1973
DOI: 10.3181/00379727-142-36999
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Inhibition of Protocollagen Proline Hydroxylase by Dilantin

Abstract: Dilantin (sodium 5,5'-diphenylhydantoinate) is considered to be one of the basic drugs in the treatment of convulsive disorders (1). One of the common side effects of Dilantin is the hyperplastic enlargement of gingivae (2, 3). Several lines of indirect evidence suggest that gingival hyperplasia may involve increased collagen [ for review, see Ref. (4)].In a recent report (S), Ebadi and Scott have reported enhanced synthesis of collagen in carrageenin-induced granulomas in guinea pigs treated with Dilantin. Th… Show more

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Cited by 22 publications
(4 citation statements)
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“…11 Inactivation of metalloproteinases. 12,13 • Irregular and thickened layer of parakeratinised epithelium with large epithelial ridges protruding into the underlying connective tissue 22,23 • Proliferation of fibroblasts with increased bundles of irregular collagen…”
Section: Clinical Appearance Pathogenesis Histopathologymentioning
confidence: 99%
“…11 Inactivation of metalloproteinases. 12,13 • Irregular and thickened layer of parakeratinised epithelium with large epithelial ridges protruding into the underlying connective tissue 22,23 • Proliferation of fibroblasts with increased bundles of irregular collagen…”
Section: Clinical Appearance Pathogenesis Histopathologymentioning
confidence: 99%
“…can be reversed by the addition of ferrous iron [14]. Thus, inhibition at this level would result in intracellular retention of collagen precursors and diminished extracellular fibrils.…”
Section: -75mentioning
confidence: 99%
“…Although a clear association between idiopathic lupus and HLA-DR types has not been established, it appears that HLA-DR3 is associated with a subgroup of idiopathic lupus who demonstrate antibodies to the Ro antigen (16). Some of the agents implicated in druginduced lupus can inhibit proline hydroxylase, a reaction which is required to stabilize the collagen triple helix (17,18). It is tempting to speculate that the clinical manifestations of drug-induced lupus reflect, at least in part, T dependent reactivity to collagen initiated by increased exposure to Gly-Pro caused by drug-induced disruption of collagen tertiary structure and perpetuated by collagen Ir genes linked to those coding for HLA-DR4.…”
Section: Discussionmentioning
confidence: 99%