Symann M
Catholic University of Louvain, Brussels, Belgium.
Curr Opin Oncol. 1991 Aug;3(4):648-55.
A number of human hematopoietic growth factors have been genetically cloned and recombinant proteins produced. Several phase I and II clinical trials have already been published and results from phase III studies are becoming available. The use of erythropoietin to alleviate chemotherapy-induced myelosuppression is being tested. Granulocyte colony-stimulating factor and granulocyte-macrophage colony-stimulating factor have been extensively studied in patients receiving chemotherapy at standard or escalated doses and after bone marrow transplantation and appear to ameliorate chemotherapy-induced neutropenia and to speed bone marrow engraftment after high-dose cancer therapy. Interleukin-3 and interleukin-6 are quite early in their clinical development, but appear able to alleviate post-chemotherapy thrombocytopenia.
多种人类造血生长因子已被基因克隆并生产出重组蛋白。多项一期和二期临床试验已经发表,三期研究结果也即将公布。促红细胞生成素用于缓解化疗引起的骨髓抑制的研究正在进行。粒细胞集落刺激因子和粒细胞巨噬细胞集落刺激因子已在接受标准剂量或递增剂量化疗的患者以及骨髓移植后的患者中进行了广泛研究,似乎可以改善化疗引起的中性粒细胞减少,并加速大剂量癌症治疗后的骨髓植入。白细胞介素-3和白细胞介素-6尚处于临床开发的早期阶段,但似乎能够缓解化疗后的血小板减少症。
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