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在布鲁顿酪氨酸激酶抑制剂时代探索乙型肝炎病毒再激活的复杂领域。

Navigating the complex terrain of hepatitis B virus reactivation in the era of Bruton tyrosine kinase inhibitors.

机构信息

Department of Medicine, Tri-Service General Hospital, Taipei 114, Taiwan.

Division of Hematology/Oncology, Department of Internal Medicine, National Defense Medical Center, Taipei 114, Taiwan.

出版信息

World J Gastroenterol. 2024 Jun 7;30(21):2748-2750. doi: 10.3748/wjg.v30.i21.2748.

DOI:10.3748/wjg.v30.i21.2748
PMID:38899330
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11185301/
Abstract

In this editorial, we offer a summary of the risk associated with hepatitis B reactivation (HBVr) in the setting of both solid and hematologic malignancies treated with Bruton tyrosine kinase (BTK) inhibitors, with insights derived from current studies. Furthermore, we emphasize the critical need for a framework regarding robust risk evaluation in patients undergoing such treatments. This framework is essential for identifying those at increased risk of HBVr, enabling healthcare providers to implement proactive measures to prevent reactivation and ensure the safe administration of BTK inhibitor therapy.

摘要

在这篇社论中,我们总结了在接受布鲁顿酪氨酸激酶(BTK)抑制剂治疗的实体瘤和血液系统恶性肿瘤患者中,乙型肝炎病毒再激活(HBVr)的风险,并从当前研究中获得了一些见解。此外,我们强调了在接受此类治疗的患者中建立一个关于风险评估的框架的重要性。该框架对于识别那些 HBVr 风险增加的患者至关重要,使医疗保健提供者能够采取主动措施来预防再激活并确保 BTK 抑制剂治疗的安全管理。

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Navigating the complex terrain of hepatitis B virus reactivation in the era of Bruton tyrosine kinase inhibitors.在布鲁顿酪氨酸激酶抑制剂时代探索乙型肝炎病毒再激活的复杂领域。
World J Gastroenterol. 2024 Jun 7;30(21):2748-2750. doi: 10.3748/wjg.v30.i21.2748.
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Risk of hepatitis B virus reactivation in cancer patients undergoing treatment with tyrosine kinase-inhibitors.癌症患者接受酪氨酸激酶抑制剂治疗时乙型肝炎病毒再激活的风险。
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本文引用的文献

1
Risk of hepatitis B virus reactivation in oncological patients treated with tyrosine kinase inhibitors: A case report and literature analysis.肿瘤患者接受酪氨酸激酶抑制剂治疗后乙型肝炎病毒再激活的风险:病例报告及文献分析。
World J Gastroenterol. 2024 Mar 7;30(9):1253-1256. doi: 10.3748/wjg.v30.i9.1253.
2
Prevention and management of hepatitis B virus reactivation in patients with hematological malignancies in the targeted therapy era.靶向治疗时代血液系统恶性肿瘤患者乙型肝炎病毒再激活的预防与管理。
World J Gastroenterol. 2023 Sep 7;29(33):4942-4961. doi: 10.3748/wjg.v29.i33.4942.
3
Hepatitis B virus reactivation in seronegative occult hepatitis B patient receiving ibrutinib therapy.在接受伊布替尼治疗的乙型肝炎病毒表面抗原阴性隐匿性乙型肝炎患者中乙型肝炎病毒再激活。
Virol J. 2023 Aug 1;20(1):168. doi: 10.1186/s12985-023-02140-w.
4
Hepatitis B Virus Reactivation in Patients Receiving Bruton Tyrosine Kinase Inhibitors.接受布鲁顿酪氨酸激酶抑制剂治疗的患者中乙型肝炎病毒再激活。
Clin Lymphoma Myeloma Leuk. 2023 Aug;23(8):610-615. doi: 10.1016/j.clml.2023.04.006. Epub 2023 Apr 20.
5
Reactivation of Hepatitis B Virus in Lung Cancer Patients Receiving Tyrosine Kinase Inhibitor Treatment.接受酪氨酸激酶抑制剂治疗的肺癌患者中乙型肝炎病毒的再激活
J Clin Med. 2022 Dec 28;12(1):231. doi: 10.3390/jcm12010231.
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Hepatitis B virus reactivation associated with new classes of immunosuppressants and immunomodulators: A systematic review, meta-analysis, and expert opinion.乙型肝炎病毒再激活与新型免疫抑制剂和免疫调节剂相关:系统评价、荟萃分析和专家意见。
J Hepatol. 2022 Dec;77(6):1670-1689. doi: 10.1016/j.jhep.2022.07.003. Epub 2022 Jul 16.
7
Risk of hepatitis B virus reactivation in chronic lymphocytic leukemia patients receiving ibrutinib with or without antiviral prophylaxis. A retrospective multicentric GIMEMA study.接受依鲁替尼治疗的慢性淋巴细胞白血病患者无论有无抗病毒预防措施时乙肝病毒再激活的风险。一项回顾性多中心GIMEMA研究。
Haematologica. 2022 Jun 1;107(6):1470-1473. doi: 10.3324/haematol.2021.280325.
8
Case of hepatitis B virus reactivation after ibrutinib therapy in which the patient remained negative for hepatitis B surface antigens throughout the clinical course.伊布替尼治疗后发生乙型肝炎病毒再激活的病例,该患者在整个临床过程中乙型肝炎表面抗原始终呈阴性。
Hepatol Res. 2021 Feb;51(2):239-244. doi: 10.1111/hepr.13575. Epub 2020 Oct 8.
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Hepatitis B reactivation during treatment of tyrosine kinase inhibitors-Experience in 142 adult patients with chronic myeloid leukemia.酪氨酸激酶抑制剂治疗期间的乙型肝炎再激活——142例成年慢性髓性白血病患者的经验
Leuk Res. 2019 Jun;81:95-97. doi: 10.1016/j.leukres.2019.05.001. Epub 2019 May 2.
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Hepatitis B Reactivation in the Treatment of Non-Hodgkin Lymphoma.非霍奇金淋巴瘤治疗中的乙型肝炎病毒再激活
Cancer Control. 2018 Jan-Mar;25(1):1073274818767879. doi: 10.1177/1073274818767879.