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Hauer L, Sellner J. Diroximel Fumarate as a Novel Oral Immunomodulating Therapy for Relapsing Forms of Multiple Sclerosis: A Review on the Emerging Data. Drug Des Devel Ther 2022; 16:3915-3927. [PMID: 36388086 PMCID: PMC9663167 DOI: 10.2147/dddt.s236926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2022] [Accepted: 11/03/2022] [Indexed: 11/10/2022] Open
Abstract
Multiple sclerosis (MS) is a chronic inflammatory, demyelinating and neurodegenerative disorder of the central nervous system. Disease-modifying drugs (DMDs) and subsequent adherence are crucial for preventing reversible episodes of neurological dysfunction and delayed onset of progressive accumulation of irreversible deficits. Yet, side effects may limit their usage in clinical practice. Gastrointestinal (GI) side effects are a significant limitation of the use of dimethyl fumarate (DMF), the most frequently prescribed oral DMD in MS worldwide. Diroximel fumarate (DRF) is a second-generation oral fumaric acid ester (FAE) that was developed as a formulation with better GI tolerability. The improved tolerability is assumed to be related to a lower synthesis of gut-irritating methanol. Other explanations for DRF’s lower extent of GI irritation include a more modest off-target activity due to its chemical structure. The superior GI tolerability of DRF compared to DMF could be proven in clinical trials and lead to approval of DRF for the treatment of relapsing forms of MS/relapsing-remitting MS (United States Food and Drug Administration and European Medicines Agency, respectively). Here, we summarize the mode of action of oral FAE and compare the chemical and physiological characteristics of DMF and DRF. Moreover, we discuss the adverse effects of FAE and introduce the emerging preclinical and trial data leading to the approval of DRF in MS. This article additionally reviews our current understanding of coronavirus disease 2019 (COVID-19) and the efficacy of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) vaccination in people treated with FAE.
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Affiliation(s)
- Larissa Hauer
- Department of Psychiatry, Psychotherapy and Psychosomatic Medicine, Christian Doppler Medical Center, Paracelsus Medical University, Salzburg, Austria
| | - Johann Sellner
- Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria
- Correspondence: Johann Sellner, Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Liechtensteinstr. 67, Mistelbach, 2130, Austria, Tel +2572/9004-12850, Fax +2572/9004-49281, Email
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2
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Soriano LF, Buckley DA. Unrecognized leather sofa dermatitis complicating chronic plaque psoriasis. Contact Dermatitis 2021; 85:115-117. [PMID: 33576039 DOI: 10.1111/cod.13810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Revised: 02/04/2021] [Accepted: 02/06/2021] [Indexed: 11/30/2022]
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3
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Chemical Methods for Detection of Allergens and Skin Exposure. Contact Dermatitis 2021. [DOI: 10.1007/978-3-030-36335-2_27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Chemical Methods for Detection of Allergens and Skin Exposure. Contact Dermatitis 2020. [DOI: 10.1007/978-3-319-72451-5_27-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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5
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Chemical Methods for Detection of Allergens and Skin Exposure. Contact Dermatitis 2019. [DOI: 10.1007/978-3-319-72451-5_27-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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6
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Mrowietz U, Barker J, Boehncke WH, Iversen L, Kirby B, Naldi L, Reich K, Tanew A, van de Kerkhof P, Warren R. Clinical use of dimethyl fumarate in moderate-to-severe plaque-type psoriasis: a European expert consensus. J Eur Acad Dermatol Venereol 2018; 32 Suppl 3:3-14. [DOI: 10.1111/jdv.15218] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Accepted: 08/24/2018] [Indexed: 02/06/2023]
Affiliation(s)
- U. Mrowietz
- Psoriasis-Centre at the Department of Dermatology; University Medical Centre Schleswig-Holstein; Kiel Germany
| | - J. Barker
- St John's Institute of Dermatology; King's College London; London UK
| | - W.-H. Boehncke
- Division of Dermatology and Venereology; Geneva University Hospitals; Geneva Switzerland
- Department of Pathology and Immunology; Faculty of Medicine; University of Geneva; Geneva Switzerland
| | - L. Iversen
- Department of Dermatology; Aarhus University Hospital; Aarhus Denmark
| | - B. Kirby
- Department of Dermatology; St. Vincent's University Hospital; Dublin Ireland
| | - L. Naldi
- Centro Studi GISED; Bergamo Italy
- Department of Dermatology; Ospedale san Bortolo di Vicenza; Vicenza Italy
| | - K. Reich
- Dermatologikum Berlin and SCIderm Research Institute; Hamburg Germany
| | - A. Tanew
- Department of Dermatology; Medical University of Vienna; Vienna Austria
| | - P.C.M. van de Kerkhof
- Department of Dermatology; Radboud University Nijmegen Medical Centre; Nijmegen The Netherlands
| | - R.B. Warren
- Dermatology Centre; Salford Royal NHS Foundation Trust; Salford UK
- Manchester Academic Health Science Centre; Manchester NIHR Biomedical Research Centre; The University of Manchester; Manchester UK
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Affiliation(s)
- Brian Raymer
- Medicine Design, Pfizer Worldwide Research and Development, 1 Portland Street, Cambridge, Massachusetts 02139, United States
| | - Samit K. Bhattacharya
- Medicine Design, Pfizer Worldwide Research and Development, 1 Portland Street, Cambridge, Massachusetts 02139, United States
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Kluger N. Contact allergy to moisturizers in Finland: the tale of the lurking tube in the medicine cupboard. Contact Dermatitis 2018. [DOI: 10.1111/cod.12927] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Nicolas Kluger
- Dermatology, Venereology, Allergology, Skin and Allergies Hospital; University of Helsinki and Helsinki University Central Hospital; 00029 Helsinki Finland
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Lachapelle JM, Gimenez-Arnau A, Metz M, Peters J, Proksch E. Best practices, new perspectives and the perfect emollient: optimizing the management of contact dermatitis. J DERMATOL TREAT 2017; 29:241-251. [DOI: 10.1080/09546634.2017.1370074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
| | - Ana Gimenez-Arnau
- Department of Dermatology, Hospital del Mar, Universitat Autònoma, Barcelona, Spain
| | - Martin Metz
- Department of Dermatology and Allergy, Allergie-Centrum-Charité/ECARF, Charité - Universitätsmedizin Berlin, Berlin, Germany
| | - Jill Peters
- Integrated Dermatology Service, Ipswich Hospital NHS Trust, Ipswich, United Kingdom
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Desensitization for immediate hypersensitivity to oral dimethyl fumarate (Tecfidera). THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2017; 5:821-822. [DOI: 10.1016/j.jaip.2016.09.044] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Revised: 09/22/2016] [Accepted: 09/28/2016] [Indexed: 11/20/2022]
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Abstract
Every year, new contact allergens, chemicals reported to have caused contact allergy/ACD for the first time, are described in literature. In the journals Contact Dermatitis and Dermatitis, 172 such compounds were identified in the period 2008-2015, 119 of which induced ACD. These are presented with the following data: name, synonyms, Chemical Abstracts Service (CAS) number, patch test data, function or class, causative product, number of patients, occupation (in case of occupational ACD), additional clinical data (if applicable), and references. Approximately one third of the new allergens were ingredients of cosmetics, followed by drugs causing occupational ACD (18%), chemicals in rubber, plastics, and paints (9%), drugs causing a drug eruption (9%), as well as chemicals used in laboratories inducing occupational ACD (8%). In 40%, the dermatitis was occupationally acquired. Fifty-three other chemicals causing contact allergy as indicated by positive patch test reactions only are shown without specifics.
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Matsuoka T, Kurohane K, Suzuki W, Ogawa E, Kobayashi K, Imai Y. Dibutyl Maleate and Dibutyl Fumarate Enhance Contact Sensitization to Fluorescein Isothiocyanate in Mice. Biol Pharm Bull 2016; 39:272-7. [DOI: 10.1248/bpb.b15-00683] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Takeshi Matsuoka
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
| | - Kohta Kurohane
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
| | - Wakana Suzuki
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
| | - Erina Ogawa
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
| | - Kamiyu Kobayashi
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
| | - Yasuyuki Imai
- Laboratory of Microbiology and Immunology, School of Pharmaceutical Sciences, University of Shizuoka
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Moretto A. Hexavalent and trivalent chromium in leather: What should be done? Regul Toxicol Pharmacol 2015; 73:681-6. [PMID: 26361854 DOI: 10.1016/j.yrtph.2015.09.007] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 09/03/2015] [Accepted: 09/05/2015] [Indexed: 10/23/2022]
Abstract
Trivalent chromium compounds are used for leather tanning, and chromium may be released during use of leather goods. In certain instances, small amounts of hexavalent chromium can be formed and released. Both trivalent and hexavalent chromium can elicit allergic skin reaction in chromium sensitised subjects, the latter being significantly more potent. Induction of sensitisation only occurs after exposure to hexavalent chromium. A minority of subjects are sensitised to chromium, and in a fraction of these subjects allergic skin reaction have been described after wearing leather shoes or, less frequently, other leather goods. The evidence that in all these cases the reaction is related to hexavalent chromium is not always strong. The content of hexavalent chromium in leather is regulated in European Union, but rate of release rather than content is relevant for allergic skin reaction. The role of trivalent chromium appear much less relevant if at all. Modern tanning procedure do not pose significant risk due to either hexavalent or trivalent chromium. Dismissing bad quality and worn-off leather goods is relevant in reducing or eliminating the skin reaction. It should also be pointed out that shoe components or substances other than chromium in leather may cause allergic/irritative skin reactions.
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Affiliation(s)
- Angelo Moretto
- Dipartimento di Scienze Biomediche e Cliniche (Department of Biomedical and Clinical Sciences), Università degli Studi di Milano, Italy.
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Van Steenkiste E, Goossens A, Meert H, Apers S, Aerts O. Airborne-induced lymphomatoid contact dermatitis caused by methylisothiazolinone. Contact Dermatitis 2015; 72:237-40. [DOI: 10.1111/cod.12359] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2014] [Accepted: 12/29/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Eva Van Steenkiste
- Department of Dermatology; University Hospitals, K.U. Leuven; B-3000 Leuven Belgium
| | - An Goossens
- Department of Dermatology; University Hospitals, K.U. Leuven; B-3000 Leuven Belgium
| | - Hans Meert
- Research Group Natural Products and Food - Research and Analysis (NatuRA), Department of Pharmaceutical Sciences; University of Antwerp; B-2650 Antwerp Belgium
| | - Sandra Apers
- Research Group Natural Products and Food - Research and Analysis (NatuRA), Department of Pharmaceutical Sciences; University of Antwerp; B-2650 Antwerp Belgium
| | - Olivier Aerts
- Department of Dermatology; University Hospital Antwerp; B-2650 Antwerp Belgium
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Knackstedt TJ, Zug KA. T cell lymphomatoid contact dermatitis: a challenging case and review of the literature. Contact Dermatitis 2014; 72:65-74. [DOI: 10.1111/cod.12294] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2014] [Revised: 07/07/2014] [Accepted: 07/15/2014] [Indexed: 11/28/2022]
Affiliation(s)
- Thomas J. Knackstedt
- Section of Dermatology, Department of Surgery; Dartmouth-Hitchcock Medical Center, One Medical Center Drive; Lebanon NH 03766 USA
| | - Kathryn A. Zug
- Section of Dermatology, Department of Surgery; Dartmouth-Hitchcock Medical Center, One Medical Center Drive; Lebanon NH 03766 USA
- Department of Surgery; Geisel School of Medicine, Dartmouth College; One Rope Ferry Road Hanover NH 03755 USA
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Weston JK, Uetrecht J. Activation of Inflammasomes by Agents Causing Idiosyncratic Skin Reactions: A Possible Biomarker. Chem Res Toxicol 2014; 27:949-51. [DOI: 10.1021/tx5001333] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- J. Kyle Weston
- Department of Pharmaceutical Sciences, Faculty of
Pharmacy, and ‡Department of
Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, Toronto, Ontario M5S 3M2, Canada
| | - Jack Uetrecht
- Department of Pharmaceutical Sciences, Faculty of
Pharmacy, and ‡Department of
Pharmacology and Toxicology, Faculty of Medicine, University of Toronto, Toronto, Ontario M5S 3M2, Canada
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Rousselle C, Pernelet-Joly V, Mourton-Gilles C, Lepoittevin JP, Vincent R, Lefranc A, Garnier R. Risk assessment of dimethylfumarate residues in dwellings following contamination by treated furniture. RISK ANALYSIS : AN OFFICIAL PUBLICATION OF THE SOCIETY FOR RISK ANALYSIS 2014; 34:879-888. [PMID: 24329910 DOI: 10.1111/risa.12147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Recently, numerous cases of dermatitis induced by dimethylfumarate (DMFu) have been reported in Europe. DMFu has been used to prevent mold development in various items, although it is not registered as a biocide. In France, from October 2008 to December 2009, more than 100 cases were reported. Despite a ban on articles containing DMFu and the removal of potentially contaminated products, some people were still suffering from dermatitis or other health problems. The French Agency for Food, Environmental and Occupational Health & Safety was mandated to assess whether the existence in the past of DMFu-contaminated items in dwellings could continue to pose a threat to the health of inhabitants. A risk assessment was performed based on the classical risk analysis approach for environmental contaminants. Hazard assessment of DMFu with regard to its sensitizing properties was performed, based on human case reports collected in France between January 2009 and February 2010. For around half of the 132 individual cases reported, the causal link to DMFu was considered at least probable. An Organisation for Economic Co-Operation and Development (OECD) local lymph node assay performed in a study on mice showed strong sensitizing potential for DMFu. Exposure was assessed by measuring DMFu in items sampled in preselected dwellings. These investigations demonstrated that DMFu exposure can persist after removal of the primary contaminated items. We therefore concluded that there was clearly a risk of skin reactions in patients previously sensitized to DMFu. Furthermore, the available data do not support the existence of significant health effects through the respiratory route.
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Affiliation(s)
- C Rousselle
- French Agency for Food, Environmental and Occupational Health & Safety (ANSES), Risk Assessment Department, Maisons-Alfort, France
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Abstract
Symmetric sources of exposure generally result in symmetric contact dermatitis, but patient habits may distort or modify exposures in ways that may obscure clinical relevance. We present a variant of "school chair sign" consistent with the child's usual habit of sitting obliquely with her right leg crossed over her left leg.
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Affiliation(s)
- Dathan J Hamann
- College of Medicine, University of Arizona, Phoenix, Arizona
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Brouwer R, Cauchi J, Verhoeven J. Regulatory decision-making under uncertainty: are costs proportionate to benefits when restricting dangerous chemicals on European markets? Regul Toxicol Pharmacol 2014; 68:438-46. [PMID: 24518386 DOI: 10.1016/j.yrtph.2014.01.016] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2013] [Revised: 01/26/2014] [Accepted: 01/28/2014] [Indexed: 11/25/2022]
Abstract
Since 2007 regulation 1907/2006/EC concerning the Registration, Evaluation, Authorization and Restriction of Chemicals (REACH) is in force in Europe to reduce the adverse effects of hazardous chemical substances on human health and the environment. Implementation of the regulation by the European Chemicals Agency (ECHA) is supported by a Socio-Economic Analysis (SEA) Committee, consisting of European experts who help prepare ECHA's opinion on proposals for either restricting or authorizing dangerous substances. This paper presents the outcomes of the SEA underlying the first restriction proposals. Member states proposing a restriction have to show that it will reduce the risks to an acceptable level at a cost which is proportionate to the avoided risk. What is considered proportionate is not clearly defined in REACH. The opinion making process is characterized by many uncertainties: the expert group had no previous experiences to fall back on and limited information about the expected costs and benefits of the proposed restrictions. The study provides insight into expert opinions on environmental and health risks under uncertainty in the specific context of REACH. Particular attention is paid to the confidence experts place on the estimated socio-economic benefits of the avoided risks compared to the estimated compliance costs.
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Affiliation(s)
- Roy Brouwer
- Department of Environmental Economics, Institute for Environmental Studies, Vrije Universiteit Amsterdam, The Netherlands.
| | - Jonathan Cauchi
- Department of Environmental Economics, Institute for Environmental Studies, Vrije Universiteit Amsterdam, The Netherlands
| | - Julia Verhoeven
- National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands
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Lu Y, Zhu Y. Combination of accelerated solvent extraction and vortex-assisted liquid–liquid microextraction for the determination of dimethyl fumarate in textiles and leathers by gas chromatography–mass spectrometry. Talanta 2014; 119:430-4. [DOI: 10.1016/j.talanta.2013.11.022] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2013] [Revised: 10/29/2013] [Accepted: 11/07/2013] [Indexed: 11/29/2022]
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Giménez-Arnau A. A public danger induces common action: contact allergy epidemic to dimethylfumarate in Europe. ACTA ACUST UNITED AC 2014. [DOI: 10.1586/edm.11.23] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Abstract
INTRODUCTION Dimethyl fumarate (DMF) has been used as fungicide, but oral DMF activates anti-inflammatory and anti-oxidative pathways that are beneficial in the treatment of psoriasis. BG-12, a specific formulation of DMF, has been approved very recently for the treatment of relapsing-remitting multiple sclerosis (RRMS), which is characterized by both autoimmune lymphocytes leading to inflammation and mitochondrial alterations associated with oxidative stress. AREAS COVERED This review describes the pharmacokinetics and the mode of action of DMF, with a focus on molecular and cellular pathways, and discusses clinical results of DMF in RRMS treatment. To identify relevant publications, the author searched the PubMed database by using appropriate keywords and by searching for references cited within the obtained articles. EXPERT OPINION DMF demonstrated efficacy in several RRMS outcome measures related to disease activity and severity, but results on disability progression have been inconsistent. The overall safety profile might qualify DMF for long-term use, the frequency of side effects such as gastrointestinal complaints and flushing might hamper treatment adherence of MS patients. Since DMF covalently binds to intracellular proteins, the fate of this molecule in the body might need thorough long-term observation during clinical use.
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Affiliation(s)
- Frieder Kees
- University of Regensburg, Faculty of Chemistry and Pharmacy, Department of Pharmacology and Toxicology, Universitätsstraße 31, 93053 Regensburg, Germany.
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Abstract
Fumaric acid esters (FAE) are substances of interest in dermatology. FAE exert various activities on cutaneous cells and cytokine networks. So far only a mixture of dimethylfumarate (DMF) and three salts of monoethylfumarate (MEF) have gained approval for the oral treatment of moderate-to-severe plaque-type psoriasis in Germany. DMF seems to be the major active component. There is evidence that FAE are not only effective and safe in psoriasis but granulomatous non-infectious diseases like granuloma annulare, necrobiosis lipoidica and sarcoidosis. In vitro and animal studies suggest some activity in malignant melanoma as well.
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Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Hospital Dresden Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany
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Doumit J, Gavigan G, Pratt M. Allergic contact dermatitis from dimethyl fumarate after contact with a Chinese sofa. J Cutan Med Surg 2012; 16:353-6. [PMID: 22971312 DOI: 10.1177/120347541201600514] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Dimethyl fumarate has been successfully used in the treatment of psoriasis in the past. Despite its clinical use, cutaneous contact with this molecule may cause contact dermatitis. OBJECTIVE We report a case in which skin exposure to a synthetic fabric sofa containing dimethyl fumarate made by a Chinese furniture manufacturer resulted in a severe, pruritic, papulovesicular, eczematous dermatitis to the sites of contact with the sofa. METHODS The patient was patch-tested with serial dilutions of dimethyl fumarate. RESULTS Patch testing results revealed strong positive reactions to dimethyl fumarate at different concentrations. CONCLUSION Dimethyl fumarate is a potent contact sensitizer and is commonly found in sachets inside furniture and footwear boxes.
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Thyssen JP, Giménez-Arnau E, Lepoittevin JP, Menné T, Boman A, Schnuch A. The critical review of methodologies and approaches to assess the inherent skin sensitization potential (skin allergies) of chemicals Part II. Contact Dermatitis 2012; 66 Suppl 1:25-52. [DOI: 10.1111/j.1600-0536.2011.02004_3.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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D’Erme AM, Bassi A, Lotti T, Gola M. Dimethyl fumarate contact dermatitis of the foot: an increasingly widespread disease. Int J Dermatol 2011; 51:42-5. [DOI: 10.1111/j.1365-4632.2011.04916.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Toledo F, Silvestre JF, Cuesta L, Borrego L, Pérez M. Correlation between lesion site and concentration of dimethyl fumarate in different parts of shoes in patients with contact dermatitis caused by dimethyl fumarate in footwear. Contact Dermatitis 2011; 65:92-5. [DOI: 10.1111/j.1600-0536.2011.01922.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kawakami T, Isama K, Matsuoka A, Nishimura T. Determination of Dimethyl Fumarate and Other Fumaric and Maleic Acid Diesters in Desiccants and Consumer Products in Japan. ACTA ACUST UNITED AC 2011. [DOI: 10.1248/jhs.57.236] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Affiliation(s)
- Tsuyoshi Kawakami
- Division of Environmental Chemistry, National Institute of Health Sciences
| | - Kazuo Isama
- Division of Environmental Chemistry, National Institute of Health Sciences
| | - Atsuko Matsuoka
- Division of Medical Devices, National Institute of Health Sciences
| | - Tetsuji Nishimura
- Division of Environmental Chemistry, National Institute of Health Sciences
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Lefranc A, Flesch F, Cochet A, Daoudi J, Crinier R. Epidemiological description of an outbreak of dermatitis related to dimethylfumarate, France, 2008. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2011; 66:217-222. [PMID: 22014194 DOI: 10.1080/19338244.2011.564228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
Following similar events in other European countries, some cases of dermatitis related to contact with China-imported furniture possibly treated with dimethyl(E)-butenedioate (dimethylfumarate [DMF]) were reported to the French institute for public health surveillance at the beginning of September 2008. An active multisource case collection was conducted in order to provide an epidemiological description of this outbreak. Results of this investigation show that, in France, mainly during the 4th quarter of 2008, a large number of people presented dermatological symptoms at least plausibly due to a contact with DMF-treated consumer products. The products involved were mostly shoes and sofa (94% of cases). This work offers an example of a multipartner investigation in the field of environmental health. It also shows how the results obtained contributed to decision-making and resulted in the limitation of DMF-treated products in France and in Europe.
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Affiliation(s)
- Agnès Lefranc
- French Institute for Public Health Surveillance (InVS), 12 rue du Val d'Osne, Saint Maurice cédex, France.
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