Rivista di formazione e aggiornamento professionale del pediatra e del medico di base, fondata nel 1982. In collaborazione con l'Associazione Culturale Pediatri.
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Farmacoriflessioni

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I farmaci delle malattie infiammatorie croniche: dall’empirismo alla medicina molecolare

THE TREATMENT OF CHRONIC INFLAMMATORY DISEASES: FROM EMPIRICISM TO MOLECULAR MEDICINE

GIULIA GORTANI, ERICA VALENCIC, ALBERTO TOMMASINI, LOREDANA LEPORE

Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste

Giugno 2007 - pagg. 381 -385

Abstract
Chronic inflammatory diseases still represent a very dramatic problem in pediatric age. Therapeutic strategies are improving very quickly, but a complete control of disease progression is still a challenge. In a series of articles we try to address a new approach to treat each different situation. We argue that the therapeutic decision could be based not only on the empiric observation, but also on the knowledge of the molecular mechanism involved in the pathogenesis of these disorders. In these articles we try to correlate the specific biological target of different anti-inflammatory and immunosuppressant drugs with their clinical action.

Bibliografia

• Allison AC. Immunosuppressive drugs: the first 50 years and a glance forward. Immunopharmacology 2000;47(2-3):63-83.
• Athreya BH, Lindsley CB. A General Approach to Management of Rheumatic Diseases in Children. In: Textbook of Pediatric Rheumatology. V ed. Elsevier-Saunders, 2005: 184-203.
• Cope AP, Feldmann M. Emerging approaches for the therapy of autoimmune and chronic inflammatory disease. Curr Opin Immunol 2004;16(6):780-6.
• Diasio RB, LoBuglio AF. Drugs used in Immunomodulation. In: The Pharmacological Basis of Therapeutics. IX ed. Mc Graw-Hill, 1996:1289-308.
• Furst ED, Munster T. Agenti antinfiammatori non steoridei; farmaci anti-reumatici in grado di modificare il decorso della malattia. In: Farmacologia Generale e Clinica. V ed. italiana. Padova: Piccin, 2003:630-59.
• Hashkes PJ, Laxer RM. Medical treatment of juvenile idiopathic arthritis. JAMA 2005; 294(13):1671-84.
• Nepom GT. Therapy of autoimmune diseases: clinical trials and new biologics. Curr Opin Immunol 2002;14(6):812-5.
• Not T, Buratti E, Berti I, Trevisiol C, Neri E, Tommasini A. Le citochine: da mediatori della flogosi a bersaglio della terapia. Medico e Bambino 1998;17(2):103-7.
• Ruperto N, Martini A. International research networks in pediatric rheumatology: the PRINTO perspective. Curr Opin Rheumatol 2004;16(5):566-70.
• Suryaprasad AG, Prindiville T. The biology of TNF blockade. Autoimmun Rev 2003;2(6): 346-57.

Corrispondenza: leporel@burlo.trieste.it