在结肠直肠癌中使用ACEI/ARB的抗癌潜力
1Department of Cardiology, The Second Affiliated Hospital of Zhengzhou University, Zhengzhou, 450000, Henan, People's Republic of China.
Current medicinal chemistry
|March 29, 2024
概括
ангиотензин转化酶 (ACE) 抑制剂和 ангиотензин受体阻断剂 (ARBs) 可能降低结肠直肠癌 (CC) 的发生率. 需要进一步的研究来确认这些药物是否可以改善CC患者的存活率.
科学领域:
- 在瘤学瘤学.
- 心血管药理学心血管药理学
背景情况:
- 大肠直肠癌 (CC) 是癌症相关发病率和死亡率的主要原因之一.
- 通常用于心血管疾病的ACE抑制剂和ARBs正在研究它们在心血管疾病发展中的潜在作用.
研究的目的:
- 综合审查有关ACE抑制剂和ARBs对结直肠癌发病率和死亡率的影响的现有文献.
- 评估ACE抑制剂/ARB使用与被诊断为结直肠癌的患者的结局之间的关联.
主要方法:
- 进行了系统的文献搜索,以确定相关研究.
- 纳入标准侧重于评估ACE抑制剂/ARB在CC患者中使用的研究,这些研究报告了癌症发病率和死亡率数据.
- 对所选的研究进行了数据提取和统计分析.
主要成果:
- 在使用ACE抑制剂/ARBs的患者中观察到癌症发病率的统计显著降低 (RR 0.962,p=0.010).
- 在使用ACE抑制剂/ARBs的CC患者中观察到死亡率下降的趋势,尽管这没有达到统计学意义 (HR 0.833,p=0.175).
结论:
- 这些发现表明,ACE抑制剂/ARBs可能为结直肠癌患者提供生存益处.
- 这些结果强调了ACE抑制剂在CC管理中的潜力,值得进一步临床研究.
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