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Unsere Experimente belegen, dass SASP in therapeutisch erreichbaren Konzentrationen sowohl die Leukotrien- als auch die Thromboxansynthese vollständig blockieren kann. Im Gegensatz zu SASP hemmt die 5-ASA nur die TxA2-Synthese für eine ausreichende therapeutische Wirkung. Klinische Studien mit selektiven Inhibitoren haben jedoch gezeigt, dass weder die selektive Hemmung der Leukotriensynthese noch die selektive Hemmung der Thromboxansynthese für eine therapeutische Wirkung bei den entzündlichen Darmerkrankungen ausreichend ist.

Eine Vielzahl von Publikationen belegen, dass 5-ASA ein wesentlich potenterer Sauerstoffradikalfänger ist als SASP. Beide Substanzen beeinflussen somit ganz unterschiedliche Entzündungsmediatorsystem. Da sowohl bei den entzündlichen Darmerkrankungen als auch bei der chronischen Polyarthritis das Immunsystem eine wichtige Rolle spielt, dürfte die Beeinflussung von NFκB für beide ein wichtiger weiterer pharmakologischer Angriffspunkt sein. Aus diesen Befunden folgt, dass es die Vielzahl der pharmakologischen Angriffspunkte ist, die zur therapeutischen Wirkung von SASP und 5-ASA bei den entzündlichen Darmerkrankungen und bei der chronischen Polyarthritis beitragen.

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