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Long-term macrolides in diffuse interstitial lung diseases

Paola Faverio, Francesco Bini, Adriano Vaghi, Alberto Pesci
European Respiratory Review 2017 26: 170082; DOI: 10.1183/16000617.0082-2017
Paola Faverio
1Dipartimento Cardio-Toraco-Vascolare, Università Milano-Bicocca, Clinica Pneumologica, Ospedale San Gerardo, ASST di Monza, Monza, Italy
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  • For correspondence: paola.faverio@unimib.it
Francesco Bini
2ASST-Rhodense, UOC Pneumologia, Garbagnate Milanese, Italy
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Adriano Vaghi
2ASST-Rhodense, UOC Pneumologia, Garbagnate Milanese, Italy
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Alberto Pesci
1Dipartimento Cardio-Toraco-Vascolare, Università Milano-Bicocca, Clinica Pneumologica, Ospedale San Gerardo, ASST di Monza, Monza, Italy
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Tables

  • TABLE 1

    Summary of the main areas of application of low-dose, long-term macrolides in diffuse interstitial lung diseases (ILDs)

    Macrolide uses and functionsEvidence typeFirst author [ref.]
    In ILDs, including idiopathic pulmonary fibrosis
     Macrolides may play an antifibrotic roleStill to be demonstrated in human models
      Promoters of autophagocytosis and clearance of intracellular   protein aggregatesOnly cellular modelsGuillot [1]
    Thomson [8]
    Stamatiou [9]
      Regulators of surfactant homeostasisOne case reportThouvenin [10]
     Macrolides may act as host–microbiota interaction modulators    and/or host immune response modulatorsStill to be demonstrated in human models
      Reduction of acute exacerbations rateRetrospective monocentric studyKuse [33]
    In organising pneumonia
     Macrolides may exert an anti-inflammatory/immunomodulatory actionCase reports and case series
      As adjuvants to steroid therapy and steroid-sparing agentsOne case reportDing [51]
      As first-line agents as an alternative to steroidsCase reports and case seriesIchikawa [45]
    Stover [46]
    Hotta [49]
    Radzikowska [44]
      As second-line agents when steroids are not tolerated or failedCase reports and case seriesChang [52]
    Stover [46]
    Pathak [53]
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Vol 26 Issue 146 Table of Contents
European Respiratory Review: 26 (146)
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Long-term macrolides in diffuse interstitial lung diseases
Paola Faverio, Francesco Bini, Adriano Vaghi, Alberto Pesci
European Respiratory Review Dec 2017, 26 (146) 170082; DOI: 10.1183/16000617.0082-2017

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Long-term macrolides in diffuse interstitial lung diseases
Paola Faverio, Francesco Bini, Adriano Vaghi, Alberto Pesci
European Respiratory Review Dec 2017, 26 (146) 170082; DOI: 10.1183/16000617.0082-2017
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  • Article
    • Abstract
    • Abstract
    • Introduction
    • Microbiota
    • IPF and host–microbiota interactions, and potential effects of macrolides
    • Macrolides in organising pneumonia
    • Conclusions and future perspectives
    • Acknowledgements
    • Footnotes
    • References
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  • Pulmonary pharmacology and therapeutics
  • Interstitial and orphan lung disease
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