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结核病患者抗结核药物治疗前后的细胞遗传学研究。

Cytogenetic study of tuberculosis patients before and after tuberculostatic drug treatment.

作者信息

Ekmekçi A, Sayli A

机构信息

Department of Medical Biology and Genetics, Faculty of Medicine, Gazi University, Ankara, Turkey.

出版信息

Mutat Res. 1995 Apr;334(2):175-83. doi: 10.1016/0165-1161(95)90009-8.

DOI:10.1016/0165-1161(95)90009-8
PMID:7885370
Abstract

Cytogenetic analyses were carried out in lymphocytes of 15 untreated tuberculosis (tb) patients and 15 other tb patients who had received combined tuberculostatic chemotherapy HRZ (isoniazid+rifampicin+pyrazinamide) for 2 months. The frequency of chromosomal aberrations and sister-chromatid exchanges (SCEs) did not show any statistically significant differences in the patients before treatment and after exposure to combined HRZ therapy as compared to controls (p > 0.05). However, we observed that the mitotic index was significantly decreased in both groups (p < 0.05). Based on the results of the present study, we believe there is no indication for a chromosome damaging effect of HRZ and their metabolites in human lymphocytes in vivo after treatment of tuberculosis patients with optimum doses.

摘要

对15名未经治疗的结核病患者和15名接受联合抗结核化疗HRZ(异烟肼+利福平+吡嗪酰胺)2个月的其他结核病患者的淋巴细胞进行了细胞遗传学分析。与对照组相比,治疗前和接受联合HRZ治疗后的患者中,染色体畸变和姐妹染色单体交换(SCE)的频率没有显示出任何统计学上的显著差异(p>0.05)。然而,我们观察到两组的有丝分裂指数均显著降低(p<0.05)。基于本研究的结果,我们认为在用最佳剂量治疗结核病患者后,HRZ及其代谢产物在体内对人淋巴细胞没有染色体损伤作用的迹象。

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Cytogenetic study of tuberculosis patients before and after tuberculostatic drug treatment.结核病患者抗结核药物治疗前后的细胞遗传学研究。
Mutat Res. 1995 Apr;334(2):175-83. doi: 10.1016/0165-1161(95)90009-8.
2
Chromosomal aberrations in tuberculosis patients before and after treatment with short-term chemotherapy.
Mutat Res. 1991 Jan;259(1):13-9. doi: 10.1016/0165-1218(91)90104-t.
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[Side effects of various combinations of rifampin and isoniazid with ethambutol or streptomycin and pyrazinamide in short-term chemotherapy of newly-detected pulmonary tuberculosis].[利福平与异烟肼分别联合乙胺丁醇或链霉素及吡嗪酰胺用于新发现肺结核短期化疗的各种组合的副作用]
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Cytogenetic effects of chemotherapy with three combinations of anti-tubercular drugs involving isoniazid, thiacetazone, para-aminosalicylic acid and streptomycin on human lymphocytes: chromosome aberrations, sister chromatid exchanges and mitotic index.三种含异烟肼、氨硫脲、对氨基水杨酸和链霉素的抗结核药物组合化疗对人淋巴细胞的细胞遗传学效应:染色体畸变、姐妹染色单体交换和有丝分裂指数
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Incidence of chromosomal aberrations in patients under combined tuberculostatic chemotherapy.联合抗结核化疗患者染色体畸变的发生率
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Eur J Clin Microbiol Infect Dis. 2019 Nov;38(11):2121-2126. doi: 10.1007/s10096-019-03651-7. Epub 2019 Aug 3.

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