硼替佐米联合化疗治疗多发性骨髓瘤的临床分析
被引量:1
摘要
多发性骨髓瘤(MM)是B细胞来源的恶性肿瘤,它影响产生免疫球蛋白的浆细胞,是血液系统第二常见恶性肿瘤。目前的传统化疗方案有效率为70%,但完全缓解(CR)率不高。新药硼替佐米是蛋白酶体抑制剂,它和多种化疗药物如地塞米松、阿霉素等联合,具有疗效叠加及协同效应,使初治MM的完全缓解或接近完全缓解(CR/nCR)率达到25%[1,2]。我们以硼替佐米为主要药物治疗了30例MM患者,观察其疗效及不良反应.现报告如下。
出处
《中国药物与临床》
CAS
2011年第9期1077-1078,共2页
Chinese Remedies & Clinics
参考文献6
-
1Jagannath S, Durie B, Wolf J, et al. Bortezomib therapy alone and in combination with dexamethasone for previously untreated symptomatic multiple myeloma. Br J Haematol,2005,129:776- 7831.
-
2Caravita T, de Fabritiis P, Palumbo A, et al. Bortezomib : efficacy comparisons in solid tumors and hematologic malignancies. Nat Clin Pract Oncol, 2006,3 (7) : 374-387.
-
3Mitsiades N, Mitsiades CS,Richardson PG,et al. The proteasome inhibitor PS2341 potentiatessensitivity of multiple myeloma cells to conventionalchemotherapeutic agents: therapeutic applications. Blood, 2003, 101 : 2377-2380.
-
4Ma MH,Yang HH,Parker K,et al. The proteasome inhibitor PS2341 markedly enhances sensitivity of multiple myeloma tumor cells to chemotherapeutic agents. Clin Cancer Res,2003,9: 1136-1144.
-
5Kropff MH, Bisping G,Wenning D,et al. Bortezomib in combina- tion with dexamethasooe for relapsed multiple myeloma. Leuk Res, 2005,29(5) : 587-590.
-
6王丽霞,陆化,沈文怡,钱思轩,仇红霞,吴汉新,张建富,吴雨洁,李建勇.硼替佐米联合地塞米松治疗多发性骨髓瘤的临床研究[J].中国实验血液学杂志,2008,16(4):943-945. 被引量:17
二级参考文献6
-
1Richardson PG, Barlogie B, Berenson J, et al. A phase 2 study of bortezomib in relapsed, refractory myeloma. N Engl J Med, 2003 ; 348 : 2609 - 2617
-
2Kropff MH, Bisping G, Wenning D, et al. Bortezomib in combination with dexamethasone for relapsed multiple myeloma. Leuk Res, 2005 ; 29 : 587 - 590
-
3Jagannath S, Richardson PG, Barlogie B, et al. Bortezomib in combination with dexamethasone for the treatment of patients with relapsed and/or refractory multiple myeloma with less than optimal response to bortezomib alone. Haematologica, 2006; 91: 929- 934
-
4Mitsiades N, Mitsiades CS, Richardson PG, et al. The proteasome inhibitor PS-341 potentiates sensitivity of multiple myeloma cells to conventional chemotherapeutic agents: therapeutic applications. Blood, 2003; 101:2377-2380
-
5Jagannath S, Durie BG, Wolf J, et al. Bortezomib therapy alone and in combination with dexamethasone for previously untreated symptomatic multiple myeloma. Br J Haematol, 2005 ; 129 : 776 - 783
-
6Oakervee HE, Popat R, Curry N, et al. PAD combination therapy ( PS-341/bortezomib, doxorubicin and dexamethasone ) for previously untreated patients with multiple myeloma. Br J Haematol, 2005 ; 129 : 755 - 762
共引文献16
-
1包红雨,朱明清,江淼,董宁征,阮长耿.VEGF与COX-2在多发性骨髓瘤病人中的表达及意义[J].中国实验血液学杂志,2009,17(1):99-101. 被引量:5
-
2钟玉萍,陈世伦,李新,胡影,张佳佳.硼替佐米为主的化疗方案治疗60例多发性骨髓瘤患者的临床分析[J].中国实验血液学杂志,2009,17(1):214-217. 被引量:24
-
3钟玉萍,陈世伦,李新,胡影,张佳佳,安娜.多发性骨髓瘤伴椎管浸润10例临床分析[J].中国实验血液学杂志,2010,18(2):466-468. 被引量:6
-
4杨再林,张勇,张伶,夏顺中,裴莉,符刚,秦大兵,白海雁,田小波,朱艳,陈润,徐双年,陈洁平.硼替佐米联合化疗对多发性骨髓瘤的疗效与相关血液学指标分析[J].第三军医大学学报,2010,32(9):975-978.
-
5周美玉,徐娟,徐才刚.多发性骨髓瘤临床特征及疗效分析[J].华西医学,2010,25(6):1019-1022. 被引量:3
-
6邹剑峰,姜华,侯健.过表达XBP-1的不同剪切体对骨髓瘤细胞分化的影响[J].中国实验血液学杂志,2010,18(5):1181-1185. 被引量:2
-
7姚军萍,汪兴洪,黄东平,苏贵平.多发性骨髓瘤骨髓单个核细胞缺氧诱导因子1α mRNA的表达及其临床意义[J].白血病.淋巴瘤,2011,20(4):229-231. 被引量:3
-
8闫春梅,胡俊斌,陈燕,崔国惠.不同剂量硼替佐米治疗多发性骨髓瘤的临床研究[J].临床血液学杂志,2011,24(5):535-538. 被引量:12
-
9郭智,陈惠仁,刘晓东,楼金星,杨凯,张媛,陈鹏,王世瑶,何学鹏.减低强度预处理异基因造血干细胞移植治疗多发性骨髓瘤的临床研究[J].中国实验血液学杂志,2013,21(2):441-445. 被引量:16
-
10孙晓明,曲捷.VDT方案治疗难治性复发性多发性骨髓瘤的临床疗效[J].中国老年学杂志,2013,33(20):4989-4990. 被引量:8
同被引文献12
-
1Qu Y,Mu GY,Wu YW,et al.Overexpression of DNA Methyl-transferases1,3a,and3b significantly correlates with retinoblas-toma tumorigenesis.Am J Clin Pathol,2010,134:826-834.
-
2Liu SJ,Liu ZF,Xie ZL,et al.Bortezomib induces DNA hy-pomethylation and silenced gene transcription by interfering with Sp1/NF-κB dependent DNA methyltransferase activity in acute myeloid leukemia.Blood,2008,111:2364-2373.
-
3Subramanyam D,Belairl CD,Barry-Holson KQ,et al.PML-RAR(alpha)and Dnmt3a1cooperate in vivo to promote acute promye-locytic leukemia.Cancer Res,2010,70:8792-8801.
-
4Ghoshal K,Bai S.DNA methyltransferases as targets for cancer therapy.Drugs Today(Barc),2007,43(6):395-422.
-
5Liu S,Shen T,Huynh L,et al.Interplay of RUNX1/MTG8and DNA methyltransferase1in acute myeloid leukemia.Cancer Res,2005,65:1277-1284.
-
6Jung Y,Park J,Kim TY,et al.Potential advantages of DNA methyltransferases-1(DNMT1)-targeted inhibition for cancer therapy.J Mol Med,2007,85(10):1137-1148.
-
7Jiemjit A,Fandy TE,Carraway H,et al.p21(WAF1/CIP1)in-duction by5-azacytosine nucleosides requires DNA damage.Oncogene,2008,27(25):3615-3623.
-
8Kishikawa S,Murata T,Kimura H,et al.Regulation of transcrip-tion of the DNMT1gene by Sp1and Sp3zinc finger proteins.Eur J Biochem,2002,269:2961-2970.
-
9Zhu W,Srinivasan K,Dai Z,et al.Methylation of adjacent CpGsites affects SplPSp3binding and activity in the p21(Cipl)promoter.Mol Cell Bio,2003,23(12):4056-4065.
-
10Sarraj A,Day RM,Thiel G,et al.Specificity of transcriptional regulation by the zinc finger transcription factors Sp1,Sp3.Cell Biochem,2005,94(1):153-167.
-
1王谷云,吴巨峰,姚红霞.PD与VAD方案对多发性骨髓瘤的临床对照研究[J].临床血液学杂志,2011,24(4):422-423. 被引量:2
-
2李中华,房欣.同期介入动脉化疗栓塞加静脉化疗治疗局部晚期贲门癌疗效观察[J].中国误诊学杂志,2009,9(18):4312-4313.
-
3郭占文,李玉,拱玉华,田起和,阎英,王安祥.X线立体定向放射治疗与化疗并用对肺转移瘤的疗效分析[J].河南肿瘤学杂志,2001,14(3):169-170. 被引量:4
-
4钱东,丁小凤,程菁菁,袁智勇.靶向端粒 端粒酶的抗肿瘤治疗研究进展[J].中国肿瘤临床,2016,43(15):679-682. 被引量:5