Article ; Online: Colchicine's Role in Cardiovascular Disease Management.
Arteriosclerosis, thrombosis, and vascular biology
2024 Volume 44, Issue 5, Page(s) 1031–1041
Abstract: Colchicine-an anti-inflammatory alkaloid-has assumed an important role in the management of cardiovascular inflammation ≈3500 years after its first medicinal use in ancient Egypt. Primarily used in high doses for the treatment of acute gout flares during ...
Abstract | Colchicine-an anti-inflammatory alkaloid-has assumed an important role in the management of cardiovascular inflammation ≈3500 years after its first medicinal use in ancient Egypt. Primarily used in high doses for the treatment of acute gout flares during the 20th century, research in the early 21st century demonstrated that low-dose colchicine effectively treats acute gout attacks, lowers the risk of recurrent pericarditis, and can add to secondary prevention of major adverse cardiovascular events. As the first Food and Drug Administration-approved targeted anti-inflammatory cardiovascular therapy, colchicine currently has a unique role in the management of atherosclerotic cardiovascular disease. The safe use of colchicine requires careful monitoring for drug-drug interactions, changes in kidney and liver function, and counseling regarding gastrointestinal upset. Future research should elucidate the mechanisms of anti-inflammatory effects of colchicine relevant to atherosclerosis, the potential role of colchicine in primary prevention, in other cardiometabolic conditions, colchicine's safety in cardiovascular patients, and opportunities for individualizing colchicine therapy using clinical and molecular diagnostics. |
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MeSH term(s) | Colchicine/therapeutic use ; Colchicine/adverse effects ; Humans ; Cardiovascular Diseases/drug therapy ; Cardiovascular Diseases/prevention & control ; Gout Suppressants/therapeutic use ; Gout Suppressants/adverse effects ; Anti-Inflammatory Agents/therapeutic use ; Anti-Inflammatory Agents/adverse effects ; Animals ; Treatment Outcome ; Drug Interactions |
Chemical Substances | Colchicine (SML2Y3J35T) ; Gout Suppressants ; Anti-Inflammatory Agents |
Language | English |
Publishing date | 2024-03-21 |
Publishing country | United States |
Document type | Journal Article ; Review ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 1221433-4 |
ISSN | 1524-4636 ; 1079-5642 |
ISSN (online) | 1524-4636 |
ISSN | 1079-5642 |
DOI | 10.1161/ATVBAHA.124.319851 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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