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普萘洛尔治疗婴儿血管瘤的临床疗效及作用机制研究现状 被引量:2

Clinical efficacy and therapeutic mechanisms of propranolol for infancy hemangiomas: an update
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摘要 婴儿血管瘤是常见的婴幼儿良性肿瘤,对于增生期的血管瘤应早期治疗,防止严重并发症的发生。普萘洛尔是临床常用的非选择性β肾上腺素受体阻滞剂。近年来,越来越多的研究报道普萘洛尔治疗婴儿血管瘤取得较好的疗效,其可能机制包括抑制血管内皮生长因子的生成、抑制低氧诱导性因子-1α-血管内皮生长因子-A血管发生轴、促使基质金属蛋白酶的下调、以及降低血管瘤的内皮一氧化氮合酶等。 Infancy hemangiomas (IHs) are the most common benign tumor of infancy. Early therapy has been recommended for proliferating IHs to prevent serious complications. As a non selective beta-adrenergic receptor antagonist, propranolol is commonly used in clinical practice. Recently, more and more studies have reported that pmpranolol has a good efficacy in the treatment of IHs. The possible therapeutic mechanisms of propranolol in IH include suppression of vascular endothelial growth factor (VEGF) production, inhibition of the hypoxia-inducible factor 1 (HIF-1) α-VEGF-A axis, downregulation of matrix metalloproteinases (MMPs) and endothelial nitric oxide synthase, and so on.
作者 吴实 邓列华
出处 《国际皮肤性病学杂志》 2013年第3期156-160,共5页 International Journal of Dermatology and Venereology
关键词 血管瘤 婴儿 普萘洛尔 Hemangiomas Infancy Propranolol
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