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金银花的抗腺病毒作用研究 被引量:66
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作者 李永梅 李莉 +2 位作者 柏川 李丁 王天志 《华西药学杂志》 CAS CSCD 2001年第5期327-329,共3页
目的 :研究四个产地三种金银花的抗腺病毒作用。方法 :通过体外病毒敏感性试验 ,对不同方法提取的金银花浸膏进行了药效实验。结果和结论 :金银花醇提取液、水提取液。
关键词 金银花 忍冬 细毡毛忍冬 灰毡毛忍冬 抗腺病毒作用
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黄芪甲苷体外抗腺病毒作用研究 被引量:18
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作者 商蕾 曲章义 +4 位作者 宁莉莉 王迎晨 魏凤香 高虹 鲁伟君 《中国药理学通报》 CAS CSCD 北大核心 2013年第6期854-858,共5页
目的研究黄芪甲苷体外抗腺病毒作用。方法采用细胞病变效应(CPE)抑制实验和噻唑蓝(MTT)比色法观察黄芪甲苷对人腺病毒3型(HAdV3)的抑制作用,激光共聚焦显微镜荧光分析检测黄芪甲苷在病毒生物合成阶段对HAdV3六邻体(hexon)蛋白表达的影... 目的研究黄芪甲苷体外抗腺病毒作用。方法采用细胞病变效应(CPE)抑制实验和噻唑蓝(MTT)比色法观察黄芪甲苷对人腺病毒3型(HAdV3)的抑制作用,激光共聚焦显微镜荧光分析检测黄芪甲苷在病毒生物合成阶段对HAdV3六邻体(hexon)蛋白表达的影响。结果 CPE及MTT结果表明黄芪甲苷对腺病毒有直接灭活作用,同时能够抑制腺病毒的复制和吸附,病毒抑制率与药物浓度呈正相关,但在细胞保护作用方式下黄芪甲苷不能阻断病毒进入细胞。在生物合成阶段黄芪甲苷组与病毒对照组比较hexon蛋白的表达明显降低。结论黄芪甲苷在体外具有抗腺病毒作用,黄芪甲苷抗腺病毒作用可能与其在生物合成阶段抑制hexon蛋白的表达有关。 展开更多
关键词 黄芪甲苷 抗腺病毒 细胞病变效应 直接灭活 病毒 复制 病毒吸附 六邻体蛋白
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松针油体外抗腺病毒作用研究 被引量:11
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作者 魏凤香 商蕾 +4 位作者 曲章义 陈晶 高虹 王鹏 张鸿彦 《中草药》 CAS CSCD 北大核心 2007年第7期1059-1062,共4页
关键词 抗腺病毒作用 急性呼吸道疾病 急性出血性膀胱炎 下呼吸道感染 体外 松针油 风湿性关节炎 婴幼儿胃肠炎
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大鼠注射重组腺病毒Ad-HGF后血清中抗腺病毒抗体的检测 被引量:2
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作者 哈小琴 赵治华 +2 位作者 吕同德 劳妙芬 吴祖泽 《中国比较医学杂志》 CAS 2006年第9期515-517,F0002,共4页
目的观察大鼠重复给与携带肝细胞生长因子基因的重组腺病毒(recombinant adenovirus carrying hep-atocyte growth factor gene,Ad-HGF)后,血清中抗腺病毒抗体的出现时间及消失规律。方法大鼠给与不同剂量的Ad-HGF共14次,利用病毒中和反... 目的观察大鼠重复给与携带肝细胞生长因子基因的重组腺病毒(recombinant adenovirus carrying hep-atocyte growth factor gene,Ad-HGF)后,血清中抗腺病毒抗体的出现时间及消失规律。方法大鼠给与不同剂量的Ad-HGF共14次,利用病毒中和反应(细胞病变效应及绿色荧光方法)观察血清中抗腺病毒抗体。结果手术及正常对照组和实验组动物给药7次前血清处理的细胞均出现明显细胞病变效应及强荧光。之后各剂量组动物血清均对腺病毒有不同程度的中和作用,停药后13周到14周抗体水平很低或已不存在。同时观察到动物性别及给药剂量大小无差异。结论大鼠肌注Ad-HGF 7次后,动物血清中可检测到抗腺病毒抗体,停药后13周或14周抗体基本消失,此结果对Ad-HGF的实际应用具有指导意义。 展开更多
关键词 AD-HGF 抗腺病毒 血清 检测
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比格犬注射重组腺病毒Ad-HGF后血清中抗腺病毒抗体及中和抗体的检测
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作者 哈小琴 赵治华 +3 位作者 吕同德 劳妙芬 吴丹莉 吴祖泽 《第四军医大学学报》 北大核心 2007年第8期676-678,共3页
目的:观察Beagle犬重复给予Ad-HGF后血清中抗腺病毒抗体及抗肝细胞生长因子(hepatocyte growth factor,HGF)抗体的出现时间及消失规律.方法:将24只比格犬随机分为四组:正常对照组、手术对照组、Ad-HGF小剂量组(2.4×107pfu/kg)和Ad-... 目的:观察Beagle犬重复给予Ad-HGF后血清中抗腺病毒抗体及抗肝细胞生长因子(hepatocyte growth factor,HGF)抗体的出现时间及消失规律.方法:将24只比格犬随机分为四组:正常对照组、手术对照组、Ad-HGF小剂量组(2.4×107pfu/kg)和Ad-HGF大剂量组(2.4×108pfu/kg).Ad-HGF各组犬给予不同剂量Ad-HGF共14次.在给药2次后分别利用病毒中和反应和ELISA方法检测血清中抗腺病毒抗体和抗HGF抗体.结果:手术组、正常对照组及实验组动物于给药前及给药3次时血清细胞均未出现明显中和反应.给药4次后各剂量组动物血清均对腺病毒有不同程度中和作用,至停药后12wk抗体水平很低或已不存在.各时间点血清样品中未检测到抗HGF抗体.结论:犬肌注Ad-HGF4次后动物血清中检测到了抗腺病毒抗体,停药4wk后抗体水平有不同程度下降,直至12wk后血清中腺病毒抗体基本消失. 展开更多
关键词 AD-HGF 抗腺病毒 中和 血清
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中药及其活性成分抗腺病毒研究进展 被引量:3
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作者 商蕾 曲章义 +1 位作者 魏凤香 鲁伟君 《中草药》 CAS CSCD 北大核心 2012年第10期2071-2076,共6页
腺病毒是一群无包膜的双链DNA病毒,在自然界分布广泛、种类繁多,是引起人类呼吸道和消化道感染的病原之一。国内外不断有腺病毒感染爆发的报告,对人类的健康和生命安全构成威胁。目前尚无有效疫苗用于预防腺病毒,因此,研究抗腺病毒药物... 腺病毒是一群无包膜的双链DNA病毒,在自然界分布广泛、种类繁多,是引起人类呼吸道和消化道感染的病原之一。国内外不断有腺病毒感染爆发的报告,对人类的健康和生命安全构成威胁。目前尚无有效疫苗用于预防腺病毒,因此,研究抗腺病毒药物势在必行。综述近年来中药及其活性成分在抗腺病毒方面的研究进展,为抗腺病毒药物研究以及开发应用提供参考。 展开更多
关键词 中药 活性成分 抗腺病毒 病毒感染 新药开发
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中药抗腺病毒作用的研究进展 被引量:13
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作者 曲丽欣 张哲 +2 位作者 董妥 王迎晨 曲章义 《中华中医药杂志》 CAS CSCD 北大核心 2019年第7期3143-3146,共4页
腺病毒种类繁多且分布广泛,是引起人类呼吸道感染的重要病原之一。腺病毒感染所致的疾病目前没有特效药,而中药具有耐药性低和多靶点作用机制等优势,所以在治疗腺病毒感染方面具有广阔的发展前景。文章从紫草素、黄芪甲苷、肉桂醛、松... 腺病毒种类繁多且分布广泛,是引起人类呼吸道感染的重要病原之一。腺病毒感染所致的疾病目前没有特效药,而中药具有耐药性低和多靶点作用机制等优势,所以在治疗腺病毒感染方面具有广阔的发展前景。文章从紫草素、黄芪甲苷、肉桂醛、松针油、大青叶提取物和穿心莲内酯磺化物等中药单体及有效成分的抗腺病毒研究,双黄连制剂、热毒宁注射液、喜炎平注射液等中药复方制剂的抗腺病毒研究和部分药物的临床应用等3个方面进行综述,为寻找抗病毒药物提供依据。 展开更多
关键词 中药 腺病毒感染 抗腺病毒药物 单体 复方制剂
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抗腺病毒药物化学研究新进展 被引量:6
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作者 孙彦莹 左晓芳 +1 位作者 展鹏 刘新泳 《药学学报》 CAS CSCD 北大核心 2020年第4期720-733,共14页
腺病毒是儿童和成人急性呼吸道、胃肠道及泌尿道等部位感染的常见病原体,在免疫功能低下的人群中可引起严重甚至致死性感染,对人类的健康造成极大的威胁。目前尚无批准上市的特异性抗腺病毒药物。随着对腺病毒致病机制和生物学特征的深... 腺病毒是儿童和成人急性呼吸道、胃肠道及泌尿道等部位感染的常见病原体,在免疫功能低下的人群中可引起严重甚至致死性感染,对人类的健康造成极大的威胁。目前尚无批准上市的特异性抗腺病毒药物。随着对腺病毒致病机制和生物学特征的深入研究以及药物发现筛选技术的快速发展,新一代抗腺病毒的药物靶标及其抑制剂被陆续发现,为其治疗方案提供了新的选择。本综述精选近几年最具代表性的研究实例,总结了抗腺病毒药物化学的前沿进展。 展开更多
关键词 腺病毒 药物靶标 抗腺病毒药物 小分子抑制剂 药物设计
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腺病毒载体介导的人类α1-抗胰蛋白酶过表达可促进伤口愈合 被引量:1
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作者 武泉 李济平 Bill Wu 《当代医学》 2010年第3期13-14,共2页
目的α1-抗胰蛋白酶(ATT)是一种存在于血浆与伤口处的丝氨酸蛋白酶抑制剂,本实验目的是研究ATT在伤口愈合过程中的重要作用。方法构建α1-抗胰蛋白酶转基因腺病毒(Ad-ATT)表达模型,并阐述其生物学功能。结果(1)在正常鼠实验中,与对照组L... 目的α1-抗胰蛋白酶(ATT)是一种存在于血浆与伤口处的丝氨酸蛋白酶抑制剂,本实验目的是研究ATT在伤口愈合过程中的重要作用。方法构建α1-抗胰蛋白酶转基因腺病毒(Ad-ATT)表达模型,并阐述其生物学功能。结果(1)在正常鼠实验中,与对照组LacZ(β-半乳糖苷酶)相比,过表达的ATT能够促进肉芽组织形成、胶原蛋白沉积和细胞增生;(2)正常鼠与(链脲霉素诱发的)糖尿病鼠对比实验中,Ad-ATT能明显增强伤口的弹性强度;(3)经药物诱发老鼠出现慢性伤口的实验模型中,组织学分析显示,伤口处注射Ad-ATT后炎性细胞浸润比注射Ad-LacZ明显减少。结论数据显示过表达的Ad-ATT通过降低炎症反应程度的方式促进伤口愈合。 展开更多
关键词 α1-胰蛋白酶(ATT) 腺病毒(Ad) α1-胰蛋白酶转基因腺病毒(Ad-ATT) β-半乳糖苷酶转基因腺病毒(Ad-LacZ) 伤口愈合
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偶联单克隆抗体的聚氨酯膜在基因定位递送中的应用 被引量:1
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作者 张琳华 宋存先 +2 位作者 王满燕 杨菁 唐丽娜 《中国医学科学院学报》 CAS CSCD 北大核心 2006年第3期350-354,i0002,共6页
目的研究偶联单克隆抗体胶原涂覆的聚氨酯膜在基因定位递送中的应用。方法将抗腺病毒纤突的单克隆F(ab)’2抗体通过巯基反应共价键偶联到胶原涂覆的聚氨酯膜上,再通过抗体-抗原特异性反应携带病毒基因载体,得到局部定位的基因运载体系... 目的研究偶联单克隆抗体胶原涂覆的聚氨酯膜在基因定位递送中的应用。方法将抗腺病毒纤突的单克隆F(ab)’2抗体通过巯基反应共价键偶联到胶原涂覆的聚氨酯膜上,再通过抗体-抗原特异性反应携带病毒基因载体,得到局部定位的基因运载体系。用报告基因进行平滑肌细胞(A10细胞)的体外转染实验和模拟生理条件的稳定性实验。结果体外细胞转染实验显示,该方法携带的载基因病毒在A10细胞中实现了高效、高度定位的基因表达。模仿生理条件的体外稳定性实验表明,通过抗体结合在PU膜上的载基因病毒可缓慢持续地释放出来,有效地转染A10细胞达20d左右。结论这种经抗病毒抗体连接固定于胶原涂覆聚氨酯膜的病毒能很好地局部定位递送基因,可望用于临床基因治疗。 展开更多
关键词 聚氨酯膜 抗腺病毒纤突的单克隆F(ab)’2 基因载体 定位递送
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肿瘤特异增殖病毒的研究进展
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作者 华汉巨 滕理送 《国外医学(肿瘤学分册)》 2004年第3期189-192,共4页
经转录调节修饰的肿瘤特异增殖病毒可特异性地杀伤肿瘤细胞 ,具有临床治疗肿瘤的潜在价值 ,是近年来肿瘤研究的热点之一 ,并取得了很大的进展 。
关键词 肿瘤特异增殖病毒 研究进展 细胞凋亡 肿瘤腺病毒 肿瘤细胞
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携带基因的冠状动脉支架和心血管再狭窄的基因治疗
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作者 宋存先 金旭 +2 位作者 R J Levy BD Klugherz S DeFelice 《透析与人工器官》 2005年第3期8-12,共5页
通过在血管支架上固定化抗体并结合腺病毒载体实现了血管内部定位基因运载。可治疗经皮冠状动脉腔内形术及放置支架术后再狭窄疾病。
关键词 基因冶疗 抗腺病毒 再狭窄
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Antitumor bioactivity of adenovirus-mediated p27mt in colorectal cancer cell line SW480 被引量:1
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作者 Ze-Qun Sun Chang-Sheng Deng +1 位作者 Shao-Yong Xu Yong Du 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第38期5827-5833,共7页
AIM: To explore the antitumor bioactivity of adenovirus- mediated mutant type p27kip1 gene in a colorectal cancer cell line SW480. METHODS: We constructed recombinant adenovirus vector expressing a mutant type p27kip1... AIM: To explore the antitumor bioactivity of adenovirus- mediated mutant type p27kip1 gene in a colorectal cancer cell line SW480. METHODS: We constructed recombinant adenovirus vector expressing a mutant type p27kip1 gene (ad- p27mt), with mutation of Thr-187/Pro-188 (ACGCCC) to Met-187/Ile-188 (ATGATC), and transduced into SW480 cells. Then we detected expression of p27, Bcl-2 and Bax protein in the transductants by Western blotting, cell cycle of transductants by a digital flow cytometric system, migrating potential with Boyden Chamber and SW480 tumor cell growth inhibition in vitro and in vivo. RESULTS: We found that a recombinant adenovirus vector of expressing ad-p27mt, with mutation of Thr-187/Pro-188 (ACGCCC) to Met-187/Ile-188 (ATGATC) has potent inhibition of SW480 tumor cell growth in vitro and in vivo. Furthermore, ad-p27mt induced cell apoptosis via regulating bax and bcl-2 expressions, and G1/S arrest in SW480 cells and inhibited cell migration. CONCLUSION: ad-p27mt has a strong anti-tumor bioactivity and has the potential to develop into new therapeutic agents for colorectal cancer. 展开更多
关键词 P27 ADENOVIRUS Antitumor bioactivity Colorectal cancer
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Antitumor activity of an hTERT promoter-regulated tumor-selective oncolytic adenovirus in human hepatocellular carcinoma 被引量:9
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作者 Chang-Qing Su Xing-Hua Wang +5 位作者 Jie Chen Yong-Jing Liu Wei-Guo Wang Lin-Fang Li Meng-Chao Wu Qi-Jun Qian 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第47期7613-7620,共8页
AIM: To construct a tumor-selective replication-competent adenovirus (RCAd), SG300, using a modified promoter of human telomerase reverse transcriptase (hTERT). METHODS: The antitumor efficacy of SG300 in hepatocellul... AIM: To construct a tumor-selective replication-competent adenovirus (RCAd), SG300, using a modified promoter of human telomerase reverse transcriptase (hTERT). METHODS: The antitumor efficacy of SG300 in hepatocellular carcinoma was assessed in vitro and in vivo. In vitro cell viability by MTT assay was used to assess the tumor-selective oncolysis and safety features of SG300, and in vivo antitumor activity of SG300 was assessed in established hepatocellular carcinoma models in nude mice. RESULTS: SG300 could lyse hepatocellular carcinoma cells at a low multiplicity of infection (MOI), but could not affect growth of normal cells even at a high MOI. Both in Hep3B and SMMC-7721 xenograft models of hepatocellular carcinoma, SG300 had an obvious antitumor effect, resulting in a decrease in tumor volume. Its selective oncolysis to tumor cells and safety to normal cells was also superior to that of ONYX-015. Pathological examination of tumor specimens showed that SG300 replicated selectively in cancer cells and resulted in apoptosis and necrosis of cancer cells. CONCLUSION: hTERT promoter-regulated replicativeadenovirus SG300 has a better cancer-selective replication-competent ability, and can specifically kill a wide range of cancer cells with positive telomerase activity, and thus has better potential for targeting therapy of hepatocellular carcinoma. 展开更多
关键词 VIROTHERAPY Oncolytic adenovirus Human telomerase reverse transcriptase Hepatocellular carcinoma Animal tumor model
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Down-regulation of IL-8 expression in human airway epithelial cells through helper-dependent adenoviral-mediated RNA interference 被引量:5
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作者 HuibiCAO AnanWANG +4 位作者 BernardMARTIN A.KeithTANAWELL JimHU DavidR.KOEHLER PamelaL.ZEITLIN 《Cell Research》 SCIE CAS CSCD 2005年第2期111-119,共9页
Interleukin (IL)-8 is a potent neutrophil chemotactic factor and a crucial mediator in neutrophil-dependent inflammation.Various cell types produce IL-8, either in response to external stimuli such as cytokines or bac... Interleukin (IL)-8 is a potent neutrophil chemotactic factor and a crucial mediator in neutrophil-dependent inflammation.Various cell types produce IL-8, either in response to external stimuli such as cytokines or bacterial infection, or aftermalignant transformation. Anti-IL-8 strategies have been considered for anti-inflammatory therapy. In this paper wedemonstrate that the RNA interference technique can be used to efficiently down-regulate IL-8 protein expression inairway epithelial cells. We used a helper-dependent adenoviral vector to express a small hairpin (sh)RNA targetinghuman IL-8 in cultured airway epithelial cells (IB3-1, Cftr-/-; C38, Cftr-corrected) stimulated with TNF-α, IL-1β orheat-inactivated Burkholderia cenocepacia. Stimulated IL-8 expression in IB3-1 and C38 cells was significantly reducedby shRNA expression. The shRNA targeting IL-8 had no effect on the activation of NF-κB, or on the protein levels ofIκB or IL-6, suggesting that this anti-IL-8 strategy was highly specific, and therefore may offer potential for thetreatment of inflammatory diseases. 展开更多
关键词 INTERLEUKIN-8 RNA interference helper-dependent adenoviral vector inflammation CHEMOKINE neutrophil cystic fibrosis.
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Reversal of Adriamycin Resistance of Hepatocellular Carcinoma by Targeting with Recombined Adenovirus Caning Antisense mdr1 RNA 被引量:1
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作者 Xiong Ding Ying Mei Yujun Shi Jianping Gong Xuhong Li Yong Peng Yong Liu Chang'an Liu 《Chinese Journal of Clinical Oncology》 CSCD 2006年第1期32-36,共5页
OBJECTIVE Chemotherapy is an important therapy for hepatocellular carcinoma (HCC). However, it is not effective in many cases due to recurrence and metastasis even if the initial treatment produces a response. Multi... OBJECTIVE Chemotherapy is an important therapy for hepatocellular carcinoma (HCC). However, it is not effective in many cases due to recurrence and metastasis even if the initial treatment produces a response. Multidrug resistance (MDR) is considered to be one of the considerable causes. The aim of this study was to reverse MDR of HepG2/ADM cells by blocking mdr1 with an adenovirus vector carrying antisense mdr1 in a tumor transplantated in athymic mice. METHODS PCMV IE was removed from the pshuttle vector. A 0.3 kb AFP promoter was inserted into the pshuttle vector and pCMV changed into pAFP. The pAFP and asmdr1 PCR products were doubly digested with Kpnl and Apal, the digested products were ligated by T4 ligase, the asmdr1 gene was inserted into pAFP and a newly plasmid pAFP-asmdr1 was constructed. Following digestion with PI-SceI/I-Ceu I, pAFP-asmdr1 was ligated with Adeno-X genome DNA and amplified in E.coli XL1-Blue. The HEK293 cells were transfected and virus collected. The HepG2 MDR cells (HepG2/ADM) were induced by graded resistance to ADM and were inoculated into athymic mice. After adeno-asmdr1 was injected, the expression of mdr1-mRNA and the volume of the transplantated tumor and its cells were observed. RESULTS Following injection with Adeno-asmdr1, the tumor volume in the ADM+Adeno-asmdr1 group did not increase. However the tumor volume in the PBS plus ADM group did significantly increase (P〈0.05). In the tumor xenograft cells, mdr1 mRNA in the xenografts was assessed by RT-PCR and was found to be reduced at 1 week and 4 weeks in the ADM+asmdr1 group, but it was stable in the ADM group. It was only 20% in the ADM+asmdr1 group compared to the ADM group at the 4th week (P〈0.05). Evidence of apoptosis was observed in the tumor xenograft cells treated with Adeno-asmdr1, but there was rare or no apoptosis in the group treated with ADM and PBS. CONCLUSION Adenovirus carrying antisense mdr1 RNA can partially reverse the MDR of HepG2/ADM cells and inhibit tumor growth by down-regulating mdr1 mRNA resulting in tumor cell apoptosis. 展开更多
关键词 hepatocellular carcinoma multidrug resistance ADENOVIRUS antisense technology mar1.
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Preparation and identification of monoclonal antibodies against the adenovirus vector
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作者 Chunyan Zhang Jinsong Gong Yan Chen Fanghe Li 《The Chinese-German Journal of Clinical Oncology》 CAS 2007年第4期411-414,共4页
Objective: To prepare and identity monoclonal antibodies (McAbs) against the capsid proteins of adenovirus vector. Methods: BALB/c mice were immunized with a mixture of the purified adenovirus vector (Adv) and A... Objective: To prepare and identity monoclonal antibodies (McAbs) against the capsid proteins of adenovirus vector. Methods: BALB/c mice were immunized with a mixture of the purified adenovirus vector (Adv) and AI(OH)3. McAbs were produced using cell fusion technique in a conventional way. The sensitivity and specificity of monoclonal antibodies was identified by indirect enzyme linked immunosorbent assay (ELISA), immunocytochemical staining and Western blotting. Results: Six strains of hybridoma cells (A4H11, A8C7, F1H5, G1D2, G4E3 and H2G8) that can stably secrete the IgG1 McAb against Adv were obtained. After 3 months subculture and low concentration of serum adapting culture, six strains retained their stability to secrete McAb. The ascites titers were between 1:10^6 and 1:10^8. Western blot analysis demonstrated that all the McAbs reacted with one protein (about 114 kDa) which is present in wild type 3 adenovirus (wtAd3), wild type 5 adenovirus (wtAd5), wild type 7 adenovirus (wtAd7) and adenovirus vector. Conclusion: Successfully prepared six strains of hybridoma cell secreted monoclonal antibodies against the hexon proteins of adenovirus vector, and provided the substantial foundation of preclinical research of adenovirus vectors. 展开更多
关键词 gene therapy ADENOVIRUS adenovirus vector monoclonal antibodies
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Cardiac toxicity of trastuzumab in elderly patients with breast cancer 被引量:10
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作者 Andrea Denegri Tiziano Moccetti +3 位作者 Marco Moccetti Paolo Spallarossa Claudio Brunelli Pietro Ameri 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第4期355-363,共9页
Breast cancer (BC) is diagnosed in 〉 65 year old women in about half of cases. Experts currently recommend that systemic therapy is offered to elderly patients with BC, if, based on their overall conditions and lif... Breast cancer (BC) is diagnosed in 〉 65 year old women in about half of cases. Experts currently recommend that systemic therapy is offered to elderly patients with BC, if, based on their overall conditions and life expectancy, it can be reasonably anticipated that the benefits will outweigh the risks of treatment. Like for young subjects, the monoclonal antibody against human epidermal growth factor receptor-2 (HER-2), trastuzumab, represents a valid therapeutic option when BC over-expresses this receptor. Unforttmately, administration of trastu- zumab is associated with the occurrence of left ventricular dysfunction and chronic heart failure (CHF), possibly because of interference with the homeostatic functions of HER-2 in the heart. Registry-based, retrospective analyses have reported an incidence of CHF around 25% in elderly women receiving trastuzumab compared with 10%-15% in those not given any therapy for BC, and the risk of CHF has been estimated to be two-fold higher in 〉 60455 year old trastuzumab users vs. non-users. Extremely advanced age and preexisting cardiac disease have been shown to predispose to trastuzumab cardiotoxicity. Therefore, selection of older patients for treatment with trastuzumab should be primarily based on their general status and the presence of comorbidities; previous chemotherapy, especially with anthracyclines, should be also taken into account. Once therapy has started, efforts should be made to ensure regular cardiac surveillance. The role of selected biomarkers, such as cardiac troponin, or new imaging techniques (three-dimension, tissue Doppler echocardiography, magnetic resonance imaging) is promising, but must be further investigated especially in the elderly. Moreover, additional studies are needed in order to better understand the mechanisms by which trastuzumab affects the old heart. 展开更多
关键词 CARDIOTOXICITY ELDERLY Heart failure HER-2 TRASTUZUMAB
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