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癌症期间的干细胞移植。

Stem cell transplantation during cancer.

作者信息

Zhang Xiao-Ying, Zhang Pei-Ying

机构信息

Nanjing University of Chinese Medicine, Information Institute, Nanjing, Jiangsu 221009, P.R. China.

Department of Cardiology, Xuzhou Central Hospital, The Affiliated Xuzhou Hospital of Medical College of Southeast University, Xuzhou, Jiangsu 221009, P.R. China.

出版信息

Oncol Lett. 2016 Dec;12(6):4297-4300. doi: 10.3892/ol.2016.5260. Epub 2016 Oct 13.

DOI:10.3892/ol.2016.5260
PMID:28105145
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5228504/
Abstract

Hematological malignancies account for approximately 9.5% of new cancers diagnosed annually. Lymphoma is the most frequent of all known categories of hematological malignancies. Worldwide, extensive research has focused on this type of cancer. However, new treatments are investigated in various clinical as well as pre-clinical studies. Hematopoietic stem cell transplantation (HSCT) is a recent and upcoming treatment strategy for patients with hematopoietic malignancies and inborn errors of metabolism or immune deficiencies. Recent studies have revealed that successful clinical outcome of this treatment strategy depends on multiple factors including the protocol applied, disease under treatment, health of the patient, source of the grafts, severity of complications such as graft versus host disease during grafting and associated infections. The scope of this review is to achieve greater understanding of various clinical effects of the disease and related mechanisms. The electronic database Pubmed was searched for pre-clinical as well as clinical controlled trials reporting efficacy of the HSCT against hematological malignancies.

摘要

血液系统恶性肿瘤约占每年新诊断癌症的9.5%。淋巴瘤是所有已知血液系统恶性肿瘤类型中最常见的。在全球范围内,广泛的研究都集中在这类癌症上。然而,各种临床和临床前研究都在探索新的治疗方法。造血干细胞移植(HSCT)是一种针对造血系统恶性肿瘤、先天性代谢缺陷或免疫缺陷患者的最新且即将应用的治疗策略。最近的研究表明,这种治疗策略的成功临床结果取决于多个因素,包括所应用的方案、所治疗的疾病、患者的健康状况、移植物的来源、移植过程中移植物抗宿主病等并发症的严重程度以及相关感染。本综述的范围是更深入地了解该疾病的各种临床效应及相关机制。我们在电子数据库PubMed中搜索了关于HSCT治疗血液系统恶性肿瘤疗效的临床前及临床对照试验。

相似文献

1
Stem cell transplantation during cancer.癌症期间的干细胞移植。
Oncol Lett. 2016 Dec;12(6):4297-4300. doi: 10.3892/ol.2016.5260. Epub 2016 Oct 13.
2
Related HLA-mismatched/haploidentical hematopoietic stem cell transplantation without in vitro T-cell depletion: observations of a single Chinese center.无关供者HLA错配/单倍型相合非体外去除T细胞的造血干细胞移植:单中心中国经验
Clin Transpl. 2011:237-45.
3
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Biol Blood Marrow Transplant. 2019 Dec;25(12):2422-2430. doi: 10.1016/j.bbmt.2019.07.028. Epub 2019 Aug 3.
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Korean J Intern Med. 2018 Mar;33(2):256-276. doi: 10.3904/kjim.2018.036. Epub 2018 Feb 27.
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The Role of Complement Activating Collectins and Associated Serine Proteases in Patients With Hematological Malignancies, Receiving High-Dose Chemotherapy, and Autologous Hematopoietic Stem Cell Transplantations (Auto-HSCT).补体激活凝集素和相关丝氨酸蛋白酶在接受大剂量化疗和自体造血干细胞移植(Auto-HSCT)的血液系统恶性肿瘤患者中的作用。
Front Immunol. 2018 Sep 20;9:2153. doi: 10.3389/fimmu.2018.02153. eCollection 2018.
6
Co-transplantation of multipotent mesenchymal stromal cells in allogeneic hematopoietic stem cell transplantation: A systematic review and meta-analysis.多能间充质基质细胞在异基因造血干细胞移植中的联合移植:一项系统评价和荟萃分析。
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[Hematopoietic stem cell transplantation in the era of new molecular-targeted therapies].[新分子靶向治疗时代的造血干细胞移植]
Rinsho Ketsueki. 2018;59(10):2334-2342. doi: 10.11406/rinketsu.59.2334.
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Ocular surface analysis in hematological patients before and after allogeneic hematopoietic stem cell transplantation: implication for daily clinical practice.异基因造血干细胞移植前后血液病患者的眼表分析:对日常临床实践的启示
Eye (Lond). 2017 Oct;31(10):1417-1426. doi: 10.1038/eye.2017.78. Epub 2017 May 19.
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Related and unrelated nonmyeloablative hematopoietic stem cell transplantation for malignant diseases.相关和无关供者非清髓性造血干细胞移植治疗恶性疾病
Int J Hematol. 2002 Aug;76 Suppl 1:184-9. doi: 10.1007/BF03165242.
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Bacterial infections in pediatric hematopoietic stem cell transplantation recipients: incidence, epidemiology, and spectrum of pathogens: report of the Polish Pediatric Group for Hematopoietic Stem Cell Transplantation.儿童造血干细胞移植受者的细菌感染:发病率、流行病学及病原体谱:波兰儿童造血干细胞移植小组报告
Transpl Infect Dis. 2016 Oct;18(5):690-698. doi: 10.1111/tid.12581. Epub 2016 Sep 23.

本文引用的文献

1
Response-adapted treatment with upfront high-dose chemotherapy followed by autologous stem-cell transplantation rescue or consolidation phase high-dose methotrexate for primary central nervous system lymphoma: a long-term mono-center study.对于原发性中枢神经系统淋巴瘤,采用前期大剂量化疗,随后进行自体干细胞移植挽救或巩固期大剂量甲氨蝶呤的适应性治疗:一项长期单中心研究。
Springerplus. 2016 Mar 10;5:307. doi: 10.1186/s40064-016-1954-6. eCollection 2016.
2
Bone Marrow GvHD after Allogeneic Hematopoietic Stem Cell Transplantation.异基因造血干细胞移植后的骨髓移植物抗宿主病
Front Immunol. 2016 Mar 30;7:118. doi: 10.3389/fimmu.2016.00118. eCollection 2016.
3
Direct bone marrow HSC transplantation enhances local engraftment at the expense of systemic engraftment in NSG mice.直接进行骨髓造血干细胞移植会增强NSG小鼠的局部植入,但以牺牲全身植入为代价。
Sci Rep. 2016 Apr 11;6:23886. doi: 10.1038/srep23886.
4
Low Counts of B Cells, Natural Killer Cells, Monocytes, Dendritic Cells, Basophils, and Eosinophils are Associated with Postengraftment Infections after Allogeneic Hematopoietic Cell Transplantation.低水平的B细胞、自然杀伤细胞、单核细胞、树突状细胞、嗜碱性粒细胞和嗜酸性粒细胞与异基因造血细胞移植后的植入后感染有关。
Biol Blood Marrow Transplant. 2016 Jan;22(1):37-46. doi: 10.1016/j.bbmt.2015.09.003. Epub 2015 Sep 9.
5
Risks and benefits of sex-mismatched hematopoietic cell transplantation differ according to conditioning strategy.性别不匹配的造血细胞移植的风险和益处因预处理策略而异。
Haematologica. 2015 Nov;100(11):1477-85. doi: 10.3324/haematol.2015.125294. Epub 2015 Aug 6.
6
Is peripheral blood or bone marrow a better source of stem cells for transplantation in cases of HLA-matched unrelated donors? A meta-analysis.在人类白细胞抗原(HLA)匹配的无关供体情况下,外周血或骨髓作为干细胞移植的来源哪个更好?一项荟萃分析。
Crit Rev Oncol Hematol. 2015 Oct;96(1):20-33. doi: 10.1016/j.critrevonc.2015.04.009. Epub 2015 May 13.
7
G-CSF-primed bone marrow as a source of stem cells for allografting: revisiting the concept.经粒细胞集落刺激因子(G-CSF)预处理的骨髓作为同种异体移植干细胞的来源:重新审视这一概念。
Bone Marrow Transplant. 2015 Sep;50(9):1150-6. doi: 10.1038/bmt.2015.80. Epub 2015 Apr 27.
8
Bone marrow aspiration technique has deteriorated in recent years.近年来,骨髓穿刺技术已经退化。
Bone Marrow Transplant. 2015 Jul;50(7):1007-9. doi: 10.1038/bmt.2015.75. Epub 2015 Apr 20.
9
Mobilized peripheral blood grafts include more than hematopoietic stem cells: the immunological perspective.动员的外周血移植物包含的不仅仅是造血干细胞:免疫学视角
Bone Marrow Transplant. 2015 Jul;50(7):886-91. doi: 10.1038/bmt.2014.330. Epub 2015 Feb 9.
10
Hematopoietic SCT in Europe 2013: recent trends in the use of alternative donors showing more haploidentical donors but fewer cord blood transplants.2013年欧洲造血干细胞移植:替代供体使用的近期趋势显示单倍体相合供体增多,但脐血移植减少。
Bone Marrow Transplant. 2015 Apr;50(4):476-82. doi: 10.1038/bmt.2014.312. Epub 2015 Feb 2.