Fruehauf Stefan
Department of Hematology/Oncology, Paracelsus Klinik, Osnabrück, Germany.
Transfus Med Hemother. 2013 Aug;40(4):246-50. doi: 10.1159/000354229. Epub 2013 Jul 19.
Autologous and allogeneic hematopoietic stem cell (HSC) transplantation are considered the standard of care for many malignancies including lymphoma, multiple myeloma, and some leukemias. In many cases, mobilized peripheral blood has become the preferred source for HSCs. Plerixafor, an inhibitor of the interaction between CX chemokine receptor 4 (CXCR4) and stromal derived factor-1 alpha (SDF-1), has been evaluated in clinical trials and approved by the FDA and EMA. This agent has very modest toxicity and appears to be quite potent at HSC mobilization. Current clinical indications for the use of plerixafor are the subject of this review.
自体和异基因造血干细胞(HSC)移植被认为是许多恶性肿瘤(包括淋巴瘤、多发性骨髓瘤和某些白血病)的标准治疗方法。在许多情况下,动员的外周血已成为HSC的首选来源。普乐沙福是一种CX趋化因子受体4(CXCR4)与基质衍生因子-1α(SDF-1)相互作用的抑制剂,已在临床试验中进行评估,并获得了美国食品药品监督管理局(FDA)和欧洲药品管理局(EMA)的批准。该药物毒性非常轻微,在HSC动员方面似乎相当有效。本文综述了普乐沙福目前的临床应用指征。