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利妥昔单抗在三例复发/难治性伯基特淋巴瘤患儿中的应用。

Use of rituximab in three children with relapsed/refractory Burkitt lymphoma.

机构信息

Faculty of Medicine, Department of Pediatric Hematology, Yüzüncü Yıl University, 65200 Van, Turkey.

出版信息

Target Oncol. 2010 Dec;5(4):291-4. doi: 10.1007/s11523-010-0161-6. Epub 2010 Sep 22.

DOI:10.1007/s11523-010-0161-6
PMID:20859698
Abstract

Monoclonal antibodies have provided new promise for patients with B-cell malignancies. Rituximab is a monoclonal antibody against B-lymphocytes that express CD20; it is used for the treatment of patients with relapsed or refractory B-cell non-Hodgkin lymphoma. Very few data are available regarding the treatment of children with non-Hodgkin lymphoma with rituximab. In this article, we reported three children with primary refractory/relapsed B-cell-non-Hodgkin lymphoma, who were successfully treated with a combination of intensive chemotherapy protocol plus rituximab. In all three of our cases, the patients are still in complete remission. Our aim is to emphasize the importance of use of rituximab in the treatment of childhood B-cell non-Hodgkin lymphoma.

摘要

单克隆抗体为 B 细胞恶性肿瘤患者带来了新的希望。利妥昔单抗是一种针对表达 CD20 的 B 淋巴细胞的单克隆抗体,用于治疗复发性或难治性 B 细胞非霍奇金淋巴瘤患者。关于利妥昔单抗治疗儿童非霍奇金淋巴瘤的数据非常有限。在本文中,我们报告了三例原发性难治/复发 B 细胞非霍奇金淋巴瘤患儿,他们成功地接受了强化化疗方案加利妥昔单抗的联合治疗。在我们所有的三个病例中,患者均处于完全缓解状态。我们的目的是强调利妥昔单抗在儿童 B 细胞非霍奇金淋巴瘤治疗中的重要性。

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Use of rituximab in three children with relapsed/refractory Burkitt lymphoma.利妥昔单抗在三例复发/难治性伯基特淋巴瘤患儿中的应用。
Target Oncol. 2010 Dec;5(4):291-4. doi: 10.1007/s11523-010-0161-6. Epub 2010 Sep 22.
2
Therapy of advanced-stage mature B-cell lymphoma and leukemia in children and adolescents with rituximab and reduced intensity induction chemotherapy (B-NHL 2004M protocol): the results of a multicenter study.利妥昔单抗联合降低强度诱导化疗治疗儿童和青少年晚期成熟B细胞淋巴瘤及白血病(B-NHL 2004M方案):一项多中心研究结果
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A study of rituximab and ifosfamide, carboplatin, and etoposide chemotherapy in children with recurrent/refractory B-cell (CD20+) non-Hodgkin lymphoma and mature B-cell acute lymphoblastic leukemia: a report from the Children's Oncology Group.利妥昔单抗联合异环磷酰胺、卡铂和依托泊苷化疗用于复发/难治性B细胞(CD20+)非霍奇金淋巴瘤及成熟B细胞急性淋巴细胞白血病患儿的研究:儿童肿瘤协作组报告
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CD20 positive childhood B-non Hodgkin lymphoma (B-NHL): morphology, immunophenotype and a novel treatment approach: a single center experience.CD20阳性儿童B非霍奇金淋巴瘤(B-NHL):形态学、免疫表型及一种新的治疗方法:单中心经验
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Combination of ibrutinib with rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) for treatment-naive patients with CD20-positive B-cell non-Hodgkin lymphoma: a non-randomised, phase 1b study.伊布替尼联合利妥昔单抗、环磷酰胺、多柔比星、长春新碱和泼尼松(R-CHOP)治疗初治 CD20 阳性 B 细胞非霍奇金淋巴瘤患者:一项非随机、1b 期研究。
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Induction of long-term remission of a relapsed childhood B-acute lymphoblastic leukemia with rituximab chimeric anti-CD20 monoclonal antibody and autologous stem cell transplantation.利妥昔单抗(嵌合抗CD20单克隆抗体)联合自体干细胞移植诱导复发儿童B系急性淋巴细胞白血病长期缓解
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["Magic bullets"--monoclonal antibodies in acute leukemia and non-Hodgkin's lymphoma treatment].["神奇子弹"——单克隆抗体在急性白血病和非霍奇金淋巴瘤治疗中的应用]
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引用本文的文献

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Rituximab used in three cases with relapsed non-Hodgkin's lymphoma.利妥昔单抗用于3例复发性非霍奇金淋巴瘤患者。
Mol Clin Oncol. 2013 May;1(3):550-552. doi: 10.3892/mco.2013.88. Epub 2013 Mar 5.
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Therapeutic interventions for Burkitt lymphoma in children.儿童伯基特淋巴瘤的治疗干预措施。
Cochrane Database Syst Rev. 2011 Jul 6;2011(7):CD005198. doi: 10.1002/14651858.CD005198.pub3.

本文引用的文献

1
The role of rituximab and chemotherapy in aggressive B-cell lymphoma: A preliminary report of dose-adjusted EPOCH-R.利妥昔单抗与化疗在侵袭性B细胞淋巴瘤中的作用:剂量调整型EPOCH-R的初步报告
Semin Oncol. 2002 Feb;29(1S2):41-47. doi: 10.1053/sonc.2002.30151.
2
Phase II window study on rituximab in newly diagnosed pediatric mature B-cell non-Hodgkin's lymphoma and Burkitt leukemia.初诊小儿成熟 B 细胞非霍奇金淋巴瘤和伯基特白血病中利妥昔单抗的 II 期窗研究。
J Clin Oncol. 2010 Jul 1;28(19):3115-21. doi: 10.1200/JCO.2009.26.6791. Epub 2010 Jun 1.
3
Use of rituximab in combination with conventional chemotherapy for the treatment of non-Hodgkin's lymphoma of the head and neck.
利妥昔单抗联合传统化疗用于治疗头颈部非霍奇金淋巴瘤。
In Vivo. 2009 May-Jun;23(3):475-8.
4
Rituximab as monotherapy and in addition to reduced CHOP in children with primary immunodeficiency and non-Hodgkin lymphoma.利妥昔单抗作为单一疗法,以及在原发性免疫缺陷和非霍奇金淋巴瘤患儿中联合减量CHOP方案使用。
Pediatr Blood Cancer. 2009 May;52(5):664-6. doi: 10.1002/pbc.21808.
5
A study of rituximab and ifosfamide, carboplatin, and etoposide chemotherapy in children with recurrent/refractory B-cell (CD20+) non-Hodgkin lymphoma and mature B-cell acute lymphoblastic leukemia: a report from the Children's Oncology Group.利妥昔单抗联合异环磷酰胺、卡铂和依托泊苷化疗用于复发/难治性B细胞(CD20+)非霍奇金淋巴瘤及成熟B细胞急性淋巴细胞白血病患儿的研究:儿童肿瘤协作组报告
Pediatr Blood Cancer. 2009 Feb;52(2):177-81. doi: 10.1002/pbc.21753.
6
The efficacy of rituximab in high-grade pediatric B-cell lymphoma/leukemia: a review of available evidence.利妥昔单抗在儿童高级别B细胞淋巴瘤/白血病中的疗效:现有证据综述
Curr Opin Pediatr. 2008 Feb;20(1):17-22. doi: 10.1097/MOP.0b013e3282f424b0.
7
Treatment with rituximab in benign and malignant hematologic disorders in children.利妥昔单抗在儿童良性和恶性血液系统疾病中的治疗应用。
J Pediatr. 2007 Apr;150(4):338-44, 344.e1. doi: 10.1016/j.jpeds.2006.12.038.
8
Fas receptor clustering and involvement of the death receptor pathway in rituximab-mediated apoptosis with concomitant sensitization of lymphoma B cells to fas-induced apoptosis.Fas受体聚集以及死亡受体途径参与利妥昔单抗介导的细胞凋亡,同时使淋巴瘤B细胞对Fas诱导的细胞凋亡敏感。
J Immunol. 2007 Feb 15;178(4):2287-95. doi: 10.4049/jimmunol.178.4.2287.
9
Rituximab in a child with relapsed Burkitt lymphoma.利妥昔单抗用于一名复发性伯基特淋巴瘤患儿。
Pediatr Blood Cancer. 2007 Aug;49(2):218. doi: 10.1002/pbc.20957.
10
Rituximab in refractory autoimmune diseases: Brazilian experience with 29 patients (2002-2004).利妥昔单抗治疗难治性自身免疫性疾病:巴西29例患者的经验(2002 - 2004年)
Clin Exp Rheumatol. 2006 Jan-Feb;24(1):65-9.