在急性淋巴细胞白血病中使用葡萄糖皮质醇治疗:导航短期和长期影响以及最佳治疗方案的选择
Hoda Pourhassan1, Lindsey Murphy2, Ibrahim Aldoss3
1Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, California, USA.
Current hematologic malignancy reports
|June 12, 2024
概括
葡萄糖皮质类药物对于急性淋巴细胞白血病治疗至关重要. 优化它们的使用平衡了抗白血病效应与管理副作用,以改善患者的治疗结果.
科学领域:
- 在瘤学瘤学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 葡萄糖皮质醇在治疗急性淋巴细胞白血病 (ALL) 中至关重要.
- 对葡萄糖皮质激素的早期反应预测了ALL患者的整体预后.
- 了解葡萄糖皮质醇的副作用是非常重要的,因为它们的广泛使用.
研究的目的:
- 审查关于在ALL中使用葡萄糖皮质醇的历史和当前数据.
- 描述在ALL治疗中葡萄糖皮质类药物应用的不断变化的格局.
- 为了应对类固醇耐药性的挑战,并优化葡萄糖皮质激素的疗效.
主要方法:
- 对历史和当代数据进行全面的文献综述.
- 对研究的分析,重点是葡萄糖皮质激素的疗效和ALL的耐药性.
- 对管理葡萄糖皮质激素的短期和长期副作用的研究进行评估.
主要成果:
- 葡萄糖皮质类药物仍然是ALL治疗的基石.
- 新兴的研究重点是克服类固醇耐药性.
- 优化葡萄糖皮质激素疗法旨在增强抗白血病效应并减轻风险.
结论:
- 有效地管理葡萄糖皮质醇的副作用是成功治疗ALL的关键.
- 持续的研究对于优化在ALL中使用葡萄糖皮质类药物至关重要.
- 平衡疗效和安全对于改善ALL患者的治疗结果至关重要.
相关概念视频
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
115
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
115
Drugs for Treatment of Crohn's Disease in IBD Using Immunomodulatory Agents
157
Crohn's disease is an inflammatory bowel disorder marked by chronic inflammation of the GI tract. Various treatment strategies for Crohn's disease are employed, such as immunomodulatory agents, glucocorticoids, and biologics or anti-TNF therapy. Azathioprine (Imuran), a commonly used immunomodulatory drug for Crohn's disease, is converted in the body to mercaptopurine, which inhibits purine biosynthesis and cell proliferation. Both are utilized in severe cases of Inflammatory Bowel...
157
Bone Marrow Sampling and Transplants
324
Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
324
Targeted Cancer Therapies
7.5K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.5K
Combination Therapies and Personalized Medicine
4.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
4.9K
Insulin: Dosing Regimen and Adverse Effects
166
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
166


