雅克抑制剂和记忆障碍:世卫组织全球药监数据库中的不成比例分析,VigiBase
Marilou Duboëlle1, Adriano Lercara2, Yves-Marie Pers2
1Pharmacovigilance Regional Centre, Department of Medical Pharmacology and Toxicology, CHU Montpellier, Montpellier, France.
Fundamental & clinical pharmacology
|January 20, 2026
概括
雅努斯激酶抑制剂 (JAKi) 与记忆障碍 (MI) 有关,即使在非老年患者中也是如此. 这项研究发现JAKi使用增加了心脏病发作报告,这表明需要临床警的潜在联系.
科学领域:
- 药物监督和药物安全研究.
- 神经科学和炎症疾病机制.
背景情况:
- 慢性炎症有助于记忆障碍 (MI).
- 雅努斯激酶抑制剂 (JAKi) 向炎症途径,但意外的肌肉发作病例促使进一步调查.
研究的目的:
- 调查Janus激酶抑制剂 (JAKi) 和记忆障碍 (MI) 之间的关联.
主要方法:
- 在VigiBase搜索了与JAKi (2011-2023) 相关的MI病例,并审查了文献.
- 使用报告几率比率 (ROR) 进行不成比例分析来评估关联.
主要成果:
- 确定了3788例与JAKi相关的MI病例,其中36.3%是严重的.
- 与JAKi一起报告的MI的频率几乎是JAKi的三倍 (ROR 2.92;95% CI:2.83-3.01).
- 一个案例说明MI有词查找困难和记忆丧失,在JAKi停止后得到解决.
结论:
- 数据支持JAKi和MI之间的积极关联,可能是通过海马体JAK/STAT通路的抑制.
- 这可能会损害胆固醇神经传递和突触可塑性.
- 临床医生应对这种潜在的严重不良影响保持警.
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