索拉费尼布到雷戈拉费尼布序列诱导的动脉样硬化心血管疾病:一个新的病例报告
Changli Xu1, Xianghua Quan2, Qie Guo2
1Department of Cardiovascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China.
Frontiers in oncology
|September 12, 2025
概括
对肝细胞癌的索拉费尼布和雷戈拉费尼布连续治疗导致在基线风险低的患者中发生严重的动脉样硬化心血管疾病 (ASCVD). 在氨酸激酶抑制剂治疗期间,持续的心血管监测至关重要.
科学领域:
- 在瘤学瘤学.
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 肝细胞癌 (HCC) 经常用氨酸激酶抑制剂 (TKI) 治疗.
- 血管内皮生长因子 (VEGF) 途径抑制剂,如索拉芬尼和雷戈拉芬尼,通常用于HCC治疗.
- 动脉样性心血管疾病 (ASCVD) 是VEGF通路抑制的潜在副作用.
研究的目的:
- 在接受连续TKI治疗的HBV相关HCC患者中报告进展性ASCVD病例.
- 为了突出连续的VEGF路径抑制的累积性无菌效应.
- 强调TKI治疗期间心血管监测的重要性.
主要方法:
- 一个59岁的男性患有HBV相关的HCC的病例报告.
- 连续治疗索拉费尼布,其次是雷戈拉费尼布.
- 监测不良事件,包括心血管事件和实验室异常.
- 诊断血管造影以评估心血管疾病.
主要成果:
- 患者在索拉菲尼布治疗期间出现了手脚综合征,高血压,蛋白尿和血液病.
- 在regorafenib治疗期间发生了血管毒性恶化,包括动脉封闭,心肌梗塞和脑缺血.
- 血管造影显示了关键的冠状动脉和外周动脉疾病,需要重新血管化.
- 尽管基线心血管风险较低,但发生了严重的ASCVD表现.
结论:
- 用索拉芬尼和雷戈拉芬尼对VEGF通路的连续抑制可以导致累积的异位原体效应.
- 持续的心血管监测对于接受TKIs的患者至关重要,特别是在连续治疗期间.
- 这一案例强调了需要警TKI治疗的HCC患者的心血管毒性.
更多相关视频
相关概念视频
Atherosclerosis III: Management
322
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
322
Coronary Artery Disease III: Clinical Manifestations
332
Coronary Artery Disease (CAD) is a primary health risk worldwide, leading to significant morbidity and mortality. The condition arises from the buildup of atherosclerotic plaques within the coronary arteries, resulting in diminished blood supply to the heart muscle.The clinical manifestations of CAD vary widely, from asymptomatic stages to severe, life-threatening conditions. Understanding these manifestations is crucial for early diagnosis and effective management.Angina Pectoris: The Warning...
332
Coronary Artery Disease I: Introduction
893
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
893
Rous Sarcoma Virus (RSV) and Cancer
6.2K
Rous Sarcoma virus or RSV was discovered by F. Peyton Rous in the year 1911 as a filterable transmissible agent that could cause tumors in chickens. He won a Nobel Prize for this discovery in 1966. His experiments clearly demonstrated that some cancers could be caused by infectious agents and led to the discovery of many more cancer-causing viruses in animals as well as humans.
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
RSV is a retrovirus that contains two copies of a plus-strand RNA genome. Its genome consists of four main open...
6.2K
Coronary Artery Disease II: Pathophysiology
376
Coronary Artery Disease (CAD) originates from a series of events that impair the function of coronary arteries, the blood vessels responsible for delivering oxygen-rich blood to the heart muscle. The pathophysiology of CAD is closely linked to atherosclerosis, a chronic inflammatory and lipid-driven condition affecting the vascular endothelium.1. Endothelial DamageThe process begins with damage to the vascular endothelium, which serves as a protective barrier between the blood and the vessel...
376
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
217
Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug...
217


