Journal of Hematology & Oncology | |
Arsenic trioxide improves hematopoiesis in refractory severe aplastic anemia | |
Baijun Fang1  Jian Zhou2  Yongping Song2  Ning Li2  | |
[1] Henan Institute of Haematology, Henan Tumor Hospital affiliated to Zhengzhou University, 127 Dongming Road, Zhengzhou, 450008, China;Henan Key Lab of Experimental Haematology, Henan Institute of Haematology, Henan Tumor Hospital affiliated to Zhengzhou University, Zhengzhou, China | |
关键词: Mesenchymal stem cells; Adipocytes; Arsenic trioxide; Hematopoiesis; Aplastic anemia; | |
Others : 822070 DOI : 10.1186/1756-8722-5-61 |
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received in 2012-10-03, accepted in 2012-10-04, 发布年份 2012 | |
【 摘 要 】
We investigated the efficacy of arsenic trioxide (ATO) in patients with refractory severe aplastic anemia (SAA). A total of 5 consecutive adults were enrolled. The patients received ATO at a dose of 0.15 mg/kg intravenously daily for 5 days every week for 8 weeks. If necessary, a second course was performed after an interval of one week. All patients achieved clinically significant responses to ATO. The overall complete response rate and overall response rate at 17 weeks were 60% (3/5) and 100%(5/5), respectively. So treatment with ATO may be a feasible approach in patients with refractory SAA.
【 授权许可】
2012 Li et al.; licensee BioMed Central Ltd.
【 预 览 】
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【 图 表 】
Figure 1.
【 参考文献 】
- [1]Rosenfeld S, Follmann D, Nunez O, Young NS: Antithymocyte globulin and cyclosporine for severe aplastic anemia: association between hematologic response and long-term outcome. JAMA 2003, 289:1130-1135.
- [2]Naveiras O, Nardi V, Wenzel PL, Hauschka PV, Fahey F, Daley GQ: Bone-marrow adipocytes as negative regulators of the haematopoietic microenvironment. Nature 2009, 460:259-263.
- [3]Corre J, Barreau C, Cousin B, Chavoin JP, Caton D, Fournial G, Penicaud L, Casteilla L, Laharrague P: Human subcutaneous adipose cells support complete differentiation but not self-renewal of hematopoietic progenitors. J Cell Physiol 2006, 208:282-288.
- [4]Nishikawa M, Ozawa K, Tojo A, Yoshikubo T, Okano A, Tani K, Ikebuchi K, Nakauchi H, Asano S: Changes in hematopoiesis-supporting ability of C3H10T1/2 mouse embryo fibroblasts during differentiation. Blood 1993, 81:1184-1192.
- [5]Calvi LM, Adams GB, Weibrecht KW, Weber JM, Olson DP, Knight MC, Martin RP, Schipani E, Divieti P, Bringhurst FR, Milner LA, Kronenberg HM, Scadden DT: Osteoblastic cells regulate the haematopoietic stem cell niche. Nature 2003, 425:841-846.
- [6]Tavassoli M, Maniatis A, Crosby WH: Induction of sustained hemopoiesis in fatty marrow. Blood 1974, 43:33-38.
- [7]Nuttall ME, Gimble JM: Controlling the balance between osteoblastogenesis and adipogenesis and the consequent therapeutic implications. Curr Opin Pharmacol 2004, 4:290-294.
- [8]Cheng H, Qiu L, Zhang H, Cheng M, Li W, Zhao X, Liu K, Lei L, Ma J: Arsenic trioxide promotes senescence and regulates the balance of adipogenic and osteogenic differentiation in human mesenchymal stem cells. Acta Biochim Biophys Sin (Shanghai) 2011, 43:204-209.
- [9]Song Y, Li N, Liu Y, Fang B: Improved outcome of adults with aplastic anemia treated with arsenic trioxide plus cyclosporine. Br J HaematolIn press