Effect of 9-(1,3-dihydroxy-2-propoxymethyl) guanine on serious cytomegalovirus disease in eight immunosuppressed homosexual men.

Effect of 9-(1,3-dihydroxy-2-propoxymethyl) guanine on serious cytomegalovirus disease in eight immunosuppressed homosexual men.
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9-(1,3-二羟基-2-丙氧基甲基)鸟嘌呤对八名免疫抑制的同性恋男性严重巨细胞病毒病的影响。

DOI:
10.7326/0003-4819-104-1-41
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发表时间:
1986
影响因子:
39.2
通讯作者:
E. Gelmann
E. Gelmann
中科院分区:
医学1区
文献类型:
--
作者:
Henry Masur;H. Lane;Alan G. Palestine;Phillip D. Smith;J. Manischewitz;Garth Stevens;Leslie S. Fujikawa;Abe M. Macher;R. Nussenblatt;B. Baird;Margaret Megill;A. E. Wittek;G. Quinnan;J. Parrillo;Alain H. Rook;L. J. Eron;D. Poretz;Robin I. Goldenberg;A. Fauci;E. Gelmann

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八名患有巨细胞病毒血症的免疫抑制同性恋男性(其中七名患有严重的双侧视网膜炎,一名患有视网膜炎和结肠炎,一名仅患有肺炎)接受了一种新的阿昔洛韦衍生物 9-(1,3-二羟基-2-丙氧基甲基)鸟嘌呤的治疗,该衍生物对巨细胞病毒具有出色的体外活性。所有患者的病毒学和临床均有改善,但三名患者出现严重的白细胞减少症。临床复发和病毒复发均频繁发生,通常发生在停止治疗后30天内。 9-(1,3-二羟基-2-丙氧基甲基)鸟嘌呤是第一种在临床和病毒学上有效治疗巨细胞病毒疾病的药物,但必须开发针对急性和慢性使用的更有效且毒性更小的治疗方案。
Eight immunosuppressed homosexual men with cytomegalovirus viremia--seven with serious bilateral retinitis, one with colitis in addition to retinitis, and one with pneumonitis only--were treated with a new acyclovir derivative, 9-(1,3-dihydroxy-2-propoxymethyl) guanine, which has excellent in-vitro activity against cytomegalovirus. All patients had virologic and clinical improvement, but substantial leukopenia developed in three patients. Both clinical relapses and viral relapses occurred frequently, usually within 30 days after cessation of treatment. 9-(1,3-Dihydroxy-2-propoxymethyl) guanine represents the first clinically and virologically effective agent for the treatment of cytomegalovirus disease, but more effective and less toxic therapeutic regimens for both acute and chronic use must be developed.
9-[2-羟基-1-(羟甲基)乙氧基甲基]鸟嘌呤治疗巨细胞病毒肺炎的活性。
DOI: 10.7326/0003-4819-103-3-368
发表时间: 1985
影响因子: 39.2
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DOI: 10.1016/0002-9343(82)90099-7
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期刊: The American journal of medicine
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发表时间: 1982
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