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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Am+J+Respir+Crit+Care+Med
2014 ; 190
(8
): 867-78
Nephropedia Template TP
gab.com Text
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New therapeutic targets in idiopathic pulmonary fibrosis Aiming to rein in
runaway wound-healing responses
#MMPMID25090037
Ahluwalia N
; Shea BS
; Tager AM
Am J Respir Crit Care Med
2014[Oct]; 190
(8
): 867-78
PMID25090037
show ga
Idiopathic pulmonary fibrosis (IPF) is a devastating disease, with a median
survival as short as 3 years from the time of diagnosis and no pharmacological
therapies yet approved by the U.S. Food and Drug Administration. To address the
great unmet need for effective IPF therapy, a number of new drugs have recently
been, or are now being, evaluated in clinical trials. The rationales for most of
these therapeutic candidates are based on the current paradigm of IPF
pathogenesis, in which recurrent injury to the alveolar epithelium is believed to
drive aberrant wound healing responses, resulting in fibrosis rather than repair.
Here we discuss drugs in recently completed or currently ongoing phase II and III
IPF clinical trials in the context of their putative mechanisms of action and the
aberrant repair processes they are believed to target: innate immune activation
and polarization, fibroblast accumulation and myofibroblast differentiation, or
extracellular matrix deposition and stiffening. Placed in this context, the
positive results of recently completed trials of pirfenidone and nintedanib, and
results that will come from ongoing trials of other agents, should provide
valuable insights into the still-enigmatic pathogenesis of this disease, in
addition to providing benefits to patients with IPF.
|Anti-Inflammatory Agents, Non-Steroidal/pharmacology/*therapeutic use
[MESH]
|Antioxidants/pharmacology/therapeutic use
[MESH]
|Clinical Trials, Phase II as Topic
[MESH]
|Clinical Trials, Phase III as Topic
[MESH]
|Enzyme Inhibitors/pharmacology/*therapeutic use
[MESH]