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[秋水仙碱:有新益处的老药物:在风湿病学及其他领域的应用]

[Colchicine: old medication with new benefits : Use in rheumatology and beyond].

作者信息

Boyadzhieva Z, Ruffer N, Krusche M

机构信息

Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Charité Universitätsmedizin, Charitéplatz 1, 10117, Berlin, Deutschland.

Abteilung für Rheumatologie und Immunologie, Klinikum Bad Bramstedt, Bad Bramstedt, Deutschland.

出版信息

Z Rheumatol. 2021 Sep;80(7):647-657. doi: 10.1007/s00393-021-01017-z. Epub 2021 Jun 7.

Abstract

Colchicine, the toxin of the autumn crocus, has various anti-inflammatory effects. For this reason, it is being used for the treatment of several autoinflammatory diseases, such as gout or familial Mediterranean fever (FMF). In addition, some interesting studies have been published which suggest the benefits of colchicine in cardiovascular diseases. Furthermore, various anti-inflammatory therapeutic approaches are currently being tested in clinical trials for the treatment of COVID-19. First publications suggest a potential benefit of colchicine in certain disease phases of the virus infection. This article provides an overview of the mechanisms of action, benefits and side effects as well as the various possible uses of colchicine in rheumatology. Furthermore, a brief preview of potential new areas for use of the drug, which are also of interest to rheumatologists, are presented.

摘要

秋水仙碱是藏红花的毒素,具有多种抗炎作用。因此,它被用于治疗多种自身炎症性疾病,如痛风或家族性地中海热(FMF)。此外,已经发表了一些有趣的研究,表明秋水仙碱对心血管疾病有益。此外,目前各种抗炎治疗方法正在进行治疗COVID-19的临床试验。首批出版物表明秋水仙碱在病毒感染的某些疾病阶段可能有益。本文概述了秋水仙碱在风湿病学中的作用机制、益处和副作用以及各种可能的用途。此外,还简要介绍了该药物潜在的新用途领域,这些领域对风湿病学家也很有吸引力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4aa/8423690/17659867c99a/393_2021_1017_Fig1_HTML.jpg

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