CLOFAZIMINE - A REVIEW OF ITS MEDICAL USES AND MECHANISMS OF ACTION

被引:129
作者
ARBISER, JL
MOSCHELLA, SL
机构
[1] HARVARD UNIV,SCH MED,DEPT DERMATOL,BOSTON,MA
[2] LAHEY CLIN FDN,BURLINGTON,MA
关键词
D O I
10.1016/0190-9622(95)90134-5
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Clofazimine has been in clinical use for almost 40 years, but little is known of its mechanism of action. The primary indication for clofazimine is multibacillary leprosy, but it is useful in several infectious and noninfectious diseases, such as atypical mycobacterial infections, rhinoscleroma, pyoderma gangrenosum, necrobiosis lipoidica, severe acne, pustular psoriasis, and discoid lupus erythematosus. Postulated mechanisms of action include intercalation of clofazimine with bacterial DNA and increasing levels of cellular phospholipase A2. Clinical experience, possible mechanisms of action, and side effects of clofazimine are summarized.
引用
收藏
页码:241 / 247
页数:7
相关论文
共 93 条
[1]   MALAKOPLAKIA - EVIDENCE FOR MONOCYTE LYSOSOMAL ABNORMALITY CORRECTABLE BY CHOLINERGIC AGONIST INVITRO AND INVIVO [J].
ABDOU, NI ;
NAPOMBEJARA, C ;
SAGAWA, A ;
RAGLAND, C ;
STECHSCHULTE, DJ ;
NILSSON, U ;
GOURLEY, W ;
WATANABE, I ;
LINDSEY, NJ ;
ALLEN, MS .
NEW ENGLAND JOURNAL OF MEDICINE, 1977, 297 (26) :1413-1419
[2]   CLOFAZIMINE AS PROPHYLAXIS FOR DISSEMINATED MYCOBACTERIUM-AVIUM COMPLEX INFECTION IN AIDS [J].
ABRAMS, DI ;
MITCHELL, TF ;
CHILD, CC ;
SHIBOSKI, SC ;
BROSGART, CL ;
MASS, MM .
JOURNAL OF INFECTIOUS DISEASES, 1993, 167 (06) :1459-1463
[3]   EFFECT OF COMBINED THERAPY WITH ANSAMYCIN, CLOFAZIMINE, ETHAMBUTOL, AND ISONIAZID FOR MYCOBACTERIUM-AVIUM INFECTION IN PATIENTS WITH AIDS [J].
AGINS, BD ;
BERMAN, DS ;
SPICEHANDLER, D ;
ELSADR, W ;
SIMBERKOFF, MS ;
RAHAL, JJ .
JOURNAL OF INFECTIOUS DISEASES, 1989, 159 (04) :784-787
[4]  
Ahrens T F, 1975, Lepr Rev, V46, P287
[5]   CUTANEOUS MALAKOPLAKIA - REPORT OF A CASE AND REVIEW OF THE LITERATURE [J].
ALMAGRO, UA ;
CHOI, H ;
CAYA, JG ;
NORBACK, DH .
AMERICAN JOURNAL OF DERMATOPATHOLOGY, 1981, 3 (03) :295-301
[6]   APPARENT INVOLVEMENT OF PHOSPHOLIPASE-A2, BUT NOT PROTEIN KINASE-C, IN THE PRO-OXIDATIVE INTERACTIONS OF CLOFAZIMINE WITH HUMAN PHAGOCYTES [J].
ANDERSON, R ;
BEYERS, AD ;
SAVAGE, JE ;
NEL, AE .
BIOCHEMICAL PHARMACOLOGY, 1988, 37 (24) :4635-4641
[7]   CLOFAZIMINE-MEDIATED REGULATION OF HUMAN POLYMORPHONUCLEAR LEUKOCYTE MIGRATION BY PRO-OXIDATIVE INACTIVATION OF BOTH LEUKOATTRACTANTS AND CELLULAR MIGRATORY RESPONSIVENESS [J].
ANDERSON, R ;
LUKEY, P ;
VANRENSBURG, C ;
DIPPENAAR, U .
INTERNATIONAL JOURNAL OF IMMUNOPHARMACOLOGY, 1986, 8 (06) :605-620
[8]   INVITRO ACTIVITY OF CLOFAZIMINE AGAINST RAPIDLY GROWING NONCHROMOGENIC MYCOBACTERIA [J].
AUSINA, V ;
CONDOM, MJ ;
MIRELIS, B ;
LUQUIN, M ;
COLL, P ;
PRATS, G .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1986, 29 (05) :951-952
[9]   NEW SERIES OF PHENAZINES (RIMINO-COMPOUNDS) WITH HIGH ANTITUBERCULOSIS ACTIVITY [J].
BARRY, VC ;
BELTON, JG ;
CONALTY, ML ;
DENNENY, JM ;
EDWARD, DW ;
OSULLIVAN, JF ;
TWOMEY, D ;
WINDER, F .
NATURE, 1957, 179 (4568) :1013-1015
[10]  
BELAUBE P, 1983, INT J LEPROSY, V51, P328