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Therapeutic effect of the immunomodulatory drug lenalidomide, but not pomalidomide, in experimental models of rheumatoid arthritis and inflammatory bowel disease.

Abstract
Thalidomide is an immunomodulatory drug (IMiD) with proven therapeutic action in several autoimmune/inflammatory diseases; however, its inherent high toxicity has led to the development of more powerful and safer thalidomide analogs, including lenalidomide and pomalidomide. These are new generation IMiDs that exhibit direct antitumor activity as well as anti-inflammatory/immunomodulatory properties, and are FDA-approved for the treatment of several hematological malignances. Here we investigated the potential therapeutic effects of lenalidomide and pomalidomide in several experimental murine models of autoimmune/inflammatory diseases: 2,4,6-trinitrobenzene sulfonic acid- and dextran sulfate sodium-induced inflammatory bowel disease and type II collagen-induced arthritis. Lenalidomide displayed a strong therapeutic effect in all these models of autoimmune/inflammatory diseases, while the effect of pomalidomide was less pronounced. In vitro experiments confirmed the immunosuppressive effect of both IMiDs on the proliferative response of stimulated human lymphocytes and on the balance of secreted cytokines toward an anti-inflammatory profile. We conclude that lenalidomide may offer a therapeutic opportunity against autoimmune/inflammatory diseases.
AuthorsBelen Lopez-Millan, Rafael Diaz de la Guardia, Heleia Roca-Ho, Carmen M García-Herrero, Jessie R Lavoie, Michael Rosu-Myles, Elena Gonzalez-Rey, Francisco O'Valle, Gabriel Criado, Mario Delgado, Pablo Menendez
JournalExperimental & molecular medicine (Exp Mol Med) Vol. 49 Issue 2 Pg. e290 (02 03 2017) ISSN: 2092-6413 [Electronic] United States
PMID28154372 (Publication Type: Journal Article)
Chemical References
  • Anti-Inflammatory Agents
  • Collagen Type II
  • Immunologic Factors
  • Thalidomide
  • Trinitrobenzenesulfonic Acid
  • Dextran Sulfate
  • pomalidomide
  • Lenalidomide
Topics
  • Animals
  • Anti-Inflammatory Agents (therapeutic use)
  • Arthritis, Experimental (chemically induced, drug therapy, pathology)
  • Collagen Type II
  • Dextran Sulfate
  • Disease Models, Animal
  • Immunologic Factors (therapeutic use)
  • Inflammatory Bowel Diseases (chemically induced, drug therapy, pathology)
  • Lenalidomide
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Thalidomide (analogs & derivatives, therapeutic use)
  • Trinitrobenzenesulfonic Acid

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