“… Drug | Link to IBD | Toxicity |
Cefadroxil | - Alanine aminopeptidase (ANPEP): Involved in the production and processing of pro-inflammatory cytokines (IFN- γ , IL-1 ß , IL-6, IL-8) [ 16 ]
- Peptide Transporter 1 (PEP1): Abnormally upregulated in colon of IBD patients; induces inflammation through uptake of bacterial peptides from commensal bacteria [ 17 ]
- Endothelin-1 Receptor (EDNRA): Enhances inflammation through recruitment of T lymphocytes and neutrophils, and release of pro-inflammatory and profibrotic cytokines [ 18 ].
- Pregnane X Receptor (NR1l2): Shown to protect against IBD through dysregulation of the nuclear factor-κB signaling cascade [ 19 ]
| - Mild Side effects (nausea, vomiting, diarrhea, abdominal pain may occur) [ 26 ]
|
Propantheline Bromide | - Muscarinic acetylcholine receptor m1 (CHRM1): Muscarinic receptor antagonist that acts as a antispasmodic agent; not suitable for IBD overall [ 20 ]
| - Mild side effects such as dry mouth, constipation and urinary retention [ 27 ]
- Severe side effects such as tachyarrhythmia, hallucinations, delirium, and cognitive impairment can occur [ 27 ]
|
Lanatoside C | - Protein kinase C∂ (PRKCD): Involved in the regulation of several key IBD signaling pathways such as MAPK, NF-κB, c-Myc, and TNF- α [ 21 ]
| - Can cause anorexia, nausea, vomiting, and neurological symptoms [ 28 ]
- Can rarely trigger fatal arrhythmias [ 28 ]
|
Rifabutin | - Hsp90 (HSP90AA1, HSP90B1): downregulates pro-inflammatory cytokines IL-1b, IFN- γ and TNF- α [ 22 ]
| - Mild side effects such as uveitis, rash, nausea, vomiting, neutropenia, anemia, discoloration of skin and body fluids [ 29 ]
- Liver impairment (rarely) [ 29 ]
|
Dimethyloxalylglycine (DMOG) |
|
…”