2021
DOI: 10.3389/fgene.2021.647257
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Pharmacogenomics of Hypersensitivity to Non-steroidal Anti-inflammatory Drugs

Abstract: Non-steroidal anti-inflammatory drugs (NSAIDs) are extensively prescribed in daily clinical practice. NSAIDs are the main cause of drug hypersensitivity reactions all over the world. The inhibition of cyclooxygenase enzymes by NSAIDs can perpetuate arachidonic acid metabolism, shunting to the 5-lipoxygenase pathway and its downstream inflammatory process. Clinical phenotypes of NSAID hypersensitivity are diverse and can be classified into cross-reactive or selective responses. Efforts have been made to underst… Show more

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Cited by 8 publications
(6 citation statements)
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“…Overexpression of COX-2 can lead to increased production of prostaglandins, promoting inflammation and vasodilation. 50,51 In CU, up-regulated PTGS2 contributes to the vasodilation, edema, and itching associated with urticarial reactions.…”
Section: Discussionmentioning
confidence: 99%
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“…Overexpression of COX-2 can lead to increased production of prostaglandins, promoting inflammation and vasodilation. 50,51 In CU, up-regulated PTGS2 contributes to the vasodilation, edema, and itching associated with urticarial reactions.…”
Section: Discussionmentioning
confidence: 99%
“…PTGS2 encodes the COX‐2 enzyme, which is involved in the production of prostaglandins (molecules that mediate inflammation and various physiological processes). Overexpression of COX‐2 can lead to increased production of prostaglandins, promoting inflammation and vasodilation 50,51 . In CU, up‐regulated PTGS2 contributes to the vasodilation, edema, and itching associated with urticarial reactions.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…NSAIDs also cause hypersensitivity reactions in patients, which can result in anaphylaxis and death [ 37 ]. The indiscriminate use of NSAIDs has stimulated the search for new therapeutic methods and medicinal plants represent a reservoir of chemical compounds that show strong potential in the development and production of new and effective drugs [ 38 ].…”
Section: Discussionmentioning
confidence: 99%
“…Los medicamentos asociados con las reacciones incluyen: metamizol, ibuprofeno, diclofenaco y ácido acetilsalicílico. 25,26…”
Section: Epidemiologíaunclassified