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延长半衰期产品在重度甲型血友病且高滴度抑制物患者的免疫耐受诱导中起什么作用?

What is the role of an extended half-life product in immune tolerance induction in a patient with severe hemophilia A and high-titer inhibitors?

作者信息

Janbain Maissaa, Pipe Steven

机构信息

Section of Hematology and Medical Oncology, Department of Internal Medicine, Tulane School of Medicine, New Orleans, LA.

Division of Pediatric Hematology and Oncology, University of Michigan, Ann Arbor, MI.

出版信息

Hematology Am Soc Hematol Educ Program. 2016 Dec 2;2016(1):648-649. doi: 10.1182/asheducation-2016.1.648.

Abstract

A 10-year-old boy presents with a history of severe hemophilia A and high-titer inhibitor that had failed high-dose immune tolerance induction (ITI) with a recombinant factor VIII (rFVIII) product and a plasma-derived FVIII product. You are asked by his mother whether he should be tried on ITI with an extended half-life product, in particular, consideration of a rFVIIIFc concentrate.

摘要

一名10岁男孩,有严重甲型血友病病史及高滴度抑制物,使用重组凝血因子VIII(rFVIII)产品和血浆源性FVIII产品进行高剂量免疫耐受诱导(ITI)均失败。他的母亲询问是否应尝试使用半衰期延长的产品进行ITI,特别是考虑使用rFVIIIFc浓缩物。

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本文引用的文献

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Nat Rev Immunol. 2007 Sep;7(9):715-25. doi: 10.1038/nri2155. Epub 2007 Aug 17.

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