中国药物警戒 ›› 2021, Vol. 18 ›› Issue (2): 184-189.
DOI: 10.19803/j.1672-8629.2021.02.18

• 安全与合理用药 • 上一篇    下一篇

基于生物信息技术预警他汀类药物防治动脉粥样硬化安全风险

邹丽娜1, 林志健1,2, 张晓朦1,2, 张冰1,2,*, 黄政凯1   

  1. 1北京中医药大学中药学院,北京 100029;
    2北京中医药大学中药药物警戒与合理用药研究中心,北京 100029
  • 收稿日期:2020-06-22 修回日期:2021-02-26 出版日期:2021-02-15 发布日期:2021-02-26
  • 通讯作者: *张冰,女,教授·博导,主任医师,中药防治代谢性疾病研究,中药药物警戒与合理用药。E-mail:zhangbing6@263.net
  • 作者简介:邹丽娜,女,在读硕士,药物防治代谢性疾病研究,中药药物警戒与合理用药。
  • 基金资助:
    国家中医药管理局-国家中医药领军人才支持计划“岐黄学者”项目(10400633210004)

Early Warning of Risks of Statins in Atherosclerosis Therapy Based on Bioinformatics

ZOU Lina1, LIN Zhijian1,2, ZHANG Xiaomeng1,2, ZHANG Bing1,2,*, HUANG Zhengkai1   

  1. 1School of Chinese Pharmacy, Beijing University of Chinese Medicine, Beijing 100029, China;
    2Research Center of Traditional Chinese Medicine Pharmacovigilance and Rational Use, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2020-06-22 Revised:2021-02-26 Online:2021-02-15 Published:2021-02-26

摘要: 目的 通过生物信息技术探讨他汀类药物治疗动脉粥样硬化潜在的安全风险。方法 采用生物信息技术提取GEO数据库中的基因芯片数据集GSE32547,对他汀类药物干预人脐静脉内皮细胞差异表达基因进行基因本体注释、信号通路分析以及蛋白质互作网络分析,以探讨其用药风险预警。结果 生物信息分析结果显示,他汀类药物治疗动脉粥样硬化时会伴随骨骼肌损伤,以及神经化学传导、甲状腺代谢、呼吸系统及生殖异常的安全风险。结论 他汀类药物用于动脉粥样硬化防治具有潜在的不良反应,使用时应密切关注患者骨骼肌状况,对于有骨骼肌疾患的患者应进行风险-效益评价。同时要注意神经系统、内分泌系统、呼吸系统及生殖系统等的用药安全风险。

关键词: 他汀类药物, 动脉粥样硬化, 生物信息技术, 风险预警

Abstract: Objective To explore the potential safety risks of statins in the treatment of atherosclerosis based by bioinformatics. Methods The gene chip data GSE32547 in GEO database was retrieved by bioinformation technology. GO annotation, KEGG pathway analysis and protein interaction network analysis were conducted of the genes differentially expressed in HUVECs cells by statins to identify the safety risk of statins in the treatment of atherosclerosis. Results The results showed that the treatment of atherosclerosis with statins could be accompanied by skeletal muscle injuries and abnormalities in neurochemical conduction, thyroid metabolism, the respiratory system and fertility. Conclusion Statins can cause potential adverse reactions when used in the prevention and treatment of atherosclerosis. When statins are used for treating atherosclerosis, the condition of a patient's skeletal muscle deserves attention. When patients with skeletal muscle disease take statins, the risk/benefit to patients should be evaluated. Clinicians should be alert to safety risks to the nervous system, endocrine system, respiratory system and reproductive system.

Key words: statins, atherosclerosis, bioinformatics, risk warning

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