Slobodnick Anastasia, Shah Binita, Pillinger Michael H, Krasnokutsky Svetlana
Department of Medicine, VA New York Harbor Health Care System, New York; Division of Rheumatology, Department of Medicine, NYU School of Medicine/NYU Langone Medical Center, New York.
Department of Medicine, VA New York Harbor Health Care System, New York; Division of Cardiology, Department of Medicine, NYU School of Medicine/NYU Langone Medical Center, New York.
Am J Med. 2015 May;128(5):461-70. doi: 10.1016/j.amjmed.2014.12.010. Epub 2014 Dec 30.
Although colchicine has been a focus of research, debate, and controversy for thousands of years, the US Food and Drug Administration just approved it in 2009. Over the past decade, advances in the knowledge of colchicine pharmacology, drug safety, and mechanisms of action have led to changes in colchicine dosing and to potential new uses for this very old drug. In this review, we discuss the pharmacologic properties of colchicine and summarize what is currently known about its mechanisms of action. We then discuss and update the use of colchicine in a variety of illnesses, including rheumatic and, most recently, cardiovascular diseases.
尽管秋水仙碱数千年来一直是研究、争论和争议的焦点,但美国食品药品监督管理局直到2009年才批准它。在过去十年中,秋水仙碱药理学、药物安全性及作用机制方面的知识进展,已导致秋水仙碱给药剂量的改变以及这种古老药物潜在的新用途。在本综述中,我们讨论秋水仙碱的药理学特性,并总结目前已知的其作用机制。然后,我们讨论并更新秋水仙碱在多种疾病中的应用,包括风湿性疾病以及最近的心血管疾病。