Tyrosine kinase inhibitors induced thyroid dysfunction: myth or reality?

IF 1.2 Q4 ONCOLOGY Reports of Practical Oncology and Radiotherapy Pub Date : 2023-08-28 eCollection Date: 2023-01-01 DOI:10.5603/RPOR.a2023.0055
Anjli Malhotra, Rajeev Gupta, Shveta Mahajan
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Abstract

Background: Chronic myelogenous leukemia (CML) is a hematopoietic stem cell disorder. It is associated with acquired genetic changes in the hematopoietic stem cells in the form of BCR-ABL fusion gene also known as Philadelphia chromosome.

Materials and methods: We prospectively studied thyroid function at baseline and at 6 months of imatinib treatment in 26 newly diagnosed BCR-ABL positive CML patients.

Result: The thyroid-stimulating hormone (TSH) levels increased significantly from baseline (3.20 ± 0.978 mIU/L vs. 3.724 ± 1.726 mIU/L, p < 0.05) after 6 months of treatment, 88.4% of the patients remained euthyroid. Only 2 patients had subclinical hypothyroidism, 1 had hypothyroidism after 6 months of tyrosine kinase inhibitors (TKI) therapy.

Conclusion: Imatinib did not have any significant effect on thyroid function in CML patients in this study.

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酪氨酸激酶抑制剂诱导的甲状腺功能障碍:神话还是现实?
背景:慢性粒细胞白血病(CML)是一种造血干细胞疾病。它以BCR-ABL融合基因(也称为费城染色体)的形式与造血干细胞的后天遗传变化有关。材料和方法:我们前瞻性研究了26例新诊断的BCR-ABL阳性CML患者在基线和伊马替尼治疗6个月时的甲状腺功能。结果:治疗6个月后,促甲状腺激素(TSH)水平较基线显著升高(3.20±0.978mIU/L对3.724±1.726mIU/L,p<0.05),88.4%的患者保持甲状腺功能正常。只有2名患者患有亚临床甲状腺功能减退症,1名患者在接受酪氨酸激酶抑制剂(TKI)治疗6个月后患有甲状腺功能减退。结论:伊马替尼对慢性粒细胞白血病患者的甲状腺功能无明显影响。
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来源期刊
CiteScore
2.80
自引率
8.30%
发文量
115
审稿时长
16 weeks
期刊介绍: Reports of Practical Oncology and Radiotherapy is an interdisciplinary bimonthly journal, publishing original contributions in clinical oncology and radiotherapy, as well as in radiotherapy physics, techniques and radiotherapy equipment. Reports of Practical Oncology and Radiotherapy is a journal of the Polish Society of Radiation Oncology, the Czech Society of Radiation Oncology, the Hungarian Society for Radiation Oncology, the Slovenian Society for Radiotherapy and Oncology, the Polish Study Group of Head and Neck Cancer, the Guild of Bulgarian Radiotherapists and the Greater Poland Cancer Centre, affiliated with the Spanish Society of Radiotherapy and Oncology, the Italian Association of Radiotherapy and the Portuguese Society of Radiotherapy - Oncology.
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