尼古丁吸烟对脊椎关节炎和类风湿性关节炎的影响
G El Hasbani1, J E Nassar2, A M Elsayed Ali3
1Department of Medicine, Hartford HealthCare St. Vincent's Medical Center, Bridgeport, CT. george.hasbany@lau.edu.
Reumatismo
|June 25, 2024
概括
吸烟显著影响脊椎关节炎 (SpA) 和类风湿性关节炎 (RA),恶化疾病的严重程度和表现. 需要进一步的研究来了解尼古丁.
科学领域:
- 免疫学和遗传学
- 类风湿病学 类风湿病学
- 毒理学 毒理学 毒理学
背景情况:
- 尼古丁暴露会改变免疫系统功能和遗传组件.
- 这些变化可以使个人容易患上自身免疫性疾病,如脊髓关节炎 (SpA) 和类风湿性关节炎 (RA).
研究的目的:
- 审查尼古丁吸烟对SPA和RA病理生理学的影响.
- 检查尼古丁对SpA和RA的临床表现的影响.
- 探索尼古丁对治疗脊髓炎和RA的影响.
主要方法:
- 对PubMed/MEDLINE引用的研究进行系统的文献综述.
- 不包括案例报告和案例系列.
主要成果:
- 尼古丁吸烟通过细胞因子,内皮功能障碍和表观遗传学加剧了SPA的严重程度,恶化了患者的健康状况,疼痛和疲劳.
- 患有RA的吸烟者表现出更高的疾病活性,更高的血清阳性 (酸) 和对TNF抑制剂潜在的亚最佳反应.
- 关于尼古丁对SPA治疗结果的影响的证据有限.
结论:
- 吸烟显著影响了SpA和RA的病理生理学和临床表现.
- 尼古丁对这些自身免疫性疾病的管理的影响需要进一步研究.
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