JCO:β受体阻滞剂普萘洛尔降低乳腺癌死亡率

2011-06-03 小康 医学论坛网

MedSci注:类似这种跨界的药物的研究,文章十分容易发表。如地高辛能增加乳腺癌危险,降血糖药物致癌,降血脂药物诱导心脏疾病,雄激素诱导HA等等。在临床上仔细分析,若能发现不同药物的特殊“副作用”,就是临床的新发现。MedSci已接受并协助大量此类文章的发表。具体可以参考:http://www.medsci.cn/list.asp?classid=110   《临床肿瘤学杂志》(J 

MedSci注:类似这种跨界的药物的研究,文章十分容易发表。如地高辛能增加乳腺癌危险,降血糖药物致癌,降血脂药物诱导心脏疾病,雄激素诱导HA等等。在临床上仔细分析,若能发现不同药物的特殊“副作用”,就是临床的新发现。MedSci已接受并协助大量此类文章的发表。具体可以参考:https://www.medsci.cn/list.asp?classid=110

  《临床肿瘤学杂志》(J Clin Oncol)5月31日在线发表的一项研究提示,抑制β2肾上腺素信号传导通路可降低乳腺癌进展和死亡风险。

  该研究使用爱尔兰国家癌症登记中心的资料,识别出2001年1月至2006年12月31日诊断的Ⅰ~Ⅳ期浸润性乳腺癌女性患者。研究把诊断乳腺癌1年前使用普萘洛尔(β12阻滞剂,70例)或阿替洛尔(β1阻滞剂,525例)的患者与未使用β阻滞剂的患者(n=4738)进行匹配(1:2)。研究评估了使用阿替洛尔或普萘洛尔与诊断时局部肿瘤浸润(T4期肿瘤)、淋巴结受累或转移(N2/N3/M1期肿瘤)和至乳腺癌特异性死亡时间的相关性。

  结果显示,与对照者先比,普萘洛尔使用者患T4[比值比(OR)为0.24,95%可信区间(CI)为0.07〜0.85]或N2/N3 /M1(OR为0.20,95%CI为0.04〜0.88)肿瘤的可能性显著更低。乳腺癌特异性累积死亡率显著低于对照者(危险比0.19,95%CI为 0.06~0.60)。使用阿替洛尔者和未使用阿替洛尔者T4或N2/N3/M1期肿瘤的发病率或乳腺癌特异性死亡率无差异。

  相关链接:Beta Blockers and Breast Cancer Mortality: A Population-Based Study
 

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    2012-01-21 lidong40
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    2011-11-13 zhyy88
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