期刊文献+

免疫调节剂治疗炎症性肠病的监测 被引量:2

Monitoring of immunomodulators in inflammatory bowel disease
下载PDF
导出
摘要 自上世纪九十年代以来,免疫调节剂已成为炎症性肠病(IBD)系统治疗的重要组成部分,尤以硫唑嘌呤(AZA)、6-巯基嘌呤(6-MP)、环孢素A(CsA)、甲氨蝶呤(MTX)应用最广泛。使用免疫调节剂可能出现强烈而明显的不良反应,用药时应仔细监测。此文主要就AZA、6-MP、CsA、MTX治疗炎症性肠病的监测及不良反应作一综述。 Treatment of inflammatory bowel disease(IBD) commonly requires utilization of immunodulatory medications. The most commonly immunomodulators used for treatment of IBD are azathioprine, 6-mercaptopurine, cyclosporine and methotrexate. Great care must be taken in monitoring patients who receive these medications to reduce the risk of side-effects and toxicity. This review will provide information on monitoring of metabolites and the adverse reactions profile for each medication.
作者 顾清 欧阳钦
出处 《国际消化病杂志》 CAS 2007年第1期41-44,共4页 International Journal of Digestive Diseases
关键词 炎症性肠病 免疫调节剂 监测 不良反应 Inflammatory bowel disease Immunomodulator Monitoring Adverse reactions
  • 相关文献

参考文献19

  • 1Cuffari C,Hunt S,Bayless T.Utilization of erythrocyte 6-thioguanine metabolite levels to optimize azathioprine therapy in patients with inflammatory bowel disease.Gut,2001,48:642-646
  • 2Achkar JP,Stevens T,Brezinski A,et al.6-Thioguanine levels versus white blood cell countes in guiding 6-mercaptopurine and azathioprine therapy.Am J Gastroenterol,2000,95:A2491
  • 3Su C,Wang S,Deren J,et al.Measurement of 6-TG levels in patients with IBD:Are all groups identical? Gastroenterology,2002,122:A78
  • 4Aberra FN,Lichtenstein GR.Review article:monitoring of immunomodulators in inflammatory bowel disease.Aliment Pharmacol Ther,2005,21:307-319
  • 5Dubinsky MC,Yang H,Hassard PV,et al.6-MP metabolite profiles provide a biochemical explanation for 6-MP resistance in patients with inflammatory bowel disease.Gastroenterology,2002,122:904-915
  • 6Dubinsky MC,Lamotbe S,Yang HY,et al.Pharmacogenomics and metabolite measurement for 6-mercaptopurine therapy in inflammatory bowel disease.Gastroenterology,2000,118:705-713
  • 7Cuffari C,Dassopoulos T,Turnbaugh L,et al.Thiopurine methyltransferase(TPMT) activity influences clinical response to maintenance azathioprine in patients with IBD.Gastroenterology,2002,122:A221
  • 8Colombel JF,Debuysere H.Marteau P,et al.Genotypic analysis of thiopurine S-methyltransferase in patients with Crohn's disease and severe myelosuppression during azathioprine therapy.Gastroenterology,2000,118:1025-1030
  • 9Curvers WDL,Stokkers P,Vogels E,et al.No predictive value of TPMT genotyping for leucopenia of hepatoxicity during azathioprine therapy in inflammatory bowel disease(abstract).Gastroenterology,2003,124:A377
  • 10Belaiche JDJ,Horsmans Y,Louis E.Therapeutic drug monitoring of azathioprine and 6-mercaptopurine metabolites in Crohn's disease.Scand J Gastroenterol,2001,36:71-76

同被引文献6

引证文献2

二级引证文献8

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部