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低剂量阿糖胞苷治疗会导致白血病细胞分化吗?

Does treatment with ARA-C in low dosage cause differentiation of leukemic cells?

作者信息

Castaigne S, Daniel M T, Tilly H, Herait P, Degos L

出版信息

Blood. 1983 Jul;62(1):85-6.

PMID:6860796
Abstract

A series of 21 patients (5 refractory anemias with an excess of blasts in transformation and 16 acute leukemias) were treated with small doses of ARA-C (10 mg/sq m/12 hr for 15-21 days). Improvement was noted in 15 cases (71%) and complete remission observed in 12 (57%). Complete remission was obtained after one course of treatment in 8 cases. The fact that these patients entered remission relatively slowly and did not suffer marrow aplasia suggests that low-dose ARA-C may function in vivo as it does in vitro, i.e., by inducing differentiation of leukemic blasts.

摘要

对21例患者(5例转化型原始细胞增多的难治性贫血和16例急性白血病)采用小剂量阿糖胞苷(10mg/平方米/12小时,持续15 - 21天)进行治疗。15例(71%)患者病情有改善,12例(57%)达到完全缓解。8例患者在一个疗程治疗后即获得完全缓解。这些患者进入缓解期相对缓慢且未出现骨髓再生障碍,这一事实表明低剂量阿糖胞苷在体内的作用方式可能与体外相同,即通过诱导白血病原始细胞分化发挥作用。

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