A comprehensive overview of investigational elastase inhibitors for the treatment of acute respiratory distress syndrome

MG Matera, P Rogliani, J Ora, L Calzetta… - Expert Opinion on …, 2023 - Taylor & Francis
Introduction Excessive activity of neutrophil elastase (NE), the main enzyme present in
azurophil granules in the neutrophil cytoplasm, may cause tissue injury and remodeling in …

The role of neutrophil elastase inhibitors in lung diseases

E Polverino, E Rosales-Mayor, GE Dale, K Dembowsky… - Chest, 2017 - Elsevier
In many respiratory diseases characterized by an intense inflammatory response, the
balance between proteolytic enzymes (proteases, including elastases) and their inhibitors …

Clinical utility of the neutrophil elastase inhibitor sivelestat for the treatment of acute respiratory distress syndrome

N Aikawa, Y Kawasaki - Therapeutics and clinical risk …, 2014 - Taylor & Francis
Acute respiratory distress syndrome is a serious condition that can arise following direct or
indirect lung injury. It is heterogeneous and has a high mortality rate. Supportive care is the …

Relationship between neutrophil elastase and acute lung injury in humans

S Tamakuma, M Ogawa, N Aikawa, T Kubota… - Pulmonary …, 2004 - Elsevier
We conducted clinical trials in patients with acute lung injury (ALI) associated with systemic
inflammatory response syndrome using a selective neutrophil elastase inhibitor, sivelestat …

Neutrophil elastase and acute lung injury: prospects for sivelestat and other neutrophil elastase inhibitors as therapeutics

BG Zeiher, S Matsuoka, K Kawabata… - Critical care …, 2002 - journals.lww.com
Objectives To review the evidence and rationale that suggest that neutrophil elastase (NE)
may contribute to the development of acute lung injury (ALI) and the acute respiratory …

Effect of neutrophil elastase inhibitor (sivelestat sodium) in the treatment of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS): a systematic …

K Iwata, A Doi, G Ohji, H Oka, Y Oba, K Takimoto… - Internal …, 2010 - jstage.jst.go.jp
Introduction Sivelestat is neutrophil elastase inhibitor, which is widely used in Japan for the
treatment of acute lung injury. However, the clinical efficacy of the medication has not been …

Neutrophil elastase activity in acute lung injury and respiratory distress syndrome

S Hashimoto, Y Okayama, N Shime, A Kimura… - …, 2008 - Wiley Online Library
Background and objective: Neutrophil elastase (NE) may play a key role in the development
of acute lung injury (ALI) or ARDS. NE activity (NEA) was measured in patients with ALI …

Clinical utility of the sivelestat for the treatment of ALI/ARDS: moving on in the controversy?

Q Ding, Y Wang, C Yang, X Li, X Yu - Intensive Care Research, 2023 - Springer
Acute respiratory distress syndrome (ARDS) is a serious condition that can arise following
direct or indirect acute lung injury (ALI). It is heterogeneous and has a high mortality rate …

Reevaluation of the efficacy and safety of the neutrophil elastase inhibitor, Sivelestat, for the treatment of acute lung injury associated with systemic inflammatory …

N Aikawa, A Ishizaka, H Hirasawa, S Shimazaki… - Pulmonary …, 2011 - Elsevier
INTRODUCTION: Sivelestat, a neutrophil elastase inhibitor, has been approved in Japan for
the treatment of patients with acute lung injury (ALI) associated with systemic inflammatory …

[HTML][HTML] Safety, tolerability, pharmacokinetics and neutrophil elastase inhibitory effects of Sivelestat: A randomized, double-blind, placebo-controlled single-and …

K Li, L Dong, S Gao, J Zhang, Y Feng, L Gu… - European Journal of …, 2024 - Elsevier
Background and objective: Neutrophil elastase has been identified as a potential
therapeutic target for acute lung injury or acute respiratory distress syndrome, and Sivelestat …