Karthaus M, Ganser A
Medizinische Hochschule Hannover.
Ther Umsch. 1996 Nov;53(11):863-73.
With the identification and recombinant production of the hematopoietic growth factors, these cytokines have been evaluated in the treatment of primary bone marrow failure states and after myelosuppressive chemotherapy or radiotherapy. A lot of clinical trials with hematopoietic factors have been performed in patients with haematologic and oncologic diseases within the last decade. Granulocyte colony-stimulating factor [G-CSF], granulocyte macrophage colony-stimulating factor [GM-CSF], interleukin-3, interleukin-2, erythropoietin and in phase I/II trials thrombopoietin [TPO] are available for the clinical use. At the present, there is a broad use of growth factors. Most studies have been done with G-CSF and GM-CSF, their beneficial effects are proven regarding improvement of hematopoietic recovery after chemotherapy. This results in a marked reduction of infectious risks and a shortening of drug- and radiation-induced myelosuppression. CSFs are most important in mobilizing peripheral blood progenitor cells [PBPC] and have allowed high dose therapy to be given to patients who would not have been able to undergo conventional bone marrow transplantation. However, an improved outcome and improved survival rates with standard chemotherapy protocols couldn't be documented by studies up to now, even though higher chemotherapy doses are possible by the use of hematopoietic factors.
随着造血生长因子的鉴定和重组生产,这些细胞因子已被用于评估原发性骨髓衰竭状态以及骨髓抑制性化疗或放疗后的治疗效果。在过去十年中,针对血液学和肿瘤学疾病患者进行了许多关于造血因子的临床试验。粒细胞集落刺激因子[G-CSF]、粒细胞巨噬细胞集落刺激因子[GM-CSF]、白细胞介素-3、白细胞介素-2、促红细胞生成素以及处于I/II期试验阶段的血小板生成素[TPO]均可用于临床。目前,生长因子的应用广泛。大多数研究针对G-CSF和GM-CSF进行,其在化疗后改善造血恢复方面的有益作用已得到证实。这显著降低了感染风险,并缩短了药物和辐射引起的骨髓抑制时间。集落刺激因子在动员外周血祖细胞[PBPC]方面最为重要,使得高剂量治疗能够应用于那些原本无法接受传统骨髓移植的患者。然而,尽管使用造血因子可以提高化疗剂量,但目前的研究尚未证明标准化疗方案能改善治疗效果和提高生存率。
Hematol Oncol Clin North Am. 1992-6
Semin Hematol. 1989-7
Ann Ital Med Int. 1991