Drug intelligence / Profile preview

mesalazine + lactobacillus casei

Development stage
Unknown
Lead developer
Tillotts Pharma
Modality
Synthetic Biology Platforms → Engineered Microbial Therapeutics → Microbiome Therapeutics, Fresh FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Small Molecules, Yeast Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Bacterial Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Defined Consortia → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Frozen FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Genetically Modified Bacteria → Engineered Microbial Therapeutics → Microbiome Therapeutics, Microbial Metabolites → Microbiome-Derived Products → Microbiome Therapeutics, Microbial Proteins → Microbiome-Derived Products → Microbiome Therapeutics, Complex Communities → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics
Administration
Oral, Rectal
01

Overview

Mesalazine + lactobacillus casei is a combination therapy consisting of mesalazine (also known as mesalamine), an anti-inflammatory aminosalicylate drug, and Lactobacillus casei, a probiotic bacterium. Mesalazine acts primarily by inhibiting cyclooxygenase and lipoxygenase pathways, reducing the synthesis of pro-inflammatory mediators such as prostaglandins and leukotrienes in the intestinal mucosa. Lactobacillus casei is a beneficial microorganism that modulates gut microbiota composition and exerts anti-inflammatory effects through immune modulation and competitive inhibition of pathogenic bacteria. This combination has been studied for maintaining remission in symptomatic uncomplicated diverticular disease (SUDD) of the colon and for its potential benefits in ulcerative colitis by reducing inflammatory cytokines, myeloperoxidase activity, nitric oxide levels, and expression of iNOS/COX-2 genes[1][2][3][8][10]. The synergistic effect appears to enhance clinical outcomes compared to either agent alone.

02

Targets

15-LOX (Lysyl Oxidase)PTGS2 (Prostaglandin-Endoperoxide Synthase 2)PGHS-1 (Prostaglandin G/H Synthase 1)

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