与抗瘤坏死因子-α疗法相关的口服不良事件:使用大型现实世界数据集
Stella O Oyewole1, Adetokunbo B Olawuyi2, Osariemen Okhuaihesuyi3
1Department of Pathology, College of Medicine, University of Cincinnati, Cincinnati, OH.
Oral surgery, oral medicine, oral pathology and oral radiology
|February 8, 2026
概括
抗瘤坏死因子-α (抗TNF-α) 疗法与增加的口服不良事件,如粘膜和感染性疾病有关. 然而,这些治疗可能会令人惊地降低口腔状细胞癌 (OSCC) 的风险.
科学领域:
- 免疫学 免疫学 免疫学
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 抗瘤坏死因子-α (抗TNF-α) 疗法对于免疫媒介炎症疾病至关重要.
- 长期使用抗TNF-α与不良事件有关,需要了解口服不良事件 (OAEs).
研究的目的:
- 研究使用抗TNF-α疗法的患者中OAE的频谱和频率.
- 为了比较抗TNF-α使用者和非使用者之间的OAE发病率.
主要方法:
- 使用TriNetX研究网络进行了5年的回顾性队列研究.
- 排除有先前口服疾病,同时接受癌症治疗或接受抗吸收药物暴露的患者.
- 倾向性得分匹配 (1:1,年龄/性别) 来比较抗TNF-α使用者与未暴露的对照.
主要成果:
- 抗TNF-α疗法与粘膜和传染性OAEs (例如,口腔液状形病变,候群病,异口症) 的几率增加有关.
- 口腔平与抗TNF-α治疗没有关联.
- 口腔状细胞癌 (OSCC) 显示了反向关联 (OR=0.75,P < .0001),表明潜在的保护作用.
结论:
- 在接受抗TNF-α治疗的患者中,定期进行口腔健康监测是必不可少的.
- 强有力的药物监测对于监测与抗TNF-α使用相关的OAEs至关重要.
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