PMID- 36170945 OWN - NLM STAT- MEDLINE DCOM- 20230127 LR - 20230322 IS - 1878-1780 (Electronic) IS - 1262-3636 (Linking) VI - 49 IP - 1 DP - 2023 Jan TI - Effects of H1-Antihistamines on hepatocellular carcinoma risk in patients with type 2 diabetes mellitus. PG - 101393 LID - S1262-3636(22)00075-1 [pii] LID - 10.1016/j.diabet.2022.101393 [doi] AB - PURPOSE: H1-antihistamines (AHs) may exert protective effects against cancer. We investigated the association of AH use with hepatocellular carcinoma (HCC) risk in type 2 diabetes mellitus (T2DM) patients without hepatitis B virus (HBV) or hepatitis C virus (HCV) infection. METHODS: The data of patients with T2DM enrolled from Taiwan's National Health Insurance Research Database were examined for the period of January 1, 2008, to December 31, 2018. We used the Kaplan-Meier method and Cox proportional hazards regression to evaluate the AH use-HCC risk association. RESULTS: After 1:1 propensity score matching was performed, the two cohorts were each divided into AH users (n = 47,990) and nonusers (n = 47,990). The risk of HCC was significantly lower in AH users than in AH nonusers (adjusted hazard ratio [aHR]: 0.55 95% confidence interval [95% CI], 0.46 to 0.67; IRR: 0.70; 95% CI, 0.60 to 0.84), respectively. The dose-response relationship between AH use and HCC risk was also observed (aHRs: 0.58, 0.56, 0.50, and 0.41 for 28-35, 36-49, 50-77, and >77 cumulative defined daily doses of AH, respectively). CONCLUSION: AH use can reduce HCC risk in T2DM patients without HBV or HCV infection in a dose-dependent manner. CI - Copyright (c) 2022 Elsevier Masson SAS. All rights reserved. FAU - Wu, Szu-Yuan AU - Wu SY AD - 1Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan; Artificial Intelligence Development Center, Fu Jen Catholic University, New Taipei City, Taiwan; Department of Food Nutrition and Health Biotechnology, College of Medical and Health Science, Asia University, Taichung, Taiwan; Big Data Center, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Yilan, Taiwan; Division of Radiation Oncology, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Yilan, Taiwan; Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan; Centers for Regional Anesthesia and Pain Medicine, Taipei Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan. FAU - Chen, Wan-Ming AU - Chen WM AD - 1Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan; Artificial Intelligence Development Center, Fu Jen Catholic University, New Taipei City, Taiwan. FAU - Chen, Yi-Chan AU - Chen YC AD - Department of General Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan. FAU - Chiang, Ming-Feng AU - Chiang MF AD - Division of Gastroenterology and Hepatology, Department of Internal Medicine, Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital, Yilan 265, Taiwan. FAU - Lee, Ming-Che AU - Lee MC AD - Department of Surgery, Taipei Municipal Wanfang Hospital, Taipei, Taiwan; College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Soong, Ruey-Shyang AU - Soong RS AD - Department of Surgery, Taipei Municipal Wanfang Hospital, Taipei, Taiwan; College of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address: kodlp62@gmail.com. LA - eng PT - Journal Article DEP - 20220925 PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 RN - 0 (Histamine Antagonists) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/epidemiology MH - *Diabetes Mellitus, Type 2/complications/drug therapy/epidemiology MH - *Liver Neoplasms/epidemiology MH - *Hepatitis C/complications/drug therapy/epidemiology MH - Histamine Antagonists OTO - NOTNLM OT - H1-Antihistamines OT - Hepatocellular Carcinoma OT - Type 2 Diabetes Mellitus OT - dose-dependent OT - incidence rate ratio COIS- Declaration of Competing Interest The authors have no potential conflicts of interest to declare. The datasets supporting the study conclusions are included within the manuscript. EDAT- 2022/09/29 06:00 MHDA- 2023/01/28 06:00 CRDT- 2022/09/28 19:24 PHST- 2022/07/19 00:00 [received] PHST- 2022/09/18 00:00 [revised] PHST- 2022/09/19 00:00 [accepted] PHST- 2022/09/29 06:00 [pubmed] PHST- 2023/01/28 06:00 [medline] PHST- 2022/09/28 19:24 [entrez] AID - S1262-3636(22)00075-1 [pii] AID - 10.1016/j.diabet.2022.101393 [doi] PST - ppublish SO - Diabetes Metab. 2023 Jan;49(1):101393. doi: 10.1016/j.diabet.2022.101393. Epub 2022 Sep 25.