Is there a role for retinoids to treat minimal residual disease in neuroblastoma?

Is there a role for retinoids to treat minimal residual disease in neuroblastoma?
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类维生素A对于治疗神经母细胞瘤微小残留病有作用吗?

DOI:
--
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发表时间:
2000
影响因子:
8.8
通讯作者:
C. Reynolds
C. Reynolds
中科院分区:
医学1区
文献类型:
--
作者:
K. Matthay;K. Matthay;C. Reynolds;C. Reynolds

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各种临床前和临床数据表明,需要高药物水平的维甲酸才能达到对抗神经母细胞瘤的最佳疗效。本期报道的Kohler试验结果表明,在残留疾病最少的情况下,小剂量13-顺式维甲酸对神经母细胞瘤没有临床疗效。Kohler试验与美国CCG试验的比较提供了临床证据,表明高剂量维甲酸是治疗神经母细胞瘤微小残留病的最佳方案。对神经母细胞瘤的高剂量和低剂量13-顺式维甲酸研究的比较表明,在低剂量、长期应用维甲酸无效的疾病中,高剂量、其他维甲酸的脉冲时间表可能作为治疗和化学预防药物有效。应该考虑后一种概念的临床前研究,或许是临床研究。©2000癌症研究活动
A variety of pre-clinical and clinical data point toward high drug levels of retinoids being required to achieve optimal efficacy against neuroblastoma. The results of the Kohler trial reported in this issue demonstrate that low-dose 13-cis-RA does not have clinical efficacy against neuroblastoma in a setting of minimal residual disease. A comparison of the Kohler trial with the US CCG trial provides clinical evidence that high-dose levels of retinoids are optimal for treating minimal residual disease in neuroblastoma. The comparison of high-dose and low-dose 13-cis-RA studies in neuroblastoma suggests the intriguing possibility that high dose, pulse schedules of other retinoids could be effective as therapeutic and chemopreventive agents in diseases where low-dose, chronic retinoid administration was not effective. Pre-clinical and perhaps clinical studies of the latter concept should be considered. © 2000 Cancer Research Campaign
DOI: --
发表时间: 1999
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影响因子: --
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