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环孢素A治疗慢性淋巴细胞白血病相关全血细胞减少症:一例报告

Cyclosporine A therapy of chronic lymphoblastic leukemia-related pancytopenia: A case report.

作者信息

Wang Mengying, Meng Ruoyu, Gao Yan, Huang Junxia, Li Tianlan, Mao Chunxia, Liu Shanshan, Xu Yujie, Xu Han, Feng Xianqi

机构信息

Department of Hematology Faculty of Medicine Qingdao University The Affiliated Hospital of Qingdao University Qingdao China.

Department of Hematology The Affiliated Hospital of Qingdao University Qingdao China.

出版信息

Clin Case Rep. 2022 Mar 10;10(3):e05538. doi: 10.1002/ccr3.5538. eCollection 2022 Mar.

DOI:10.1002/ccr3.5538
PMID:35310307
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8908086/
Abstract

To explore the clinical characteristics, diagnosis, and treatment of chronic lymphocytic leukemia with secondary pancytopenia. Here, a case of pancytopenia secondary to chronic lymphocytic leukemia is reported. Additionally, a review of relevant chronic lymphocytic leukemia literature was conducted to summarize its diagnosis, clinical characteristics, treatment history, and experience. After treatment with cyclosporine A, the patient's chronic lymphocytic leukemia continued to resolve, and hematopoiesis returned to normal. Cyclosporine A therapy resulted in improved patient outcomes. However, the mechanism by which cyclosporine A rebuilds the immune microenvironment and its antileukemia effect in the body remains to be studied.

摘要

探讨慢性淋巴细胞白血病继发全血细胞减少的临床特征、诊断及治疗方法。本文报道1例慢性淋巴细胞白血病继发全血细胞减少的病例。此外,对慢性淋巴细胞白血病的相关文献进行了回顾,以总结其诊断、临床特征、治疗史及经验。经环孢素A治疗后,患者的慢性淋巴细胞白血病持续缓解,造血功能恢复正常。环孢素A治疗改善了患者的预后。然而,环孢素A重建免疫微环境及其在体内的抗白血病作用机制仍有待研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d8/8908086/4fba61a57506/CCR3-10-e05538-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d8/8908086/4fba61a57506/CCR3-10-e05538-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e3d8/8908086/4fba61a57506/CCR3-10-e05538-g001.jpg

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Cyclosporine A therapy of chronic lymphoblastic leukemia-related pancytopenia: A case report.环孢素A治疗慢性淋巴细胞白血病相关全血细胞减少症:一例报告
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本文引用的文献

1
NOTCH1 Activation Negatively Impacts on Chronic Lymphocytic Leukemia Outcome and Is Not Correlated to the and Mutational Status.NOTCH1激活对慢性淋巴细胞白血病的预后产生负面影响,且与 和 突变状态无关。
Front Oncol. 2021 May 26;11:668573. doi: 10.3389/fonc.2021.668573. eCollection 2021.
2
Diagnosis and Treatment of Chronic Lymphocytic Leukemia: Recommendations of the French CLL Study Group (FILO).慢性淋巴细胞白血病的诊断与治疗:法国慢性淋巴细胞白血病研究组(FILO)的建议
Hemasphere. 2020 Sep 23;4(5):e473. doi: 10.1097/HS9.0000000000000473. eCollection 2020 Oct.
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Coincidence of autoimmune hemolytic anemia and pure red cell aplasia in a patient with CLL.
1例慢性淋巴细胞白血病患者合并自身免疫性溶血性贫血和纯红细胞再生障碍性贫血
Ann Hematol. 2021 Feb;100(2):579-580. doi: 10.1007/s00277-020-04091-6. Epub 2020 Jun 16.
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Autoimmune Complications in Chronic Lymphocytic Leukemia in the Era of Targeted Drugs.靶向药物时代慢性淋巴细胞白血病的自身免疫并发症
Cancers (Basel). 2020 Jan 23;12(2):282. doi: 10.3390/cancers12020282.
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Blood. 2019 Nov 21;134(21):1796-1801. doi: 10.1182/blood.2019001321.
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What is the optimal management of older CLL patients?老年慢性淋巴细胞白血病患者的最佳管理方法是什么?
Best Pract Res Clin Haematol. 2018 Mar;31(1):83-89. doi: 10.1016/j.beha.2017.10.007. Epub 2017 Nov 1.
7
Regulatory T-cells drive immune dysfunction in CLL.调节性T细胞在慢性淋巴细胞白血病中导致免疫功能障碍。
Leuk Lymphoma. 2018 Feb;59(2):486-489. doi: 10.1080/10428194.2017.1330475. Epub 2017 Jun 2.
8
Perturbation of the normal immune system in patients with CLL.慢性淋巴细胞白血病患者正常免疫系统的紊乱。
Blood. 2015 Jul 30;126(5):573-81. doi: 10.1182/blood-2015-03-567388. Epub 2015 Jun 17.
9
Treatment of T-cell large granular lymphocyte leukemia with cyclosporine A: experience in a Chinese single institution.环孢素 A 治疗 T 细胞大颗粒淋巴细胞白血病:中国单中心经验。
Leuk Res. 2013 May;37(5):547-51. doi: 10.1016/j.leukres.2013.01.017. Epub 2013 Feb 8.
10
Delayed development of chronic lymphocytic leukemia in the absence of macrophage migration inhibitory factor.巨噬细胞移动抑制因子缺乏导致慢性淋巴细胞白血病的迟发性发展。
Blood. 2013 Jan 31;121(5):812-21. doi: 10.1182/blood-2012-05-431452. Epub 2012 Nov 1.