与MEK抑制剂相关的眼睛高血压
David A Collet1,2, Julia Canestraro1, Ghassan K Abou-Alfa1,3
1Department of Medicine, and Department of Neurology Memorial Sloan Kettering Cancer Center, Ophthalmic Oncology Service, New York, NY, USA.
Ocular oncology and pathology
|June 17, 2024
概括
中原激活蛋白激酶抑制剂 (MEK) 可以导致眼睛高血压,这是一个罕见的副作用. 这种以高眼内压为特征的病症在三名患者中观察到,并通过眼滴成功治疗,允许继续治疗癌症.
科学领域:
- 在瘤学瘤学.
- 眼科医生 眼科 眼科
背景情况:
- 线素激活蛋白激酶抑制剂 (MEK) 是各种癌症的关键向疗法.
- 虽然有效,但MEK抑制剂与眼睛的毒性有关,包括血清性神经感官视网膜脱落.
- 与MEK抑制剂相关的眼睛高血压是一种很少记录的不良影响.
研究的目的:
- 报告与MEK抑制剂治疗相关的三例眼高血压病例.
- 要强调眼睛高血压可能是MEK抑制剂的类效应.
- 通知眼科医生关于这种潜在的眼部不良事件.
主要方法:
- 三名患者的病例报告在MEK抑制剂治疗期间出现眼内压升高 (IOP).
- 监测IOP和治疗局部低血压剂的反应.
- 关于MEK抑制剂相关的眼睛毒性的文献综述.
主要成果:
- 三名患者在接受试验中的MEK抑制剂特拉美替尼 (trametinib) 或科比美替尼 (cobimetinib) 治疗时,内压升高 (24-27 mm Hg).
- 所有患者的内血压在局部多佐胺/蒂莫洛尔治疗后正常化.
- 患者能够继续接受MEK抑制剂癌症治疗.
结论:
- 升高的内血压是MEK抑制剂的潜在不良影响,可能在整个药物类别.
- 眼睛高血压可以通过局部药物来管理,通常不会中断癌症治疗.
- 眼科医生应注意MEK抑制剂相关的眼睛高血压,这是由于这些药物的使用越来越多.
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