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[D-penicillamine and collagen].

J P Camus, A C Koeger

    Annales De Biologie Clinique
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    D-penicillamine is a medication used for conditions like Wilson's disease and rheumatoid arthritis. It affects collagen, leading to side effects and therapeutic benefits in fibrotic diseases.

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    Area of Science:

    • Pharmacology
    • Biochemistry
    • Toxicology

    Context:

    • D-penicillamine is a chelating agent and drug with diverse clinical applications.
    • Its mechanism involves interactions with collagen and other connective tissue components.

    Purpose:

    • To elucidate the dual role of D-penicillamine as an osteolathyrogenic agent and a collagen-modulating therapeutic.
    • To correlate its biochemical effects with observed clinical side effects and treatment benefits.

    Summary:

    • D-penicillamine exhibits osteolathyrogenic properties, potentially explaining side effects like fetal dysplasias, impaired wound healing, skin lesions, bronchiolitis, and autoimmune disorders.
    • Conversely, its impact on collagen synthesis and cross-linking underpins its therapeutic efficacy in fibrotic conditions, including systemic sclerosis and liver or lung fibrosis.

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    Impact:

    • Understanding D-penicillamine's collagen-related effects is crucial for managing its side effects and optimizing its use in treating fibrotic diseases.
    • This knowledge aids in developing safer and more effective therapeutic strategies for connective tissue disorders.