Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?

5-aminosalicylic acid (5-ASA) preparations (eg, mesalazine, mesalamine) are well-established preparations used in the management of inflammatory bowel disease. These drugs are most useful for the treatment of mild to moderate flares of ulcerative colitis and, especially, for maintenance of remission...

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Main Authors: Marietta Iacucci, Shanika de Silva, Subrata Ghosh
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2010/586092
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author Marietta Iacucci
Shanika de Silva
Subrata Ghosh
author_facet Marietta Iacucci
Shanika de Silva
Subrata Ghosh
author_sort Marietta Iacucci
collection DOAJ
description 5-aminosalicylic acid (5-ASA) preparations (eg, mesalazine, mesalamine) are well-established preparations used in the management of inflammatory bowel disease. These drugs are most useful for the treatment of mild to moderate flares of ulcerative colitis and, especially, for maintenance of remission. Although most gastroenterologists are very familiar with these drugs, the interest in these drugs has undergone a resurgence, with new preparations offering convenience and high dosage, while preserving their customary safety. New dosage regimens are likely to become standard practice in the near future. There is also considerable interest in chemoprevention of colorectal cancer in the context of inflammatory bowel disease, and the role of long-term maintenance therapy with 5-ASAs in achieving such chemoprevention. A mechanism of action for such chemoprevention has been provided by the agonism of the peroxisome proliferator-activated receptor-gamma by 5-ASA, which unifies its efficacy as an anti-inflammatory and chemopreventive agent. In the future, even more effective agents based on 5-ASA are expected, based on more powerful agonism of peroxisome proliferator-activated receptor-gamma; 5-ASA preparations have become ‘trendy’ again.
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spelling doaj-art-c39d7ed62fd842f8a16e4ca3676e07c82025-02-03T05:59:33ZengWileyCanadian Journal of Gastroenterology0835-79002010-01-0124212713310.1155/2010/586092Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?Marietta Iacucci0Shanika de Silva1Subrata Ghosh2Gastrointestinal Unit, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, United KingdomDivision of Gastroenterology, University of Calgary, Calgary, Alberta, CanadaDivision of Gastroenterology, University of Calgary, Calgary, Alberta, Canada5-aminosalicylic acid (5-ASA) preparations (eg, mesalazine, mesalamine) are well-established preparations used in the management of inflammatory bowel disease. These drugs are most useful for the treatment of mild to moderate flares of ulcerative colitis and, especially, for maintenance of remission. Although most gastroenterologists are very familiar with these drugs, the interest in these drugs has undergone a resurgence, with new preparations offering convenience and high dosage, while preserving their customary safety. New dosage regimens are likely to become standard practice in the near future. There is also considerable interest in chemoprevention of colorectal cancer in the context of inflammatory bowel disease, and the role of long-term maintenance therapy with 5-ASAs in achieving such chemoprevention. A mechanism of action for such chemoprevention has been provided by the agonism of the peroxisome proliferator-activated receptor-gamma by 5-ASA, which unifies its efficacy as an anti-inflammatory and chemopreventive agent. In the future, even more effective agents based on 5-ASA are expected, based on more powerful agonism of peroxisome proliferator-activated receptor-gamma; 5-ASA preparations have become ‘trendy’ again.http://dx.doi.org/10.1155/2010/586092
spellingShingle Marietta Iacucci
Shanika de Silva
Subrata Ghosh
Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
Canadian Journal of Gastroenterology
title Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
title_full Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
title_fullStr Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
title_full_unstemmed Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
title_short Mesalazine in Inflammatory Bowel Disease: A Trendy Topic Once Again?
title_sort mesalazine in inflammatory bowel disease a trendy topic once again
url http://dx.doi.org/10.1155/2010/586092
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