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戈利木单抗与恶性肿瘤:真实关联还是虚假关联?

Golimumab and malignancies: true or false association?

机构信息

Laboratory of Biochemistry, Research Unit 02/UR/09-01, Higher Institute of Biotechnology, BP 74, Monastir, Tunisia.

出版信息

Med Oncol. 2011 Jun;28(2):641-8. doi: 10.1007/s12032-010-9490-7. Epub 2010 Apr 7.

Abstract

Malignancy is one of the comorbidities linked to golimumab, a biological TNF-α blocker. In this systematic review and meta-analysis, we searched different databases and analyzed original publications to elucidate the remaining open question about the real association of malignancies with golimumab therapy. The most frequent cancer in patients treated with golimumab, in association or not with methotrexate, is the lung adenocarcinoma. However, lymphoma is not very commonly represented in these patients. We show that there is no major and evident risk of malignancies associated with golimumab in current scientific literature. An increased risk of malignancies may be associated with golimumab, but this warrants further clinical confirmation. Also, this risk mentioned in different studies must be taken with caution because of number of limits and biases.

摘要

恶性肿瘤是与戈利木单抗(一种生物 TNF-α 阻滞剂)相关的合并症之一。在这项系统评价和荟萃分析中,我们检索了不同的数据库并分析了原始出版物,以阐明关于恶性肿瘤与戈利木单抗治疗之间真实关联的未解决问题。在接受戈利木单抗治疗的患者中,无论是否联合甲氨蝶呤,最常见的癌症是肺腺癌。然而,这些患者中淋巴瘤并不常见。我们表明,在当前的科学文献中,戈利木单抗与恶性肿瘤没有明显的重大风险。恶性肿瘤的风险可能与戈利木单抗相关,但这需要进一步的临床证实。此外,由于存在许多局限性和偏见,不同研究中提到的这种风险必须谨慎对待。

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