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血小板对改善肝硬化有显著作用。

Prominent effect of platelet on improvement of liver cirrhosis.

作者信息

Xu Hui, Jiang Xiao-Meng, Wu Ying, Li Yu-Mei, Zheng Yun-Wen, Ohkohchi Nobuhiro

机构信息

Institute of Regenerative Medicine, Affiliated Hospital of Jiangsu University, Jiangsu University, Zhenjiang 212001, China.

Department of Dermatology, Affiliated Hospital of Jiangsu University, Jiangsu University, Zhenjiang 212001, China.

出版信息

AME Case Rep. 2020 Apr 30;4:14. doi: 10.21037/acr.2020.04.02. eCollection 2020.

DOI:10.21037/acr.2020.04.02
PMID:32420537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7225403/
Abstract

Thrombopoietin (TPO) can improve liver regeneration and fibrosis. We report on a patient with liver cirrhosis who received treatment with TPO to improve liver function. An 82-year-old male had liver cirrhosis with ascites due to hepatitis C virus infection. The Child-Pugh classification was Child B. The patient received human recombinant TPO for 12 months. The platelet counts increased and were maintained at 60-80×10/L. The liver function improved, the ascites resolved, and the liver volume increased. These results indicate that the novel treatment with recombinant human TPO (rhTPO) may be effective for improving liver function in patients with liver cirrhosis.

摘要

血小板生成素(TPO)可促进肝再生并改善肝纤维化。我们报告了一名肝硬化患者接受TPO治疗以改善肝功能的情况。一名82岁男性因丙型肝炎病毒感染导致肝硬化并伴有腹水。Child-Pugh分级为B级。该患者接受人重组TPO治疗12个月。血小板计数增加并维持在60 - 80×10⁹/L。肝功能得到改善,腹水消退,肝脏体积增大。这些结果表明,重组人TPO(rhTPO)的新型治疗方法可能对改善肝硬化患者的肝功能有效。

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AME Case Rep. 2020 Apr 30;4:14. doi: 10.21037/acr.2020.04.02. eCollection 2020.
2
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A novel recombinant human thrombopoietin therapy for the management of immune thrombocytopenia in pregnancy.一种新型重组人血小板生成素治疗妊娠免疫性血小板减少症。
Blood. 2017 Aug 31;130(9):1097-1103. doi: 10.1182/blood-2017-01-761262. Epub 2017 Jun 19.
2
Stable Liver Function during Long-Term Administration of Eltrombopag, a Thrombopoietin Receptor Agonist, in Patients with Chronic Liver Disease.慢性肝病患者长期服用血小板生成素受体激动剂艾曲泊帕期间肝功能稳定
Tohoku J Exp Med. 2016 Dec;240(4):277-279. doi: 10.1620/tjem.240.277.
3
Postoperative Decrease in Platelet Counts Is Associated with Delayed Liver Function Recovery and Complications after Partial Hepatectomy.肝部分切除术后血小板计数下降与肝功能延迟恢复及并发症相关。
Tohoku J Exp Med. 2016 May;239(1):47-55. doi: 10.1620/tjem.239.47.
4
Management of the Platelet Refractory Patient.血小板难治性患者的管理
Hematol Oncol Clin North Am. 2016 Jun;30(3):665-77. doi: 10.1016/j.hoc.2016.01.008. Epub 2016 Apr 5.
5
Platelet transfusion improves liver function in patients with chronic liver disease and cirrhosis.血小板输注可改善慢性肝病和肝硬化患者的肝功能。
Tohoku J Exp Med. 2013 Mar;229(3):213-20. doi: 10.1620/tjem.229.213.
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Effects of thrombopoietin on growth of hepatocellular carcinoma: Is thrombopoietin therapy for liver disease safe or not?促血小板生成素对肝细胞癌生长的影响:促血小板生成素治疗肝脏疾病安全吗?
Hepatol Res. 2013 Jun;43(6):610-20. doi: 10.1111/hepr.12006. Epub 2012 Nov 16.
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Global epidemiology of hepatitis B virus infection: new estimates of age-specific HBsAg seroprevalence and endemicity.全球乙型肝炎病毒感染流行病学:特定年龄 HBsAg 血清流行率和地方性的新估计。
Vaccine. 2012 Mar 9;30(12):2212-9. doi: 10.1016/j.vaccine.2011.12.116. Epub 2012 Jan 24.
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Platelet administration via the portal vein promotes liver regeneration in rats after 70% hepatectomy.经门静脉给予血小板可促进 70%肝切除术后大鼠的肝脏再生。
Ann Surg. 2011 Apr;253(4):759-63. doi: 10.1097/SLA.0b013e318211caf8.
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Liver transplantation outcomes in 1,078 hepatocellular carcinoma patients: a multi-center experience in Shanghai, China.1078例肝细胞癌患者的肝移植结局:中国上海的多中心经验
J Cancer Res Clin Oncol. 2009 Oct;135(10):1403-12. doi: 10.1007/s00432-009-0584-6. Epub 2009 Apr 21.
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J Gastroenterol Hepatol. 2009 Jan;24(1):78-89. doi: 10.1111/j.1440-1746.2008.05497.x. Epub 2008 Jun 25.