(3-アミノ-1-ヒドロキシプロピリデン) -1,1-ビスフォスフォネート (A.P.D.) による骨解消性骨損傷の抑制
Lancet (London, England)
|April 14, 1979
まとめ
アミノヒドロキシプロピリデネ・ビスフォスフォナート (A.P.D.) を経口投与する. がんによる骨疾患の患者における高血清カルシウムレベルを効果的に低下させた. このビスホスフォネートは,腫瘍誘発の骨破壊を阻害する可能性があります.
科学分野:
- 腫瘍学 腫瘍学
- 薬理学 薬理学とは
- 骨代謝についてです.
背景:
- 骨解消性骨疾患は,乳がんや骨髄腫などの癌の重大な合併症です.
- ハイパルカルセミアは,進行がんや骨転移を患っている患者に共通で深刻な代謝障害である.
研究 の 目的:
- 口服用 (3-アミノ-1-ヒドロキシプロピリデン) -1,1-ビスホスフォネート (A.P.D.) の有効性を評価する. 骨解消性骨疾患と高カルセミアの管理に役立ちます.
- A.P.D.の影響を評価する. 罹患した患者のカルシウムとヒドロキシプロリンの排泄について.
主な方法:
- 骨解消性骨疾患 (乳がんまたは骨髄腫) を有する14人の患者からなるコホートは,経口A.P.D.を投与された.
- 治療期間中,血清カルシウム濃度が監視されました.
- 尿中のカルシウムとヒドロキシプロリンの排泄率を測定し,骨の吸収と循環を評価しました.
主要な成果:
- 14人の患者全員が血清カルシウム濃度が正常化しました.
- 尿中のカルシウムとヒドロキシプロリン分泌の有意な減少は,すべての患者で観察されました.
- A.P.D.はA.P.D.が担当している. 骨再吸収のマーカーを減らすのに明確な効果を示した.
結論:
- オーラル A.P.D. がんに関連した骨解消性骨疾患を有する患者の血清カルシウムを正常化するのに有効です.
- A.P.D.はA.P.D.が担当している. 治療は,尿中のカルシウムとヒドロキシプロリンの減少によって示されるように,骨の再吸収の減少につながります.
- これらの発見は,APDがA.P.D.であることを示唆しています. 腫瘍誘発性骨解けを抑制する可能性がある.
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