Prolonged use of pentoxifylline increases the life expectancy of patients with compensated cirrhosis: A 20‑year retrospective study.

Autor: Jiménez-Luévano MÁ; Gastroenterology Service, Institute for Security and Social Services for State Workers, Valentín Gómez Farías General Hospital, Zapopan, Jalisco 45100, Mexico., Jiménez-Partida AE; Gastroenterology Service, Institute for Security and Social Services for State Workers, Valentín Gómez Farías General Hospital, Zapopan, Jalisco 45100, Mexico., Sierra-Díaz E; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico., Orozco-Alonso E; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico., Villaseñor-García M; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico.; University Center of Exact Sciences and Engineering, University of Guadalajara, Guadalajara, Jalisco 44840, Mexico., Bravo-Hernández A; Internal Medicine Service, Antonio González Guevara Civil Hospital, Tepic, Nayarit 63000, Mexico.; Program in Internal Medicine, The Autonomous University of Nayarit, Tepic, Nayarit 63000, Mexico., Gutiérrez-Ortíz JA; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico.; Doctoral Program in Biomedical Science Orientation Immunology, University Center for Health Science, University of Guadalajara, Guadalajara, Jalisco 44340, Mexico., Bravo-Cuellar A; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico.; Department of Health Sciences, Los Altos University Center, University of Guadalajara, Tepatitlán de Morelos, Jalisco 47620, Mexico., Hernández-Flores G; Division of Immunology, Western Biomedical Research Center, Mexican Social Security Institute, Guadalajara, Jalisco 44340, Mexico.
Jazyk: angličtina
Zdroj: Biomedical reports [Biomed Rep] 2024 Sep 23; Vol. 21 (6), pp. 173. Date of Electronic Publication: 2024 Sep 23 (Print Publication: 2024).
DOI: 10.3892/br.2024.1861
Abstrakt: Liver cirrhosis is a pathology of varied etiology with a high prevalence and mortality, resulting in >1 million mortalities per year. Patients with liver cirrhosis typically have a survival time of 12 years following diagnosis. The treatment for this disease is directed at the complications of cirrhosis; however, to the best of our knowledge, the long-term management of patients with cirrhosis has been scarcely studied. Pentoxifylline (PTX) is a non-selective phosphodiesterase inhibitor with rheological activity and antioxidant, anti-inflammatory and antifibrotic properties. PTX has been used in the treatment of peripheral arterial disease, inflammatory liver diseases and hepatocellular carcinoma with encouraging results. The aim of the present study was to evaluate the effect of PTX use on the survival of patients with compensated cirrhosis. For this purpose, a cross-sectional study was performed at the Gastroenterology and Hepatitis C Department of Dr. Valentín Gómez Farias Hospital (Institute for Security and Social Services for State Workers, Zapopan, Mexico) from June, 1996 to December, 2019. The follow-up time for these patients was 22.6 years (up to the end of the study period). In the present study, 326 patient files were analyzed and 118 patients with the disease were identified, 81 of whom (68.64%) died within 12 years after diagnosis. Of the included patients, 26 received PTX combined with PEG IFN-α-2a plus ribavirin, and 11 received PTX plus propranolol, with a median treatment duration of 20.6±0.8 years. Furthermore, 16 patients (43%) did not develop co-morbidities within this time, and the transition to decompensated cirrhosis was 16.6 years, with a survival time of 20 years. Therefore, the results of the present study suggest that PTX may improve the long-term survival of patients with compensated cirrhosis, rendering PTX a candidate for repurposing in the treatment of hepatic cirrhosis.
Competing Interests: The authors declare that they have no competing interests.
(Copyright: © 2024 Jiménez-Luévano et al.)
Databáze: MEDLINE
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