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Related Concept Videos

Drugs that Destabilize Microtubules01:10

Drugs that Destabilize Microtubules

Microtubules are dynamic structures and can be regulated by microtubule targeting agents (MTAs). Microtubule destabilizing drugs are a class of MTAs that destabilize and prevent microtubules' polymerization. Both natural and synthetic chemicals can be found under this class of drugs. Vincristine and vinblastine, two vinca alkaloids, and colchicine were among the first to be discovered. These drugs can affect cells in various ways, either by inducing a change in cell morphology, preventing...
Drugs that Stabilize Microtubules01:15

Drugs that Stabilize Microtubules

Microtubules are dynamic structures that undergo cycles of catastrophe and rescue. The microtubules play a central role in cell division by forming the spindle apparatus for segregating the chromosomes. This makes them ideal targets for regulating dividing cells in tumors and malignant cancer cells. Microtubule stabilizing drugs help stabilize the microtubule formation and promote its polymerization. Paclitaxel was the first microtubule stabilizing agent used as anticancer drug in chemotherapy...
Anticholinesterase Agents: Poisoning and Treatment01:26

Anticholinesterase Agents: Poisoning and Treatment

Anticholinesterases, also known as cholinesterase inhibitors, work by blocking the breakdown of acetylcholine, leading to its accumulation in the synaptic cleft. This accumulation indirectly enhances both muscarinic and nicotinic actions. These agents are classified as reversible or irreversible based on their mechanism of action.     
Irreversible agents form a strong bond with the cholinesterase enzyme, making it inactive. The breakdown of the phosphorylated enzyme is slower than the...
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Pharmaceutical Poisoning: Treatment Strategies01:26

Pharmaceutical Poisoning: Treatment Strategies

Treatment strategies for poisoning are a critical aspect of emergency medicine, focusing on preventing the absorption of toxins and enhancing their elimination. When a poisoning incident occurs, the first response is to halt exposure and decontaminate the patient, particularly through gastrointestinal (GI) methods if the poison was ingested.Gastrointestinal Decontamination Techniques:Activated charcoal is the cornerstone of GI decontamination. It works through adsorption, binding the toxin to...

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Related Experiment Video

Updated: Jun 28, 2026

An Automated Method to Perform The In Vitro Micronucleus Assay using Multispectral Imaging Flow Cytometry
12:56

An Automated Method to Perform The In Vitro Micronucleus Assay using Multispectral Imaging Flow Cytometry

Published on: May 13, 2019

Colchicine update: 2008.

Robert A Terkeltaub1

  • 1VA Medical Center, San Diego, CA 92161, USA. rterkeltaub@ucsd.edu

Seminars in Arthritis and Rheumatism
|November 1, 2008
PubMed
Summary

Recent advances refine oral colchicine therapy by identifying new targets and understanding drug interactions. This improves efficacy and safety for various inflammatory and nonrheumatic diseases.

Area of Science:

  • Pharmacology and Toxicology
  • Molecular Biology
  • Clinical Medicine

Background:

  • Colchicine, a long-established drug, has seen recent advancements in understanding its molecular mechanisms.
  • Its therapeutic applications extend beyond rheumatic diseases to cardiovascular, hepatic, and renal conditions.

Purpose of the Study:

  • To review recent advances in colchicine's molecular mechanisms of action and disposition.
  • To explore its cellular targets, disease applications, and guidelines for oral use.

Main Methods:

  • A comprehensive literature review of English and non-English publications from 1998 to July 2008.
  • Analysis of 1512 publications focusing on colchicine pharmacology, toxicology, and clinical applications.

Main Results:

Related Experiment Videos

Last Updated: Jun 28, 2026

An Automated Method to Perform The In Vitro Micronucleus Assay using Multispectral Imaging Flow Cytometry
12:56

An Automated Method to Perform The In Vitro Micronucleus Assay using Multispectral Imaging Flow Cytometry

Published on: May 13, 2019

  • Oral colchicine therapy is evolving with novel targets like NALP3 and pyrin.
  • Drug-drug interactions (e.g., with clarithromycin, cyclosporine) and toxicity predictors (ABCB1, CYP3A4) are better understood.
  • Colchicine shows promise in nonrheumatic diseases and has had its injectable form withdrawn from the market.

Conclusions:

  • Oral colchicine possesses unique anti-inflammatory and antiproliferative properties beneficial for various diseases.
  • Recent progress has enhanced the prediction of both colchicine's efficacy and potential toxicities.