Inhaled all-trans retinoic acid in an individual with severe emphysema

Autor: S Mamidi, David A. Lomas, P Kroneberg, Matthias Wjst, G. Kassner, K Pukelsheim, Marion Frankenberger, Löms Ziegler-Heitbrock, Irene Heimbeck, A Fertl, M Neiswirth, Karl Häussinger, P Iadarola, Winfried Möller, David Halsall
Rok vydání: 2009
Předmět:
Zdroj: European Respiratory Journal. 34:1487-1489
ISSN: 1399-3003
0903-1936
DOI: 10.1183/09031936.00105309
Popis: To the Editors: A patient with extensive emphysema was treated with liposomal all-trans retinoic acid (ATRA) using a controlled inhalation manoeuvre. After a gradual increase from 0.1 mg to 3 mg ATRA per day, the patient was treated at a level of 1 mg·day−1 for 4 days per week. Over the 6-month observation period there was an improvement of forced expiratory volume in 1 s (FEV1) from 16% to 21% predicted and an increase from 400 m to 615 m in the 6-min walking test (6MWT), although there was no apparent change in lung morphology with high-resolution computed tomography (HRCT). Biochemical analysis demonstrated a decrease in exhaled isoprostane and a decrease in serum interleukin (IL)-13. In addition, desmosine excretion decreased from 115 μg·g−1 creatinine to
Databáze: OpenAIRE