Advances in the use of topical imiquimod to treat dermatologic disorders

Francesco Lacarrubba, Maria Rita Nasca, Giuseppe MicaliDermatology Clinic, University of Catania, ItalyAbstract: Imiquimod (IQ) is an immune-response modifying agent, first approved by FDA for the topical treatment of external genital and perianal warts in 1997. It induces, through stimulation of To...

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Autores principales: Francesco Lacarrubba, Maria Rita Nasca, Giuseppe Micali
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Publicado: Dove Medical Press 2008
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spelling oai:doaj.org-article:fd26d7300cda4cdfbe3f91c66ae897252021-12-02T11:34:12ZAdvances in the use of topical imiquimod to treat dermatologic disorders1176-63361178-203Xhttps://doaj.org/article/fd26d7300cda4cdfbe3f91c66ae897252008-04-01T00:00:00Zhttp://www.dovepress.com/advances-in-the-use-of-topical-imiquimod-to-treat-dermatologic-disorde-a1293https://doaj.org/toc/1176-6336https://doaj.org/toc/1178-203XFrancesco Lacarrubba, Maria Rita Nasca, Giuseppe MicaliDermatology Clinic, University of Catania, ItalyAbstract: Imiquimod (IQ) is an immune-response modifying agent, first approved by FDA for the topical treatment of external genital and perianal warts in 1997. It induces, through stimulation of Toll-like receptors (TLRs) localized on the surface of antigen-presenting cells, synthesis and release of several endogenous pro-inflammatory cytokines such as interferon-α (IFN-α), tumor necrosis factor-α (TNF-α) and interleukins (IL) 6 and 12, which in turn stimulate both the innate and acquired immune pathways, resulting in upregulation of natural antiviral and antitumor activity. IQ 5% cream has been used for the treatment of a wide variety of dermatologic conditions in which the immune system is thought to play a role in regression of the disease. In some disorders, such as genital and perianal warts, actinic keratoses, basal cell carcinomas, Bowen’s disease and molluscum contagiosum, relative safety and efficacy are supported by randomized controlled trials of IQ. However, it is common for patients to experience local skin reactions, which can range from mild to severe in intensity, but usually resolve 1–2 weeks after interrupting treatment. Additional randomized trials are encouraged to assess safety and efficacy of IQ in the treatment of an even wider range of cutaneous disorders.Keywords: imiquimod, immune response modifiers Francesco LacarrubbaMaria Rita NascaGiuseppe MicaliDove Medical PressarticleTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol 2008, Iss Issue 1, Pp 87-97 (2008)
institution DOAJ
collection DOAJ
language EN
topic Therapeutics. Pharmacology
RM1-950
spellingShingle Therapeutics. Pharmacology
RM1-950
Francesco Lacarrubba
Maria Rita Nasca
Giuseppe Micali
Advances in the use of topical imiquimod to treat dermatologic disorders
description Francesco Lacarrubba, Maria Rita Nasca, Giuseppe MicaliDermatology Clinic, University of Catania, ItalyAbstract: Imiquimod (IQ) is an immune-response modifying agent, first approved by FDA for the topical treatment of external genital and perianal warts in 1997. It induces, through stimulation of Toll-like receptors (TLRs) localized on the surface of antigen-presenting cells, synthesis and release of several endogenous pro-inflammatory cytokines such as interferon-α (IFN-α), tumor necrosis factor-α (TNF-α) and interleukins (IL) 6 and 12, which in turn stimulate both the innate and acquired immune pathways, resulting in upregulation of natural antiviral and antitumor activity. IQ 5% cream has been used for the treatment of a wide variety of dermatologic conditions in which the immune system is thought to play a role in regression of the disease. In some disorders, such as genital and perianal warts, actinic keratoses, basal cell carcinomas, Bowen’s disease and molluscum contagiosum, relative safety and efficacy are supported by randomized controlled trials of IQ. However, it is common for patients to experience local skin reactions, which can range from mild to severe in intensity, but usually resolve 1–2 weeks after interrupting treatment. Additional randomized trials are encouraged to assess safety and efficacy of IQ in the treatment of an even wider range of cutaneous disorders.Keywords: imiquimod, immune response modifiers
format article
author Francesco Lacarrubba
Maria Rita Nasca
Giuseppe Micali
author_facet Francesco Lacarrubba
Maria Rita Nasca
Giuseppe Micali
author_sort Francesco Lacarrubba
title Advances in the use of topical imiquimod to treat dermatologic disorders
title_short Advances in the use of topical imiquimod to treat dermatologic disorders
title_full Advances in the use of topical imiquimod to treat dermatologic disorders
title_fullStr Advances in the use of topical imiquimod to treat dermatologic disorders
title_full_unstemmed Advances in the use of topical imiquimod to treat dermatologic disorders
title_sort advances in the use of topical imiquimod to treat dermatologic disorders
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/fd26d7300cda4cdfbe3f91c66ae89725
work_keys_str_mv AT francescolacarrubba advancesintheuseoftopicalimiquimodtotreatdermatologicdisorders
AT mariaritanasca advancesintheuseoftopicalimiquimodtotreatdermatologicdisorders
AT giuseppemicali advancesintheuseoftopicalimiquimodtotreatdermatologicdisorders
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