Pharmakon

Il talidomide è un farmaco dalle mille vite e la sua storia non finisce con il suo ritiro dal commercio agli inizi degli anni ’60. Questo è il racconto del dopo e dei lasciti. Il racconto di come dalla più grande tragedia della storia della farmaceutica sia nata la moderna farmacovigilanza. Il racconto di come una molecola maledetta si sia trasformata in una nuova speranza per molti pazienti anche ai giorni nostri.

 

Bibliografia

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Singhal, Seema, Jayesh Mehta, Raman Desikan, Dan Ayers, Paula Roberson, Paul Eddlemon, Nikhil Munshi et al. “Antitumor activity of thalidomide in refractory multiple myeloma.” New England Journal of Medicine 341, no. 21 (1999): 1565-1571.

Ito T., Ando H., Suzuki T., Ogura T., Hotta K., Imamura Y., Yamaguchi Y., Handa H., 2010. Identification of a primary target of thalidomide teratogenicity. Science, 327.5971 (2010): 1345-1350.

Asatsuma-Okumura T., Ando H., De Simone M., Yamamoto J., Sato T., Shimizu N., Asakawa K., Yamaguchi Y., Ito T., Guerrini L., Handa H. p63 is a cereblon substrate involved in thalidomide teratogenicity. Nature chemical biology, 15.11 (2019): 1077-1084.

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DIRETTIVA DEL CONSIGLIO del 26 gennaio 1965 (65/65/CEE)

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Blaschke G., Kraft H.P., Fickentscher K. Koehler, F., 1979. Chromatographic separation of racemic thalidomide and teratogenic activity of its enantiomers (author’s transl). Arzneimittel-forschung, 29.10 (1979): 1640-1642.

Knoche B., Blaschke G. Investigations on the in vitro racemization of thalidomide by high-performance liquid chromatography. Journal of Chromatography A 666, no. 1-2 (1994): 235-240.

Tokunaga E., Yamamoto T., Ito E. Shibata N. Understanding the thalidomide chirality in biological processes by the self-disproportionation of enantiomers. Scientific reports, 8.1 (2018): 1-7.