Do Calcium Channel Blockers Increase the Risk of Cancer?

作者: M Pahor

DOI: 10.1016/0895-7061(96)00186-0

关键词:

摘要: Calcium channel blockers can block calcium signals that trigger cell differentiation and apoptosis, which are important mechanisms of cancer growth regulation. To ascertain whether blocker use was associated with an increased risk cancer, 750 hypertensive persons age > or = 71 years, no history at baseline, were followed from 1988 through 1992. The patients using either beta-blockers, angiotensin converting enzyme inhibitors (verapamil, nifedipine, diltiazem; mainly the short-acting variety). Compared to beta-blockers (n 424, 28 events), after adjusting for age, gender, race, smoking, body mass index, number hospital admissions not related relative risks (95% confidence interval) 124, 6 events) 202, 27 0.73 (0.30 1.78) 2.02 (1.16 3.54), respectively. These findings indicate therapy might increase cancer. New data needed in modern agents more gradual absorption. This report should encourage further study outcomes elderly who vulnerable receiving blockers.

参考文章(37)
Lionel H. Opie, Myocardial protection by calcium antagonists Authors' publishing house : Wiley-Liss. ,(1994)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
Sidhartha D. Ray, Lisa M. Kamendulis, Mark W. Gurule, Robert D. Yorkin, George B. Corcoran, Ca2+ antagonists inhibit DNA fragmentation and toxic cell death induced by acetaminophen. The FASEB Journal. ,vol. 7, pp. 453- 463 ,(1993) , 10.1096/FASEBJ.7.5.8462787
John D Minna, R. Maneckjee, Opioids induce while nicotine suppresses apoptosis in human lung cancer cells. Cell Growth & Differentiation. ,vol. 5, pp. 1033- 1040 ,(1994)
Benjamin F. Trump, Irene K. Berezesky, Calcium-mediated cell injury and cell death. The FASEB Journal. ,vol. 9, pp. 219- 228 ,(1995) , 10.1096/FASEBJ.9.2.7781924
Susan C. Wright, Jian Zhong, Hui Zheng, James W. Larrick, Nicotine inhibition of apoptosis suggests a role in tumor promotion. The FASEB Journal. ,vol. 7, pp. 1045- 1051 ,(1993) , 10.1096/FASEBJ.7.11.8370474
Gonzalo López-Abente, Carlos A. González, Manuel Errezola, Antonio Escolar, Isabel Izarzugaza, Manuel Nebot, Elio Riboli, Tobacco Smoke Inhalation Pattern, Tobacco Type, and Bladder Cancer in Spain American Journal of Epidemiology. ,vol. 134, pp. 830- 839 ,(1991) , 10.1093/OXFORDJOURNALS.AJE.A116158
M Pahor, P Carbonin, J.M Guralnik, R.J Havlik, C.D Furberg, Risk of gastrointestinal haemorrhage with calcium antagonists in hypertensive persons over 67 years old The Lancet. ,vol. 347, pp. 1061- 1065 ,(1996) , 10.1016/S0140-6736(96)90276-7
L Juntti-Berggren, O Larsson, P Rorsman, C Ammala, K Bokvist, K Wahlander, P Nicotera, J Dypbukt, S Orrenius, A Hallberg, al. et, Increased activity of L-type Ca2+ channels exposed to serum from patients with type I diabetes Science. ,vol. 261, pp. 86- 90 ,(1993) , 10.1126/SCIENCE.7686306