2002
DOI: 10.1007/s11926-002-0073-2
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Update on colchicine and its mechanism of action

Abstract: Colchicine is a unique anti-inflammatory drug with respect to its limited clinical usefulness and its mode of action. Colchicine is mainly indicated for the treatment and prophylaxis of gout and familial Mediterranean fever. Its mode of action includes modulation of chemokine and prostanoid production and inhibition of neutrophil and endothelial cell adhesion molecules by which it interferes with the initiation and amplification of the joint inflammation. This paper discusses its adverse effects and indication… Show more

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Cited by 183 publications
(131 citation statements)
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“…It has previously been established that the microtubule-depolymerising agent, colchicine, has a significant anti-inflammatory effect. Its mode of action includes modulation of chemokine and prostanoid production and inhibition of neutrophil and endothelial cell adhesion molecules [31]. The present data indicate, for the first time, that microtubule stabilisation with taxol results in an anti-inflammatory effect, indicating that not only the structural integrity of microtubules but also microtubule dynamics are important in inflammatory signalling.…”
Section: Effect Of Taxol On Lps-induced Peritonitissupporting
confidence: 54%
“…It has previously been established that the microtubule-depolymerising agent, colchicine, has a significant anti-inflammatory effect. Its mode of action includes modulation of chemokine and prostanoid production and inhibition of neutrophil and endothelial cell adhesion molecules [31]. The present data indicate, for the first time, that microtubule stabilisation with taxol results in an anti-inflammatory effect, indicating that not only the structural integrity of microtubules but also microtubule dynamics are important in inflammatory signalling.…”
Section: Effect Of Taxol On Lps-induced Peritonitissupporting
confidence: 54%
“…63 Its method of action includes modulation of chemokine and prostanoid production and inhibition of neutrophil and endothelial cell adhesion molecules. 64 In a double-blind, placebo-controlled study, patients with paroxysmal AF who received radiofrequency ablation treatment were randomized to a 3-month course of colchicine 0.5 mg twice daily or placebo. 65 After 3 months, recurrence of AF was observed in 27 (33.5%) of 80 patients of the placebo group versus 13 (16%) of 81 patients who received colchicine (odds ratio, 0.38; 95% confidence interval, 0.18-0.80).…”
Section: Maintenance Post Ablation Colchicinementioning
confidence: 99%
“…It also acts in the migration of granulocytes and other cells, reducing the activity of phagocytes. 15,16 Colchicine is rapidly absorbed in the jejunum and ileum and its lipophilic nature allows it to be absorbed by multiple cells, binding itself to its primary target which is tubulin. Colchicine is predominantly eliminated by biliary excretion and to a lesser extent (5 to 20%) by the enteric and hepatic cytochrome P 450 system.…”
Section: 14mentioning
confidence: 99%
“…Renal elimination accounts for 10 to 20%. 16 Colchicine has been used in recurrent pericarditis (CORP). This study evaluated and randomized 120 patients with the first recurrence using colchicine or placebo in addition to aspirin or other NSAIDs.…”
Section: 14mentioning
confidence: 99%