論文

国際誌
2021年8月14日

Influence of anticancer agents on sexual function: An in vivo study based on the US FDA Adverse Event Reporting System.

Andrology
  • Tomoya Kataoka
  • ,
  • Akimasa Sanagawa
  • ,
  • Jun Suzuki
  • ,
  • Tatsuya Muto
  • ,
  • Yuji Hotta
  • ,
  • Yoshihiro Kawade
  • ,
  • Yasuhiro Maeda
  • ,
  • Masahiro Tohkin
  • ,
  • Kazunori Kimura

10
1
開始ページ
166
終了ページ
178
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/andr.13094

BACKGROUND: Patients with cancer are treated with chemotherapeutics that cause adverse effects, including erectile dysfunction (ED). OBJECTIVES: We investigated erectile function in rats after the administration of anticancer agents based on data retrieved through mining of the US Food and Drug Administration (FDA) Adverse Event Reporting System (AERS) database. MATERIALS AND METHODS: The statistical signal strength for the association between anticancer drugs and ED was calculated using the reporting odds ratio (ROR). A drug-event combination was detected when the lower limit of the 95% confidence interval (CI) of the ROR exceeded 1.00. Rats were administered anticancer agents detected in the FDA AERS analysis. Erectile function was assessed using intracavernous pressure (ICP) and mean arterial pressure (MAP) analysis after electrical stimulation of the cavernous nerve. Statistical significance was determined using Welch's t-test or two-way ANOVA. RESULTS: Melphalan (L-PAM; ROR = 4.72, 95% CI = 2.78-8.00), vincristine (VCR; ROR = 2.47, 95% CI = 1.54-3.97), docetaxel (DTX; ROR = 2.25, 95% CI = 1.28-3.95), methotrexate (MTX; ROR = 1.96, 95% CI = 1.39-2.75), and doxorubicin (DOX; ROR = 1.82, 95% CI = 1.07-3.19) enhanced ED risk. L-PAM and MTX decreased the ICP/MAP ratio 1 week after administration. VCR and DOX decreased erectile function 4 weeks after administration. DTX decreased erectile function at all assessed time points. DISCUSSION AND CONCLUSION: Certain anticancer agents should be considered risk factors for ED. Our results provide possible treatment strategies for maintaining erectile function in cancer survivors, including careful erectile function monitoring after treatment.

リンク情報
DOI
https://doi.org/10.1111/andr.13094
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34390622
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9291990
ID情報
  • DOI : 10.1111/andr.13094
  • PubMed ID : 34390622
  • PubMed Central 記事ID : PMC9291990

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