定期使用阿司匹林,乳腺瘤特征和乳腺癌的长期生存率
Cheng Peng1, Tengteng Wang2, Michelle D Holmes3
1Channing Division of Network Medicine, Brigham and Women's Hospital, Boston, MA, USA. recpe@channing.harvard.edu.
NPJ breast cancer
|July 2, 2025
概括
乳腺癌诊断后定期使用阿司匹林可能会改善长期生存率,特别是长时间使用. 诊断前的阿司匹林也可能减少瘤的扩散,这表明在乳腺癌治疗中具有潜在的益处.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 流行病学研究和实验表明,阿司匹林可以提高乳腺癌的生存率.
- 最近的试验显示没有保护,可能是由于干预时间有限.
研究的目的:
- 研究乳腺癌患者诊断后使用阿司匹林与长期存活之间的关联.
- 探索前诊断阿司匹林使用对瘤生物学和生存的影响.
主要方法:
- 分析了护士健康研究 (NHS/NHSII) 中1,0705名I-III阶段乳腺癌患者的数据,随访时间长达34年.
- 检查定期诊断后使用阿司匹林与乳腺癌特异性和总死亡率之间的关联.
- 在METABRIC中使用阿司匹林前诊断使用,瘤增殖途径和使用阿司匹林基因表达签名的生存预测的调查.
主要成果:
- 诊断后定期使用阿司匹林与乳腺癌特定死亡率降低38%的风险和总死亡率降低28%的风险有关.
- 随着阿司匹林使用时间的延长,生存益处更加明显.
- 在患有晚期疾病和诊断时年龄较大的患者中,相关性较弱.
- 在诊断前使用阿司匹林与下调的瘤增殖途径相关,并预测了更好的生存率.
结论:
- 在诊断后长期使用阿司匹林可能会改善乳腺癌的生存率.
- 在诊断前使用阿司匹林可能有利地改变瘤微环境,减少扩散.
- 未来的试验应该考虑更长的干预时间和诊断前使用.
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