骨安全和抗发作药物的评估:多源药监和门德尔随机化分析
Chen Gou1,2, Qingqing Zhao3,4, Yanbing Han5,6
1First Department of Neurology, First Affiliated Hospital, Kunming Medical University, 295 Xi Chang Road, Kunming, Yunnan, 650032, People's Republic of China.
Naunyn-Schmiedeberg's archives of pharmacology
|February 14, 2026
概括
抗发作药物 (ASM) 与骨折和维生素D缺乏症等骨疾病有关. 这项研究使用药物监测和遗传数据来识别特定的ASM和参与这些不良骨事件的生物学途径.
科学领域:
- 药物监督和遗传学
- 骨健康研究 骨健康研究
- 药品安全 药品安全
背景情况:
- 骨疾病是抗发作药物 (ASM) 的一个问题,但研究有限.
- 越来越多的证据表明,药物诱导的骨不良事件 (AE) 需要进一步调查.
研究的目的:
- 调查ASM与骨健康相关的AE之间的关联.
- 通过网络药理学和门德尔随机化 (MR) 探索潜在的生物学途径和潜在的因果关系.
主要方法:
- 分析了FDA不良事件报告系统 (FAERS) (2004-2025) 关于ASM和骨AE的数据.
- 使用不成比例分析 (ROR) 进行信号检测.
- 利用网络药理学和两样MR进行途径和因果关联分析.
主要成果:
- 确定了7688份报告,将ASM与骨AE联系起来,包括骨折和维生素D缺乏.
- 发现了传统的ASM (例如,卡巴马泽) 和新的ASM (例如,佩拉曼内尔) 之间存在显著的关联.
- 路径分析涉及和MAPK信号;MR确定了与骨质疏松症和脚骨折相关的关键基因 (例如,CAT,TNFRSF9).
结论:
- 传统和新型ASM与不良的骨健康结果有关.
- 和MAPK信号通路在机理上与ASM相关的骨AE有关.
- 确定了关键的调节基因,为未来的研究和药物开发提供了目标.
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