Niwa Y, Somiya K, Michelson A M, Puget K
Department of Internal Medicine, Shimane Medical University, Japan.
Free Radic Res Commun. 1985;1(2):137-53. doi: 10.3109/10715768509056547.
Liposomal-encapsulated superoxide dismutase was clinically applied to patient showing an increase in neutrophil active oxygen generation, and those with diseases such as severe rheumatoid arthritis (RA), Crohn's disease and progressive systemic sclerosis (PSS) in which presence of a plasmatic clastogenic factor has been demonstrated. Liposomal SOD injection (2.5 mg twice a week) resulted in marked remission in 12 out of 16 patients with active Behcet's disease. The drug was impressively effective on patients with intestinal Behcet. Remission rates in the other diseases was 7 out of 8 mucocutaneous lymphnode syndrome (MCLS, Kawasaki disease) 3 out of 5 dermatitis herpetiformis, IgA linear bullous dermatosis or severe cement dermatitis, 4 out of 9 active and severe RA, 3 out of 3 PSS, 4 out of 4 Crohn's disease, 3 out of 4 colitis ulcerosa, and 2 out of 2 unresponsive (hemolytic) anemia. To be emphasized was that three severe active RA patients and two terminal-stage PSS patients with dyspnea due to lung fibrosis showed dramatic improvement after administration of liposomal SOD. In addition, in 13 out of 15 malignant neo plastic patients including cancer, malignant lymphoma and leucemia who were receiving radiotherapy (total dose, more than 4000 rads) and chemotherapy including anthracycline analogs (total over 450 mg/m2) and bleomycin, the drug also prevented the appearance of myocardiac injury and fibrosis, sometimes seen as a consequence of chemotherapy. Liposomal SOD, which shows no toxicity, has various advantages compared to free SOD preparations, and is highly and broadly applicable to various clinical disorders.
脂质体包裹的超氧化物歧化酶已临床应用于中性粒细胞活性氧生成增加的患者,以及已证实在血浆中有致染色体断裂因子存在的疾病患者,如严重类风湿性关节炎(RA)、克罗恩病和进行性系统性硬化症(PSS)。脂质体超氧化物歧化酶注射(每周两次,每次2.5毫克)使16例活动期白塞病患者中的12例显著缓解。该药物对肠道白塞病患者疗效显著。其他疾病的缓解率如下:8例黏膜皮肤淋巴结综合征(MCLS,川崎病)中有7例,5例疱疹样皮炎、IgA线状大疱性皮肤病或严重水泥性皮炎中有3例,9例活动期重症RA中有4例,3例PSS中有3例,4例克罗恩病中有4例,4例溃疡性结肠炎中有3例,2例难治性(溶血性)贫血中有2例。需要强调的是,3例重症活动期RA患者和2例因肺纤维化导致呼吸困难的终末期PSS患者在使用脂质体超氧化物歧化酶后病情显著改善。此外,在15例接受放疗(总剂量超过4000拉德)和包括蒽环类类似物(总量超过450毫克/平方米)及博来霉素在内的化疗的恶性肿瘤患者(包括癌症、恶性淋巴瘤和白血病)中,有13例患者使用该药物后还预防了有时因化疗而出现的心肌损伤和纤维化。脂质体超氧化物歧化酶无毒性,与游离超氧化物歧化酶制剂相比有多种优势,且高度广泛适用于各种临床病症。