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环孢菌素A与抗肿瘤药物的相互作用。

Interaction of cyclosporin A with antineoplastic agents.

作者信息

Kloke O, Osieka R

出版信息

Klin Wochenschr. 1985 Oct 15;63(20):1081-2. doi: 10.1007/BF01739677.

DOI:10.1007/BF01739677
PMID:3865016
Abstract

A synergistic effect of etoposide and cyclosporin A was observed in a patient with acute T-lymphocytic leukemia in relapse. The concomitant administration of etoposide and cyclosporin A resulted in eradication of hitherto refractory leukemic infiltration of bone marrow. Severe side effects in terms of mental confusion and progressive hyperbilirubinemia, however, point to an enhancement not only of antineoplastic effects but also of toxicity in normal tissues. This report demonstrates for the first time that the pharmacodynamic properties of cyclosporin A may not be confined strictly to suppression of normal T-cell functions.

摘要

在一名复发的急性T淋巴细胞白血病患者中观察到依托泊苷和环孢素A的协同作用。依托泊苷和环孢素A联合使用导致迄今难治的骨髓白血病浸润得以消除。然而,严重的副作用,如精神错乱和进行性高胆红素血症,表明不仅抗肿瘤作用增强,正常组织的毒性也增强。本报告首次证明环孢素A的药效学特性可能并不严格局限于抑制正常T细胞功能。

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Antineoplastic agents. Drug interactions of clinical significance.抗肿瘤药。具有临床意义的药物相互作用。

本文引用的文献

1
Intensified therapy in acute lymphoblastic and acute undifferentiated leukemia in adults.成人急性淋巴细胞白血病和急性未分化白血病的强化治疗。
Blood. 1984 Jul;64(1):38-47.
2
Cyclosporin A inhibits T-cell growth factor gene expression at the level of mRNA transcription.环孢菌素A在信使核糖核酸转录水平抑制T细胞生长因子基因的表达。
Proc Natl Acad Sci U S A. 1984 Aug;81(16):5214-8. doi: 10.1073/pnas.81.16.5214.
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Retroviruses as etiologic agents of some animal and human leukemias and lymphomas and as tools for elucidating the molecular mechanism of leukemogenesis.
Drug Saf. 1995 Mar;12(3):168-82. doi: 10.2165/00002018-199512030-00003.
4
Adverse reactions and interactions of cyclosporin.环孢素的不良反应及相互作用。
Med Toxicol Adverse Drug Exp. 1988 Mar-Apr;3(2):107-27. doi: 10.1007/BF03259936.
5
Enhancement of etoposide-induced cytotoxicity by cyclosporin A.环孢素A增强依托泊苷诱导的细胞毒性
Cancer Chemother Pharmacol. 1986;18(3):198-202. doi: 10.1007/BF00273385.
逆转录病毒作为某些动物和人类白血病及淋巴瘤的病原体,以及作为阐明白血病发生分子机制的工具。
Blood. 1982 Sep;60(3):545-57.
4
Cyclosporin-associated fatal convulsions.环孢素相关的致命性惊厥。
Lancet. 1985 Jan 26;1(8422):219. doi: 10.1016/s0140-6736(85)92052-5.