Gastroenterology：霍乱疫苗可降低结直肠癌患者死亡风险

2017-10-23 佚名全球肿瘤医生网

Ji等研究团队最近在《Gastroenterology》发表最新研究结果，显示霍乱疫苗具有抗炎作用，可以作为免疫反应的调节器；能够减少结肠息肉在结直肠癌(CRC)小鼠模型中的发育。该团队进行了一项以人口为基础的研究，以确定在CRC诊断中，随后的霍乱疫苗(杀死霍乱弧菌O1全细胞和重组霍乱毒素B亚单位)是否会影响死亡率。

霍乱是一种烈性肠道传染病，由革兰氏阴性的霍乱弧菌引起，发病特征是水样腹泻，迅速造成脱水，严重者可造成血容量减少性休克和酸中毒导致死亡。霍乱疫苗的预防接种，可以降低霍乱的发病率，减轻症状并降低死亡率。

霍乱疫苗主要通过抑制霍乱弧菌在小肠定居和繁殖，并阻断霍乱毒素作用而起保护作用。迄今为止有3种口服霍乱疫苗，分别是全细胞复合B亚基疫苗、全细胞复合B亚基疫苗的变种及霍乱弧菌01菌株103- HgR疫苗。这些疫苗经过验证是安全的并具有免疫原性，已在一些国家获得许可并主要用于旅行者。

感染性腹泻病为一组广泛存在并流行于世界各地的胃肠道传染病，也是当今全球性重要的公共卫生问题之一，其发病率仅次于上呼吸道感染，感染性腹泻的发病率在我国居所有传染病之首位。感染性腹泻病至今依然是我国法定传染病中发病数最多，流行面最广，影响群众生活生产最为严重的一组疾病。近年来，感染性腹泻虽然病死率已被降低，但发病率仍然高居不下。张兰等研究报道，利用B亚基疫苗变种r BS /WC口服疫苗副作用小，免疫效果好，全程口服三粒能保护霍乱三年，保护产毒性大肠杆菌1年，临床观察发现该疫苗对其他细菌性腹泻(特别是革兰氏阴性杆菌引起的腹泻)也有一定预防作用。

Ji等研究团队最近在《Gastroenterology》发表最新研究结果，显示霍乱疫苗具有抗炎作用，可以作为免疫反应的调节器；能够减少结肠息肉在结直肠癌(CRC)小鼠模型中的发育。该团队进行了一项以人口为基础的研究，以确定在CRC诊断中，随后的霍乱疫苗(杀死霍乱弧菌O1全细胞和重组霍乱毒素B亚单位)是否会影响死亡率。

研究方法：从2005年7月到2012年12月，该研究团队从瑞典癌症登记处发现了患有结直肠癌CRC的患者。这些病人被联系到瑞典规定的药物登记处，以获得霍乱疫苗的使用。研究团队使用Cox回归分析来计算结直肠癌CRC死亡的危险比率(HR)，及与对照相比，诊断后使用霍乱疫苗患者的总体死亡率。结果显示：共有175名患者被诊断为结直肠癌CRC，并在他们的癌症诊断后给他们开霍乱疫苗的处方。与对照相比，接受霍乱疫苗的CRC患者死亡的风险降低了。并且研究表明，霍乱疫苗接种死亡率的下降在很大程度上是能够观察到的，与患者年龄、诊断出的肿瘤阶段或性别无关。

该研究结果首次将口服霍乱疫苗应用于结直肠癌患者，并对该患者进行跟踪调查研究，发现霍乱疫苗能够降低结直肠癌患者整体死亡率风险。期待后续的研究能够得到更多的论证。

原始出处：

Jianguang Ji，Jan Sundquist，Kristina Sundquist.Cholera Vaccine Use Is Associated with a Reduced Risk of Death in Patients with Colorectal Cancer： A Population-based Study.Gastroenterology. 2017 Sep 15. pii： S0016-5085(17)36149-8.

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2018-09-22 许安

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2017-12-20 mjldent

#霍乱疫苗#

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href='/topic/show?id=964f98898f9' target=_blank style='color:#2F92EE;'>#霍乱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98898, encryptionId=964f98898f9, topicName=霍乱)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87531, createdName=klivis, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1452994, encodeId=caf11452994cf, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2018-09-13 jktdtl

#Gastroenterol#

94 0
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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Sat Nov 04 03:07:43 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1255688, encodeId=cae0125568829, content=<a href='/topic/show?id=587f6339050' target=_blank style='color:#2F92EE;'>#死亡风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63390, encryptionId=587f6339050, topicName=死亡风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1348448, encodeId=504913484480d, content=<a href='/topic/show?id=964f98898f9' target=_blank style='color:#2F92EE;'>#霍乱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98898, encryptionId=964f98898f9, topicName=霍乱)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87531, createdName=klivis, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1452994, encodeId=caf11452994cf, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2018-08-22 sunylz

#患者死亡#

67 0
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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Sat Nov 04 03:07:43 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1255688, encodeId=cae0125568829, content=<a href='/topic/show?id=587f6339050' target=_blank style='color:#2F92EE;'>#死亡风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63390, encryptionId=587f6339050, topicName=死亡风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1348448, encodeId=504913484480d, content=<a 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time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2018-03-10 ms24272190615788285182

#AST#

54 0
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createdName=mjldent, createdTime=Wed Dec 20 11:30:00 CST 2017, time=2017-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2064215, encodeId=86ab206421557, content=<a href='/topic/show?id=94ffe853a7' target=_blank style='color:#2F92EE;'>#Gastroenterol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7853, encryptionId=94ffe853a7, topicName=Gastroenterol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0bed488, createdName=jktdtl, createdTime=Thu Sep 13 19:30:00 CST 2018, time=2018-09-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1983538, encodeId=5ff21983538e4, content=<a href='/topic/show?id=628553048e3' target=_blank style='color:#2F92EE;'>#患者死亡#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=53048, 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topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Sat Nov 04 03:07:43 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1255688, encodeId=cae0125568829, content=<a href='/topic/show?id=587f6339050' target=_blank style='color:#2F92EE;'>#死亡风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63390, encryptionId=587f6339050, topicName=死亡风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1348448, encodeId=504913484480d, content=<a 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time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2017-11-04 lou.minghong

学习了谢谢分享!

89 0
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time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2017-10-25 quxin068

#死亡风险#

111 0
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2017-10-25 klivis

#霍乱#

93 0
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2017-10-25 crystal0564

#结直肠#

64 0
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encryptionId=628553048e3, topicName=患者死亡)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=12de429, createdName=sunylz, createdTime=Wed Aug 22 19:30:00 CST 2018, time=2018-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1711226, encodeId=d95c1e11226f9, content=<a href='/topic/show?id=9a1c289680' target=_blank style='color:#2F92EE;'>#AST#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2896, encryptionId=9a1c289680, topicName=AST)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8b9831894722, createdName=ms24272190615788285182, createdTime=Sat Mar 10 13:30:00 CST 2018, time=2018-03-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=258495, encodeId=4796258495eb, content=学习了谢谢分享!, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib2JlGvwpAibiaovVhfA9DbO7X7JLGGjM4Cic6oMgxLdnuS9piaP9cnG2OwIbkzHvX0qzS1boibyYNqR5vHZu7HQs5EIB/0, createdBy=298d1398341, createdName=lou.minghong, createdTime=Sat Nov 04 03:07:43 CST 2017, time=2017-11-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1255688, encodeId=cae0125568829, content=<a href='/topic/show?id=587f6339050' target=_blank style='color:#2F92EE;'>#死亡风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=111, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63390, encryptionId=587f6339050, topicName=死亡风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1348448, encodeId=504913484480d, content=<a href='/topic/show?id=964f98898f9' target=_blank style='color:#2F92EE;'>#霍乱#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=98898, encryptionId=964f98898f9, topicName=霍乱)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e87531, createdName=klivis, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1452994, encodeId=caf11452994cf, content=<a href='/topic/show?id=098ee8679ad' target=_blank style='color:#2F92EE;'>#结直肠#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=78679, encryptionId=098ee8679ad, topicName=结直肠)], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=9ace5575596, createdName=crystal0564, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1504332, encodeId=d33e150433285, content=<a href='/topic/show?id=7730e85412' target=_blank style='color:#2F92EE;'>#Gastroenterology#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=102, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=7854, encryptionId=7730e85412, topicName=Gastroenterology)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=5fc29706655, createdName=chaojitidian, createdTime=Wed Oct 25 09:30:00 CST 2017, time=2017-10-25, status=1, ipAttribution=)]
2017-10-25 chaojitidian

#Gastroenterology#

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