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亲溶酶体药物IHW2净化骨髓在白血病患者自体骨髓移植中的应用
Application of IHW2 purged bone marrow to autologous bone marrow transplantation in the treatment of acute myeloid leukemia
【摘要】 目的:观察亲溶酶体药物IHW2体外净化急性髓细胞白血病骨髓(BM)进行骨髓移植(ABMT)的临床疗效。方法:用IHW2体外净化ABMT患者的BM,冷冻保存后回输给患者。结果:3例患者输用净化处理的BM后均成功地恢复造血功能。2例患者移植后至今已分别持续缓解超过36、34个月。其中1例患者移植前染色体为46XY,del(16)(q22),移植后2个月检测为46XY正常染色体核型。1例患者于移植后19个月复发。结论:初步研究显示亲溶酶体药物IHW2,用于临床移植患者是安全可行的,并且对白血病骨髓有一定的净化作用
【Abstract】 Objective: To observe the clinical effectiveness of IHW2 purged autologous bone marrow transplantation (ABMT) in the treatment of AML patients. Methods: Large volume of bone marrow was purged in vitro by IHW2 and then reinfused to patients for ABMT. Results: All of the three patients transplanted with IHW2 purged autologous bone marrow successfully reconstituted hemopoiesis. Two patients got continuous complete remission for 36+ and 34+ months, respectively. The karyotype of one of the two patient was 46,XY,del(16)(q22) before ABMT and changed to 46,XY in 2 months after transplantation. The third patient relapsed after ABMT 19 months. Conclusion: The preliminary study suggests that IHW2 may have certain purging effect on leukemic cells and is safe for clinical application.
【Key words】 Bone marrow transplantation; autologous Bone marrow purging; IHW2 Leukemia;
- 【文献出处】 中华血液学杂志 ,CHINESE JOURNAL OF HEMATOLOGY , 编辑部邮箱 ,1998年06期
- 【分类号】R733.7
- 【被引频次】3
- 【下载频次】32