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多发性骨髓瘤治疗过程中无关的非典型血清免疫固定电泳模式的预后价值。

Prognostic value of unrelated atypical serum immunofixation patterns during multiple myeloma therapy.

出版信息

J Hematol Oncol. 2012 Jun 26;5:33. doi: 10.1186/1756-8722-5-33.

DOI:10.1186/1756-8722-5-33
PMID:22734892
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3426471/
Abstract

Autologous stem cell transplantation (ASCT) is the gold standard therapy for suitable multiple myeloma (MM) patients after induction with high dose therapy. To date, the evidence of a reliable marker of prognosis in these cases remains scarce. Our aim was to evaluate appearance of unrelated atypical serum immunofixation patterns (ASIPs) as a marker of prognosis in MM patients submitted to ASCT. We retrospectively analysed data from 65 patients. Interestingly, we observed that presence of ASIPs was associated with longer progression-free survival and longer overall survival. Our results suggested that presence of ASIPs could be a novel marker of good prognosis in MM patients submitted to ASCT.

摘要

自体干细胞移植(ASCT)是适合的多发性骨髓瘤(MM)患者在接受高剂量治疗后的标准治疗方法。迄今为止,这些病例中可靠预后标志物的证据仍然很少。我们的目的是评估 ASCT 后 MM 患者出现非相关非典型血清免疫固定电泳图谱(ASIPs)作为预后标志物的情况。我们回顾性分析了 65 例患者的数据。有趣的是,我们观察到存在 ASIPs 与更长的无进展生存期和更长的总生存期相关。我们的结果表明,ASCT 后 MM 患者存在 ASIPs 可能是一种新的预后良好标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/3426471/e00757eb521b/1756-8722-5-33-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/3426471/e00757eb521b/1756-8722-5-33-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/347f/3426471/e00757eb521b/1756-8722-5-33-1.jpg

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本文引用的文献

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Blood. 2011 Sep 15;118(11):2985-7. doi: 10.1182/blood-2011-04-349175. Epub 2011 Jul 15.
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自体干细胞移植后多发性骨髓瘤患者异常蛋白条带的意义
Clin Biochem Rev. 2009 Aug;30(3):113-8.
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Atypical serum immunofixation patterns frequently emerge in immunomodulatory therapy and are associated with a high degree of response in multiple myeloma.非典型血清免疫固定模式在免疫调节治疗中经常出现,且与多发性骨髓瘤的高度缓解相关。
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Focus on multiple myeloma.关注多发性骨髓瘤。
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