Brewer G J
Department of Human Genetics and Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
J Cell Mol Med. 2003 Jan-Mar;7(1):11-20. doi: 10.1111/j.1582-4934.2003.tb00198.x.
The need for agents to lower body copper in Wilson's disease, a disease which results from copper toxicity has been the driving force for the development of the effective anticopper drugs penicillamine, trientine, zinc, and now tetrathiomolybdate (TM). Because of its rapid action, potency, and safety, TM is proving to be a very effective drug for initial treatment of acutely ill Wilson's disease patients. Beyond this, TM has antiangiogenic effects, because many proangiogenic cytokines require normal levels of copper. This has led to use of TM in cancer, where it is generally effective in animal tumor models, and has shown efficacy in preliminary clinical studies. Most recently, it has been found that TM has antifibrotic and antiinflammatory effects through inhibition of profibrotic and proinflammatory cytokines.
在威尔逊病(一种由铜毒性引起的疾病)中,降低体内铜含量的药物需求一直是有效抗铜药物青霉胺、曲恩汀、锌以及现在的四硫钼酸盐(TM)研发的驱动力。由于其起效迅速、效力强且安全,TM正被证明是治疗急性威尔逊病患者的一种非常有效的药物。除此之外,TM具有抗血管生成作用,因为许多促血管生成细胞因子需要正常水平的铜。这导致TM被用于癌症治疗,在动物肿瘤模型中它通常有效,并且在初步临床研究中已显示出疗效。最近,人们发现TM通过抑制促纤维化和促炎细胞因子具有抗纤维化和抗炎作用。