2002
DOI: 10.1046/j.1365-2230.2002.01146.x
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Traditional therapies: glucocorticoids, azathioprine, methotrexate, hydroxyurea

Abstract: The 'old favourites' used for treatment of inflammatory diseases, and hence, the original immunomodulators, include the glucocorticoids, azathioprine, methotrexate and hydroxyurea. Glucocorticoids are still one of the most effective anti-inflammatory agents because they work on several different intracellular processes and hence, block many components that contribute to inflammatory and immune responses. They bind to intracellular glucocorticoid receptors which transport them into the nucleus. Here the recepto… Show more

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Cited by 40 publications
(38 citation statements)
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“…Azathioprine has been shown to reversibly reduce the number of monocytes in circulation and tissue in a dose-dependent manner, with little effect on neutrophils. 25,40,41 Azathioprine has been reported to impair synthesis of gamma globulin in patients who have rheumatoid disorders with a mean reduction of immunoglobulin G synthesis by 33% and immunoglobulin M by 41%. 42 Also, in vitro and in vivo data suggest that long-term immunosuppression with azathioprine decreases the number of cutaneous Langerhans cells.…”
Section: Mechanism Of Actionmentioning
confidence: 99%
“…Azathioprine has been shown to reversibly reduce the number of monocytes in circulation and tissue in a dose-dependent manner, with little effect on neutrophils. 25,40,41 Azathioprine has been reported to impair synthesis of gamma globulin in patients who have rheumatoid disorders with a mean reduction of immunoglobulin G synthesis by 33% and immunoglobulin M by 41%. 42 Also, in vitro and in vivo data suggest that long-term immunosuppression with azathioprine decreases the number of cutaneous Langerhans cells.…”
Section: Mechanism Of Actionmentioning
confidence: 99%
“…AZA is a prodrug which can be metabolized to 6ethioguanine nucleotides (6eTGN) to exert its immunosuppressive action. After oral administration, AZA is quickly absorbed from the digestive tract and does not cross the bloodebrain barrier (1). The oral bioavailability of AZA is about 27%e83%, and 88% of AZA converted to mercaptopurine by the catalytic action of glutathione Setransferases (GSTs).…”
Section: Introductionmentioning
confidence: 99%
“…The mechanism of action for azathioprine had been explored elsewhere. In brief, both T cell and B cell function are affected [14]. Its clinical efficacy for other autoimmune diseases (e.g.…”
Section: Discussionmentioning
confidence: 99%