Pharmacological treatment of idiopathic pulmonary fibrosis: from the past to the future.

作者: K. M. Antoniou , G. A. Margaritopoulos , N. M. Siafakas

DOI: 10.1183/09059180.00002113

关键词: Intensive care medicineMEDLINEMedicineIdiopathic interstitial pneumoniaPirfenidoneIdiopathic pulmonary fibrosisPhysical therapyPharmacological treatmentTreatment of lung cancerMedian survivalClinical trial

摘要: During the past decade important progress has been made regarding pathogenesis of idiopathic pulmonary fibrosis (IPF), which is most devastating form interstitial pneumonia with a median survival 3 years. The knowledge gained used to design multicentre, randomised, placebo-controlled trials in order investigate agents different mechanisms action. Encouraging results have led licensing first IPF-specific drug, pirfenidone. However, road successful treatment still long. main aim for future should be careful clinical trials, by choosing clinically meaningful end-point and keeping mind that combination various may more effective. This approach lung cancer IPF presents many similarities.

参考文章(88)
Elisabeth Bendstrup, Idiopathic Pulmonary Fibrosis - Diagnosis and Treatment General Medicine: Open Access. ,vol. 3, pp. 1- 5 ,(2014) , 10.4172/2327-5146.1000161
G. Gurujeyalakshmi, M. A. Hollinger, S. N. Giri, Pirfenidone inhibits PDGF isoforms in bleomycin hamster model of lung fibrosis at the translational level American Journal of Physiology-lung Cellular and Molecular Physiology. ,vol. 276, ,(1999) , 10.1152/AJPLUNG.1999.276.2.L311
Paolo Spagnolo, Cinzia Del Giovane, Fabrizio Luppi, Stefania Cerri, Sara Balduzzi, E. Haydn Walters, Roberto D'Amico, Luca Richeldi, Non-steroid agents for idiopathic pulmonary fibrosis Cochrane Database of Systematic Reviews. ,vol. 9, ,(2010) , 10.1002/14651858.CD003134.PUB2
Gal Akiri, Edmond Sabo, Michal Neeman, Hagit Dafni, Ofra Kessler, Tzafra Cohen, Gera Neufeld, Murray Resnick, Zehava Vadasz, Yelena Kartvelishvily, Noga Gan, Lysyl Oxidase-related Protein-1 Promotes Tumor Fibrosis and Tumor Progression in Vivo Cancer Research. ,vol. 63, pp. 1657- 1666 ,(2003)
CLAUS VOGELMEIER, JÜRGEN BEHR, KONRAD MAIER, BARBARA DEGENKOLB, FRITZ KROMBACH, Antioxidative and clinical effects of high-dose N-acetylcysteine in fibrosing alveolitis. Adjunctive therapy to maintenance immunosuppression. American Journal of Respiratory and Critical Care Medicine. ,vol. 156, pp. 1897- 1901 ,(1997) , 10.1164/AJRCCM.156.6.9706065
Birgitte F. Sode, Morten Dahl, Sune F. Nielsen, Børge G. Nordestgaard, Venous thromboembolism and risk of idiopathic interstitial pneumonia: a nationwide study. American Journal of Respiratory and Critical Care Medicine. ,vol. 181, pp. 1085- 1092 ,(2010) , 10.1164/RCCM.200912-1951OC
Ewa Jablonska, Susanne von Gerlach, Ingrid Henneke, Dariusz Zakrzewicz, Andreas Guenther, Klaus T. Preissner, Philipp Markart, Malgorzata Wygrecka, Grazyna Kwapiszewska, Role of Protease-activated Receptor-2 in Idiopathic Pulmonary Fibrosis American Journal of Respiratory and Critical Care Medicine. ,vol. 183, pp. 1703- 1714 ,(2011) , 10.1164/RCCM.201009-1479OC
Argyris Tzouvelekis, George Margaritopoulos, Stylianos Loukides, Demosthenes Bouros, Warfarin in idiopathic pulmonary fibrosis: friend or foe, is it a matter of genes and heparin? American Journal of Respiratory and Critical Care Medicine. ,vol. 187, pp. 213- 214 ,(2013) , 10.1164/AJRCCM.187.2.213
Kenneth E Lipson, Carol Wong, Yuchin Teng, Suzanne Spong, CTGF is a central mediator of tissue remodeling and fibrosis and its inhibition can reverse the process of fibrosis Fibrogenesis & Tissue Repair. ,vol. 5, pp. 1- 8 ,(2012) , 10.1186/1755-1536-5-S1-S24