氨酸激酶抑制剂后的超氨基性脑病变:文献综述和一个案例
Héctor Carlos García-Díaz1, Simeon Eremiev2, Javier Gómez-Alonso1
1Department of Pharmacy Service, Vall d'Hebron Hospital Universitari, Barcelona, Spain.
概括
铁氨酸激酶抑制剂 (TKI) 可以导致致命的超氨性脑病变. 本综述探讨了TKI诱导的高氨性脑病变,其潜在的尿素循环机制,以及临床监测的重要性.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
- 神经科学是一个神经科学.
背景情况:
- 氨酸激酶抑制剂 (TKI) 在癌症治疗中至关重要.
- 高血性脑病变是一种罕见但严重的TKI相关的不良事件.
- 了解潜在的机制对于患者安全至关重要.
研究的目的:
- 审查TKI诱导的高血性脑病变的证据.
- 调查潜在的机制,包括尿素循环的参与.
- 描述一种与TKI相关的药物诱导的高氨性脑病变.
主要方法:
- 在多个数据库中进行全面的文献搜索 (1992-2023).
- 包括37篇专注于病例报告,管理,尿素循环和分子通路的文章.
- 关键词包括特定的TKIs,高氨性脑病变以及相关途径 (mTOR,MAPK).
主要成果:
- 鉴定了18例与各种多目标TKI相关的超血性脑病变.
- 确切的机制尚不清楚; 血管效应和尿素循环失调被假设.
- 观察到TKI分子抑制与尿素循环功能之间的潜在联系.
结论:
- 需要进一步的临床前和临床研究来阐明生化机制,流行率和危险因素.
- 在接受TKIs的患者中,对神经症状和氨水平的监测至关重要.
- 对TKI诱导的高氨血性脑病变的有效管理和预防策略需要进一步研究.
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