Sawafuji K, Okamoto S
Division of Hematology, Department of Internal Medicine, Keio University School of Medicine.
Nihon Rinsho. 2001 Dec;59(12):2375-82.
Over the last two decades, four major therapeutic approaches have dramatically changed the prognosis in chronic myelogenous leukemia(CML). Those include allogeneic stem cell transplantation, interferon-alpha based regimen, donor-leukocyte infusions, and the revolutionary BCR/ABL tyrosine kinase inhibitor such as STI571. Each modality has exploited and targeted different aspects of CML biology, and is associated with different risk-benefit ratios. In this section, we update the results of both related and unrelated donor transplantation, donor lymphocyte infusions, and non-myeloablative stem cell transplantation in CML in comparison with the other treatment modalities.
在过去二十年中,四种主要治疗方法显著改变了慢性粒细胞白血病(CML)的预后。这些方法包括异基因干细胞移植、基于α干扰素的治疗方案、供体白细胞输注,以及革命性的BCR/ABL酪氨酸激酶抑制剂,如STI571。每种治疗方式都利用并针对CML生物学的不同方面,且具有不同的风险效益比。在本节中,我们将与其他治疗方式相比较,更新CML中相关和无关供体移植、供体淋巴细胞输注以及非清髓性干细胞移植的结果。