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Zhang X, Chen Y, Fan L, Ye J, Fan J, Xu X, You D, Liu S, Chen X, Luo P. Pharmacological mechanism of roflumilast in the treatment of asthma-COPD overlap. DRUG DESIGN DEVELOPMENT AND THERAPY 2018; 12:2371-2379. [PMID: 30122895 PMCID: PMC6078181 DOI: 10.2147/dddt.s165161] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Asthma-COPD overlap (ACO) is a type of incomplete obstructive airway disease that has a high incidence and mortality. Nevertheless, there is currently no clear definition of ACO and no effective intervention. The newly discovered phosphodiesterase-4 inhibitor, roflumilast, has shown initial efficacy for treating asthma, COPD, and ACO. The mechanism of roflumilast, however, remains unclear, and there has been no interpretation through systematic review to date. The determination of a definite mechanism of roflumilast will guide the clinician's decisions regarding medication use, standardized diagnosis, and treatment guidelines. For this reason, we have systematically reviewed the therapeutic mechanism of roflumilast for ACO and provided reference for the clinical application of roflumilast in ACO.
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Affiliation(s)
- Xiaoli Zhang
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Yuqing Chen
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Liyu Fan
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Jiaqi Ye
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Junsheng Fan
- Department of Respiratory Medicine, Shanghai Tenth People's Hospital of Tongji University, Shanghai, China
| | - Xinjie Xu
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Danming You
- Department of Respiratory Medicine, Nangfang Hospital of Southern Medical University, Guangzhou, China
| | - Sihan Liu
- Department of Respiratory Medicine, Nangfang Hospital of Southern Medical University, Guangzhou, China
| | - Xin Chen
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
| | - Peng Luo
- Department of Respiratory Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China, ,
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