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用重组犬粒细胞集落刺激因子治疗的犬细小病毒感染的血液学改善

Hematologic improvement in dogs with parvovirus infection treated with recombinant canine granulocyte-colony stimulating factor.

作者信息

Duffy A, Dow S, Ogilvie G, Rao S, Hackett T

机构信息

Department of Clinical Sciences, Colorado State University, Ft. Collins, CO 80523, USA.

出版信息

J Vet Pharmacol Ther. 2010 Aug;33(4):352-6. doi: 10.1111/j.1365-2885.2009.01153.x.

Abstract

Previously, dogs with canine parvovirus-induced neutropenia have not responded to treatment with recombinant human granulocyte-colony stimulating factor (rhG-CSF). However, recombinant canine G-CSF (rcG-CSF) has not been previously evaluated for treatment of parvovirus-induced neutropenia in dogs. We assessed the effectiveness of rcG-CSF in dogs with parvovirus-induced neutropenia with a prospective, open-label, nonrandomized clinical trial. Endpoints of our study were time to recovery of WBC and neutrophil counts, and duration of hospitalization. 28 dogs with parvovirus and neutropenia were treated with rcG-CSF and outcomes were compared to those of 34 dogs with parvovirus and neutropenia not treated with rcG-CSF. We found that mean WBC and neutrophil counts were significantly higher (P < 0.05) in the 28 dogs treated with rcG-CSF compared to disease-matched dogs not treated with rcG-CSF. In addition, the mean duration of hospitalization was reduced (P = 0.01) in rcG-CSF treated dogs compared to untreated dogs. However, survival times were decreased in dogs treated with rcG-CSF compared to untreated dogs. These results suggest that treatment with rcG-CSF was effective in stimulating neutrophil recovery and shortening the duration of hospitalization in dogs with parvovirus infection, but indicate the need for additional studies to evaluate overall safety of the treatment.

摘要

此前,患有犬细小病毒诱导的中性粒细胞减少症的犬只对重组人粒细胞集落刺激因子(rhG-CSF)治疗无反应。然而,重组犬G-CSF(rcG-CSF)此前尚未被评估用于治疗犬细小病毒诱导的中性粒细胞减少症。我们通过一项前瞻性、开放标签、非随机临床试验评估了rcG-CSF对患有细小病毒诱导的中性粒细胞减少症犬只的有效性。我们研究的终点是白细胞和中性粒细胞计数恢复的时间以及住院时间。28只患有细小病毒和中性粒细胞减少症的犬只接受了rcG-CSF治疗,并将结果与34只患有细小病毒和中性粒细胞减少症但未接受rcG-CSF治疗的犬只进行了比较。我们发现,与未接受rcG-CSF治疗的疾病匹配犬只相比,接受rcG-CSF治疗的28只犬只的平均白细胞和中性粒细胞计数显著更高(P < 0.05)。此外,与未治疗的犬只相比,接受rcG-CSF治疗的犬只的平均住院时间缩短了(P = 0.01)。然而,与未治疗的犬只相比,接受rcG-CSF治疗的犬只的存活时间缩短了。这些结果表明,rcG-CSF治疗在刺激患有细小病毒感染犬只的中性粒细胞恢复和缩短住院时间方面是有效的,但表明需要进行更多研究来评估该治疗的整体安全性。

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