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艾滋病患者的抗逆转录病毒疗法和免疫调节剂

Antiretroviral therapy and immunomodulators in patients with AIDS.

作者信息

Groopman J E

机构信息

Department of Medicine, New England Deaconess Hospital, Boston, Massachusetts 02215.

出版信息

Am J Med. 1991 Apr 10;90(4A):18S-21S. doi: 10.1016/0002-9343(91)90406-n.

DOI:10.1016/0002-9343(91)90406-n
PMID:2018046
Abstract

A number of studies have illustrated the effectiveness of hematopoietic growth factors in managing treatment-related cytopenias in patients with human immunodeficiency virus (HIV) infection. One of these factors, granulocyte-macrophage colony-stimulating factor, has been shown to restore absolute neutrophil counts in patients with acquired immunodeficiency syndrome (AIDS) and Kaposi's sarcoma receiving a combination of zidovudine (AZT) and interferon alfa. A combination of granulocyte colony-stimulating factor and erythropoietin has also been demonstrated to alleviate both neutropenia and anemia in patients with advanced AIDS or AIDS-related complex receiving zidovudine. Hematopoietic growth factors, in combination with each other and with antiretroviral agents, thus have an important supportive role to play in the treatment of patients with HIV disease.

摘要

多项研究已阐明造血生长因子在治疗人类免疫缺陷病毒(HIV)感染患者的治疗相关血细胞减少症方面的有效性。其中一种因子,即粒细胞-巨噬细胞集落刺激因子,已被证明可使接受齐多夫定(AZT)和干扰素α联合治疗的获得性免疫缺陷综合征(AIDS)和卡波西肉瘤患者的绝对中性粒细胞计数恢复正常。粒细胞集落刺激因子和促红细胞生成素的联合使用也已被证明可缓解接受齐多夫定治疗的晚期AIDS或AIDS相关综合征患者的中性粒细胞减少和贫血。因此,造血生长因子相互联合以及与抗逆转录病毒药物联合,在HIV疾病患者的治疗中具有重要的支持作用。

相似文献

1
Antiretroviral therapy and immunomodulators in patients with AIDS.艾滋病患者的抗逆转录病毒疗法和免疫调节剂
Am J Med. 1991 Apr 10;90(4A):18S-21S. doi: 10.1016/0002-9343(91)90406-n.
2
Antiretroviral therapy in combination with interferon for AIDS-related Kaposi's sarcoma.抗逆转录病毒疗法联合干扰素治疗艾滋病相关卡波西肉瘤。
Am J Med. 1991 Apr 10;90(4A):2S-7S. doi: 10.1016/0002-9343(91)90404-l.
3
Treatment of AIDS with combinations of antiretroviral agents: a summary.抗逆转录病毒药物联合治疗艾滋病:综述
Am J Med. 1991 Apr 10;90(4A):27S-30S. doi: 10.1016/0002-9343(91)90408-p.
4
Interferon-alpha with zidovudine: safety, tolerance, and clinical and virologic effects in patients with Kaposi sarcoma associated with the acquired immunodeficiency syndrome (AIDS).
Ann Intern Med. 1990 Jun 1;112(11):812-21. doi: 10.7326/0003-4819-112-11-812.
5
Subcutaneous recombinant granulocyte-macrophage colony-stimulating factor used as a single agent and in an alternating regimen with azidothymidine in leukopenic patients with severe human immunodeficiency virus infection.皮下注射重组粒细胞-巨噬细胞集落刺激因子单药治疗以及与叠氮胸苷交替方案治疗严重人类免疫缺陷病毒感染的白细胞减少患者。
Blood. 1990 Aug 1;76(3):463-72.
6
Granulocyte-macrophage colony-stimulating factor mitigates the neutropenia of combined interferon alfa and zidovudine treatment of acquired immune deficiency syndrome-associated Kaposi's sarcoma.粒细胞巨噬细胞集落刺激因子可减轻联合使用干扰素α和齐多夫定治疗获得性免疫缺陷综合征相关卡波西肉瘤时出现的中性粒细胞减少症。
J Clin Oncol. 1991 May;9(5):802-8. doi: 10.1200/JCO.1991.9.5.802.
7
GM-CSF as an alternative to dose modification of the combination zidovudine and interferon-alpha in the treatment of AIDS-associated Kaposi's sarcoma.粒细胞-巨噬细胞集落刺激因子作为齐多夫定与α-干扰素联合用药剂量调整的替代方案用于治疗艾滋病相关的卡波西肉瘤。
Am J Clin Oncol. 1991;14 Suppl 1:S40-4. doi: 10.1097/00000421-199112001-00008.
8
Interferon-alpha, zidovudine, and granulocyte-macrophage colony-stimulating factor: a phase I AIDS Clinical Trials Group study in patients with Kaposi's sarcoma associated with AIDS.α干扰素、齐多夫定和粒细胞巨噬细胞集落刺激因子:艾滋病临床试验组针对艾滋病相关卡波西肉瘤患者的I期研究。
J Clin Oncol. 1992 Aug;10(8):1344-51. doi: 10.1200/JCO.1992.10.8.1344.
9
Hematologic toxicity of zidovudine in HIV-infected patients.齐多夫定对HIV感染患者的血液学毒性。
Am Fam Physician. 1990 May;41(5):1521-8.
10
Treatment of AIDS with combinations of antiretroviral agents.使用抗逆转录病毒药物组合治疗艾滋病。
Am J Med. 1991 Apr 10;90(4A):8S-17S. doi: 10.1016/0002-9343(91)90405-m.

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Cellular Therapeutic Approaches to Cytomegalovirus Infection Following Allogeneic Stem Cell Transplantation.同种异体干细胞移植后巨细胞病毒感染的细胞治疗方法。
Front Immunol. 2020 Jul 31;11:1694. doi: 10.3389/fimmu.2020.01694. eCollection 2020.
2
Zidovudine toxicity. Clinical features and management.
Drug Saf. 1993 Apr;8(4):312-20. doi: 10.2165/00002018-199308040-00005.