present study, we used a human salivary gland (HSG) cell line as a model and showed that $Ca^{2+}$ may have a role in regulating Wnk kinase in the HSG cell line. Through this study, we found that the HSG cell line expressed molecules participating in the WNK-OSR1-NKCC pathway, such as Wnk1, Wnk4, OSR1, SPAK, and NKCC1. The HSG cell line showed an intracellular $Ca^{2+}$ concentration ($[Ca^{2+}]_i$) increase in response to hypotonic stimulation, and the response was synchronized with the phosphorylation of OSR1. Interestingly, when we inhibited the hypotonically induced $[Ca^{2+}]_i$ increase with nonspecific $Ca^{2+}$ channel blockers such as 2-aminoethoxydiphenyl borate, gadolinium, and lanthanum, the phosphorylated OSR1 level was also diminished. Moreover, a cyclopiazonic acid-induced passive $[Ca^{2+}]_i$ elevation was evoked by the phosphorylation of OSR1, and the amount of phosphorylated OSR1 decreased when the cells were treated with BAPTA, a $Ca^{2+}$ chelator. Finally, through that process, NKCC1 activity also decreased to maintain the cell volume in the HSG cell line. These results indicate that $Ca^{2+}$ may regulate the WNK-OSR1 pathway and NKCC1 activity in the HSG cell line. This is the first demonstration that indicates upstream $Ca^{2+}$ regulation of the WNK-OSR1 pathway in intact cells.

Paralytic shellfish toxins (PSTs) and tetrodotoxin (TTX) of Korean pufferfish

  • Lee, Ka Jeong;Ha, Kwang Soo;Jung, Yeoun Joong;Mok, Jong Soo;Son, Kwang Tae;Lee, Hee Chung;Kim, Ji Hoe
    • Fisheries and Aquatic Sciences
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    • 제24권11호
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    • pp.360-369
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    • 2021
  • Paralytic shellfish toxins (PSTs) and tetrodotoxin (TTX) are neurotoxins that display pharmacological activity that is similar to that of specific sodium channel blockers; they are the principle toxins involved in shellfish and puffer fish poisoning. In Korea, puffer fish is a very popular seafood, and several cases of accidental poisoning by TTX have been reported. Therefore, it is necessary to determine whether puffer fish poisoning incidents are caused by PSTs or by TTX. In this study, we used mouse bioassay (MBA) and liquid chromatograph-tandem mass spectrometry (LC-MS/MS) to determine the presence of PSTs and TTX in puffer fish from an area near Mireuk-do, Tong-Yeong on the southern coast of Korea from January through March, 2014. The toxicity of PSTs and TTX extracts prepared from three organs of each specimen was analyzed by MBA. Most of the extracts killed mice with typical signs of TTX and PSTs. The LC-MS/MS analysis of seven specimens of Takifugu pardalis and Takifugu niphobles, each divided into muscles, intestines, and liver, were examined for TTX. In T. pardalis, the TTX levels were within the range of 1.3-1.6 ㎍/g in the muscles, 18.8-49.8 ㎍/g in the intestines, and 23.3-96.8 ㎍/g in the liver. In T. niphobles, the TTX levels were within the range of 2.0-4.5 ㎍/g in the muscles, 23.9-71.5 ㎍/g in the intestines, and 28.1-114.8 ㎍/g in the liver. Additionally, the toxicity profile of the detected PSTs revealed that dcGTX3 was the major component in T. pardalis and T. niphobles. When PSTs were calculated as saxitoxin equivalents the levels were all less than 0.5 ㎍/g, which is below the permitted maximum standard of 0.8 ㎍/g. These findings indicate that the toxicity of T. pardalis and T. niphobles from the southern coast of Korea is due mainly to TTX and that PSTs do not exert an effect.

소아 고혈압의 평가와 관리 방법; 한국 소아심장 전문의와 소아신장 전문의 설문 (Evaluating and managing hypertension in children: a survey of Korean cardiologists and nephrologists)

  • 이은희;임형은;장기영;유기환;손창성;홍영숙;이주원
    • Clinical and Experimental Pediatrics
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    • 제51권9호
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    • pp.992-997
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    • 2008
  • 목 적 : 성인질환으로 여겨지던 고혈압이 소아에서도 최근 유병률이 증가 추세에 있다. 이에 한국에서 고혈압 환아의 평가 및 관리가 어떻게 이루어지고 있는지 알아보고자 하였다. 방 법 : 2006년 8월에서 10월까지 대한소아신장학회와 대한소아심장학회의 회원인 소아 전문의를 대상으로 소아 고혈압의 접근, 혈압 측정법, 혈압 조절 목표 및 약물 치료 등 에 대해서 설문을 하였다. 결 과 : 대부분의 소아 심장 전문의와 소아 신장 전문의는 아직까지 일반 소아 환자에게 일상적으로 혈압 측정을 하고 있지 않았으며 비만과 관련하여 체질량 지수 측정도 일상적으로 이루어지지 않았다. 혈압계는 주로 수은혈압계를 사용하고 있었으며 소아 신장 전문의보다 소아 심장 전문의에서 ABPM의 사용도가 높았다. 약물 치료 시 일차선택제로는 ACE 억제제가 가장 많이 이용되었으며 소아 심장 전문의 보다 소아 신장 전문의가 경우에 따라 다양한 약제를 선호하는 것으로 나타났다. 또한 혈압 조절 목표로는 나이, 성별, 키에 대한 95 백분위를 주로 사용하였으며 대부분의 응답자가 기저질환에 따라 다른 목표를 갖지 않는 것으로 나타났다. 결 론 : 한국에서는 아직까지 소아 환자 진료 시에 고혈압에 대한 선별검사를 일상적으로 하고 있지는 않았다. 사용하는 혈압계나 일차 선택제는 큰 차이를 보이지는 않았지만 소아 신장 전문의와 소아 심장 전문의 간에 고혈압 치료제 선택에 있어 차이를 보였다. 좀 더 정확한 현황을 파악하기 위해서는 개원의를 포함한 광범위의 설문이 필요할 것이며 이를 토대로 우리 실정에 맞는 소아 고혈압의 접근과 치료에 관한 지침이 세워져야 할 것이다.