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Park Ki-Sup,Kim Doo Ri,Baek Jin Yang,Shin Areum,Kim Kyung-Ran,Park Hwanhee,Son Sohee,Cho Heeyeon,Kim Yae-Jean 대한의학회 2023 Journal of Korean medical science Vol.38 No.48
Background: Pediatric urinary tract infection (UTI) caused by extended-spectrum β-lactamase (ESBL)-positive gram-negative bacilli (GNB) has limited options for oral antibiotic treatment. The purpose of this study was to investigate the susceptibility of ESBLpositive Escherichia coli and Klebsiella pneumoniae isolates from pediatric urine samples to two oral antibiotics (fosfomycin and nitrofurantoin). Methods: From November 2020 to April 2022, ESBL-positive E. coli and K. pneumoniae isolates from urine samples were collected at Samsung Medical Center, Seoul, Korea. Patients over 18 years of age or with malignancy were excluded. For repeated isolates from the same patient, only the first isolate was tested. Minimum inhibitory concentrations (MICs) were measured using agar (fosfomycin) or broth (nitrofurantoin) dilution methods. MIC50 and MIC90 were measured for fosfomycin and nitrofurantoin in both E. coli and K. pneumoniae. Results: There were 117 isolates from 117 patients, with a median age of 7 months (range, 0.0–18.5 years). Among 117 isolates, 92.3% (108/117) were E. coli and 7.7% (9/117) were K. pneumoniae. Isolates from the pediatric intensive care unit (PICU) and general ward (GW) was 11.1% (13/117) and 88.9% (104/117), respectively. Among 108 E. coli isolates, MIC50 and MIC90 for fosfomycin were 0.5 μg/mL and 2 μg/mL, respectively. Fosfomycin susceptibility rate was 97.2% (105/108) with a breakpoint of 128 μg/mL. Fosfomycin susceptibility rate was significantly lower in PICU isolates than in GW isolates (81.8% vs. 99.0%, P = 0.027). For nitrofurantoin, both the MIC50 and MIC90 were 16 μg/mL. Nitrofurantoin susceptibility rate was 96.3% (104/108) with a breakpoint of 64 μg/mL based on Clinical and Laboratory Standards Institute guidelines. Among the nine K. pneumoniae isolates, the MIC50 and MIC90 for fosfomycin was 2 μg/mL and 32 μg/mL, respectively. MIC50 and MIC90 for nitrofurantoin were 64 μg/mL and 128 μg/mL, respectively. Conclusion: For uncomplicated UTI caused by ESBL-positive GNB in Korean children, treatment with fosfomycin and nitrofurantoin for E. coli infections can be considered as an effective oral therapy option.
Areum Park,Sang Woo Chun 대한구강생물학회 2015 International Journal of Oral Biology Vol.40 No.4
Nitric Oxide (NO) is an important signaling molecule in the nociceptive process. Our previous study suggested that high concentrations of sodium nitroprusside (SNP), a NO donor, induce a membrane hyperpolarization and outward current through large conductances calcium-activated potassium (BKca) channels in substantia gelatinosa (SG) neurons. In this study, patch clamp recording in spinal slices was used to investigate the sources of Ca2+ that induces Ca2+-activated potassium currents. Application of SNP induced a membrane hyperpolarization, which was significantly inhibited by hemoglobin and 2-(4-carboxyphenyl) -4,4,5,5- tetramethylimidazoline-1-oxyl-3-oxide potassium salt (c-PTIO), NO scavengers. SNP-induced hyperpolarization was decreased in the presence of charybdotoxin, a selective BKCa channel blocker. In addition, SNP-induced response was significantly blocked by pretreatment of thapsigargin which can remove Ca2+ in endoplasmic reticulum, and decreased by pretreatment of dentrolene, a ryanodine receptors (RyR) blocker. These data suggested that NO induces a membrane hyperpolarization through BKca channels, which are activated by intracellular Ca2+ increase via activation of RyR of Ca2+ stores.
Areum Park,Sang Woo Chun 대한구강생물학회 2018 International Journal of Oral Biology Vol.43 No.4
Reactive oxygen species (ROS) and nitrogen species (RNS) are involved in cellular signaling processes as a cause of oxidative stress. According to recent studies, ROS and RNS are important signaling molecules involved in pain transmission through spinal mechanisms. In this study, a patch clamp recording was used in spinal slices of rats to investigate the action mechanisms of O 2 ⦁- and NO on the excitability of substantia gelatinosa (SG) neuron. The application of xanthine and xanthine oxidase (X/XO) compound, a ROS donor, induced inward currents and increased the frequency of spontaneous excitatory postsynaptic currents (sEPSC) in slice preparation. The application of S-nitroso-N-acetyl-DL- penicillamine (SNAP), a RNS donor, also induced inward currents and increased the frequency of sEPSC. In a single cell preparation, X/XO and SNAP had no effect on the inward currents, revealing the involvement of presynaptic action. X/XO and SNAP induced a membrane depolarization in current clamp conditions which was significantly decreased by the addition of thapsigargin to an external calcium free solution for blocking synaptic transmission. Furthermore, X/XO and SNAP increased the frequency of action potentials evoked by depolarizing current pulses, suggesting the involvement of postsynaptic action. According to these results, it was estblished that elevated ROS and RNS in the spinal cord can sensitize the dorsal horn neurons via pre- and postsynaptic mechanisms. Therefore, ROS and RNS play similar roles in the regulation of the membrane excitability of SG neurons.
Recurrent Erlotinib-Induced Interstitial Lung Disease on Non-Small Cell Lung Cancer
Park, Sang Don,Kim, Areum,Park, Jin-Seok,Shin, Chun Ho,Nam, Hae Sung,Kim, Lucia,Cho, Jae Wha,Ryu, Jeong Sun,Kwak, Seung Min The Korean Academy of Tuberculosis and Respiratory 2009 Tuberculosis and Respiratory Diseases Vol.67 No.5
Erlotinib ($Tarceva^{(R)}$) has been considered to be a new, promising oral chemotherapy agent for local advanced or metastatic non-small cell lung cancer (NSCLC). Erlotinib is regarded as relatively safe, but interstitial lung disease (ILD) related to erlotinib has been reported on an infrequent basis in Asia. We report an histologically confirmed case of recurrent erlotinib-induced ILD. Although, the patient was highly responsive to the first erlotinib treatment, the therapy was discontinued due to erlotinib-induced ILD. After intravenous high dose methylpredinisolone treatment, ILD was improved rapidly by radiologic studies, but the particular lung cancer re-emerged. We restarted the patient erlotinib on low-dose oral methylpredinisolone, resulting in a recurrence of erlotinib-induced ILD. Our case suggests that re-administration of erlotinib should be performed on a limited basis in patients that have developed ILD on previous use, even if a therapeutic effect can be estimated.
A Polydnaviral Gene, CpBV-ELP1, Enhances an Insecticidal Activity of an Alpha-Baculovirus
Areum Park,Yonggyun Kim 한국응용곤충학회 2015 한국응용곤충학회 학술대회논문집 Vol.2015 No.04
Polydnavirus (PDV) is a group of double-stranded DNA insect viruses. PDV is mutualistic with some ichneumonid and braconid wasps to parasitize specific lepidopteran hosts. The viral genome is located on the wasp chromosome(s) as a proviral form and replicates only at the female reproductive organ during late pupal stage. The viral particles are accumulated in the oviduct lumen and delivered to the parasitized host along with wasp eggs during parasitization. The viral particles enter target tissues in the parasitized larvae and alter host physiological processes for the wasp development by suppressing immune responses and extending larval period. Cotesia plutellae bracovirus (CpBV) is a PDV symbiotic to C. plutellae parasitizing young larvae of the diamondback moth, Plutella xylostella. The viral particles of CpBV encode 157 open reading frames classified into different gene families. CpBV-PTP family is the largest and comprises of at least 40 gene members. CpBV-BEN, CpBV-ELP, and CpBV-IkB families also share common motifs in each gene group. In addition, two homologous genes of CpBV15α and CpBV15β are encoded in a viral genome segment. To apply these viral genes to enhance an alpha-baculovirus in insecticidal activity, they were recombined with AcNPV under a PDV promoter. As a control, under the same promoter, the recombinant baculovirus expressed an enhanced green fluorescence protein (EGFP). Upon injection or oral feeding tests, three different recombinant baculoviruses (AcNPV-ELP1, AcNPV-CpBV15α, AcNPPV-CpBV15β) enhanced the insecticidal activity compared to a control recombinant (AcNPV-EGFP). However, there was a variation in the up-regulation of the insecticidal activities among the recombinants. AcNPV-ELP1 showed the greatest potency in the insecticidal activity against the beet armyworm, Spodoptera exigua, larvae. AcNPV-ELP1 exhibited a significant variation in insecticidal activity among different larval stages of S. exigua. In the fifth instar, 1.435x107 PIB treatment of AcNPV-ELP1 showed a median lethal time at 112.7 h. ELP1 protein was detected in the hemolymph at 24 h after the viral treatment. Foliar spray of AcNPV-ELP1 was performed in pot assay and resulted in 88% control efficacy against S. exigua, while control efficacies of AcNPV-EGFP and bifenthrin (a pyrethroid insecticide) resulted in 65% and 96%, respectively. These results suggest that a PDV gene, ELP1, may be applied to develop a novel control agent by ameliorating commercial microbial insecticides or by generating transgenic crops.