Topical morphine for the treatment of cutaneous leishmaniasis.

作者: Roya Alavi-Naini

DOI: 10.1016/J.MEHY.2007.04.027

关键词: LeishmaniasisImmune systemMorphineImmunologyCytokine activityCytokineParasitic diseaseOptimal treatmentPharmacologyMedicineCutaneous leishmaniasis

摘要: Cutaneous leishmaniasis (CL) is a potentially disfiguring parasitic disease which endemic in many parts of the world. The evidence for optimal treatment CL uncongenial. development compound used topical an attractive option overcoming problems toxic and expensive currently anti-leishmanial drugs. Easy application another attraction compared to systemic therapy. Evidence certainly about variety immune responses healing process CL. modulatory effect morphine also has been known clinical medicine decades. Protection against dependent upon generation CD4(+) helper T-cells response. There are some evidences that opioids could be members cytokine family regulation inflammatory on functions cytokines; therefore much effort should placed understanding activity. Based previous mentioned we suggest as immunomodulator induce cutaneous through inducing release number cytokines.

参考文章(29)
W. Peters, R. Killick-Kendrick, Biology and epidemiology Academic Press. ,(1987)
W E Biddison, R Mandler, S A Serrate, R N Mandler, beta-Endorphin augments the cytolytic activity and interferon production of natural killer cells. Journal of Immunology. ,vol. 136, pp. 934- 939 ,(1986)
T V Bilfinger, M H Makman, G B Stefano, Human granulocytes contain an opiate alkaloid-selective receptor mediating inhibition of cytokine-induced activation and chemotaxis. Journal of Immunology. ,vol. 154, pp. 1323- 1330 ,(1995)
L Saland, D E van Epps, Beta-endorphin and met-enkephalin stimulate human peripheral blood mononuclear cell chemotaxis. Journal of Immunology. ,vol. 132, pp. 3046- 3053 ,(1984)
Burt M. Sharp, Catherine J. Huntoon, Kimberly R. Kalli, Michael P. Bell, Karen E. Hedin, David J. McKean, Delta-opioid receptors expressed by Jurkat T cells enhance IL-2 secretion by increasing AP-1 complexes and activity of the NF-AT/AP-1-binding promoter element. Journal of Immunology. ,vol. 159, pp. 5431- 5440 ,(1997)
J.N. Mehrishi, Ivor H. Mills, Opiate receptors on lymphocytes and platelets in man Clinical Immunology and Immunopathology. ,vol. 27, pp. 240- 249 ,(1983) , 10.1016/0090-1229(83)90074-0
Phillip K Peterson, Thomas W Molitor, Chun C Chao, The opioid–cytokine connection Journal of Neuroimmunology. ,vol. 83, pp. 63- 69 ,(1998) , 10.1016/S0165-5728(97)00222-1
Lois McCarthy, Michele Wetzel, Judith K. Sliker, Toby K. Eisenstein, Thomas J. Rogers, Opioids, opioid receptors, and the immune response. Drug and Alcohol Dependence. ,vol. 62, pp. 111- 123 ,(2001) , 10.1016/S0376-8716(00)00181-2
Amit Dinda, Michael Gitman, Pravin C Singhal, Immunomodulatory effect of morphine: therapeutic implications. Expert Opinion on Drug Safety. ,vol. 4, pp. 669- 675 ,(2005) , 10.1517/14740338.4.4.669