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丙戊酸和全反式维甲酸用于治疗老年急性髓系白血病患者。

Valproic acid and all-trans retinoic acid for the treatment of elderly patients with acute myeloid leukemia.

作者信息

Raffoux Emmanuel, Chaibi Pascal, Dombret Hervé, Degos Laurent

出版信息

Haematologica. 2005 Jul;90(7):986-8.

Abstract

Valproic acid (VPA) has been demonstrated to be able to inhibit histone deacetylase activity and to synergize with all-trans retinoic acid (ATRA) in inducing the differentiation of acute myeloid leukemia (AML) cells. A pilot study of the VPA/ATRA combination was performed in 11 elderly patients with de novo AML (median age, 82 years). Complete marrow response was observed in 3 patients, including 1 complete remission. Two additional patients had hematologic improvement.

摘要

丙戊酸(VPA)已被证明能够抑制组蛋白脱乙酰酶活性,并与全反式维甲酸(ATRA)协同作用诱导急性髓性白血病(AML)细胞分化。对11例初发AML老年患者(中位年龄82岁)进行了VPA/ATRA联合治疗的初步研究。3例患者观察到完全骨髓反应,包括1例完全缓解。另外2例患者有血液学改善。

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