Inhaled corticosteroids in COPD: systemic effects of a local therapy?

Author: Antoniu, Sabina A

Source: Expert Opinion on Pharmacotherapy, Volume 9, Number 18, December 2008 , pp. 3271-3273(3)

Publisher: Informa Healthcare

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Abstract:

Background: There are few data on the effects of inhaled corticosteroids on systemic inflammation in chronic obstructive pulmonary disease (COPD). Objective: Evaluation of the systemic anti-inflammatory effects of inhaled corticosteroids alone or in combination with long acting beta2-agonists. Methods: Analysis of the results of a randomized study assessing the short-term effects of inhaled fluticasone propionate, inhaled fluticasone + salmeterol and placebo on three inflammation biomarkers represented by C-reactive protein, IL-6 and surfactant protein-D. Results/conclusions: Inhaled corticosteroids alone or in combination exhibited partial systemic anti-inflammatory effects, reducing significantly only SP-D serum levels. Further evaluation of effects of inhaled corticosteroids on various biomarkers of systemic inflammation is required in more severe stable COPD.

Keywords: COPD-systemic inflammation-inhaled corticosteroids

Document Type: Research article

DOI: http://dx.doi.org/10.1517/14656560802591406

Publication date: 2008-12-01

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