Zusammenfassung
Eine genaue Trennung der vorgegebenen Begriffe Zytostatika, Immunsuppressiva und Immunmodulatoren ist wegen der sich überschneidenden Wirkungen der Medikamente kaum zu geben. Unter Zytostatika verstehen wir Substanzen, die Zellwachstum und Zellteilung verhindern. Wirken derartige Substanzen vorherrschend auf Zellen des Immunsystems, so wird der Begriff Immunsuppressivum verwendet. Die Modulatoren des Immunsystems, die Immunmodulatoren, umfassen eine unübersehbare Vielzahl von chemischen Substanzen wie Hemmer der Cyclooxygenase und Lipoxygenase (z.B. Acetylsalicylsäure, nichtsteroidale Antiphlogistika), Antihistaminika und H-2-Blocker. Aber auch physiologische Substanzen, die bei einer Immunreaktion freigesetzt werden, wie Interferon, Interleukine und andere Lymphokine. Eine zufriedenstellende Einteilung ist somit auch nicht zu geben. Die in Tabelle 1 gegebene Einteilung ist ein Einteilungsversuch, wobei die Schwerpunkte auf die hier abgehandelten, vorherrschend bei Dermatosen mit einer (Auto)Immunpathogenese zur Anwendung kommenden Medikamente berücksichtigt werden.
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Literatur
Adams JS, Sharma OP, Gacad MA et al (1983) Metabolism of 25-Hydroxyvitamin D3 by cultured pulmonary alveolar macrophages in sarcoidosis. J Clin Invest 72: 1856–1860
Back DJ, Purba S, Staiger C, Orme MLE et al (1983) Inhibition of drug metabolism by the antimalaria drugs chloroquine and primaquine in the rat. Biochem Pharmacol 32: 257–263
Bahmer FA, Zaun H (1985) Isotretinoin Therapy for Progressive Systemic Sclerosis. Arch Dermatol 121: 308
Barranco VP (1974) Inhibition of lysosomal enzymes by dapsone. Arch Dermatol 110: 563–566
Barthélémy H u. Thivolet (1985) Ciclosporin (CyA) in pemphigus and bullous pemphigoid. In: Schindler R (Ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo, p 215–219
Bauer R, Stadler R, Gollnick H (1983) Kutan-disseminierter LE: Therapie mit aromatischem Retinoid. Hautarzt 34 (Suppl): 38–39, Diaklinik
Bell I u. Weinstein GD (1985) The use and abuse of immunosuppressive agents in dermatology. Arch Dermatol 121: 195–196
Bendtzen K (1984) Ciclosporin (Cyclosporin A): Prototype of a New Generation of Immunosuppressive Drugs. Allergy 39: 565–571
Bendtzen K, Dinarello CA (1984) Mechanism of Action of Cyclosporin A. Effect on T-Cell-Binding of Interleukin 1 and Antagonizing Effect of Insulin. Scand J Immunol 20: 43–51
Bonser AM, Garcia-Webb P, Bhagat CI (1983) Receptor-mediated 125I-Labelled insulin degradation in the rat hepatocyte. Studies using chloroquine. Aust J Exp Biol Med Sci 61: 569–579
Borel JF, Ryffel B (1985) The mechanism of action of Ciclosporin: A Continuing Puzzle. In: Schindler R (Ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo, p 24–32
Buszman E, Kopera M, Wilczok T (1984) Electron spin resonance studies of chloroquine-melanin complexes. Biochem Pharmacol 33: 7–11
Buus S u Werdelin O (1984) Chloroquine inhibits accessory cell presentation of soluble natural and synthetic protein antigens. Acta path microbiol immunol scand Sect C 92: 285–291
Bystryn JC (1984) Adjuvant therapy of pemphigus. Arch Dermatol 120: 941–951
Carrillo EC, Giachetti C, Campos R (1985) Early steps in FMDV replication: further analysis on the effects of chloroquine. Virology 147: 118–125
Churchill FC, Mount DL, Schwartz IK (1983) Determination of chloroquine and its major metabolite in blood using perfluoroacylation followed by fused-silica capillary gas chromatography with nitrogen-sensitive detection. J Chromatography 274: 111–120
Coburn PR, Shuster S (1982) Dapsone and discoid lupus erythematosus. Brit J Dermatol 106: 105–106
Colombo MI u Bertini F (1985) In vivo interaction between mouse liver lysosomes and chloroquine. Biol Cell 54: 73–78
Curley RK, Macfarlane AW, Vickers CFH (1985) Pyoderma gangrenosum treated with cyclosporin A. Brit J Dermatol 113: 601–604
Dupré A, Ortonne JP, Viraben R et al (1985) Chloroquine-induced hypopigmentation of hair and freckles. Arch Dermatol 121: 1164–1166
Editorial (1981) Adverse reactions to dapsone. Lancet II: 184–185
Emerole GO, Thabrew I, Emeh JA (1983) Altered Hepatic Microsomal Drug Metabolizing Enzyme Activity Resulting from Experimental Infection of Rats with Trypanosama brucei. Enzyme 29: 183–188
Feibelman G, Stolzner G, Provost TT (1981) Pemphigus vulgaris. Arch Dermatol 117: 561–562
Ferland LH, Djiane J, Houdebine LM et al (1984) The effect of chloroquine on lysosomal prolactin receptors in rat liver. Endocrinology 115: 1842–1849
Florack M (1987) Bullöses Pemphigoid. Therapie mit Erythromycin. Z Hautkr (im Druck)
Fox BJ, Odom RB, Findlay RF (1982) Erythromycin therapy in bullous pemphigoid: Possible anti-inflammatory effects. J Am Acad Dermatol 7: 504–510
Frisk-Holmberg M, Bergqvist Y, Domeij-Nyberg B (1983) Steady state disposition of chloroquine in patients with rheumatoid disease. Eur J Clin Pharmacol 24: 837–839
Frisk-Holmberg M, Bergqvist Y, Termond E et al (1984) The single dose kinetics of chloroquine and its major metabolite desethylchloroquine in healthy subjects. Eur J Clin Pharmacol 26: 521–530
Gelber RH, Gool HC, Rees RJ (1975) The effect of rifampicin in dapsone metabolism. Proc West Pharmacol Soc 18: 330–334
Goerz G, Orfanos CE (1978) Systemic Treatment of Psoriasis with a New Aromatic Retinoid. Dermatologica 157 (Suppl): 38–44
Goerz G u Merk H (1981) Medikamentöse Immunsuppression in der Dermatologie. Z Hautkr 56: 975–990
Goerz G, Bolsen K, Merk H (1985) Influence of Chloroquine on the Porphyrin Metabolism. Arch Dermatol Res 277: 114–117
Goerz G, Bolsen K, Merk H (1985) Einfluß von Chloroquin auf die Hexachlorbenzol (HCB) — induzierte Porphyrie der Ratte. Derm Monatsschr 171: 601–603
Handfield-Jones S, Allen BR, Littlewood SM (1985) Dapsone use with oral-genital ulcers. Brit J Dermatol 113: 501–505
Harper JI, Kendra JR, Desai S, Staughton RCD, Barrett AJ, Hobbs JR (1984) Dermatological aspects of the use Cyclosporin A for prophylaxis of graft-versus-host disease. Brit J Dermatol 110: 469–474
Ippen H u Nagel G (1984) Chronische Graft-versus-Host-Reaktion nach Knochenmark-Transplantation. Hautarzt 35: 182–187
Katz SI (1982) Commentary: Sulfoxone (Diasone) in the treatment of Dermatitis herpetiformis. Arch Dermatol 118: 809–812
Katz P (1984) Immunosuppressant therapy. Adv Int Med 29: 167–192
Katz SI, Gallin JI, Heritz KC et al (1977) Erythema elevatum diutinum: skin and systemic manifestations, immunologic studies, and successful treatment with dapsone. Medicine 56: 443–455
Khan MN, Savoie S, Khan RJ et al (1985) Insulin and insulin receptor uptake into rat liver. Diabetes 34: 1025–1030
Knop J u Bonsmann G (1985) Ciclosporin in the treatment of progressive systemic sclerosis. In: Schindler R (Ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo, p 199–204
Krupp P, Timonen P, Gülich A (1985) Side effects and safety of Sandimmun® in long-term treatment of transplant patients. In: Schindler R (Ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo, p 43–49
Lammintausta K, Kangas L, Lammintausta R (1979) The pharmacokinetics of dapsone and acetylated dapsone in serum and saliva. Intern J Clin Pharmacol Biopharm 17: 159–163
Lang PG (1979) Sulfones and sulfonamides in dermatology today. Am Acad Dermatol 1: 479–492
Lever WF u Schaumburg-Lever G (1984) Treatment of Pemphigus vulgaris. Arch Dermatol 120: 44–47
Lubach D, Vennemann G (1985) Therapeutische Beeinflussung bullöser Dermatosen durch Erythromycin. Akt Dermatol 11: 131–133
Mackenzie AH (1983) Dose refinements in long-term therapy of rheumatoid arthritis with antimalarials. Am J Med 18: 40–45
Mackenzie AH (1983) Pharmacologic actions of 4-Aminoquinoline compounds. Am J Med 18: 5–10
Macmillan AL, Champion RH (1973) Generalized pustular psoriasis treated with Dapsone. Brit J Dermatol 88: 183
Manfredi G, DePanfilis G, Zampetti M et al (1979) Studies on dapsone induced haemolytic anaemia. Brit J Dermatol 100: 427–432
Marelli O, Ferrara R, Braga PC et al (1983) Evaluation of immunological parameters in man in the course of treatment with erythromycin. 13th International Congress of Chemotherapy, Vienna 28.8.–2.9.1983
McChesney EW, Banks WF jr, McAnliff JP (1962) Laboratory studies of the 4-aminoquinoline antimalarials. II. Plasma level of chloroquine and hydroxychloroquine in man after various oral dosage regimes. Antibiot Chemother 12: 583–594
Melnik B, Glück ST, Jungblut RM, Goerz G (1987) Retrospective radiographic study of skeletal changes after long-term etretinate therapy. Brit J Dermatol 116: 207–212
Miescher PA u Miescher A (1985) Combined Ciclosporin-steroid treatment of systemic lupus erythematosus. Schindler R (Ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo, p 337–345
Miller MF, Martin JR, Johnson P et al (1984) Erythromycin uptake and accumulation of human polymorphonuclear leukocytes and efficacy of erythromycin in killing ingested Legionella Pneumophilia. J Infect Diseases 149: 714–718
Miyachi Y (1985) Dapsone and oxygen intermediates. Brit J Dermatol 112: 246–248
Miyachi Y u Niwa Y (1982) Effects of potassium iodide, colchicine and dapsone on the generation of polymorphonuclear leukocyte-derived oxygen intermediates. Brit J Dermatol 107: 209
Monk BE (1986) Cyclosporin A and psoriasis. Brit J Dermatol 115: 249–255
Moore HP, Gumbiner B, Kel RB (1983) Chloroquine diverts ACTH from a regulated to a constitutive secretory pathway in AtT-20 cells. Nature 302: 434–436
Niwa Y, Sakane T, Miyachi Y (1984) Dissociation of the inhibitory effect of dapsone on the generation of oxygen intermediates — in comparison with that of colchicine and various scavengers. Biochem Pharmacol 33: 2355
O’Leary TJ, Jones G, Yip A et al (1986) The effects of chloroquine in serum 1,25-dihydroxyvita-min D and calcium metabolism in sarcoidosis. New Engl J Med 315: 727–730
Page EH, Wexler DM, Guenther LC (1986) Cyclosporin A. Therapy 14: 785–791
Pappaioanou M, Fishbein DB, Dreesen DW et al (1986) Antibody response to preexposure human diploid-cell rabies vaccine given concurrently with chloroquine. New Engl J Med 314: 280–284
Paslin DA (1985) Sustained remission of generalized lichen planus induced by cyclophosphamide. Arch Dermatol 121: 236–239
Pearson RW, O’Donoghue M, Kaplan SJ (1980) Pemphigus vegetans. Arch Dermatol 116: 65–68
Pessayre D (1985) Effects of Macrolide Antibiotics on Cytochromes P-450 in Rats and Humans. In: Drug Metabolism, Siest G (Ed) Pergamon Press, p 51–59
Peters LL (1971) Dapsone acetylation in man: another example of polymorphic acetylation. Ann NY Acad Sci 179: 660–666
Ramon D, Betlloch I, Jimenez A, Botella R, Castells A, Alberola V (1986) Remission of Sézary’s Syndrome with Cyclosporin A. Mild capillary leak syndrome as an unusual side effect. Acta Derm Venereol (Stockh) 66: 80–82
Rosenberg W, Noah PW, Zanolli MD et al (1986) Use of rifampin with penicillin and erythromycin in the treatment of psoriasis. J Am Acad Dermatol 14: 761–764
Roszkowski W, Ko HL, Roszkowski K, et al (1985) Antibotics and immunomodulation. Effects of cefotaxime, amikacin, mezlocillin, piperacillin and clindamycin. Med Microbiol Immunol 173: 279–289
Roujeau JC, Andre C, Joneau M et al (1983) Plasma exchange in Pemphigus. Arch Dermatol 119: 215–221
Ruzicka T, Bauer A, Glück S et al (1981) Effects of dapsone on passive arthus reaction and Chemotaxis and phagocytosis of polymorphonuclear leukocytes. Arch Dermatol Res 270: 347–351
Ruzicka T, Goerz G (1981) Dapsone in the treatment of Lupus erythematodes. Brit J Dermatol 104: 53–56
Ruzicka T, Meurer M, Braun-Falco O (1985) Treatment of Cutaneous Lupus erythematosus with Etretinate. Acta Derm Venereol 65: 324–329
Sewell RB, Barham SS, Larusso NF (1983) Effect of chloroquine on the form and function of hepatocyte lysosomes. Gastroenterology 85: 1146–1153
Shapiro PE, Edelson RL (1985) Effects of retinoids on the immune system. In: Saurat (ed) Retinoids: New Trends in Research and Therapy. Retinoid Symp Geneva 1984, pp 225–235, Karger, Basel 1985
Sharquie KE (1984) Suppression of Behçet’s disease with dapsone. Brit J Dermatol 110: 493–494
Smolle J (1985) Zur Therapie der Pemphiguskrankheiten. Hautarzt 36: 96–102
Schindler R (ed) (1985) Ciclosporin in Autoimmune Diseases. Springer, Berlin Heidelberg New York Tokyo
Stendahl O, Molin L, Dahlgren C (1978) The inhibition of polymorphonuclear leukocyte. J Clin Invest 214: 214–220
Tappeiner G u Groh V (1985) Treatment of pemphigus with Ciclosporin. In: Schindler R (ed) Ciclosporin in autoimmune diseases. Springer, Berlin Heidelberg New York Tokyo p 205–214
Tomecki KJ, Catalanon CJ (1981) Dapsone hypersensitivity. Arch Dermatol 117: 38–39
Truhan AP, Hebert AA, Esterly NB (1986) Pityriasis lichenoides in children: Therapeutic response to erythromycin. J Am Acad Dermatol 15: 66–70
Tsambaos D, Orfanos CE (1981) Effects of Oral Retinoid on Dermal Compounds in Human and Animal Skin. In: Orfanos CE (Eds) Retinoids, Springer-Verlag
Tsiang H, Superti F (1984) Ammonium chloride and chloroquine inhibit rabies virus infection in neuroblastoma cells. Arch Virol 81: 377–382
Tuffanelli DL (1982) Successful pregnancy in a patient with Dermatitis herpetiformis treated with lowe-dose Dapsone. Arch Dermatol 118: 876
Uehleke H, Tabarelli S (1973) N-Hydroxylation of 4,4′-Diaminodiphenylsulphone (Dapsone) by liver microsomes, and in dogs and humans. Naunyn-Schmiedeberg’s Arch Pharmacol 278: 55–68
Wirth G, Kind P, Wahn V, Goerz G (1987) Ausgedehnte circumscripte Sklerodermie im Kindesalter. Akt Dermatol (im Druck)
Webster GF, Alexander JC, McArthur WP et al (1984) Inhibition of chemiluminescence in human neutrophils by dapsone. Brit J Dermatol 110: 657–663
White JG (1982) Cyclosporin A clinical Pharmacology and Therapeutic Potential. Drugs 24: 322–334
Yayon A, Cabantchik ZI, Ginsburg H (1985) Susceptibility of human malaria parasites to chloroquine is pH dependent. Proc Natl Acad Sci 82: 2784–2788
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Goerz, G. (1987). Zytostatika, Immunsuppressiva, Immunmodulatoren — aus dermatologischer Sicht. In: Holzmann, H., Altmeyer, P., Marsch, W.C., Vogel, H.G. (eds) Dermatologie und Rheuma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-72668-2_40
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