Health Supplement A Hit Among Lupus Sufferers

August 13, 2001 WEST PALM BEACH, Fla. (Cox News Service) - Men and women with a devastating autoimmune disease are finding themselves elbowing athletes at their local health food stores for an over-the-counter supplement known for its muscle-building qualities. DHEA (dehydroepiandrosterone), also being developed as Aslera by GeneLabs Technologies, has been found to improve the health of people with lupus, a debilitating, chronic, autoimmune disease that causes inflammation of various parts of the body, especially the skin, joints and kidneys. There is no known cause or cure for lupus, and no drugs to treat the disease have been developed in more than 40 years. Currently, steroids and anti-malarials are used to reduce inflammation and control rashes and fatigue. But steroids can have very powerful side effects such as mood changes, depression, muscle weakness, osteoporosis, high blood pressure and diabetes. And anti-malarials can affect the eyes. That's what makes the highly available DHEA such a sought-after alternative. "Clinical trials have shown this drug has very few minor side effects," said Ellen Ignatius, vice president of education and science information for the Lupus Foundation. "The fact that this can help decrease or eliminate steroids is very exciting, but it also builds bone mass. We know people with lupus are taking it, and it makes us nervous because it's not regulated. Nobody's overseeing this manufacturing operation." (Over-the-counter supplements, such as DHEA, are not regulated or controlled by the FDA because they're not considered drugs.) The Lupus Foundation has been actively supporting approval of Aslera by the U.S. Food and Drug Administration to assure that it is of pharmaceutical quality when purchased by patients, most of whom are women. Ignatius was disappointed when the FDA failed to approve Aslera in June. She isn't sure why the government didn't take action. "Experts were confident on the safety and efficacy of this drug. We wouldn't step out on something we're not sure about," she said. "We all went into the (FDA) hearing thinking it's a shoo-in." On its Genelabs Web site, the developer says the FDA raised "various issues, primarily relating to the interpretation of efficacy and safety data submitted in the (new drug application.) "Genelabs is committed to working with the FDA to address the deficiencies cited and expects to meet with the FDA promptly to clarify the issues raised and the steps required to be taken before the (drug application) may be approved." Meanwhile, Ignatius is mounting a campaign in Congress to get Aslera approved. "The Lupus Foundation is getting behind this," she said. "These things don't get turned around by magic."

 

Ter Arkh 2001;73(5):37-9

[Multivariate analysis as a method of determination of anthropogenic load on the course of Raynaud's disease in patients with systemic scleroderma and systemic lupus erythematosus]

[Article in Russian]

Kuchma GB, Bagirova VV, Setko NP.

AIM: To determine the effect of high industrial pollution on development of Raynaud's syndrome and impairment of pulmonary hemodynamics in patients with scleroderma systematica (SS) and systemic lupus erythematosus (SLE). Two groups of patients were examined: 20 SS and 33 SLE patients living in highly polluted territories, 15 SS and 27 SLE patients living in moderately contaminated territories. The tests included capillaroscopy, thermography, rheovasography of the fingers, zonal rheopulmonography. Semiquantitative spectral analysis measured content of 3 trace elements (Ti, Ba, Li) and 16 heavy metals (Cu, Zn, Pb, Ni, Mn, Sn, Cr, Y, Ga, Ag, Mo, Bi, Co, Cd, Fe, Zr) in the patients' hair. RESULTS: Patients living in highly polluted areas had a severe course of Raynaud's syndrome. Metal accumulation is decisive in patients of group 1; in development of staging of Raynaud's syndrome the key role belongs to lead, nickel, tin and iron; realization of the factor of the disease activity is related to lowering of zinc, copper concentrations and growing concentration of nickel. CONCLUSION: Vascular disorders in SS and SLE in patients living in heavily contaminated areas aggravate due to direct damage from heavy metals.

PMID: 11517745 [PubMed - indexed for MEDLINE]