霉酚酸酯联合环孢素预防同胞供体异基因造血干细胞移植后移植物抗宿主病
被引量:4
摘要
1986年美国西雅图建立的环孢素(CsA)联合短程甲氨蝶呤(MTX)方案由于明显降低移植物抗宿主病(GVHD)的发生率和严重性及改善长期生存而成为预防GVHD的金标准方案,但临床明显的急性GVHD(aGVHD)(Ⅱ~Ⅳ度)的中位发生率仍达40%。随着多种新型免疫抑制剂的不断出现,GVHD的预防方案亦在不断得到改进和替代。霉酚酸酯(MMF)作为一种新型高效免疫抑制剂已广泛用于非清髓性移植及无血缘关系供者移植,而用于同胞HLA相合清髓性移植报道有限。我们采用CsA联合MMF方案预防GVHD用于42例HLA相合同胞异基因造血干细胞移植(allo-HSCT),现报道如下。
出处
《中华血液学杂志》
CAS
CSCD
北大核心
2007年第8期564-566,共3页
Chinese Journal of Hematology
参考文献9
-
1Storb R, Deeg HJ, Whitehead J, et al. Methotrexate and cyclosporine compared with cyclosporine alone for prophylaxis of acute graft versus host disease after marrow transplantation for leukemia. N Engl J Med, 1986,314:729-735.
-
2Mohty M, Lavallade HD, Faucher C, et al. Mycophenolate mofetil and cyclosporine for graft-versus-host disease prophylaxis following reduced intensity conditioning allogeneic stem cell transplantation. Bone Marrow Transplant, 2004,34: 527-530.
-
3王健民,宋献民,章卫平,童书鹏,侯军,陈莉,楼敬伟,李红梅,丁晓勤,闵碧荷.霉酚酸脂联合环孢素和甲氨蝶呤预防外周血干细胞移植后急性移植物抗宿主病[J].中华医学杂志,2002,82(8):507-510. 被引量:9
-
4Bolwell B, Sobecks R, Pohlman B, et al. A prospective randomized trial comparing cyclosporine and short course methotrexate with cyclosporine and mycophenolate mofetil for GVHD prophylaxis in myeloablatire allogeneic bone marrow transplantation. Bone Marrow Transplant, 2004,34:621-625.
-
5Neumann F, Graef T, Tapprich C,et al. Cyclosporine A and mycophenolate mofetil vs cyclosporine A and methotrexate for graft-versushost disease prophylaxis after stem cell transplantation from HLA-identical siblings. Bone Marrow Transplant, 2005,35 : 1089-1093.
-
6Przepiorka D,Weisdorf D, Martin P, et al. 1994 consensus conference on acute GVHD grading. Bone Marrow Transplant, 1995,15:825-828.
-
7Schulman HM,Sullivan KM, Weiden PL,et al. Chronic graft-versushost syndrome in man. A long term clinicopathologic study of Seatle patients. Am J Med, 1980,69:204-217.
-
8Bornhauser M, Schuler U, Porksen G, et al. Mycophenolate mofetil and cyclosporine as graft-versus-host disease prophylaxis after allogeneic blood stem cell transplantation. Transplantation, 1999,67:499- 504.
-
9Pohlreich D, Vitek A, Maalouf J, et al. Decreased risk of acute gastrointestinal toxicity when substituting methotrexate with mycophenolate mofetil in the prevention of graft-versus-host disease in stem cell transplantation following myeloablative conditioning regimens. Bone Marrow Transplant, 2006,37: 235-237.
共引文献8
-
1孙言才,刘会兰,孙自敏,沈茂林,刘斌,屈建,陈礼明.异基因造血干细胞移植患者全血中环孢素A浓度的监测分析[J].安徽医药,2006,10(1):35-38. 被引量:6
-
2裴云萍,方芸,王羽,计成.造血干细胞移植受者环孢素A血药浓度监测指标研究[J].中国药房,2008,19(8):584-586. 被引量:4
-
3裴云萍,方芸,计成,王羽.造血干细胞移植受者环孢素稳态药动学研究[J].中国药学杂志,2008,43(12):927-929. 被引量:1
-
4陈欢,刘开彦,刘代红,许兰平,韩伟,陈育红,黄晓军.应用霉酚酸酯治疗异基因造血干细胞移植后移植物抗宿主病[J].中华医学杂志,2008,88(30):2127-2130. 被引量:1
-
5王健民,章卫平,宋献民,冯曹波,杨建民,陈莉,侯军,周虹,倪雄,高磊,邱慧颖,李红梅,丁晓勤.减低剂量预处理方案对血缘与非血缘关系外周血干细胞移植治疗慢性粒细胞白血病疗效的影响[J].中华血液学杂志,2010,31(2):77-81. 被引量:6
-
6张玉莲.数学教学在素质教育中应处理好几个关系[J].辽宁教育学院学报,2002,19(6):45-46.
-
7王健民.异基因造血干细胞移植的几个重要问题[J].第二军医大学学报,2002,23(9):929-932.
-
8楼敬伟.慢性移植物抗宿主病的临床研究进展[J].第二军医大学学报,2002,23(9):978-980. 被引量:1
同被引文献24
-
1Barker JN, Weisdorf DJ, DeFor TE, et al. Transplantation of 2 partially HLA-matched umbilical cord blood units to enhance engraftment in adults with hematologic malignancy. Blood, 2005, 105 : 1343-1347.
-
2Kang HJ, Kho SH, Jang MK, et al. Early engraftment kinetics of two units cord blood transplantation. Bone Marrow Transplant, 2006,38 : 197-201.
-
3杨宝峰,苏定冯.药理学[M].6版.北京:人民卫生出版社,2004:391-392.
-
4Sanchez- Abarca LI, Gutierrez- Cosio S, Santamaria C, et al. Immunomodulatory effect of 5 - azacytidine(5- azaC) .. potential role in the transplantation setting [J]. Blood, 2010,115 (1) .. 107- 121.
-
5Choi J, Ritchey J, Prior JL, et al. In vivo administration of hypomethylating agents mitigate graft- versus-host disease without sacrificing graft-versus-leukemia [J]. Blood, 2010,116(1) : 129 - 139.
-
6Goodyear OC, Dennis M, Jilani NY, et al. Azacitidine augments expansion of regulatory T cells after allogeneic stem cell transplantation in patients with acute myeloid leukemia (AML) [J]. Blood, 2012,119 (14) .. aa61- 3369.
-
7Shlomchik WD. Graft- versus- host disease[J]. Nat Rev Immunol, 2007,7 (5) : 340 - 352.
-
8Cutler C, Antin JH. Peripheral blood stem cells for alloge- neic transplantation: a review [J]. Stem Cells, 2001, 19 (2) :108-117.
-
9Issa JP. Optimizing therapy with methylation inhibitors in myelodysplastic syndromes: dose, duration, and pa- tient selection [J]. Nat Ciin Pract Oneol, 2005,2 (1) : $24 -$29.
-
10Chae WJ, Henegariu O,Lee SK, et al. The mutant leucine -zipper domain impairs both dimerization and suppres- sive function of Foxp3 in T cells [J]. Proc Natl Acad Sci USA, 2006,103 (25) .. 9631 - 9636.
引证文献4
-
1周森,孙自敏,刘会兰,耿良权,王兴兵,宋闿迪,方欣臣.非血缘双份脐血移植治疗恶性血液病植入动力学的研究[J].中华内科杂志,2010,49(1):58-60. 被引量:1
-
2李桂梅.地中海贫血患儿干细胞移植后用药教育[J].中国医药指南,2013,11(5):371-373.
-
3翟海龙,陈志顺.阿扎胞苷和CsA+MTX对小鼠Allo-PBSCT后急性GVHD的预防效果比较[J].右江民族医学院学报,2013,35(6):784-786.
-
4马嘉聪,王三斌.移植后环磷酰胺预防移植物抗宿主病的研究进展[J].国际输血及血液学杂志,2016,39(6):508-511. 被引量:2
二级引证文献3
-
1周晨阳,孙自敏,刘会兰,耿良权,王兴兵,宋闿迪,张旭晗.骨髓腔内注射双份脐血移植治疗成人白血病临床初探[J].安徽医科大学学报,2012,47(5):585-587.
-
2黄晓兵,祝彪,李成龙,代景莹,王春森.小剂量环磷酰胺预防异基因造血干细胞移植后急性移植物抗宿主病的临床研究[J].国际输血及血液学杂志,2017,40(4):282-288. 被引量:1
-
3施圆圆,杨栋林,冯四洲,何祎.银屑病样皮肤慢性移植物抗宿主病的诊治及文献复习[J].国际输血及血液学杂志,2018,41(2):110-115. 被引量:1
-
1陈莉,崔恒.肝移植患者围手术期心理问题及护理对策[J].吉林医学,2004,25(11):66-67.
-
2KerryAtkinson,江岷.骨髓移植后的慢性移植物抗宿主病[J].山西白血病,1992,1(4):237-238.
-
3邱恒菊.137例肾移植手术的护理配合[J].牡丹江医学院学报,2009,30(5):98-99. 被引量:2
-
4陈少敬.不同血液透析方式对终末期肾病患者微炎症状态及铁代谢的影响[J].湖北医药学院学报,2016,35(3):293-294. 被引量:5
-
5钱金芳,周秋英,吴海啸.肾移植术后出院随访护理[J].护理与康复,2003,2(2):121-122. 被引量:3
-
6吕桂兰,赵闽,沈光玲.肾脏病护理现状及进展[J].解放军护理杂志,2003,20(6):45-47. 被引量:18
-
7朱昆,王俊新.移植后高尿酸血症[J].医学信息(西安上半月),2006,19(1):174-177.
-
8于娣,张红明.肾移植后患者冠心病危险因素分析及其护理[J].贵州医药,2005,29(4):375-376.
-
9杨淑玲,李莉,赵志荣.肝移植术后早期免疫抑制剂的应用及护理[J].护士进修杂志,2003,18(12):1113-1115. 被引量:7
-
10程东瑞,陈惠萍.肾移植后骨病[J].肾脏病与透析肾移植杂志,2010,19(2):187-191. 被引量:4