1.A case of the lupus syndrome induced by hydralazine.
Beom Soo PARK ; Joong Gon KIM ; Yong Soo YUN
Journal of the Korean Pediatric Society 1991;34(5):736-739
No abstract available.
Hydralazine*
3.Guidance on the management of adverse reactions induced by poly(ADP-ribose) polymerase inhibitors.
Of Zhejiang Medical Association SOCIETY OF OBSTETRICS AND GYNECOLOGY ; Of Zhejiang Medical Association SOCIETY OF UROLOGY ; Of Zhejiang Anticancer Association COMMITTEE OF BREAST CANCER ; Of Zhejiang Anticancer Association Preparation COMMITTEE OF CLINICAL PHARMACY ON ONCOLOGY ; Of Zhejiang Society For Mathematical Medicine COMMITTEE OF UROLOGY
Journal of Zhejiang University. Medical sciences 2023;51(6):765-774
The common adverse reactions caused by poly (ADP-ribose) polymerase (PARP) inhibitors include hematological toxicity, gastrointestinal toxicity and fatigue. The main prevention and treatment of hematological toxicity include: regular blood tests, referral to hematology department when routine treatment is ineffective, and being alert of myelodysplastic syndrome/acute myeloid leukemia. The key points to deal with gastrointestinal toxicity include: taking medicine at the right time, light diet, appropriate amount of drinking water, timely symptomatic treatment, prevention of expected nausea and vomiting, and so on. For fatigue, full assessment should be completed before treatment because the causes of fatigue are various; the management includes massage therapy, psychosocial interventions and drugs such as methylphenidate and Panax quinquefolius according to the severity. In addition, niraparib and fluzoparib can cause hypertension, hypertensive crisis and palpitation. Blood pressure and heart rate monitoring, timely symptomatic treatment, and multidisciplinary consultation should be taken if necessary. When cough and dyspnea occur, high resolution CT and bronchoscopy should be performed to exclude pneumonia. If necessary, PARP inhibitors should be stopped, and glucocorticoid and antimicrobial therapy should be given. Finally, more attention should be paid to drug interaction management, patient self-management and regular monitoring to minimize the risk and harm of adverse reactions of PARP inhibitors.
Humans
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Poly(ADP-ribose) Polymerase Inhibitors/adverse effects*
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Phthalazines/pharmacology*
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Poly(ADP-ribose) Polymerases
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Fatigue/drug therapy*
4.Effects of PTK787 on cell proliferation and expression of fak mRNA in K562.
Xiao-Hua DI ; Ri-Ling CHEN ; Xiao-Li LIU ; Chuan TIAN ; Ya-Nan GUO
Journal of Experimental Hematology 2010;18(3):597-600
The aim of this study was to investigate the effects of tyrosine kinase inhibitor PTK787 on cell proliferation, cell cycle and the expression of fak mRNA of human chronic myeloid leukemia (CML) cell line K562, and to explore the mechanism of PTK787 against acute myeloid leukemia. The MTT method was used to detect the effects of PTK787 in various concentrations and at different time points on proliferation of K562 cells; the flow cytometry was used to determine the effects of PTK787 in different concentrations on cell cycle of K562 cells; the RT-PCR was used to assay the expression of fak mRNA in K562 cells treated with PTK787 for 48 hours. The results showed that along with increasing of the concentration and prolonging of time, the inhibitory rate of PTK787 on K562 proliferation was gradually enhanced. The comparison between various concentration groups at same time or comparison between various time groups in same concentration showed significant differences (p < 0.05), in which the effect of 320 micromol/L PTK787 on cells was strongest, while the continuous increase of PTK787 concentration or prolong of action time did not enhance the inhibitory rate on K562 proliferation. With increasing of drug concentration, the cell proportion in G(1) phase gradually increased, the cell proportion in S phase gradually decreased, the comparison between various groups revealed significant differences (p < 0.05), however the continuous increase of drug concentration from 160 micromol/L did not obviously change the cell proportion in phases of cell cycle. With increasing of drug concentration, the expression of fak mRNA in K562 cells gradually reduced with significant differences between various groups (p < 0.05), but with continuous increase of drug concentration from 160 micromol/L, the effect of PTK787 on the expression of fak mRNA in K562 cells also did not obviously change. It is concluded that the PTK787 shows effect of anti-leukemia cells through inhibiting transformation of the K562 cells from G(1) phase into S phase and decreasing the expression of fak mRNA in cells.
Cell Cycle
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Cell Proliferation
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drug effects
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Focal Adhesion Kinase 1
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genetics
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Gene Expression Regulation, Leukemic
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Humans
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K562 Cells
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Phthalazines
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pharmacology
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Pyridines
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pharmacology
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RNA, Messenger
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genetics
5.Clinical pilot study on the rhinitis due to laryngopharyngeal reflux.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(3):200-202
OBJECTIVE:
To explore the relevance between nasal symptoms and laryngopharyngeal reflux disease in patients with allergic rhinitis.
METHOD:
Thirty patients of laryngopharyngeal reflux disease were diagnosed in ENT outpatient department in our hospital. All patients have symptoms of sneeze, nasal discharge as chief complaint and they responded no effect for other normal treatment for nasal-sinusitis at least three months. Orally before meals, a dose of 5 mg Mosapride citrate each time, three times a day for 7 days. Orally before meals, a dose of 20 mg Esomeprazole each time, two times a. day for 2-3 months. Nasal spray, one spray of azelastine hydrochloride once, two times a day for 2 month.
RESULT:
Laryngopharyngeal reflux symptom scores at four time points (the first visit, post treatment 15 days, 45 days, 75 days) were analyzed by repeated measures analysis of variance. There is a significant difference in four time points.
CONCLUSION
Laryngopharyngeal reflux disease has a strong association with allergic rhinitis. Patients who has allergic rhinitis nasal symptoms as chief complaint must be exclude, the laryngopharyngeal reflux disease first.
Benzamides
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therapeutic use
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Esomeprazole
;
therapeutic use
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Humans
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Laryngopharyngeal Reflux
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complications
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drug therapy
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Morpholines
;
therapeutic use
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Phthalazines
;
therapeutic use
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Pilot Projects
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Rhinitis, Allergic
;
drug therapy
;
etiology
6.Clinical study of the combination therapy with intranasal antihistamine and nasal corticosteroids in the treatment of nasal obstruction of persistent non-allergic rhinitis.
Limin GUO ; Xicai SUN ; Juanmei YANG ; Juan LIU ; Dehui WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(3):243-251
OBJECTIVE:
To determine if greater efficacy could be achieved with the intranasal antihistamine azelastine and the intranasal corticosteroid fluticasone propionate used concurrently in the treatment of nasal obstruction of persistent non-allergic rhinitis.
METHOD:
A total of 162 persistent non-allergic rhinitis cases with moderate to severe nasal obstruction were randomized to treatment with the following: the combination therapy or nasal corticosteroids monotherapy. Efficacy was assessed by change from baseline in nasal obstruction score at week 2 and week 6 visits. The perceptions of global treatment satisfaction(convenience, side effects, cost and effectiveness) in both groups were analyzed.
RESULT:
In both groups, the nasal obstruction score assessment descended significantly at week 2 and week 6 visits versus at baseline (all P < 0.01). At week 2 and week 6 visits, the nasal obstruction score in the combination therapy groups were significantly improved than that in nasal corticosteroids monotherapy groups (all P < 0.01). The perceptions of global treatment satisfaction in the combination therapy groups were significantly better (P < 0.05).
CONCLUSION
Azelastine nasal spray and intranasal corticosteroid in combination may provide a substantial therapeutic benefit for patients with persistent non-allergic rhinitis, especially nasal obstruction. The combination therapy was well tolerated and safety.
Administration, Intranasal
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Adrenal Cortex Hormones
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therapeutic use
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Drug Therapy, Combination
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Histamine H1 Antagonists
;
therapeutic use
;
Humans
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Nasal Obstruction
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Phthalazines
;
therapeutic use
;
Rhinitis
;
drug therapy
7.Effects and Mechanism of PARP Inhibitor Olaparib on the Expression of NKG2D Ligands in HL-60 Cells.
Zhi-Chao ZHU ; Yu BAI ; Xu-Zhang LU ; Chun-Jian QI
Journal of Experimental Hematology 2020;28(6):1826-1830
OBJECTIVE:
To investigate the regulatory effects of Olaparib on natural killer cell activating receptor (NKG2D) ligands expression on human acute myeloid leukemia (AML) cell line HL-60, and to explore the molecular mechanism of Olaparib on HL-60 cells.
METHODS:
After HL-60 cells in logarithmic growth phase were treated with Olaparib at different concentrations for different times (24, 48 h), the expression of NKG2D ligand on the surface of HL-60 cells was detected by flow cytometry. Western blot was used to dectect the expression of ERK expression in HL-60 cells. The killing effect of NK cells to HL-60 cells was detected by CFSE/PI method.
RESULTS:
10 μmol/L Olaparib could upregulate the expression of NKG2D ligand on the surface of HL-60 cell at 24 and 48 hours, while 5 μmol/L Olaparib could induce up-regulation of the expression of ULBP-2 and ULBP-3 at 48 hours. Western blot analysis showed that ERK phosphorylation of HL-60 cells was enhanced after treating with Olaparib. The killing effect of NK cells to HL-60 cells could be enhanced by Olaparib, however, ERK inhibitor could suppress the killing effect of NK cells to HL-60 cells.
CONCLUSION
Olaparib can upregulate NKG2D ligands expression on the surface of HL-60 cells and enhance the cytotoxicity of NK cell to HL-60 cells. The mechanism may be related to Olaparib promoting ERK phosphorylation expression.
Cell Line, Tumor
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Cytotoxicity, Immunologic
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HL-60 Cells
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Histocompatibility Antigens Class I
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Humans
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Ligands
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NK Cell Lectin-Like Receptor Subfamily K
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Phthalazines
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Piperazines
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Poly(ADP-ribose) Polymerase Inhibitors
8.Effects of aldose reductase on the expression of fibronectin and collagen IV in cultured rat renal mesangial cells.
Tao JIANG ; Qi CHE ; Zhong-hua ZHAO ; Xiu-rong ZHANG ; Nong ZHANG
Chinese Journal of Pathology 2005;34(3):171-174
OBJECTIVETo study the effect of aldose reductase (AR) on expression of fibronectin and collagen IV in cultured rat renal mesangial cells (MsC).
METHODSAR expression plasmid vector (pCDNA3-AR) was constructed by restriction endonuclease digestion and ligation procedures. Stable expression of AR in MsC was established by Lipofectin transfection. Western blot and immunofluorescence analyses were performed to verify the transfection efficiency. Expression of fibronectin and collagen IV proteins were analyzed using Western blot.
RESULTSExpression of fibronectin and collagen IV in naive MsC treated with TGF-beta1 was upregulated in comparison to that of the untreated naive MsC (P < 0.01). MsC transfected with pCDNA3-AR showed a remarkable increase of expression of fibronectin and collagen IV (P < 0.01). Aldose reductase inhibitors (Sorbinil and Zopolrestat) significantly inhibited the expression of fibronectin and collagen IV in naive MsC (P < 0.05).
CONCLUSIONSOverexpression or inhibition of AR activity significantly alters the expression of fibronectin and collagen IV proteins in cultured rat MsC, suggesting that AR plays a significant role in the pathogenesis of glomerulosclersis.
Aldehyde Reductase ; antagonists & inhibitors ; genetics ; metabolism ; Animals ; Benzothiazoles ; pharmacology ; Cells, Cultured ; Collagen Type IV ; metabolism ; Fibronectins ; metabolism ; Genetic Vectors ; Imidazolidines ; pharmacology ; Mesangial Cells ; metabolism ; Phthalazines ; pharmacology ; Plasmids ; Rats ; Recombinant Proteins ; genetics ; metabolism ; Transfection ; Transforming Growth Factor beta1 ; pharmacology
9.Effect of glycine site/NMDA receptor antagonist MRZ2/576 on the conditioned place preference and locomotor activity induced by morphine in mice.
Yong-ping ZHU ; Zai-hao LONG ; Ming-lan ZHENG ; Ralf BINSACK
Journal of Zhejiang University. Science. B 2006;7(12):998-1005
OBJECTIVETo study the effect of glycine site/NMDA (N-methyl-D-aspartate) receptor antagonist MRZ2/576 on the conditioned place preference (CPP) and locomotor activity induced by morphine in mice.
METHODSDifferent doses (1.25, 2.5 and 5 mg/kg, i.p.) of MRZ2/576 were used to evaluate the effect of MRZ2/576 on the acquisition and expression of CPP induced by morphine (5 mg/kg) in mice. In addition, we examined the locomotor activity of mice in conditioning and testing phase of CPP paradigm.
RESULTSMRZ2/576 alone could not establish place preference, but a 5 mg/kg dose of MRZ2/576 could block both acquisition and expression of morphine-induced CPP. In testing phase of CPP, there was no statistical difference for locomotor activity between the groups; injection of MRZ2/576 showed a dose-dependent decrease of locomotor activity on both control and morphine-treated mice, especially 5 mg/kg of MRZ2/576 significantly suppressed the locomotor activity of mice.
CONCLUSIONBased on the present results, we assume that MRZ2/576 can antagonize the rewarding effect of morphine, suggesting that this glycine site/NMDA receptor antagonist could be used to treat addictions due to its light side effect profile.
Animals ; Conditioning (Psychology) ; drug effects ; Excitatory Amino Acid Antagonists ; pharmacology ; Magnesium ; physiology ; Male ; Mice ; Mice, Inbred ICR ; Morphine ; pharmacology ; Motor Activity ; drug effects ; Phthalazines ; pharmacology ; Receptors, N-Methyl-D-Aspartate ; antagonists & inhibitors
10.Synthesis and immunosuppressive effects of novel phthalazine ketone derivatives.
Ya-Li WANG ; Qing-He WANG ; Hong-Guang YANG ; Bo-Jun HAO ; Guo-Dong LIANG ; Chong-Guo JIANG ; Mao-Sheng CHENG
Acta Pharmaceutica Sinica 2013;48(10):1579-1584
A series of phthalazine ketone compounds were synthesized and the structures were confirmed by H NMR and HR-MS spectrum. All target compounds were obtained through 7 steps, including selective reduction, nitration, bromination, ring enlargement, reduction, Knoevenagel and acylated reaction. The compounds were evaluated for their immunosuppressive effects of T-cell proliferation and inhibitory activity of IMPDH type II in vitro, as well as their structure-activity relationship were assessed. Several compounds exhibited strong immunosuppressive properties, especially compounds 7f and 7h, with IC50 values of 0.093 micromol x L(-1) and 0.14 micromol x L(-1) respectively, which were superior to mycophenolic acid. The information obtained from the studies may be useful for further research on the immunosuppressive agents.
Animals
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Cell Proliferation
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drug effects
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Female
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IMP Dehydrogenase
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metabolism
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Immunosuppressive Agents
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chemical synthesis
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chemistry
;
pharmacology
;
Inhibitory Concentration 50
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Mice
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Mice, Inbred BALB C
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Phthalazines
;
chemical synthesis
;
chemistry
;
pharmacology
;
Spleen
;
cytology
;
Structure-Activity Relationship
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T-Lymphocytes
;
drug effects