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口腔医学中硫嘌呤类药物使用实用指南。

A practical guide to the use of thiopurines in oral medicine.

作者信息

Hullah E A, Blaker P A, Marinaki A M, Escudier M P, Sanderson J D

机构信息

Oral Medicine, King's College London Dental Institute, London, UK.

Gastroenterology, Guy's & St Thomas' Hospitals NHS Foundation Trust, Guy's Hospital, Great Maze Pond, London, UK.

出版信息

J Oral Pathol Med. 2015 Nov;44(10):761-8. doi: 10.1111/jop.12274. Epub 2014 Dec 19.

DOI:10.1111/jop.12274
PMID:25529219
Abstract

Thiopurines are widely used as first-line immunosuppressive therapies in the management of chronic inflammatory oral disease. However, despite over half a century of clinical experience, the evidence base for their use is limited. The aims of this paper were to review the evidence for the use of thiopurines in oral medicine and provide a contemporary model of thiopurine metabolism and mechanism of action and a rationale for clinical use and safe practice.

摘要

硫唑嘌呤类药物作为慢性炎症性口腔疾病管理中的一线免疫抑制疗法被广泛使用。然而,尽管有半个多世纪的临床经验,其使用的证据基础仍然有限。本文的目的是回顾硫唑嘌呤类药物在口腔医学中使用的证据,并提供硫唑嘌呤代谢和作用机制的当代模型以及临床使用和安全实践的基本原理。

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Thiopurine methyltransferase activity combined with 6-thioguanine metabolite levels predicts clinical response to thiopurines in patients with inflammatory bowel disease.硫嘌呤甲基转移酶活性联合6-硫鸟嘌呤代谢物水平可预测炎症性肠病患者对硫嘌呤类药物的临床反应。
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引用本文的文献

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New methods to assess 6-thiopurine toxicity and expanding its therapeutic application to pancreatic cancer small molecule potentiators.评估6-硫代嘌呤毒性并将其治疗应用扩展至胰腺癌的新方法——小分子增强剂。
Medchemcomm. 2019 Mar 18;10(5):717-725. doi: 10.1039/c9md00010k. eCollection 2019 May 1.
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Efforts in redesigning the antileukemic drug 6-thiopurine: decreasing toxic side effects while maintaining efficacy.重新设计抗白血病药物6-硫嘌呤的努力:在保持疗效的同时降低毒副作用。
Medchemcomm. 2018 Dec 20;10(1):169-179. doi: 10.1039/c8md00463c. eCollection 2019 Jan 1.
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Checklists for safe prescribing in oral medicine clinics.
口腔医学诊所安全处方清单。
Br Dent J. 2017 Dec;223(9):693-698. doi: 10.1038/sj.bdj.2017.887. Epub 2017 Oct 27.