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急性白血病化疗反应的预测

Prediction of the response to chemotherapy in acute leukemia.

作者信息

Zittoun R, Bouchard M, Facquet-Danis J, Percie-du-Sert M, Bousser J

出版信息

Cancer. 1975 Feb;35(2):507-13. doi: 10.1002/1097-0142(197502)35:2<507::aid-cncr2820350232>3.0.co;2-a.

DOI:10.1002/1097-0142(197502)35:2<507::aid-cncr2820350232>3.0.co;2-a
PMID:1111925
Abstract

The prognostic value of the in vitro incorporation of labeled thymidine was evaluated in 53 cases of acute leukemia, by means of autoradiography and liquid scintillation (LS) count. A higher rate of incorporation before therapy with higher labeling index and LS- specific activity was observed in patients who later responded to chemotherapy with a complete remission. The in vitro depression of labeled thymidine incorporation after incubation with the two drugs selected for the induction therapy was more marked in those who responded to therapy than in the nonresponders. The in vitro incorporation of 3H-thymidine was also evaluated after 48 hours of chemotherapy ("vivo-vitro" test). A decrease of the incorporation was observed frequently in the responders. On the other hand, in the group of nonresponders, there was generally an increase of the incorporation measured by the liquid scintillation count, often contrasting with a decrease of the labeling index, and corresponding to a higher rate of intracellular incorporation. The prognostic value of these findings appears to be significant, as it allows the response to chemotherapy to be predicted, as well as allowing the selection of the various cytotoxic drugs.

摘要

通过放射自显影和液体闪烁(LS)计数,对53例急性白血病患者评估了标记胸苷体外掺入的预后价值。在后来对化疗有完全缓解反应的患者中,观察到治疗前掺入率较高,标记指数和LS比活性也较高。在与选定用于诱导治疗的两种药物孵育后,标记胸苷掺入的体外抑制在有反应者中比无反应者更明显。化疗48小时后也评估了3H-胸苷的体外掺入(“体内-体外”试验)。在有反应者中经常观察到掺入减少。另一方面,在无反应者组中,通过液体闪烁计数测量的掺入通常增加,常常与标记指数降低形成对比,并且对应于较高的细胞内掺入率。这些发现的预后价值似乎很显著,因为它可以预测对化疗的反应,也可以选择各种细胞毒性药物。

相似文献

1
Prediction of the response to chemotherapy in acute leukemia.急性白血病化疗反应的预测
Cancer. 1975 Feb;35(2):507-13. doi: 10.1002/1097-0142(197502)35:2<507::aid-cncr2820350232>3.0.co;2-a.
2
[In vitro incorporation of tritiated thymidine in acute leukemia and response to chemotheraphy (author's transl)].[急性白血病中氚标记胸腺嘧啶核苷的体外掺入及对化疗的反应(作者译)]
Nouv Rev Fr Hematol. 1975 Jan-Feb;15(1):19-30.
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[In vitro study of sensitivity of leukemic cells to cytotoxic drugs (anticytogram)].白血病细胞对细胞毒性药物敏感性的体外研究(抗细胞图)
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Lack of prognostic significance of the pretreatment labeling and mitotic indices of marrow blasts in acute nonlymphocytic leukemia (ANLL).急性非淋巴细胞白血病(ANLL)中骨髓原始细胞的预处理标记和有丝分裂指数缺乏预后意义。
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Synchronization with phase-specific agents in leukemia and correlation with clinical response to chemotherapy.白血病中与阶段特异性药物的同步化及与化疗临床反应的相关性。
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3H-thymidine incorporation into mammary carcinoma cells obtained by needle aspiration before and during endocrine therapy.在内分泌治疗前及治疗期间,通过针吸获取的乳腺癌细胞中3H-胸腺嘧啶核苷的掺入情况。
Acta Cytol. 1976 Mar-Apr;20(2):137-43.
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[Autoradiography with 3H-thymidine in study of leukemia cells of children. 2. Correlation of the proliferation rate and the clinical course].[用³H-胸腺嘧啶核苷放射自显影术研究儿童白血病细胞。2. 增殖率与临床病程的相关性]
Nihon Shonika Gakkai Zasshi. 1966 Dec;70(12):1318-25.
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A simple rapid autoradiography for 3H-thymidine labeling index and its application to therapy of adult acute leukemia.一种用于³H-胸腺嘧啶核苷标记指数的简单快速放射自显影技术及其在成人急性白血病治疗中的应用。
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10
In vitro DNA labeling of bone marrow and leukemic blood leukocytes with tritiated thymidine. II. H3 thymidine biochemistry in vitro.用氚标记胸腺嘧啶核苷对骨髓和白血病血白细胞进行体外DNA标记。II. 体外H3胸腺嘧啶核苷生物化学
J Lab Clin Med. 1966 Oct;68(4):566-76.

引用本文的文献

1
Lack of prognostic value of the thymidine-labelling index in adult acute leukaemia.胸苷标记指数在成人急性白血病中缺乏预后价值。
Br J Cancer. 1981 Jul;44(1):55-62. doi: 10.1038/bjc.1981.147.
2
Evaluation of in vitro predictive assays for acute myelocytic leukemia.急性髓细胞白血病体外预测性检测方法的评估
Blut. 1980 Nov;41(5):393-6. doi: 10.1007/BF01035495.
3
Sensitivity of normal and acute myelogenous leukaemia marrow cells to inhibition by cytosine arabinoside.正常及急性髓性白血病骨髓细胞对阿糖胞苷抑制作用的敏感性。
Br J Cancer. 1980 Jun;41(6):985-8. doi: 10.1038/bjc.1980.178.
4
Prediction of response to cancer chemotherapy.
Drugs. 1983 Nov;26(5):454-9. doi: 10.2165/00003495-198326050-00004.
5
Pretreatment of cytokinetics in acute myelogenous leukemia. Age-related prognostic implications.急性髓性白血病细胞动力学的预处理。年龄相关的预后意义。
J Clin Invest. 1985 Jul;76(1):319-24. doi: 10.1172/JCI111964.
6
[Correlation between the effects of cytostatic agents on leukemia L 1210 in vivo and in the short term test in vitro (author's transl)].[细胞抑制剂对体内白血病L 1210的作用与体外短期试验的相关性(作者译)]
Blut. 1977 Jul 20;35(1):65-74. doi: 10.1007/BF01006966.