Role and New Insights of Pirfenidone in Fibrotic Diseases

被引:132
作者
Alejandro Lopez-de la Mora, David [1 ]
Sanchez-Roque, Cibeles [1 ]
Montoya-Buelna, Margarita [1 ]
Sanchez-Enriquez, Sergio [1 ]
Lucano-Landeros, Silvia [1 ]
Macias-Barragan, Jose [1 ,2 ]
Armendariz-Borunda, Juan [1 ]
机构
[1] Univ Guadalajara, Dept Mol Biol & Genom, Inst Mol Biol & Gene Therapy, Guadalajara 44280, Jalisco, Mexico
[2] Univ Guadalajara, CUValles, Dept Ciencias Salud, Ameca 46600, Mexico
关键词
Pirfenidone; fibrosis; inflammation; idiopathic pulmonary fibrosis; IDIOPATHIC PULMONARY-FIBROSIS; LIVER FIBROSIS; PHARMACOKINETICS; EXPRESSION; THERAPIES; CYTOKINE; TIMP-1; SAFETY; TRIAL;
D O I
10.7150/ijms.11579
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Pirfenidone (PFD) is a non-peptide synthetic molecule issued as a broad-spectrum anti-fibrotic drug with the ability to decrease TGF-beta 1, TNF-alpha, PDGF and COL1A1 expression, which is highly related to prevent or remove excessive deposition of scar tissue in several organs. Basic and clinical evidence suggests that PFD may safely slow or inhibit the progressive fibrosis swelling after tissue injuries. Furthermore, a number of evidence suggests that this molecule will have positive effects in the treatment of other inflammatory diseases. This review contains current research in which PFD has been used as the treatment of several diseases, and focus mainly in the outcomes related to improve inflammation and fibrogenesis. Therefore, the main goal of this review is to focus on the novel findings of PFD efficacy rather than deepen in the chemical aspects of the molecule.
引用
收藏
页码:840 / 847
页数:8
相关论文
共 51 条
[1]
Where do we stand with IPF treatment? [J].
Albera, C. ;
Ferrero, C. ;
Rindone, E. ;
Zanotto, S. ;
Rizza, E. .
RESPIRATORY RESEARCH, 2013, 14
[2]
The clinical effectiveness and cost-effectiveness of treatments for idiopathic pulmonary fibrosis: a systematic review and economic evaluation [J].
不详 .
HEALTH TECHNOLOGY ASSESSMENT, 2015, 19 (20) :1-+
[3]
A pilot study in patients with established advanced liver fibrosis using pirfenidone [J].
Armendariz-Borunda, J. ;
Islas-Carbajal, M. C. ;
Meza-Garcia, E. ;
Rincon, A. R. ;
Lucano, S. ;
Sandoval, A. S. ;
Salazar, A. ;
Berumen, J. ;
Alvarez, A. ;
Covarrubias, A. ;
Arechiga, G. ;
Garcia, L. .
GUT, 2006, 55 (11) :1663-1665
[4]
Exploratory analysis of a phase III trial of pirfenidone identifies a subpopulation of patients with idiopathic pulmonary fibrosis as benefiting from treatment [J].
Azuma, Arata ;
Taguchi, Yoshio ;
Ogura, Takashi ;
Ebina, Masahito ;
Taniguchi, Hiroyuki ;
Kondoh, Yasuhiro ;
Suga, Moritaka ;
Takahashi, Hiroki ;
Nakata, Koichiro ;
Sato, Atsuhiko ;
Kudoh, Shoji ;
Nukiwa, Toshihiro .
RESPIRATORY RESEARCH, 2011, 12
[5]
Brenner DA, 2015, J HEPATOBILIARY PANC
[6]
Interstitial lung disease in connective tissue diseases: evolving concepts of pathogenesis and management [J].
Castelino, Flavia V. ;
Varga, John .
ARTHRITIS RESEARCH & THERAPY, 2010, 12 (04)
[7]
Chen JF, 2013, AM J PHYSIOL-RENAL, V15, P304
[8]
Improved Mitochondrial Function Underlies the Protective Effect of Pirfenidone against Tubulointerstitial Fibrosis in 5/6 Nephrectomized Rats [J].
Chen, Jun-Feng ;
Liu, Hong ;
Ni, Hai-Feng ;
Lv, Lin-Li ;
Zhang, Ming-Hui ;
Zhang, Ai-Hua ;
Tang, Ri-Ning ;
Chen, Ping-Sheng ;
Liu, Bi-Cheng .
PLOS ONE, 2013, 8 (12)
[9]
Pirfenidone: an anti-fibrotic therapy for progressive kidney disease [J].
Cho, Monique E. ;
Kopp, Jeffrey B. .
EXPERT OPINION ON INVESTIGATIONAL DRUGS, 2010, 19 (02) :275-283
[10]
Choi K, 2012, MOL VIS, V18, P1010