• 제목/요약/키워드: multi-drug

검색결과 474건 처리시간 0.028초

Respiratory Review of 2014: Tuberculosis and Nontuberculous Mycobacterial Pulmonary Disease

  • Park, Cheol Kyu;Kwon, Yong Soo
    • Tuberculosis and Respiratory Diseases
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    • 제77권4호
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    • pp.161-166
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    • 2014
  • Since tuberculosis (TB) remains a major global health concern and the incidence of multi-drug resistant (MDR)-TB is increasing globally, new modalities for the detection of TB and drug resistant TB are needed to improve TB control. The Xpert MTB/RIF test can be a valuable new tool for early detection of TB and rifampicin resistance, with a high sensitivity and specificity. Late-generation fluoroquinolones, levofloxacin, and moxifloxacin, which are the principal drugs for the treatment of MDR-TB, show equally high efficacy and safety. Systemic steroids may reduce the overall TB mortality attributable to all forms of TB across all organ systems, although inhaled corticosteroids can increase the risk of TB development. Although fixed dose combinations were expected to reduce the risk of drug resistance and increase drug compliance, a recent meta-analysis found that they might actually increase the risk of relapse and treatment failure. Regarding treatment duration, patients with cavitation and culture positivity at 2 months of TB treatment may require more than 6 months of standard treatment. New anti-TB drugs, such as linezolid, bedaquiline, and delamanid, could improve the outcomes in drug-resistant TB. Nontuberculous mycobacterial lung disease has typical clinical and immunological phenotypes. Mycobacterial genotyping may predict disease progression, and whole genome sequencing may reveal the transmission of Mycobacterium abscessus. In refractory Mycobacterium avium complex lung disease, a moxifloxacin-containing regimen was expected to improve the treatment outcome.

국내 하천에서 분리된 그람 음성 Enterobacteriacaea의 항생제 다제내성 (Prevalence of Multi-drug Resistant Bacteria Belonging to Gram Negative Enterobacteriaceae Isolated from a Domestic Stream)

  • 장예진;송기봉;정인영;김혁;석광설;고은별;김벼리;유용재;이옥재;채종찬
    • 한국미생물·생명공학회지
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    • 제43권4호
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    • pp.396-400
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    • 2015
  • Enterobacteriaceae에 속하는 세균들은 보건학적 문제를 발생시키기도 하며 항생제 내성 병원균의 발생으로 인하여 자연환경 중의 항생제 내성균에 분포에 대한 관심이 증대되고 있다. 따라서 배양법을 이용하여 국내 5개의 하천시료로부터 그람 음성 Enterobacteriaceae의 종 다양성을 조사하였으며 분리된 세균에 대한 다제내성을 항생제디스크 확산법으로 분석하였다. 그 결과, 분리된 그람 음성 Enterobacteriaceae는 Citrobacter, Enterobacter, Escherichia, Klebsiella, Kluyvera, Pantoea, Plesiomonas, Raoultella, Shigella로 동정되었으며 49%가 Enterobacter로서 우점종으로 분석되었다. 또한 이들 세균들의 78.3%가 조사된 13종의 항생제 중에서 7종 이상에 내성을 보였으며 이것은 국내 자연하천환경에 높은 비율의 다제내성균이 서식한다는 것을 제시한다.

Physiochemical Properties of Binary Pluronic Systems for Reversal of Multi-drug Resistant (MDR) Cancers

  • Yun, Jung-Min;Park, Ga-Young;Kim, Ha-Hyung;Lee, Jae-Hwi;Lee, Eun-Seong;Youn, Yu-Seok;Lee, Beom-Jin;Oh, Young-Taik;Oh, Kyung-Taek
    • Journal of Pharmaceutical Investigation
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    • 제40권4호
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    • pp.255-261
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    • 2010
  • Pluronic as pharmaceutical excipients are listed in the US and British Pharmacopoeia. In particular, Pluronics exist as different compositions and display abundant phases as self-assembling into polymeric micelles with various morphologies depending on the aqueous solvent quality, the composition of structure, and hydrophilic-lipophilic balance (HLB). Pluronics were also known as a P-gp modulator, which was exploited as a reversal molecule of multi-drug resistant (MDR) cancers. We selected a lamella forming Pluronic L92 which has high hydrophobicity and relatively long PEO block among L series of Pluronics. The dispersion of L92 showed great size particles and low stability. To increase the stability and to decrease the particle size, secondary Pluronics (F68, F88, F98, F127, P85, P105, and P123) with relatively long PEO chain were added into 0.1 wt% Pluronic L92 dispersion. The stability of binary systems was increased due to incorporated long PEO chain. Their particle sizes slightly decreased to over 200~400 nm and their solubilization capacity of binary systems didn't change except Pluronic L92/P123 mixtures. The L92/P123 systems showed ca. 100 nm sizes and lowest turbidity among the all systems. The solubilization capacity of 0.1 wt% L92/0.1 wt% P123 was slightly increased compared to 0.1 wt% L92 mono system and other binary systems. These nano-sized binary systems may have potential as alternative drug delivery systems with simple preparation method and overcome the drawbacks of mono systems such as low stability and loading capacity.

글리콜라이드 단량체를 함유한 BICNU 함유 다중층 PLGA웨이퍼의 제조 및 특성결정 (Preparation and Characterization of BICND-loaded Multi-Layer PLGA Wafer Containing Glycolide Monomer)

  • 채강수;이진수;정제교;조선행;이해방;강길선
    • 폴리머
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    • 제28권4호
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    • pp.335-343
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    • 2004
  • 카뮤스틴 (1,3-bis(2-chloroethy1-nitrosourea, BICNU)은 뇌종양 치료를 위하여 임상적으로 사용되는 약물로 짧은 생물학적 반감기를 가지고 있어 장기방출에 적합하지 않다. 하지만, poly(D,L-lactide-co-glycolide) (PLGA)는 벌크 분해 특성으로 인해 약물의 장기방출에 유용하며, PLGA의 유도체인 글리콜라이드 단량체는 독성이 없고 PLGA와 유사한 생분해성을 가지고 있어 BICNU의 방출조절에 이용된다. 이 실험에서 BICNU를 함유한 PLGA 웨이퍼는 일반적인 직접압축법에 의해 제조한 후 BICNU의 방출거동과 웨이펴의 분해속도를 전자주사현미경, 핵자기공명장치 그리고 젤투과크로마토그래피를 통해 관찰하였다. 또한, 글리콜라이드 단량체의 함량변화에 따른 다중층 웨이퍼를 제조하여 단일층 웨이퍼와의 방출거동을 비교하였다. 이러한 결과들로부터 BICNU를 함유한 PLGA 웨이퍼의 약물방출은 BICNU와 글리콜라이드 단량체의 함량이 증가할수록 증가하였고, 다중층 웨이퍼에서 외부층의 글리콜라이드 단량체와 BICNU가 약물방출 거동과 분해속도에 영향을 미친다는 것을 확인하였다.

Bactericidal Effect of Cecropin A Fused Endolysin on Drug-Resistant Gram-Negative Pathogens

  • Lim, Jeonghyun;Hong, Juyeon;Jung, Yongwon;Ha, Jaewon;Kim, Hwan;Myung, Heejoon;Song, Miryoung
    • Journal of Microbiology and Biotechnology
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    • 제32권6호
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    • pp.816-823
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    • 2022
  • The rapid spread of superbugs leads to the escalation of infectious diseases, which threatens public health. Endolysins derived from bacteriophages are spotlighted as promising alternative antibiotics against multi-drug resistant bacteria. In this study, we isolated and characterized the novel Salmonella typhimurium phage PBST08. Bioinformatics analysis of the PBST08 genome revealed putative endolysin ST01 with a lysozyme-like domain. Since the lytic activity of the purified ST01 was minor, probably owing to the outer membrane, which blocks accessibility to peptidoglycan, antimicrobial peptide cecropin A (CecA) was fused to the N-terminus of ST01 to disrupt the outer membrane. The resulting CecA::ST01 has been shown to have increased bactericidal activity against gram-negative pathogens including Pseudomonas aeruginosa, Klebsiella pneumoniae, Acinetobacter baumannii, Escherichia coli, and Enterobacter cloacae and the most affected target was A. baumannii. In the presence of 0.25 µM CecA::ST01, A. baumannii ATCC 17978 strain was completely killed and CCARM 12026 strain was wiped out by 0.5 µM CecA::ST01, which is a clinical isolate of A. baumannii and resistant to multiple drugs including carbapenem. Moreover, the larvae of Galleria mellonella could be rescued up to 58% or 49% by the administration of CecA::ST01 upon infection by A. baumannii 17978 or CCARM 12026 strain. Finally, the antibacterial activity of CecA::ST01 was verified using 31 strains of five gram-negative pathogens by evaluation of minimal inhibitory concentration. Thus, the results indicate that a fusion of antimicrobial peptide to endolysin can enhance antibacterial activity and the spectrum of endolysin where multi-drug resistant gram-negative pathogens can be efficiently controlled.

Study on production process of graphite for biological applications of 14C-accelerator mass spectrometry

  • Ha, Yeong Su;Kim, Kye-Ryung;Cho, Yong-Sub;Choe, Kyumin;Kang, Chaewon
    • 대한방사성의약품학회지
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    • 제6권1호
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    • pp.20-26
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    • 2020
  • Accelerator mass spectrometry (AMS) is a powerful detection technique with the exquisite sensitivity and high precision compared with other traditional analytical techniques. Accelerator mass spectrometry can be widely applied in the technique of radiocarbon dating in the fields of archeology, geology and oceanography. The ability of accelerator mass spectrometry to measure rare 14C concentrations in microgram and even sub-microgram amounts suggests that extension of 14C-accelerator mass spectrometry to biomedical field is a natural and attractive application of the technology. Drug development processes are costly, risky, and time consuming. However, the use of 14C-accelerator mass spectrometry allows absorption, distribution, metabolism and excretion (ADME) studies easier to understand pharmacokinetics of drug candidates. Over the last few decades, accelerator mass spectrometry and its applications to preclinical/clinical trials have significantly increased. For accelerator mass spectrometry analysis of biological samples, graphitization processes of samples are important. In this paper, we present a detailed sample preparation procedure to apply to graphitization of biological samples for accelerator mass spectrometry.

국내 유통 다소비 농산물의 잔류농약 모니터링 및 노출평가 (Monitoring and Exposure Assessment of Pesticide Residues in Domestic Agricultural Products)

  • 강남숙;김성철;강윤정;김도형;장진욱;원세라;현재희;김동언;정일용;이규식;신영민;정동윤;김상엽;박주영;권기성;지영애
    • 농약과학회지
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    • 제19권1호
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    • pp.32-40
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    • 2015
  • 본 연구는 유통 농산물의 잔류 실태를 조사하여 잔류농약에 대한 안전성을 평가하기 위해 수행되었다. 전국 9개 지역에서 수거된 농산물 15개 품목 232건을 식품공전 다종농약다성분 분석법으로 분석하였으며, GC/MSMS로 분석 가능한 농약 196종을 대상으로 하였다. 그 결과 53건의 시료에서 64종의 농약이 검출되었고 이 중 chlorpyrifos와 procymidone이 가장 빈번히 검출되었다. 검출된 64종 중 깻잎에서 검출된 chlorpyrifos와 복숭아에서 검출된 picoxystrobin은 잔류허용기준을 초과하였으며, 나머지는 각각의 잔류허용기준을 초과하지 않았다. 잔류허용기준을 초과한 chlorpyrifos와 picoxystrobin을 포함한 검출 농약에 대해 위해평가를 수행한 결과, 1일 섭취허용량(acceptable daily intake, ADI) 대비 1일 추정섭취량(estimated daily intake, EDI)이 0.001~0.902%로 조사되어 매우 낮은 수준임을 확인할 수 있었다. 이번 연구 결과 유통 농산물에서 잔류농약은 안전하게 관리되고 있음을 확인 할 수 있었고, 향후 식품안전 정책 수립의 기초 자료로 활용할 수 있을 것을 생각된다.

Stem Cells in Drug Screening for Neurodegenerative Disease

  • Kim, Hyun-Jung;Jin, Chang-Yun
    • The Korean Journal of Physiology and Pharmacology
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    • 제16권1호
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    • pp.1-9
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    • 2012
  • Because the average human life span has recently increased, the number of patients who are diagnosed with neurodegenerative diseases has escalated. Recent advances in stem cell research have given us access to unlimited numbers of multi-potent or pluripotent cells for screening for new drugs for neurodegenerative diseases. Neural stem cells (NSCs) are a good model with which to screen effective drugs that increase neurogenesis. Recent technologies for human embryonic stem cells (ESCs) or induced pluripotent stem cells (iPSCs) can provide human cells that harbour specific neurodegenerative disease. This article discusses the use of NSCs, ESCs and iPSCs for neurodegenerative drug screening and toxicity evaluation. In addition, we introduce drugs or natural products that are recently identified to affect the stem cell fate to generate neurons or glia.

DA-9701: A New Multi-Acting Drug for the Treatment of Functional Dyspepsia

  • Kwon, Yong Sam;Son, Miwon
    • Biomolecules & Therapeutics
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    • 제21권3호
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    • pp.181-189
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    • 2013
  • Motilitone$^{(R)}$ (DA-9701) is a new herbal drug that was launched for the treatment of functional dyspepsia in December 2011 in Korea. The heterogeneous symptom pattern and multiple causes of functional dyspepsia have resulted in multiple drug target strategies for its treatment. DA-9701, a compound consisting of a combination of Corydalis Tuber and Pharbitidis Semen, has being developed for treatment of functional dyspepsia. It has multiple mechanisms of action such as fundus relaxation, visceral analgesia, and prokinetic effects. Furthermore, it was found to significantly enhance meal-induced gastric accommodation and increase gastric compliance in dogs. DA-9701 also showed an analgesic effect in rats with colorectal distension induced visceral hypersensitivity and an antinociceptive effect in beagle dogs with gastric distension-induced nociception. The pharmacological effects of DA-9701 also include conventional effects, such as enhanced gastric emptying and gastrointestinal transit. The safety profile of DA-9701 is also preferable to that of other treatments.

Lamotrigine 단독 과량복용으로 발생한 횡문근융해증 (Rhabdomyolysis after Lamotrigine Poisoning: A Case report)

  • 김건배;구홍두
    • 대한임상독성학회지
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    • 제6권2호
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    • pp.142-145
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    • 2008
  • Lamotrigine is a newer anti-epileptic drug for adjunctive treatment of refractory epilepsy, partial seizures, generalized tonic-clonic seizures, and bipolar disorder. Lamotrigine overdose causes serious central nervous and cardiovascular problems, but reports are uncommon. Few lamotrigine overdoses have been described because anti-epileptic drug use is limited and usually used with combination of other anti-epileptic drugs. In addition, most patients visit emergency departments with multi-drug overdoses, so few cases of lamotrigine poisoning alone exist. We had a female patient visit our emergency department a couple of hours after a lamotrigine overdose treated with intravenous hydration and urine alkalization by NaHCO3. She recovered successfully without any evidence of renal injury. However, she developed profound rhabdomyolysis, a previously unreported complication of this medication. We suggest that serial creatine kinase levels should be measured after lamotrigine poisoning.

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