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Handle with care: targeting neutrophils in chronic obstructive pulmonary disease and severe asthma?

Summary Neutrophils play an important role in the pathogenesis of airway inflammation in both chronic obstructive pulmonary disease (COPD) and severe asthma. Currently available drugs have only limited effects on neutrophilic airway inflammation, particularily in COPD. Therefore, great efforts are u...

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Published in:Clinical and experimental allergy 2006-02, Vol.36 (2), p.142-157
Main Authors: Beeh, K. M., Beier, J.
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Language:English
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description Summary Neutrophils play an important role in the pathogenesis of airway inflammation in both chronic obstructive pulmonary disease (COPD) and severe asthma. Currently available drugs have only limited effects on neutrophilic airway inflammation, particularily in COPD. Therefore, great efforts are undertaken to address neutrophilic inflammation in chronic respiratory disorders, in particular COPD. This review summarizes the rationale for anti‐neutrophilic treatment in COPD and asthma and gives a critical overview of current developments in drug therapy. Moreover, unanswered questions and limitations of clinical trial design and choice of outcome parameters for proof‐of‐concept studies with novel anti‐neutrophilic drugs are discussed as well as potential safety issues.
doi_str_mv 10.1111/j.1365-2222.2006.02418.x
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subjects Allergic diseases
Anti-Inflammatory Agents - therapeutic use
Asthma - drug therapy
Asthma - immunology
Biological and medical sciences
Chemotaxis, Leukocyte - drug effects
Clinical Trials as Topic
Drug Evaluation, Preclinical
Enzyme Inhibitors - therapeutic use
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Humans
Immunopathology
Leukocyte Rolling - drug effects
Leukotriene Antagonists - therapeutic use
Medical sciences
Neutrophils - drug effects
Pulmonary Disease, Chronic Obstructive - drug therapy
Pulmonary Disease, Chronic Obstructive - immunology
title Handle with care: targeting neutrophils in chronic obstructive pulmonary disease and severe asthma?
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