Long-Term Treatment with Enalapril Depresses Endothelin and Neuropeptide Y-induced Vasoactive Action in Spontaneously Hypertensive Rats

김권배,손의동,김중영,Kim, Kwon-Bae,Sohn, Uy-Dong,Kim, Choong-Young The Korean Society of Pharmacology 1992 대한약리학잡지 Vol.28 No.1

This study was designed to evaluate the responses of cardiovascular system to endothelin (ET) and neuropeptide Y (NPY) in 12 week-old SHR treated with or without enalapril (ENP) for 6 weeks. The diastolic blood pressure and heart rate were lower in ENP-treated SHR than in control. The pressor response to intravenous, but not intracerebroventricular, ET or NPY was attenuated by ENP treatment. The chronotropic action induced by electrical stimulation was attenuated by ENP or ET. The negative chronotropic action of ET was blocked by yohimbine. The increase in aortic tension induced by electrical field stimulation (EFS) was depressed in ENP-treated group as compared with non-treated group, and enhanced by ET, but not NPY, in the non-treated group. The ET-induced increase in tension was enhanced by removal of endothelium in the control group but not in ENP-treated group. The plasma concentration of norepinephrine and ET-induced increase in concentration of norepinephrine and epinephrine in plasma were decreased in ENP-treated group. These results suggest that preventive effect of enalapril on the development of hypertension may result from depressing vasoactive action of endothelin and neuropeptide Y, and sympathetic neurotransmission at peripheral nervous system. 선천성 고혈압 흰쥐(SHR)에서 endothelin-1(ET)과 neuropeptide Y(NPY) 투여에 의한 심혈관계 반응에 미치는 enallapril 장기처치의 영향을 검토하였다. 생후 6주의 SHR에 enalapril(3 mg/kg/day)을 6주간 투여하였을 때 고혈압 발현이 현저히 억제되었다(이하 enalapril 처치군). Enalapril 처치군에서 ET 및 NPY에 의한 승압반응이 현저히 억제되었지만, ET 측뇌실투여에 의한 혈압상승 및 NPY측뇌실 투여로 야기되는 혈압하강효과에는 영향이 없었다. 뇌척수제거 흰쥐에서 전기적 자극으로 야기되는 빈맥효과는 enalapril처치나 ET투여로 억제되었는데, ET의 작은 ${\alpha}_2$-수용체 길항제인 yohimbine 전처치로 봉쇄되었다. SHR의 적출 대동맥에서 전기자극 빈도수에 따르는 수축반응이 ET 전처치로 항진되었으나 NPY 전처치로는 차이가 없었다. 전기자극 빈도수에 따른 수축반응은 enalapril투여한 군의 것이 투여하지 않은 군의 것에 비하여 약화되었다. ET투여에 의한 혈중 norepinephrine의 증가작용이 enalapril처치로 감소되었으며, 이러한 감소작용이 뇌척수제거 흰쥐에서 현저하였다. 위의 결과로 미루어 고혈압흰쥐에 enalapril을 장기처치함으로써 고혈압 발현을 효과적으로 억제할 수 있으며, 이는 ET 및 NPY에 의한 승압반응 및 교감신경말단의 신경전달과정의 억제가 관여될 수도 있을 것 같다.

Influence of Endogenous Catecholamines on Guanabenz- lnduced Inhibition of Micturition Reflex in Rats

박상열,손의동,김중영,Park, Sang-Yeoul,Sohn, Uy-Dong,Kim, Choong-Young The Korean Society of Pharmacology 1989 대한약리학잡지 Vol.25 No.1

배뇨반사수축에 미치는 ${\alpha}$-수용체 및 내인성 catecholamine의 영향을 검토하기 위하여 체중 $190{\sim}220g$의 암컷흰쥐를 사용하여 부신절제 및 6-OHDA, yohimbine, prazosin 그리고 hexamethoium 처치시의 guanabenz에 의한 배뇨반사 수축을 비교 관찰하였든 바 그 결과는 다음과 같다. Guanabenz 3, 10 및 $30\;{\mu}g/kg$를 정맥주사하였을 때 용량증가에 따라 배뇨 반사수축의 크기와 횟수가 감소되었으며 $100\;{\mu}g/kg$투여시에는 완전히 억제되었다. 국소적용시에는 약하였고, 측뇌 실내투여시에는 거의 나타나지 아니하였다. 그리고 phenylephrine은 배뇨반사수축에 아무런 영향을 주지 않았다. 6-OHDA를 처치시 방광최고내압과 수축크기가 유의성있게 증가 되었으나, 부신절제나 yohimbine, prazosin, hexamethonium 투여로는 방광수축에 거의 변화가 없었다. Guanabenz의 배뇨반사수측의 크기와 횟수의 억제에 대한 용량반응곡선이 hexamethonium, 부신절제, 6-OHDA-, yohimbine 처치시 오른쪽으로 이동하였다. Guanabenz에 의한 억제작용이 yohimbine 처치>6-OHDA>부신절제>hexamethonium순으로 약화되었으나 prazosin처치로는 약화되지 아니하였다. 이상과 같은 결과로 미루어 guanabenz에 의한 배뇨만사수축의 억제작용은 ${\alpha}_1$-수용체와는 관계없이 ${\alpha}_2$-수용체흥분작용에 기인되며, 이 억제작용은 부신수질 및 교감신경말단에서 유리되는 catecholamines이 관여된 것으로 사료된다. The effect of guanabenz on volume-induced micturition reflex contraction (VIMRC) in urethane-anethetized female rats was examined under adrenalectomy, chemical-sympathectomy, ganglionectomy, alpha-1, or alpha-2 blockade. Intracerbroventricular administration of guanalberz had little effect on VIMRC, but topical application suppressed amplitude and frequency of VIMRC. Guanabenz intravenous injection dose-dependently suppressed amplitude and frequency of VIMRC, with complete inhibition at dose of $100\;{\mu}g/kg$, but phenylephrine had no effect on VIMRC. Intravesicular peak pressure and amplitude of VIMRC were increased by 6-hydroxydopamine (6-OHDA) treatment when compared with control value, but yohimbine-, prazosin-hexamethonium-treatment and adrenalectomy did not show changes in VIMRC. Dose-response curve of guanabenz on amplitude and frequency of VIMRC shifted significantly to the right by treatment of yohimbine and 6-OHDA, and adrenalectomy. Median inhibitory dose $({\mu}g/kg)$ of guanabenz to amplitude of VIMRC showed 27.3 in control group, 381.6 in yohimbine, 294.1 in 6-OHDA and 54.1 in hexamethonium, and 38.8 in prazosin. Those of guanabenz to frequency of VIMRC showed 41.7 in control group, 571.1 in yohimbine, 410.8 in 6-OHDA, 141.4 in adrenalectomy, 59.6 in hexamethoinum and 31.4 in prazosin. These results suggest that guanabenz inhibits VIMRC through alpha-2 receptor stimulation rather than alpha-1 receptor stimulation and that catecholiamines released from sympathetic nerve ending and adrenal gland play a role in the inhibition.

고령화에 따른 노인환자의 복약지도 필요성과 활성화 방안 연구

김귀숙,송현주,손의동,Kim, Kui-Sook,Song, Hyun-Ju,Sohn, Uy-Dong 대한약학회 2007 약학회지 Vol.51 No.5

The elderly are more likely to have chronic medical conditions that require multiple drug therapies. Purposes of this study are to reveal necessity of elderly patient education by pharmacists, and to induce appropriate policy. We carried out literature research. Taking several drugs together increases risk of drug interactions and adverse reactions. We suggest that pharmacists have the legal authority to monitor prescription for efficient drug management, pharmacovigilance system be efficiently operated, and medication education fee be provided to allow pharmacists give more time to the elderly.

외국 약사 국가시험 문항관리 분석연구

권경희,임성실,손의동,Kwon, Kyenghee,Lim, Sung Cil,Sohn, Uy Dong 대한약학회 2015 약학회지 Vol.59 No.5

The goal of this study is to help for the utilization the national pharmacists test through the analysis of item development management to the foreign pharmacists examination. The United States is going to NABP (National Association of Boards of Pharmacy) initiative under the curriculum in question on the basis of this assessment and develop standards and unified, systematic system to conduct tests pharmacist. Practice oriented (patient scenario, the participation of a pharmacist or perform work, clinical practice) examination is doing in Canada, The UK is asking the for more than 70 percent and the prescription needed for actual calculation in practice prior to testing program, and by the including that allows references use. Our country may introduce the job as a clinical pharmacist, positively. Item management system is integrated into four regions based on the six-year curriculum should be done in harmony proportion of each region. Integration of fusion of each region in accordance with the duties should be come out. It has gradually been able to item management system developed by the United States or Canada. This item notice pharmacist judging the results of the work must be carried out for management upgrading to a form of management with an emphasis on clinical practice in developed countries. Foundation design, development, production and management and test after actively reviewing ways to improve management system for to management systems, a pharmacist to improve the quality of the national examination could be contributing are involved.

Chronic Cadmium Administration Preferentially Affects the Responsiveness Mediated by Pre- and Post-synatic ${\alpha}_2$-Adrenoceptors

홍기환,임병용,손의동,Hong, Ki-Whan,Rhim, Byung-Yong,Sohn, Uy-Dong The Korean Society of Pharmacology 1985 대한약리학잡지 Vol.21 No.1

전기자극에 의한 적출 정관의 수축 또는 뇌척수제거 흰쥐의 심박동수 증가가 카드뮴 장기투여 (매격일 $10{\mu}$ mols, 1회씩 2주간 복강내 주사)로 인하여 대조군에 비하여 현저히 항진되었다. 이러한 전기자극에 의한 반응은 ${\alpha}_2$-효현제인 clonidine에 의하여 억제 되었고, 이 억제는 ${\alpha}_2$-길항제인 yohimbine 투여로 봉쇄되었다. 나아가 methoxamine에 의한 확장 혈압의 증가는 카드뮴 투여에 의하여 영향을 받지 아니하였으나 clonidine에 의한 증가는 카드뮴 투여에 의하여 억제되었다. 이러한 결과로 보아 카드뮴 장기 노출에 의하여 시납스 전 및 후 ${\alpha}2-adrenoceptors$가 우선적으로 억제되었다고 시사되는 바이다. Either the contraction of isolated was deferens or the increase of heart rate in the pithed rats induced by electrical stimulation was significantly augmented by cadmium administration (10 ${\mu}mols$ of cadmium acetate every other day for 2 weeks i.p.). These stimulation-induced responses were diminished by ${\alpha}_2$-adrenoceptor agonist, clonidine, and the inhibition was antagonized by yohimbine. Furthermore, the increase in diastolic blood pressure by clonidine was also significantly reduced after cadmium administration, whereas that by methoxamine was not influenced with this dose range of cadmium. With these results it may be postulated that the long-term cadmium exposure may preferentially affect the responsiveness of the presynaptic as well as the postsynaptic ${\alpha}_2$-adrenoceptors.

종합병원 허혈성 심장질환 환자의 항고혈압약제 사용 현황 및 평가

문경실,송현주,손의동,Moon, Kyoung-Sil,Song, Hyun-Ju,Sohn, Uy-Dong 대한약학회 2007 약학회지 Vol.51 No.5

Treatment of hypertension is important in reducing death and attack rates by Ischemic heart disease (IHD). The purposes of this study are to investigate recent prescriptions for patients with IHD and to evaluate antihypertensive drug use. On the basis of the guidelines proposed by Seventh Report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure, we analyzed prescriptions of antihypertensive drugs for patients with IHD. It is necessary to set up new guideline for appropriate treatment to lower death and attack rates for patients with IHD.

음주특성이 체질량지수 및 혈압에 미치는 영향

이상민,송현주,손의동,Lee, Sang-Min,Song, Hyun-Ju,Sohn, Uy-Dong 대한약학회 2007 약학회지 Vol.51 No.6

To investigate effect of alcohol consumption characteristics on the body mass index (BMI) and blood pressure (BP), we performed statistical analyses of data from questionnaire survey among adults over 20 years old, using SPSS WIN program. Alcohol consumption characteristics such as frequency of drinking, amount and toxic degree of alcohol didn't show a significant correlation with BP. Amount of alcohol consumption and BMI showed a positive correlation (r=.264, p<.01). Waist circumference and BMI had the highest correlations with amount of alcohol consumption, which increased with aging.

의약분업에 따른 약국 한약 활성화에 대한 조사 연구

최병철,김지인,손의동,Choi, Byung-Chul,Kim, Ji-In,Sohn, Uy-Dong 대한약학회 2008 약학회지 Vol.52 No.6

The purpose of this study is to investigate the best way that Oriental medicine contributes for activation of pharmacy management after the separation of prescribing and dispensing practice since July 2000. In order to investigate current pharmacy conditions for handling of Oriental medicine and many problems for administering the Oriental medicine to patients, a questionnaire was written with a list of questions related to pharmacy management with Oriental medicine, and given to 58 subjects via fax or personal visit during the period of April 21 to 30, 2003. The research results was as follows; In th 58 subjects, 45 subjects (77.6%) were pharmacists with a licence for dispensing Oriental medicine. 70.7% of subjects most likely preferred to extract granule as administering type of oriental medicine. About the motivation using Oriental medicine, the reason for activation of pharmacy management was 39.7%, second, the reason for resolving the limitation of treatment over western medicine was 25.9%. Oriental medicine for patients was mainly administered by recommendation with pharmacist (65.5%). In comparison with after and before the separation of prescribing and dispensing, 51.7% of subjects answered that sale volume was decreased after the separation. Concerning the ratio of total sales volume to Oriental medicine within 5 years, 50% of subjects expected that sales volume will increase positively. About treating Oriental medcine, 34.5% of subjects thought the problem is the regulation by limiting 100 kinds of formulary. The most important factor for increasing Oriental medicine selling amount was continueous education for various information of oriental medicine in case of 44.8% of sujects. The best pharmacy to handle oriental medicine was community pharmacy (36.2%). It was expressed the reason why many pharmacists have not been treated oriental medicine because lots of time needs for dispensing prescription from clinics in these 4 years after the separation of prescribing and dispensing. These results lead to the conclusion that the Oriental medicine at pharmacy will greatly increase within 5 years and will be very important portion for pharmacy management.

슬관절치환술 환자의 Cephalosporin계 항생제 사용에 대한 경제효율성 비교연구

조동선,송현주,박성욱,손의동,Cho, Dong-Sun,Song, Hyun-Ju,Park, Sung-Uk,Sohn, Uy-Dong 대한약학회 2008 약학회지 Vol.52 No.2

Total Knee Replacement (TKR) surgery is one of the invasive procedures for patients with late-stage knee joint disorders. In the present study, economic efficiency was compared between uses of the 2nd and 3rd generation cephalosporins for the prophylaxis before and after the surgery using frequency analysis in terms of various factors such as medication costs, the number of days of antibiotic use and hospitalization due to TKR surgery. The results showed that the 3rd generation cephalosporins did not reduce the infection rate and total medication costs, but rather raised antibiotic cost in comparison with the 2nd ones. A frequent use of the 3rd ones is closely related to emergence of resistant bacterial strains. Therefore, we suggest that unnecessary prescriptions for the broad spectrum antibiotics should be avoided.

Guanabenz 투여에 의한 흰쥐의 배뇨반사억제작용에 미치는 내인성 Catecholamines의 영향

박상열(Sang-Yeoul Park),손의동(Uy-Dong Sohn),김중영(Choong-Young Kim) 대한약리학회 1989 대한약리학잡지 Vol.25 No.1

배뇨반사수축에 미치는 α-수용체 및 내인성 catecholamine의 영향을 검토하기 위하여 체중 190 ~ 220g의 암컷흰쥐를 사용하여 부신절제 및 6-OHDA, yohimbine, prazosin 그리고 hexamethoium 처치시의 guanabenz에 의한 배뇨반사 수축을 비교 관찰하였든 바 그 결과는 다음과 같다. Guanabenz 3, 10 및 30μg/kg를 정맥주사하였을 때 용량증가에 따라 배뇨 반사수축의 크기와 횟수가 감소되었으며 100μg/kg투여시에는 완전히 억제되었다. 국소적용시에는 약하였고, 측뇌 실내투여시에는 거의 나타나지 아니하였다. 그리고 phenylephrine은 배뇨반사수축에 아무런 영향을 주지 않았다. 6-OHDA를 처치시 방광최고내압과 수축크기가 유의성있게 증가 되었으나, 부신절제나 yohimbine, prazosin, hexamethonium 투여로는 방광수축에 거의 변화가 없었다. Guanabenz의 배뇨반사수측의 크기와 횟수의 억제에 대한 용량반응곡선이 hexamethonium, 부신절제, 6-OHDA-, yohimbine 처치시 오른쪽으로 이동하였다. Guanabenz에 의한 억제작용이 yohimbine 처치>6-OHDA>부신절제>hexamethonium순으로 약화되었으나 prazosin처치로는 약화되지 아니하였다. 이상과 같은 결과로 미루어 guanabenz에 의한 배뇨만사수축의 억제작용은 α₁-수용체와는 관계없이 α₂-수용체흥분작용에 기인되며, 이 억제작용은 부신수질 및 교감신경말단에서 유리되는 catecholamines이 관여된 것으로 사료된다. The effect of guanabenz on volume-induced micturition reflex contraction (VIMRC) in urethane-anethetized female rats was examined under adrenalectomy, chemical-sympathectomy, ganglionectomy, alpha-1, or alpha-2 blockade. Intracerbroventricular administration of guanalberz had little effect on VIMRC, but topical application suppressed amplitude and frequency of VIMRC. Guanabenz intravenous injection dose-dependently suppressed amplitude and frequency of VIMRC, with complete inhibition at dose of 100μg/kg, but phenylephrine had no effect on VIMRC. Intravesicular peak pressure and amplitude of VIMRC were increased by 6-hydroxydopamine (6-OHDA) treatment when compared with control value, but yohimbine-, prazosin-hexamethonium-treatment and adrenalectomy did not show changes in VIMRC. Dose-response curve of guanabenz on amplitude and frequency of VIMRC shifted significantly to the right by treatment of yohimbine and 6-OHDA, and adrenalectomy. Median inhibitory dose (μg/kg) of guanabenz to amplitude of VIMRC showed 27.3 in control group, 381.6 in yohimbine, 294.1 in 6-OHDA and 54.1 in hexamethonium, and 38.8 in prazosin. Those of guanabenz to frequency of VIMRC showed 41.7 in control group, 571.1 in yohimbine, 410.8 in 6-OHDA, 141.4 in adrenalectomy, 59.6 in hexamethoinum and 31.4 in prazosin. These results suggest that guanabenz inhibits VIMRC through alpha-2 receptor stimulation rather than alpha-1 receptor stimulation and that catecholiamines released from sympathetic nerve ending and adrenal gland play a role in the inhibition.