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羟氯喹在风湿性疾病管理中的作用:一项全面综述。

The Role of Hydroxychloroquine in the Management of Rheumatic Disorders: A Comprehensive Review.

作者信息

Ates Ilker, Sahin Hilal, Irham Lalu Muhammad, Yilmaz Serkan, Suzen Sinan

机构信息

Faculty of Pharmacy, Department of Toxicology, Ankara University, Ankara, Türkiye.

Faculty of Medicine, Department of Medical Biology and Genetic, Atlas University, Istanbul, Türkiye.

出版信息

Basic Clin Pharmacol Toxicol. 2025 Aug;137(2):e70082. doi: 10.1111/bcpt.70082.

DOI:10.1111/bcpt.70082
PMID:40693372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12281268/
Abstract

A drug preferred for its antimalarial effect called hydroxychloroquine (HCQ) has long been used to manage and avoid malaria. Nevertheless, its exact mode of action is still unknown. HCQ works through a variety of strategies to influence distinct molecular and cellular pathways. Additionally, HCQ has been demonstrated to be an effective treatment for rheumatic conditions such as primary Sjögren's syndrome, rheumatoid arthritis, antiphospholipid syndrome and systemic lupus erythematosus. Despite being widely regarded as safe, HCQ has been known to cause adverse responses; thus, doctors should closely evaluate rheumatism patients before taking these medications. The current study aims to emphasize the potential side effects of treatment while supporting the clinical usage of HCQ for autoimmune disorders.

摘要

一种因其抗疟作用而备受青睐的药物——羟氯喹(HCQ),长期以来一直被用于防治疟疾。然而,其确切的作用方式仍不明确。HCQ通过多种策略来影响不同的分子和细胞途径。此外,HCQ已被证明是治疗风湿性疾病的有效药物,如原发性干燥综合征、类风湿性关节炎、抗磷脂综合征和系统性红斑狼疮。尽管HCQ被广泛认为是安全的,但已知它会引起不良反应;因此,医生在给风湿性疾病患者使用这些药物之前应进行密切评估。本研究旨在强调治疗的潜在副作用,同时支持HCQ在自身免疫性疾病中的临床应用。

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本文引用的文献

1
Analysis of Pregnancy Outcomes in Patients Exhibiting Recurrent Miscarriage With Concurrent Low-Titer Antiphospholipid Antibodies.分析伴有低滴度抗磷脂抗体的复发性流产患者的妊娠结局。
Am J Reprod Immunol. 2024 Nov;92(5):e13940. doi: 10.1111/aji.13940.
2
Risk of flare in patients with SLE in remission after hydroxychloroquine or chloroquine withdrawal.羟氯喹或氯喹停药后缓解的系统性红斑狼疮患者的复发风险。
Joint Bone Spine. 2024 Dec;91(6):105756. doi: 10.1016/j.jbspin.2024.105756. Epub 2024 Jul 2.
3
Cost-Utility Analysis of TNF-α Inhibitors, B Cell Inhibitors, and JAK Inhibitors Versus csDMARDs for Rheumatoid Arthritis Treatment.
TNF-α 抑制剂、B 细胞抑制剂和 JAK 抑制剂与 csDMARDs 治疗类风湿关节炎的成本效用分析。
Appl Health Econ Health Policy. 2024 Nov;22(6):885-896. doi: 10.1007/s40258-024-00898-w. Epub 2024 Jul 1.
4
The association between primary Sjogren's syndrome and non-Hodgkin's lymphoma: a systematic review and meta-analysis of cohort studies.原发性干燥综合征与非霍奇金淋巴瘤的关联:队列研究的系统评价和荟萃分析。
Clin Rheumatol. 2024 Jul;43(7):2177-2186. doi: 10.1007/s10067-024-06993-6. Epub 2024 May 9.
5
Skin and ophthalmic complications of chloroquine and hydroxychloroquine in patients with rheumatoid arthritis and systemic lupus erythematous.类风湿关节炎和系统性红斑狼疮患者中氯喹和羟氯喹的皮肤和眼部并发症。
J Immunoassay Immunochem. 2024 May 3;45(3):178-188. doi: 10.1080/15321819.2024.2350544. Epub 2024 May 9.
6
Hydroxychloroquine Induced Cardiotoxicity: A Case Series.羟氯喹致心脏毒性:病例系列报告。
Rom J Intern Med. 2024 Feb 20;62(2):210-215. doi: 10.2478/rjim-2024-0005. Print 2024 Jun 1.
7
EULAR recommendations for the management of systemic lupus erythematosus: 2023 update.EULAR 推荐的系统性红斑狼疮治疗:2023 更新版。
Ann Rheum Dis. 2024 Jan 2;83(1):15-29. doi: 10.1136/ard-2023-224762.
8
Safety and Efficacy of Oral Hydroxychloroquine in the Treatment of Ophthalmic Disease Associated with Sjögren's Syndrome.羟氯喹口服治疗干燥综合征相关眼病的安全性和疗效。
Altern Ther Health Med. 2023 Nov;29(8):656-662.
9
Hydroxychloroquine-Induced Myopathy Responding to Intravenous Immunoglobulin (IVIG).羟氯喹诱导的肌病对静脉注射免疫球蛋白(IVIG)有反应。
Cureus. 2023 Jun 27;15(6):e41016. doi: 10.7759/cureus.41016. eCollection 2023 Jun.
10
Systemic lupus erythematosus complicated with cardiovascular disease.系统性红斑狼疮合并心血管疾病。
Int J Rheum Dis. 2023 Aug;26(8):1429-1431. doi: 10.1111/1756-185X.14741. Epub 2023 Jul 23.