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一名接受白细胞α-干扰素和西咪替丁治疗的急性髓性白血病患者完全缓解。

Complete remission in a patient with acute myelogenous leukemia treated with leukocyte alpha-interferon and cimetidine.

作者信息

Ankerst J, Fäldt R, Nilsson P G, Flodgren P, Sjögren H O

出版信息

Cancer Immunol Immunother. 1984;17(1):69-71. doi: 10.1007/BF00205501.

DOI:10.1007/BF00205501
PMID:6587932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11039209/
Abstract

A 76-year-old woman with acute myelogenous leukemia with approximately 65% myeloblasts on bone marrow examination was treated daily with a combination of 4 megaU of leukocyte interferon IM and 1,000 mg cimetidine PO. During therapy there was a gradual decrease of bone marrow myeloblasts down to 9% and a normalization of peripheral white blood cells. The treatment was discontinued after 6 weeks because of increasing fatigue and anorexia. The general condition improved greatly during the following weeks and the patient entered complete remission, which has continued for 6 months so far. In the course of therapy there was a gradual appearance of antibodies showing a selective binding capacity to autochthonous leukemic cells with no tendency to increased binding to remission cells. The aim of this report is to stimulate a further evaluation of this form of therapy in additional AML patients whenever this might be justified as an alternative to conventional chemotherapy.

摘要

一名76岁患有急性髓性白血病的女性,骨髓检查显示约65%为成髓细胞,每天接受400万单位白细胞干扰素肌肉注射和1000毫克西咪替丁口服的联合治疗。治疗期间,骨髓成髓细胞逐渐减少至9%,外周血白细胞恢复正常。由于疲劳和厌食加剧,6周后停止治疗。在接下来的几周里,患者的一般状况大为改善,并进入完全缓解期,迄今为止已持续6个月。在治疗过程中,逐渐出现了对自体白血病细胞具有选择性结合能力的抗体,对缓解期细胞的结合没有增加的趋势。本报告的目的是促使在有理由将这种治疗形式作为传统化疗替代方案的情况下,对更多急性髓性白血病患者进一步评估这种治疗方法。

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Preemptive Interferon-α Therapy Could Protect Against Relapse and Improve Survival of Acute Myeloid Leukemia Patients After Allogeneic Hematopoietic Stem Cell Transplantation: Long-Term Results of Two Registry Studies.抢先性干扰素-α 治疗可预防异基因造血干细胞移植后急性髓系白血病患者的复发并改善其生存:两项注册研究的长期结果。
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Demonstration of antibodies binding to autologous and allogeneic leukemic cells in childhood ALL. Evidence for a common ALL antigen(s).儿童急性淋巴细胞白血病中抗体与自体及异体白血病细胞结合的证明。存在共同的急性淋巴细胞白血病抗原的证据。
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4
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本文引用的文献

1
Human leukocyte interferon and cimetidine for metastatic melanoma.人白细胞干扰素与西咪替丁治疗转移性黑色素瘤
N Engl J Med. 1982 Oct 21;307(17):1080-1. doi: 10.1056/nejm198210213071716.
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Antibody responses of remission leukemia patients receiving active specific and nonspecific immunotherapy.接受主动特异性和非特异性免疫疗法的缓解期白血病患者的抗体反应。
Cancer. 1981 Jan 15;47(2):272-9. doi: 10.1002/1097-0142(19810115)47:2<272::aid-cncr2820470211>3.0.co;2-c.
3
Metastatic malignant melanoma: regression induced by combined treatment with interferon [HuIFN-alpha(Le)] and cimetidine.转移性恶性黑色素瘤:干扰素[HuIFN-α(Le)]与西咪替丁联合治疗诱导的消退
Int J Cancer. 1983 Dec 15;32(6):657-65. doi: 10.1002/ijc.2910320603.
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Interferon in acute myelogenous leukaemia: a preliminary report.干扰素治疗急性髓细胞白血病:初步报告。
Haematol Blood Transfus. 1983;28:56-8. doi: 10.1007/978-3-642-68761-7_11.
5
Remissions after exchange transfusions in acute leukemia. On the possible antileukemic properties of normal blood. Historical notes and recent reflections.急性白血病换血后的缓解。关于正常血液可能的抗白血病特性。历史记录与近期思考。
Blood Cells. 1983;9(1):75-82.
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Unexpected remissions in acute leukemia.急性白血病的意外缓解
Blood Cells. 1983;9(1):71-3.
7
A 125I-protein A-binding assay detecting antibodies to cell surface antigens. Evidence for the presence of specific antibodies against leukemia-associated antigens in human leukemias.一种检测细胞表面抗原抗体的125I-蛋白A结合试验。人类白血病中存在针对白血病相关抗原的特异性抗体的证据。
Cancer Immunol Immunother. 1983;15(2):69-77. doi: 10.1007/BF00199693.
8
Leukocyte interferon-induced tumor regression in human metastatic breast cancer, multiple myeloma, and malignant lymphoma.白细胞干扰素诱导人转移性乳腺癌、多发性骨髓瘤和恶性淋巴瘤的肿瘤消退。
Ann Intern Med. 1980 Sep;93(3):399-406. doi: 10.7326/0003-4819-93-3-399.
9
125I protein A: applications to the quantitative determination of fluid phase and cell-bound IgG.125I 蛋白A:在液相和细胞结合IgG定量测定中的应用
J Immunol Methods. 1977;18(3-4):281-93. doi: 10.1016/0022-1759(77)90182-x.
10
Immunotherapy of human acute leukemia: antibody response to leukemia-associated antigens.人类急性白血病的免疫疗法:对白血病相关抗原的抗体反应。
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