The Purinergic System as a Pharmacological Target for the Treatment of Immune-Mediated Inflammatory Diseases

Immune-mediated inflammatory diseases (IMIDs) encompass a wide range of seemingly unrelated conditions, such as multiple sclerosis, rheumatoid arthritis, psoriasis, inflammatory bowel diseases, asthma, chronic obstructive pulmonary disease, and systemic lupus erythematosus. Despite differing etiolog...

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Veröffentlicht in:Pharmacological reviews 2019-07, Vol.71 (3), p.345-382
Hauptverfasser: Antonioli, Luca, Blandizzi, Corrado, Pacher, Pál, Haskó, György
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container_title Pharmacological reviews
container_volume 71
creator Antonioli, Luca
Blandizzi, Corrado
Pacher, Pál
Haskó, György
description Immune-mediated inflammatory diseases (IMIDs) encompass a wide range of seemingly unrelated conditions, such as multiple sclerosis, rheumatoid arthritis, psoriasis, inflammatory bowel diseases, asthma, chronic obstructive pulmonary disease, and systemic lupus erythematosus. Despite differing etiologies, these diseases share common inflammatory pathways, which lead to damage in primary target organs and frequently to a plethora of systemic effects as well. The purinergic signaling complex comprising extracellular nucleotides and nucleosides and their receptors, the P2 and P1 purinergic receptors, respectively, as well as catabolic enzymes and nucleoside transporters is a major regulatory system in the body. The purinergic signaling complex can regulate the development and course of IMIDs. Here we provide a comprehensive review on the role of purinergic signaling in controlling immunity, inflammation, and organ function in IMIDs. In addition, we discuss the possible therapeutic applications of drugs acting on purinergic pathways, which have been entering clinical development, to manage patients suffering from IMIDs.
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subjects Animals
Humans
Inflammation - drug therapy
Inflammation - immunology
Inflammation - metabolism
Molecular Targeted Therapy
Purinergic Agonists - pharmacology
Purinergic Antagonists - pharmacology
Purines - immunology
Purines - metabolism
Receptors, Purinergic - immunology
Receptors, Purinergic - metabolism
Review
Signal Transduction - drug effects
title The Purinergic System as a Pharmacological Target for the Treatment of Immune-Mediated Inflammatory Diseases
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