安卓素缺乏治疗对心血管的影响:从基本生物学到临床实践
Janice Kim1, Kendall Freeman1, Alyssa Ayala1
1Department of Medicine, City of Hope Comprehensive Cancer Center, Duarte, CA, 91010, USA.
Current oncology reports
|June 5, 2023
概括
前列腺癌的雄激素剥夺疗法 (ADT) 增加了心血管风险. 不同的ADT类型具有不同的并发症,需要谨慎选择药物,以确保患者的安全和最佳结果.
科学领域:
- 心血管医学 心血管医学
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 前列腺癌的治疗通常涉及雄激素剥夺疗法 (ADT).
- 越来越多的报道将ADT与前列腺癌患者的不良心血管结果联系起来.
- 心血管并发症可能源于直接的雄激素抑制或不同的药物特异性机制.
研究的目的:
- 审查ADT对心血管系统的生物和临床影响.
- 突出与各种ADT药物相关的心血管风险差异.
- 强调了解这些风险对于最佳患者管理的重要性.
主要方法:
- 对ADT和心血管并发症研究的文献综述.
- 分析与不同类型的ADT药物相关的心血管事件数据.
- 关于ADT相关心血管效应背后的机制的证据综合.
主要成果:
- 淋巴激素释放激素 (GnRH) 激动剂与较高的心血管事件有关,而不是GnRH对抗剂.
- 雄激素受体对抗剂增加了长QT综合征,torsades de pointes和突然心脏死亡的风险.
- 雄激素合成抑制剂与高血压,心房动脉节律失常和心力衰竭有关.
结论:
- 在前列腺癌患者中,ADT显著增加了心血管疾病风险.
- 具体的心血管风险在不同的ADT药物之间有很大差异.
- 评估这些药物特异性风险对于制定个性化和医学上最佳的治疗计划至关重要.
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