在自身免疫性疾病中高剂量环胺没有干细胞救援:系统性审查
Jozélio Freire de Carvalho1, Thelma L Skare2
1Núcleo de Pesquisa Em Doenças Crônicas Não Transmissíveis (NUPEN), School of Nutrition from the Federal University of Bahia, Salvador, Bahia, Brazil.
European journal of rheumatology
|November 22, 2024
概括
没有干细胞救援的高剂量环胺有效治疗严重的自身免疫性疾病,如狼和多发性硬化症. 这种激进疗法在提供适当的支持性护理时显示出有前途的可控副作用.
科学领域:
- 免疫学 免疫学 免疫学
- 血液学 血液学 血液学
- 神经学 神经学
背景情况:
- 耐火性自身免疫性疾病往往需要积极的治疗选择.
- 高剂量循环胺 (HD-CY) 没有干细胞救援 (SCR) 是一种激进的治疗方法.
研究的目的:
- 在治疗自身免疫性疾病时,系统地审查没有SCR的HD-CY的疗效和安全性.
- 确定最常被研究的自身免疫性疾病和治疗方案.
主要方法:
- 在PubMed,Scielo和Embase数据库的系统文献搜索 (1966年至2022年9月).
- 包括29项研究,包括404名患有各种自身免疫性疾病的患者.
- 对治疗方案,副作用和患者结果的分析.
主要成果:
- 系统性红斑狼,多发性硬化症,无性贫血和骨髓灰质炎是最常被研究的疾病.
- 常见的治疗包括50mg/kg/天的环胺四天,以及包括Mesna,抗生素,G-CSF和输血在内的支持性护理.
- 大多数研究报告了疾病的改善,尽管有复发和治疗失败. 常见的副作用包括发烧性中性质减退,脱发和胃肠道问题.
结论:
- 没有SCR的HD-CY是治疗严重自身免疫疾病的有效方法.
- 当与适当的支持性护理措施一起进行时,该程序被认为相对安全.
- 进一步的研究可能会完善协议,并优化这种激进治疗的结果.
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