钙通道阻滞剂与帕金森病:系统回顾与荟萃分析。

IF 4.7 2区 医学 Q1 CLINICAL NEUROLOGY
Therapeutic Advances in Neurological Disorders Pub Date : 2024-05-19 eCollection Date: 2024-01-01 DOI:10.1177/17562864241252713
Junyu Lin, Dejiang Pang, Chunyu Li, Ruwei Ou, Yujiao Yu, Yiyuan Cui, Jingxuan Huang, Huifang Shang
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引用次数: 0

摘要

背景:钙通道被认为是帕金森病(PD)神经保护疗法的一个极具潜力的药物靶点,但以往的研究结果并不一致:本研究旨在进行系统回顾和荟萃分析,以评估使用钙通道阻滞剂(CCBs)与帕金森病的风险和进展之间的关系:使用 "帕金森病"、"帕金森病"、"钙通道阻滞剂 "和 "CCB "等术语在PubMed、Embase和Cochrane Library等英文数据库中检索2023年5月1日前发表的有关CCB和帕金森病的研究文献。使用Review Manager 5.3软件进行数据分析:初步检索到190篇文献,通过剔除重复文献、阅读摘要和阅读全文,排除了177篇文献。最终共有9项研究被纳入CCB与帕金森病风险的荟萃分析,5项研究被纳入CCB与帕金森病进展的系统综述。共有2,961,695名参与者被纳入荟萃分析。由于存在显著的异质性,因此采用随机效应模型进行分析。荟萃分析的主要结果显示,使用CCB可降低PD的风险(相对风险为0.78,95%置信区间为0.62-0.99):结论:CCB的使用与PD风险的显著降低有关。结论:服用氯解磷定可明显降低帕金森氏症的风险,但服用氯解磷定是否对帕金森氏症有疾病调节作用还需进一步研究:PROCROPERO:CRD42024508242。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Calcium channel blockers and Parkinson's disease: a systematic review and meta-analysis.

Background: The calcium channel has been considered to have great potential as a drug target for neuroprotective therapy in Parkinson's disease (PD), but previous studies yielded inconsistent results.

Objectives: This study aimed to conduct a systematic review and meta-analysis to assess the relationship between using calcium channel blockers (CCBs) and the risk and progression of PD.

Data sources and methods: The terms such as 'Parkinson's disease', 'PD', 'calcium channel blockers', and 'CCB' were used to search the literature published before 1 May 2023 in English databases, including PubMed, Embase, and Cochrane Library, for studies on CCB and PD. Data analysis was performed using Review Manager 5.3 software.

Results: A total of 190 works of literature were preliminarily retrieved, and 177 works of literature were excluded by eliminating duplicates, reading abstracts, and reading full texts. A total of nine studies were finally included in the meta-analysis of the CCB and the risk of PD, and five studies were included in the systematic review of the CCB and the progression of PD. A total of 2,961,695 participants were included in the meta-analysis. The random-effects model was used for analysis due to significant heterogeneity. The main results of the meta-analysis showed that the use of CCB could reduce the risk of PD (relative risk 0.78, 95% confidence interval 0.62-0.99).

Conclusion: CCB use was associated with a significantly reduced risk of PD. Whether CCB use has a disease-modifying effect on PD needs further study.

Registration: PROSPERO: CRD42024508242.

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来源期刊
CiteScore
8.30
自引率
1.70%
发文量
62
审稿时长
15 weeks
期刊介绍: Therapeutic Advances in Neurological Disorders is a peer-reviewed, open access journal delivering the highest quality articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of neurology. The journal has a strong clinical and pharmacological focus and is aimed at clinicians and researchers in neurology, providing a forum in print and online for publishing the highest quality articles in this area.
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