Fumoleau P, Perrocheau G, Maugard-Louboutin C, Lemevel B
Centre René-Gauducheau, CRLCC Nantes-Atlantique, ICERC Nantes, Saint-Herblain, France.
Bull Cancer. 1995 Aug;82(8):629-36.
The taxanes, paclitaxel and docetaxel, are the two presents clinically available representatives of a cytotoxic class with a new mechanism of action: they enhance microtubule assembly and inhibit their depolymerization. Their activity has been demonstrated in ovarian, breast and lung cancers. Paclitaxel and docetaxel are also promising agents in the treatment of head and neck, gastric and pancreatic cancer. Neutropenia is the dose limiting toxicity. Currently, use of premedication allows to circumvent hypersensitivity reactions encountered earlier with paclitaxel. For docetaxel, measures to prevent fluid retention are essential.
紫杉烷类药物,即紫杉醇和多西他赛,是临床上现有的两类具有新作用机制的细胞毒性药物代表:它们可促进微管装配并抑制其解聚。它们的活性已在卵巢癌、乳腺癌和肺癌中得到证实。紫杉醇和多西他赛在治疗头颈癌、胃癌和胰腺癌方面也颇具前景。中性粒细胞减少是剂量限制性毒性。目前,使用预处理药物可避免早期使用紫杉醇时出现的过敏反应。对于多西他赛,预防液体潴留的措施至关重要。