High-Dose Ibuprofen in Cystic Fibrosis
- PMID: 27713350
- PMCID: PMC4036659
- DOI: 10.3390/ph3072213
High-Dose Ibuprofen in Cystic Fibrosis
Abstract
Cystic Fibrosis (CF) is the most common lethal genetic disorder in North America and Europe. Most patients succumb to progressive lung disease characterized by an exaggerated neutrophilic inflammation. In animal models of chronic infection, high-dose ibuprofen was demonstrated to reduce inflammation without hindering bacterial clearance. This led to two clinical trials, which demonstrated a benefit in slowing the progression of lung disease in CF. However, concerns about potential adverse effects have limited the use of high-dose ibuprofen in CF patients. There are a variety of potential mechanisms to account for the observed clinical benefit. A better understanding of these mechanisms could potentially lead to more targeted and better-tolerated anti-inflammatory therapies.
Keywords: CFTR; cystic fibrosis; ibuprofen; interleukin-8; neutrophils.
References
-
- Anselmo M., Lands L. Cystic Fibrosis: Overview. In: Taussig L., Landau L., editors. Pediatric Respiratory Medicine. 2nd. Mosby; Philadelphia, PA, USA: 2008. pp. 845–857.
-
- Claustres M., Guittard C., Bozon D., Chevalier F., Verlingue C., Ferec C., Girodon E., Cazeneuve C., Bienvenu T., Lalau G., Dumur V., Feldmann D., Bieth E., Blayau M., Clavel C., Creveaux I., Malinge M.C., Monnier N., Malzac P., Mittre H., Chomel J.C., Bonnefont J.P., Iron A., Chery M., Georges M.D. Spectrum of CFTR mutations in cystic fibrosis and in congenital absence of the vas deferens in France. Hum. Mutat. 2000;16:143–156. - PubMed
-
- Muhlebach M.S., Stewart P.W., Leigh M.W., Noah T.L. Quantitation of inflammatory responses to bacteria in young cystic fibrosis and control patients. Am. J. Respir. Crit. Care Med. 1999;160:186–191. - PubMed
-
- Konstan M.W., Morgan W.J., Butler S.M., Pasta D.J., Craib M.L., Silva S.J., Stokes D.C., Wohl M.E., Wagener J.S., Regelmann W.E., Johnson C.A. Risk factors for rate of decline in forced expiratory volume in one second in children and adolescents with cystic fibrosis. J. Pediatr. 2007;151:134–139. doi: 10.1016/j.jpeds.2007.03.006. - DOI - PubMed
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