Niederle N
Inneren Universitätsklinik und Poliklinik (Tumorforschung), Essen.
Arzneimittelforschung. 1988 Mar;38(3A):449-53.
Aspects and Results of Interferon Therapy Interferons are effector molecules with pleiotropic biologic functions. Significant clinical activities have been seen in viral diseases and hematologic malignancies, such as hairy cell leukemia, low-grade nodular non-Hodgkin's lymphoma, cutaneous T-cell lymphoma, and chronic myelogenous leukemia. In contrast, the efficacy in solid tumors has been less impressive. In these disorders, higher doses are necessary to induce remission. Responses to interferons are typically slow with improvement often taking several weeks to months. A wide range of both acute and chronic toxicities have been defined. Since these side effects are dose-related and are rarely tolerable for long-term treatment, optimal doses and schedules should be defined in future clinical trials. A better understanding of the mode of anticancer action is an important area of interferon research. Clinical areas might preferably include situations with minimal tumor load, especially in combination with other cytokines, different cytostatic drugs or local therapeutic modalities.
干扰素治疗的相关方面及结果 干扰素是具有多效生物功能的效应分子。在病毒性疾病和血液系统恶性肿瘤中已观察到显著的临床活性,如毛细胞白血病、低度结节性非霍奇金淋巴瘤、皮肤T细胞淋巴瘤和慢性粒细胞白血病。相比之下,其在实体瘤中的疗效则不那么显著。在这些疾病中,需要更高剂量才能诱导缓解。对干扰素的反应通常较慢,改善往往需要数周甚至数月时间。已明确了一系列急性和慢性毒性。由于这些副作用与剂量相关,且长期治疗时很少能耐受,因此应在未来的临床试验中确定最佳剂量和给药方案。更好地理解抗癌作用模式是干扰素研究的一个重要领域。临床应用领域可能最好包括肿瘤负荷最小的情况,特别是与其他细胞因子、不同的细胞毒性药物或局部治疗方式联合使用时。