Lehmann S, Paul C
Karolinska institutet, Huddinge sjukhus.
Lakartidningen. 1999 Dec 15;96(50):5626-8.
Arsenic compounds have been utilised in medicine for over 2,000 years. Recently, arsenic trioxide has been shown to induce complete remission in up to 90% of patients with acute promyelocytic leukemia (APL), including those resistant to standard therapy. Randomised studies are currently investigating the potential clinical utility of this drug in APL. In vitro, arsenic trioxide exhibits antitumoral properties with respect to various other tumor species as well, although assessment of clinical effects will require further study. This article reviews clinical results and possible mechanisms of action of the drug.
砷化合物在医学上已被使用了两千多年。最近,三氧化二砷已被证明能使高达90%的急性早幼粒细胞白血病(APL)患者完全缓解,包括那些对标准疗法耐药的患者。目前,随机研究正在调查这种药物在APL中的潜在临床效用。在体外,三氧化二砷对其他多种肿瘤也具有抗肿瘤特性,不过对其临床效果的评估还需要进一步研究。本文综述了该药物的临床结果及可能的作用机制。