Brit J Cancer:H1抗组胺药在对侧乳腺癌中的作用

2020-02-17 xing.T MedSci原创

综上所述,该研究的结果表明使用H1抗组胺药与CBC发生之间并不存在关联。

临床前研究表明抗组胺药具有促肿瘤和抗肿瘤作用。近日,肿瘤领域权威杂志British Journal of Cancer上发表了一篇研究文章,研究人员旨在评估了H1抗组胺药对对侧乳腺癌(CBC)风险的影响,以及明确阳离子双亲性(CAD)抗组胺药是否可以增加对化疗的敏感性。

研究人员从丹麦乳腺癌小组的临床数据库中确定了1996年至2012年期间所有≥20岁的初诊乳腺癌妇女。有关药物使用、CBC和潜在混杂因素信息可从全国登记中心获取。研究人员使用Cox比例风险回归模型计算了与H1-抗组胺药相关的CBC的风险比(HRs)和95%置信区间(CIs)。

研究人员确定了52723例乳腺癌患者,总共进行了310583人次每年的随访。其中,1444名患者在对侧乳腺中发现了新的原发肿瘤。与未使用H1-抗组胺药(<2个处方)相比,诊断后使用H1抗组胺药(≥2个处方)与CBC风险(HR为1.08,95%CI:0.90–1.31)之间没有显著相关性。在接受化疗的患者中使用CAD抗组胺药与降低CBC风险无关。

综上所述,该研究的结果表明使用H1抗组胺药与CBC发生之间并不存在关联。

原始出处:

Annet Bens,et al.The role of H1 antihistamines in contralateral breast cancer: a Danish nationwide cohort study.British Journal of Cancer.2020.https://www.nature.com/articles/s41416-020-0747-4

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