Association between nonsteroidal anti-inflammatory drugs use and risk of central nervous system tumors: a

Tao Zhang1, Xiaowen Yang2, Pei Liu3

  • 1Department of Neurosurgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, 442000, China.

Oncotarget
|December 20, 2017
PubMed

Insights

Nonsteroidal anti-inflammatory drugs (NSAIDs) use is linked to a reduced risk of central nervous system (CNS) tumors. This meta-analysis found that NSAIDs, including aspirin and non-aspirin types, may lower the risk of developing brain tumors.

Area of Science:

  • Oncology
  • Pharmacology
  • Epidemiology

Background:

  • The relationship between nonsteroidal anti-inflammatory drugs (NSAIDs) and central nervous system (CNS) tumor risk remains unclear despite previous investigations.
  • Existing studies present inconclusive findings regarding the protective effects of NSAIDs against CNS tumors.

Purpose of the Study:

  • To conduct a dose-response meta-analysis evaluating the association between NSAIDs consumption and the risk of developing CNS tumors.
  • To clarify the correlation between NSAIDs use and CNS tumor incidence.

Main Methods:

  • A meta-analysis was performed, incorporating data from 12 relevant studies published up to July 2017.
  • Dose-response relationships were analyzed to quantify the impact of NSAIDs usage patterns on CNS tumor risk.

Main Results:

  • NSAIDs use, encompassing both aspirin and non-aspirin formulations, demonstrated a significant association with a reduced risk of CNS tumors.
  • Specifically, NSAIDs use correlated with a lower risk of glioma and glioblastoma, but not meningioma.
  • A significant dose-response relationship was identified, with increased NSAIDs use (cumulative defined daily doses, prescriptions, or duration) correlating with decreased CNS tumor risk.

Conclusions:

  • NSAIDs consumption may play a beneficial role in mitigating the risk of CNS tumors.
  • Further large-scale studies with diverse ethnic populations are recommended to validate these findings and confirm the association.

Related Concept Videos

Dose Response Curve: Conventional Versus Nonmonotonic01:21

Dose Response Curve: Conventional Versus Nonmonotonic

The correlation between a drug's dosage and its impact on a biological system is a cornerstone of pharmacology and toxicology. Conventional dose–response curves, which include graded and quantal relationships, are key to this understanding. Graded dose–response curves depict the spectrum of a biological reaction to different doses within an individual, indicating that as the drug dosage increases, so does the intensity of the response. On the other hand, quantal dose–response...
31
Drug Toxicity: Dose-Dependent Reactions01:24

Drug Toxicity: Dose-Dependent Reactions

Drug toxicities can be stratified into pharmacological, pathological, or genotoxic based on their mechanisms. The incidence and severity of these toxicities generally increase with the drug's concentration in the body and exposure time.Pharmacological toxicity is evident when the therapeutic effects of drugs overshoot into adverse reactions in a predictable, dose-dependent manner. Central nervous system (CNS) depression from barbiturates is a classic example, with effects escalating from...
22
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
653
Chemotherapy-Induced Nausea and Vomiting: Cannabinoids01:21

Chemotherapy-Induced Nausea and Vomiting: Cannabinoids

Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
804
Dose-Response Relationship: Overview01:03

Dose-Response Relationship: Overview

Agonists can bind with and activate receptors, resulting in the formation of drug-receptor complexes. Once formed, these complexes catalyze many biochemical processes at the cellular level and subsequently induce a pharmacologic response. The degree of response is directly proportional to the fraction of activated receptors, which in turn, depends on the concentration of the drug at the receptor site as well as the sensitivity of the receptor. An increase in the administered dose contributes to...
5.2K
Drug Toxicity: Risk factors01:24

Drug Toxicity: Risk factors

Adverse Drug Reactions (ADRs) are potential complications that arise during pharmacotherapy, influenced by multiple risk factors. Age plays a significant role; both neonates and the elderly are at heightened risk due to their respective immature and diminished metabolic and elimination processes. Gender also impacts ADRs, with females experiencing a 1.5 to 1.7-fold greater risk than males, which may be linked to pharmacokinetic, pharmacodynamic, and hormonal differences. Notably, neonates, the...
18