Zusammenfassung
Pentoxifyllin (1-(5-oxyohexyl)-3,7dimethylxanthine, 1-(5-oxyohexyl)theobromine), ein Methylxanthin-Derivat, ist ein in der Mikrozirkulation wirksames Hämorheologicum, das zu einer Senkung der Blutviskosität, Normalisierung der verminderten Erythrozytenverformbarkeit sowie Hemmung der Erythrozytenund Thrombozytenaggregation führt. Zu den Wirkungen gehören ferner die Stimulierung der Freisetzung von Prostazyklin in vitro, die Hemmung der Freisetzung plättcheneigener Mediatoren, die Senkung erhöhter Fibrinogenspiegel, die Verminderung der Adhäsivität der Leukozyten am Endothel sowie die Verminderung der Leukozytenaktivierung und dadurch bedingte Endothelschäden. In der derzeitigen Therapieforschung steht die Untersuchung des therapeutischen Potentials von der durch Pentoxifyllin bedingten Hemmung des Tumor-Nekrosefaktors (TNF)-α und Effekte auf Immunmodulatoren im Vordergrund.
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Hock, C., Müller-Spahn, F. (1999). Pentoxifyllin. In: Riederer, P., Laux, G., Pöldinger, W. (eds) Neuro-Psychopharmaka Ein Therapie-Handbuch. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6400-6_57
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