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Resolution Pharmacology: Focus on Pro-Resolving Annexin A1 and Lipid Mediators for Therapeutic Innovation in Inflammation

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DOI: 10.1146/annurev-pharmtox-051821-042743

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therapeutic innovation; resolution of inflammation; specialized pro-resolving lipid mediators; annexin A1 peptides

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This article discusses an innovative approach based on the biology of inflammation resolution, exploring how endogenous pro-resolving peptide and lipid mediators can offer new options for the clinical management of chronic diseases. By understanding their formation, targets, and interactions, it is possible to augment or mimic pro-resolving pathways to improve patient quality of life by treating the primary cause of a disease and managing comorbidities.
Chronic diseases that affect our society are made more complex by comorbidities and are poorly managed by the current pharmacology. While all present inflammatory etiopathogeneses, there is an unmet need for better clinical management of these diseases and their multiple symptoms. We discuss here an innovative approach based on the biology of the resolution of inflammation. Studying endogenous pro-resolving peptide and lipid mediators, how they are formed, and which target they interact with, can offer innovative options through augmenting the expression or function of pro-resolving pathways or mimicking their actions with novel targeted molecules. In all cases, resolution offers innovation for the treatment of the primary cause of a given disease and/or for the management of its comorbidities, ultimately improving patient quality of life. By implementing resolution pharmacology, we harness the whole physiology of inflammation, with the potential to bring a marked change in the management of inflammatory conditions.

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