Scadden D T
New England Deaconess Hospital, Boston, MA 02215.
Prog Clin Biol Res. 1990;338:163-76.
Overall GM-CSF is a well tolerated intervention in patients with HIV associated disease. As in a number of other clinical settings, it is able to improve myelopoiesis and abrogate the myelotoxicity of chemotherapeutic agents. At present, clinical data is insufficient to indicate an ultimate clinical benefit from the use of GM-CSF in terms of opportunistic infection, mortality or quality of life for HIV infected patients. As phase I and phase II trials are completed however comparative clinical trials addressing these issues are anticipated. Hematopoietic growth factors may permit the use of optimal doses of therapeutics and thereby play an adjunctive role in the combination therapies anticipated for the treatment of HIV related disease.
总体而言,粒细胞-巨噬细胞集落刺激因子(GM-CSF)在HIV相关疾病患者中是一种耐受性良好的干预措施。与许多其他临床情况一样,它能够改善骨髓生成并消除化疗药物的骨髓毒性。目前,临床数据不足以表明使用GM-CSF对HIV感染患者在机会性感染、死亡率或生活质量方面有最终的临床益处。然而,随着I期和II期试验的完成,预计将开展针对这些问题的比较性临床试验。造血生长因子可能允许使用最佳剂量的治疗药物,从而在预期用于治疗HIV相关疾病的联合疗法中发挥辅助作用。