Heaton K M, Grimm E A
Department of General Surgery and Tumor Biology, University of Texas M.D. Anderson Cancer Center, Houston 77030.
Cancer Immunol Immunother. 1993 Sep;37(4):213-9. doi: 10.1007/BF01518513.
The use of cytokines alone or in combination with other cytokines or cytotoxic drugs has had a profound effect upon widely metastatic disease in many cases. However, despite the encouraging results in early trials, there is much room for improvement. Few responses to these combinations are complete, and toxicity has in some cases been quite severe. Changes in dose, route, or schedule of administration of the drugs, or the development of cytokine analogs may lead to more efficacious and less toxic regimens. In addition, new cytokines such as interleukin(IL)-7 and IL-12 are currently under investigation for potential use in future immunotherapy trials. These prospects and the use of cytokine combinations are promising advances in the treatment of human cancer.
单独使用细胞因子或与其他细胞因子或细胞毒性药物联合使用,在许多情况下已对广泛转移的疾病产生了深远影响。然而,尽管早期试验结果令人鼓舞,但仍有很大的改进空间。这些联合用药很少能产生完全缓解,而且在某些情况下毒性相当严重。改变药物的剂量、给药途径或给药方案,或开发细胞因子类似物,可能会产生更有效且毒性更小的治疗方案。此外,诸如白细胞介素(IL)-7和IL-12等新型细胞因子目前正在研究中,有望用于未来的免疫治疗试验。这些前景以及细胞因子联合用药的应用,是人类癌症治疗中很有前景的进展。