The immunomodulatory effects of macrolide antibiotics in respiratory disease.


Journal

Pulmonary pharmacology & therapeutics
ISSN: 1522-9629
Titre abrégé: Pulm Pharmacol Ther
Pays: England
ID NLM: 9715279

Informations de publication

Date de publication:
12 2021
Historique:
received: 23 08 2021
revised: 25 10 2021
accepted: 29 10 2021
pubmed: 7 11 2021
medline: 15 12 2021
entrez: 6 11 2021
Statut: ppublish

Résumé

Macrolide antibiotics are well known for their antibacterial properties, but extensive research in the context of inflammatory lung disease has revealed that they also have powerful immunomodulatory properties. It has been demonstrated that these drugs are therapeutically beneficial in various lung diseases, with evidence they significantly reduce exacerbations in patients with COPD, asthma, bronchiectasis and cystic fibrosis. The efficacy demonstrated in patients infected with macrolide tolerant organisms such as Pseudomonas aeruginosa supports the concept that their efficacy is at least partly related to immunomodulatory rather than antibacterial effects. Inconsistent data and an incomplete understanding of their mechanisms of action hampers the use of macrolide antibiotics as immunomodulatory therapies. Macrolides recently demonstrated no clinically relevant immunomodulatory effects in the context of COVID-19 infection. This review provides an overview of macrolide antibiotics and discusses their immunomodulatory effects and mechanisms of action in the context of inflammatory lung disease.

Identifiants

pubmed: 34740749
pii: S1094-5539(21)00107-3
doi: 10.1016/j.pupt.2021.102095
pmc: PMC8563091
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0
Macrolides 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

102095

Informations de copyright

Copyright © 2021 Elsevier Ltd. All rights reserved.

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Auteurs

Jennifer Pollock (J)

Division of Molecular and Clinical Medicine, University of Dundee, Dundee, UK.

James D Chalmers (JD)

Division of Molecular and Clinical Medicine, University of Dundee, Dundee, UK. Electronic address: j.chalmers@dundee.ac.uk.

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Classifications MeSH