Janus激酶1/2抑制剂ruxolitinib防治移植物抗宿主病的研究进展

Xiaoli Huang, Sanbin Wang, Lin Liu, L. Luo, Zhongtao Yuan
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引用次数: 0

摘要

移植物抗宿主病(GVHD)是同种异体造血干细胞移植(alloo - hsct)后常见的并发症,也是同种异体造血干细胞移植后患者死亡的主要原因之一。目前,预防GVHD的经典方案是以环孢素和他克莫司为代表的钙调磷酸酶抑制剂联合甲氨蝶呤或霉酚酸酯。GVHD的一线标准治疗方案是基于糖皮质激素。但该方案仅对部分患者有效,且疗程长,不良反应多,患者易感染。近期研究表明,Janus kinase (JAK) 1/2抑制剂ruxolitinib在预防和治疗GVHD方面具有明显的临床疗效,初效快,不良反应少。本文就鲁索利替尼防治GVHD的基础及临床研究进行综述,旨在探索预防和治疗GVHD的新方案。关键词:移植物抗宿主病;Janus激酶;Janus激酶1;Janus激酶2;造血干细胞移植;不利影响;Ruxolitinib
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Research progress of Janus kinase 1/2 inhibitor ruxolitinib in preventing and treating graft versus host disease
Graft versus host disease (GVHD) is a common complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT), and is one of the leading causes of death in patients after allo-HSCT. Currently, the classic GVHD prevention regimens are calcineurin inhibitor represented by cyclosporine and tacrolimus in combination with methotrexate or mycophenolate mofetil.The first-line standard regimen for GVHD is based on glucocorticoids. However, this regimen is only effective for some patients, and with a long course of treatment and many adverse reactions, and the patients are easy to be infected. Recent researches show that Janus kinase (JAK) 1/2 inhibitor ruxolitinib has evident clinic efficacy in preventing and treating GVHD with rapid initial effect and less adverse reactions. This article summarizes the basic and clinical researches about ruxolitinib in preventing and treating GVHD, and aims to explore new regimens for preventing and treating GVHD. Key words: Graft vs host disease; Janus kinases; Janus kinase 1; Janus kinase 2; Hematopoietic stem cell transplantation; Adverse effects; Ruxolitinib
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期刊介绍: The International Journal of Transfusion and Hematology was founded in September 1978. It is a comprehensive academic journal in the field of transfusion and hematology, supervised by the National Health Commission and co-sponsored by the Chinese Medical Association, West China Second Hospital of Sichuan University, and the Institute of Transfusion Medicine of the Chinese Academy of Medical Sciences. The journal is a comprehensive academic journal that combines the basic and clinical aspects of transfusion and hematology and is publicly distributed at home and abroad. The International Journal of Transfusion and Hematology mainly reports on the basic and clinical scientific research results and progress in the field of transfusion and hematology, new experiences, new methods, and new technologies in clinical diagnosis and treatment, introduces domestic and foreign research trends, conducts academic exchanges, and promotes the development of basic and clinical research in the field of transfusion and hematology.
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