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大剂量化疗和自体骨髓移植后神经母细胞瘤患儿的白细胞介素2免疫疗法

Interleukin 2 immunotherapy in children with neuroblastoma after high-dose chemotherapy and autologous bone marrow transplantation.

作者信息

Favrot M C, Michon J, Floret D, Cochat C, Negrier S, Mathiot C, Coze C, Zucker J M, Franks C R, Bouffet E

机构信息

Centre Léon Bérard, Lyon, France.

出版信息

Pediatr Hematol Oncol. 1990;7(3):275-84. doi: 10.3109/08880019009033403.

DOI:10.3109/08880019009033403
PMID:2206868
Abstract

Four children with persistent neuroblastoma after marrow ablative chemoradiotherapy and autologous bone marrow transplantation received continuous infusion of recombinant interleukin 2, 75 to 120 days after the graft. Recombinant interleukin 2 therapy did not induce any major or nonreversible toxicity, hematological toxicity in particular. One patient entered complete remission for 9 months and a second patient had a long-lasting normalization of urinary catecholamine metabolites with more than 50% regression of bone marrow metastases (8 months). In three children, recombinant interleukin 2 and a second patient entered complete remission for 9 months therapy was followed by major increase and activation of circulating natural killer cells which amounted to 80% of the circulating mononuclear cells.

摘要

4名在接受骨髓清除性放化疗和自体骨髓移植后仍患有持续性神经母细胞瘤的儿童,在移植后75至120天接受了重组白细胞介素2的持续输注。重组白细胞介素2治疗未引起任何严重或不可逆的毒性,尤其是血液学毒性。1例患者完全缓解9个月,另1例患者尿儿茶酚胺代谢产物长期正常化,骨髓转移灶消退超过50%(8个月)。在3名儿童中,重组白细胞介素2治疗后循环自然杀伤细胞显著增加并被激活,其数量占循环单核细胞的80%,另有1例患者完全缓解9个月。

相似文献

1
Interleukin 2 immunotherapy in children with neuroblastoma after high-dose chemotherapy and autologous bone marrow transplantation.大剂量化疗和自体骨髓移植后神经母细胞瘤患儿的白细胞介素2免疫疗法
Pediatr Hematol Oncol. 1990;7(3):275-84. doi: 10.3109/08880019009033403.
2
Systemic interleukin-2 therapy in children with progressive neuroblastoma after high dose chemotherapy and bone marrow transplantation.高剂量化疗和骨髓移植后,对进展期神经母细胞瘤患儿进行全身白细胞介素-2治疗。
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Autologous bone marrow transplantation followed by interleukin-2 in children with advanced leukemia: a pilot study.
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Administration of high-dose recombinant interleukin 2 after autologous bone marrow transplantation in patients with neuroblastoma: toxicity, efficacy and survival. A Lyon-Marseille-Curie-east of France Group Study.神经母细胞瘤患者自体骨髓移植后大剂量重组白细胞介素-2的应用:毒性、疗效和生存率。法国东部里昂-马赛-居里集团研究。
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Dose finding study for the use of subcutaneous recombinant interleukin-2 to augment natural killer cell numbers in an outpatient setting for stage 4 neuroblastoma after megatherapy and autologous stem-cell reinfusion.大剂量化疗和自体干细胞回输后,在门诊环境下使用皮下重组白细胞介素-2增加 4 期神经母细胞瘤自然杀伤细胞数量的剂量探索研究。
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引用本文的文献

1
Clonal analysis of peripheral blood lymphocytes from three patients with advanced neuroblastoma receiving recombinant interleukin-2 and interferon alpha.对三名接受重组白细胞介素-2和干扰素α治疗的晚期神经母细胞瘤患者外周血淋巴细胞的克隆分析。
Cancer Immunol Immunother. 1993 Jul;37(1):40-6. doi: 10.1007/BF01516940.