• 제목/요약/키워드: proton pump

검색결과 182건 처리시간 0.021초

헬리코박터 파일로리(Helicobacter pylori) 감염 및 치료법 개요 (Overview of Helicobacter pylori and Treatment Options)

  • 송영구
    • 자원환경지질
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    • 제48권3호
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    • pp.241-246
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    • 2015
  • Helicobacter pylori는 사람의 위점막에서 발견되는 전염성이 있는 중요한 병원균이다. 장기간 기생하면서 만성위염, 소화성궤양, 위 변연부 B세포 림프종, 그리고 위암을 일으키는 세균으로 알려져 있다. 국내에서는 프로톤펌프 억제제(proton pump inhibitor, PPI)와 두 가지 항생제(amoxicillin, clarithromycin)를 포함하는 표준 삼제 요법을 1차 치료로 사용하여 왔으나, 점점 증가하고 있는 항생제 내성으로 인해 제균율은 점차 감소하고 있다. 여기서는 H. pylori의 현재의 치료법들과 이들 치료법들의 문제점들을 검토하고, 표적치료의 필요성과 표적치료에 활용할 수 있는 약물전달체로서의 점토광물의 가능성에 대해 알아보고, 이들을 이용한 새로운 치료 방향에 대한 향후 연구계획 등에 대해서 논하고자 한다.

Omega Rhodopsins: A Versatile Class of Microbial Rhodopsins

  • Kwon, Soon-Kyeong;Jun, Sung-Hoon;Kim, Jihyun F.
    • Journal of Microbiology and Biotechnology
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    • 제30권5호
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    • pp.633-641
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    • 2020
  • Microbial rhodopsins are a superfamily of photoactive membrane proteins with the covalently bound retinal cofactor. Isomerization of the retinal chromophore upon absorption of a photon triggers conformational changes of the protein to function as ion pumps or sensors. After the discovery of proteorhodopsin in an uncultivated γ-proteobacterium, light-activated proton pumps have been widely detected among marine bacteria and, together with chlorophyll-based photosynthesis, are considered as an important axis responsible for primary production in the biosphere. Rhodopsins and related proteins show a high level of phylogenetic diversity; we focus on a specific class of bacterial rhodopsins containing the '3 omega motif.' This motif forms a stack of three non-consecutive aromatic amino acids that correlates with the B-C loop orientation and is shared among the phylogenetically close ion pumps such as the NDQ motif-containing sodium-pumping rhodopsin, the NTQ motif-containing chloride-pumping rhodopsin, and some proton-pumping rhodopsins including xanthorhodopsin. Here, we reviewed the recent research progress on these 'omega rhodopsins,' and speculated on their evolutionary origin of functional diversity.

Gastroprotective Activities of Sennoside A and Sennoside B via the Up-Regulation of Prostaglandin E2 and the Inhibition of H+/K+-ATPase

  • Hwang, In Young;Jeong, Choon Sik
    • Biomolecules & Therapeutics
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    • 제23권5호
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    • pp.458-464
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    • 2015
  • Sennoside A (erythro) and sennoside B (threo) are dianthrone glycosides and diastereomers. We investigated their abilities to prevent the gastric lesions associated with diseases, such as, gastritis and gastric ulcer. To elucidate their gastroprotective effects, the inhibitions of $HCl{\cdot}tOH$-induced gastritis and indomethacin-induced gastric ulcers were assessed in rats. It was observed that both sennoside A and sennoside B increased prostaglandin $E_2$ ($PGE_2$) levels and inhibited $H^+/K^+$-ATPase (proton pump). In a rat model, both compounds reduced gastric juice, total acidity and increased pH, indicating that proton pump inhibition reduces gastric acid secretion. Furthermore, sennoside A and B increased $PGE_2$ in a concentration-dependent manner. In a gastric emptying and intestinal transporting rate experiment, both sennoside A and sennoside B accelerated motility. Our results thus suggest that sennoside A and sennoside B possess significant gastroprotective activities and they might be useful for the treatment of gastric disease.

소화성 궤양 출혈의 약물 치료 (Pharmacological Treatment for Peptic Ulcer Bleeding)

  • 마대원;김병욱
    • 대한상부위장관⦁헬리코박터학회지
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    • 제18권4호
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    • pp.231-234
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    • 2018
  • Peptic ulcer bleeding (PUB) is the most common cause of non-variceal upper gastrointestinal bleeding, and its frequency has been declining over the past decades. However, mortality from PUB persists, and it is still a serious challenge in clinical practice. Although endoscopic intervention is the basic treatment modality for PUB, pharmacological therapy is an important adjunct. The emergence of proton pump inhibitors (PPIs) enables maintenance of intragastric pH >6, which greatly helps in the treatment of PUB. Continuous intravenous infusion of high-dose PPI reduces the re-bleeding rate, thereby helping avoid additional surgery in patients with high-risk stigmata. Moreover, administration of PPIs prior to endoscopy may reduce the need for additional endoscopic intervention. Recently introduced gastric acid suppressants, such as potassium-competitive acid blockers, have shown promising results in further treatment of PUB.

바렛식도의 화학예방 (Chemoprevention of Barrett's Esophagus)

  • 송경호
    • Journal of Digestive Cancer Research
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    • 제11권1호
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    • pp.9-14
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    • 2023
  • The prevalence of Barrett's esophagus is increasing in South Korea. Several strategies have been tried to prevent its progression to esophageal adenocarcinoma. It is questionable whether the strategies being tried in the West can be applied adequately in South Korea. However, despite the incidence of esophageal adenocarcinoma in the West, which is considerably higher than that in South Korea, the incidence of high-grade dysplasia/esophageal adenocarcinoma in population-based studies is as low as 0.23%/person-year. Therefore, in Korea, where the prevalence is lower than that, it is necessary to select high-risk groups more carefully for chemoprevention. The age of onset of gastroesophageal reflux disease-like symptoms at least once a week is related to the high-risk group rather than the presence or absence of chronic gastroesophageal reflux symptoms. The risk factors for esophageal adenocarcinoma include the patient's sex, age, smoking habit, and obesity. Proton pump inhibitors have a better preventive effect against esophageal adenocarcinoma compared to H2-receptor blockers, but their application to patients in Korea is limited due to the high number of individuals in need of treatment. Therefore, while considering the risk factors for the progression of esophageal adenocarcinoma, the administration of proton pump inhibitors should be considered for gastroesophageal reflux disease.

Role of endoscopy in gastroesophageal reflux disease

  • Daniel Martin Simadibrata;Elvira Lesmana;Ronnie Fass
    • Clinical Endoscopy
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    • 제56권6호
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    • pp.681-692
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    • 2023
  • In general, gastroesophageal reflux disease (GERD) is diagnosed clinically based on typical symptoms and/or response to proton pump inhibitor treatment. Upper gastrointestinal endoscopy is reserved for patients presenting with alarm symptoms, such as dysphagia, odynophagia, significant weight loss, gastrointestinal bleeding, or anorexia; those who meet the criteria for Barrett's esophagus screening; those who report a lack or partial response to proton pump inhibitor treatment; and those with prior endoscopic or surgical anti-reflux interventions. Newer endoscopic techniques are primarily used to increase diagnostic yield and provide an alternative to medical or surgical treatment for GERD. The available endoscopic modalities for the diagnosis of GERD include conventional endoscopy with white-light imaging, high-resolution and high-magnification endoscopy, chromoendoscopy, image-enhanced endoscopy (narrow-band imaging, I- SCAN, flexible spectral imaging color enhancement, blue laser imaging, and linked color imaging), and confocal laser endomicroscopy. Endoscopic techniques for treating GERD include esophageal radiofrequency energy delivery/Stretta procedure, transoral incisionless fundoplication, and endoscopic full-thickness plication. Other novel techniques include anti-reflux mucosectomy, peroral endoscopic cardiac constriction, endoscopic submucosal dissection, and endoscopic band ligation. Currently, many of the new endoscopic techniques are not widely available, and their use is limited to centers of excellence.

Blue light signaling in stomatal guard cells

  • Shimazaki, Ken-ichiro;Michio Doi;Toshinori Kinoshita
    • Journal of Photoscience
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    • 제9권2호
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    • pp.86-89
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    • 2002
  • Blue light activates proton pump, and creates electrical gradient across the plasma membrane and drives $K^{+}$ uptake in stomatal guard cells. In this presentation, we provide evidence for regulatory mechanisms of the pump and the identification of blue light receptor. The pump is shown to be the plasma membrane H$^{+}$- ATPase and is activated through phosphorylation of the C-terminus. Phosphorylation occurred and 14-3-3 protein bound to the phosphorylation site. The binding of 14-3-3 protein was required for the H$^{+}$-ATPase activation. We also found that phot1 phot2 double mutant does not respond to blue light but other mutants respond to blue light by stomatal opening. However, all these mutants are capable of stomatal opening in the presence of fusicoccin, an activator of the H$^{+}$-ATPase. These results suggest that both photl and phot2 act as blue light receptors in guard cells.d cells.

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Proton Pump Inhibitor에 의한 Helicobacter pylori의 혈관형성 억제효과 (Suppression of Helicobacter pylori-induced Angiogenesis by a Gastric Proton Pump Inhibitor)

  • 진성호;이화영;김동규;조용관;함기백;한상욱
    • Journal of Gastric Cancer
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    • 제5권3호
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    • pp.191-199
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    • 2005
  • 목적: Helicobacter pylori(H. pylori) 감염이 숙주의 혈관형성을 유도하는 작용은 잘 알려져 있으나, 이러한 혈관형성 유도작용을 억제하는 기전이나 치료법은 아직 연구되지 않았다. 이에 저자들은 HP 감염이 위 점막의 혈관형성에 미치는 영향과 이에 대한 gastric proton pump inhibitor (PPI)의 강력한 억제 효과를 규명하기 위해 본 연구를 시행하였다. 대상 및 방법: H. pylori 양성인 20명의 위염 환자들과 음성인 18명의 위염 환자들을 대상으로 내시경생검으로 수집한 위 점막의 CD34의 발현을 조사하였다. Hypoxia-inducible factor-1 alpha $(HIF-1{\alpha})$와 vascular endothelial growth factor(VEGF)의 발현은 RT-PCR로 측정하였다. H. pylori 감염이 human umbilical vein endothelial cell의 분화에 미치는 영향을 평가하기 위하여 in vitro 혈관형성 실험을 시행하였다. 결과: 면역조직화학 염색 검사상 H. pylori음성 위염에서 보다 H. pylori양성 위염에서 위 점막층의 CD34양성 혈과이 유의하게 많이 발현되었으며, 이러한 결과는 $HIF-1{\alpha}$의 발현과 밀접한 상관관계를 보였다. H. pylori에 감염된 위 점막 세포의 조건화된 배지는 human umbilical vein endothelial cell의 세관 형성을 자극하였다. 그리고 H. pylori 박멸치료에 사용되는 PPI가 HP 유도성 혈관형성을 현저히 억제하는 효과를 발견하였고, PPI의 작용은 H. pylori 유도성 혈관형성의 주된 신호전달 경로인 MAP kinase ERK1/2의 인산화를 억제함으로 이루어졌다. 결론: PPI가 H. pylori 유도성 혈관형성을 억제하다: 결과는 H, pylori가 관련된 암 발생의 예방을 위하여 PPI를 사용한 항혈관형성 치료가 사용될 수 있음을 제시한다.

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