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treosulfan (trecondi0) and preparation for haemopoietic stem cell transplantation

机译:Treosulfan(Trecondi0)和血液化干细胞移植的制备

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A transplant of haemopoietic stem cells derived from a donor (i.e. an allogeneic transplant) is a potentially curative treatment for certain haemato-logical malignancies (leukaemias, myelodysplastic syndromes, lymphomas, multiple myeloma) and some non-malignant haematological diseases, including primary immunodeficiencies and haemo-globinopathies (1). Before receiving an allogeneic transplant, patients receive cytotoxic chemotherapy, possibly combined with radiotherapy.The objectives of this "conditioning" therapy are twofold: eradication of the disease for which the transplant is being given, and profound inhibition of the patient's immune system to prevent rejection of the transplanted cells. There is no consensus over which chemotherapy regimen to give.The combination of busulfan (an alkylating agent) + fludarabine (a nu-cleoside antimetabolite) is one of several options (2).
机译:来自供体的造血干细胞移植(即异基因移植)是某些血液系统恶性肿瘤(白血病、骨髓增生异常综合征、淋巴瘤、多发性骨髓瘤)和一些非恶性血液系统疾病(包括原发性免疫缺陷和血红蛋白病)的潜在治疗方法(1)。在接受同种异体移植之前,患者接受细胞毒性化疗,可能会结合放疗。这种“调理”疗法的目的有两个:根除移植所针对的疾病,以及深入抑制患者的免疫系统以防止移植细胞的排斥反应。对于采用哪种化疗方案,目前尚无共识。白消安(烷基化剂)+氟达拉宾(核苷抗代谢剂)的组合是几种选择之一(2)。

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    《Prescrire international》 |2021年第224期|共2页
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  • 正文语种 eng
  • 中图分类 药学;
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