Lancet Neurol:辛伐他汀对进行性多发性硬化患者机体功能的改善

2017-06-07 zhangfan MedSci原创

辛伐他汀可改善继发性进行性多发性硬化患者额叶功能和身体生活质量,提高这部分患者的生活质量

在为期24个月的MS-STAT II期临床研究中,研究人员发现高剂量的辛伐他汀可显著降低继发性进行性多发性硬化 (SPMS)患者全脑萎缩年化率。近日研究人员公布了MS-STAT研究对患者认知,精神,和健康相关生活质量(HRQOL)结果的影响。

MS-STAT在英国的三个神经科学研究中心进行,患者随机接受80mg的辛伐他汀 (n=70) 或安慰剂 (n=70)。在基线、12及24个月时,对患者进行一系列的认知评估、神经精神状态评估以及 HRQoL评估。

在基线时,对88%的参与者进行了基础评估。在整个试验过程中,研究发现患者的言语记忆测试结果的显著恶化(T 分数下降 5.7 分, 95% CI 3.6–7.8; p<0.0001)。24个月时,辛伐他汀组患者认识障碍评价得分高于对照组1.2分(95% CI 0.2–2.3),平均身体机能得分较安慰剂组高2.5分(95% CI 0.3–4.8; p=0·028)。其余指标二组差异不显著。

研究认为辛伐他汀可改善继发性进行性多发性硬化患者额叶功能和身体生活质量,提高这部分患者的生活质量。

原始出处:


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    2017-07-30 yinhl1978
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    2018-02-17 howi
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channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 07 10:08:14 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207666, encodeId=894220e66645, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Jun 07 09:50:46 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207659, encodeId=ed2220e65995, content=受教了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo51eheDrP8dFkRicVB5LyaVk2Nc1S87J8nCBgASWQ4rrorsyzzr0UzN8N5bibeqGofE7ZtdT6YNZHEQ/0, createdBy=79351625688, createdName=1dd7a091m35(暂无匿称), createdTime=Wed Jun 07 09:44:30 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-08 龙胆草

    学习谢谢分享

    0

  7. 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channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 07 10:08:14 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207666, encodeId=894220e66645, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Jun 07 09:50:46 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207659, encodeId=ed2220e65995, content=受教了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo51eheDrP8dFkRicVB5LyaVk2Nc1S87J8nCBgASWQ4rrorsyzzr0UzN8N5bibeqGofE7ZtdT6YNZHEQ/0, createdBy=79351625688, createdName=1dd7a091m35(暂无匿称), createdTime=Wed Jun 07 09:44:30 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-07 龙胆草

    学习谢谢分享

    0

  8. 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channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 07 10:08:14 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207666, encodeId=894220e66645, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Jun 07 09:50:46 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207659, encodeId=ed2220e65995, content=受教了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo51eheDrP8dFkRicVB5LyaVk2Nc1S87J8nCBgASWQ4rrorsyzzr0UzN8N5bibeqGofE7ZtdT6YNZHEQ/0, createdBy=79351625688, createdName=1dd7a091m35(暂无匿称), createdTime=Wed Jun 07 09:44:30 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-07 1ddf0692m34(暂无匿称)

    学习了,涨知识

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1999967, encodeId=7a8d199996e3e, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Sun Jul 30 18:00:00 CST 2017, time=2017-07-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1889751, encodeId=52ba1889e5109, content=<a href='/topic/show?id=760c430895a' target=_blank style='color:#2F92EE;'>#多发性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43089, encryptionId=760c430895a, topicName=多发性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04d6114, 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channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 07 10:08:14 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207666, encodeId=894220e66645, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Jun 07 09:50:46 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207659, encodeId=ed2220e65995, content=受教了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo51eheDrP8dFkRicVB5LyaVk2Nc1S87J8nCBgASWQ4rrorsyzzr0UzN8N5bibeqGofE7ZtdT6YNZHEQ/0, createdBy=79351625688, createdName=1dd7a091m35(暂无匿称), createdTime=Wed Jun 07 09:44:30 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-07 Chongyang Zhang

    签到学习了很多。

    0

  10. 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channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220115/46bcf39c32de4aa6b45c5f9d66c8ee77/6cb4a20c55bb4b7691122f47747bfca2.jpg, createdBy=9dad1662329, createdName=1ddf0692m34(暂无匿称), createdTime=Wed Jun 07 10:08:14 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207666, encodeId=894220e66645, content=签到学习了很多。, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://q.qlogo.cn/qqapp/1103841572/A3E53E62691178E2F18D7B999FD22131/100, createdBy=f44d2003846, createdName=Chongyang Zhang, createdTime=Wed Jun 07 09:50:46 CST 2017, time=2017-06-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=207659, encodeId=ed2220e65995, content=受教了,谢谢, beContent=null, objectType=article, channel=null, level=null, likeNumber=51, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo51eheDrP8dFkRicVB5LyaVk2Nc1S87J8nCBgASWQ4rrorsyzzr0UzN8N5bibeqGofE7ZtdT6YNZHEQ/0, createdBy=79351625688, createdName=1dd7a091m35(暂无匿称), createdTime=Wed Jun 07 09:44:30 CST 2017, time=2017-06-07, status=1, ipAttribution=)]
    2017-06-07 1dd7a091m35(暂无匿称)

    受教了,谢谢

    0

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对于复发缓解型多发性硬化患者,使用IFN-β会增加1.6-1.8倍的中风和偏头痛风险,增加1.3倍的抑郁以及血液学异常风险

NEJM:细胞因子BAFE过度表达导致自身免疫性疾病风险

TNFSF13B突变与多发性硬化和系统性红斑狼疮相关,在机体,细胞和分子不同水平造成影响。

NEJM:米诺环素可减缓多发性硬化进展

米诺环素可以降低6个月内首次脱髓鞘患者进展为多发性硬化的进程,但24个月的效果不显著

JAMA Neurol:多发性硬化的视网膜结构、鞘内免疫与临床病程的关系

视网膜层可以反映多发性硬化病情的进展。GCIPL减少与鞘内B免疫细胞增加相关,是残疾恶化的独立危险因素,而INL水平与脑实质性活动有关。因此,视网膜光学相干断层扫描可能是一种对不同MS患者进行鉴别开展个体化治疗方案的手段