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足叶乙甙

足叶乙甙的相关文献在1989年到2020年内共计431篇,主要集中在肿瘤学、药学、内科学 等领域,其中期刊论文413篇、会议论文17篇、专利文献86429篇;相关期刊228种,包括中国实验血液学杂志、临床肿瘤学杂志、实用癌症杂志等; 相关会议10种,包括中国老年学学会老年肿瘤专业委员会(CGOS)2014年年会暨第八届中国老年肿瘤学大会、第三届全国妇科恶性肿瘤化疗问题学术研讨会、中华医学会血液学分会第十一届全国白血病淋巴瘤会议等;足叶乙甙的相关文献由1182位作者贡献,包括石远凯、于红刚、侯梅等。

足叶乙甙—发文量

期刊论文>

论文:413 占比:0.48%

会议论文>

论文:17 占比:0.02%

专利文献>

论文:86429 占比:99.50%

总计:86859篇

足叶乙甙—发文趋势图

足叶乙甙

-研究学者

  • 石远凯
  • 于红刚
  • 侯梅
  • 周生余
  • 廖威明
  • 高峰
  • 于皆平
  • 仝运科
  • 何小慧
  • 刘红
  • 期刊论文
  • 会议论文
  • 专利文献

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    • 原向伟; 黄秀芳; 陈忠羡; 梁胜根; 秦英; 向珊珊; 廖威明
    • 摘要: Objective To study effect of interferon-α (IFN-α) on etoposide-induced cell cycle arrest and apoptosis in human osteosarcoma cells with its mechanisms.Methods Osteosacoma U2OS cells were treated with IFN-α and etoposide,alone or in combination,for 72 h.Growth inhibition was determined with trypan blue exclude test.Cell cycle arrest was evaluated with FACS.Apoptosis was detected through Hoechst33258 staining.The expression of p53 was determined with reverse transcriptase-polymerase chain reaction (RT-PCR) in mRNA level.small interfering RNA (siRNA) interference was used to silence p53.Western blotting was used to evaluate the expression of p53 and poly adenosine diphosphate-ribose polymerase (PARP).Results After treatment for 72 h,the growth inhibition was (2.29 ± 1.03) %,(23.85 ± 3.09) % and (50.51 ± 3.77) % in IFN-e,Etoposide and combination group.IFN-α enhanced etoposide-induced growth inhibiton.There were statistic differences (P =0.008).There were apoptotic morphological changes in etoposide and combination groups.Cells in S phase were (19.68 ±3.62)% and (11.33 ±2.94)% in Etoposide and combination group,while G2/M cells were (65.02±2.55)% and (76.09 ±2.87)%.There were statistic differences (P=0.037).IFN-α did not further increase the expression of p53 in mRNA level.The inhibition rate was (55.72 ± 3.88) %,(51.63 ± 4.36) % and (36.40 ± 3.95) % in blank,control-siRNA and p53-siRNA group after p53 silence.There were statistic differences (P =0.023).p53 silence largely decreased PARP cleavage in response to the combination.After pan cysteinyl aspartate-specific protease (Caspase) inhibitor Z-VAD-FMK pre-treatment,the growth inhibition rate was (3.52 ± 1.98)%,(27.11 ± 4.06)%,(56.44 ± 4.78)%,(21.37±3.55)% and (23.81 ±4.22)% in Z-VAD-FMK,Etoposide,IFN-α +Etoposide,etoposide + Z-VAD-FMK and IFN-α + Etoposide + Z-VAD-FMK group.Z-VAD-FMK decreased growth inhibition caused by combination.There were statistic defferences (P=0.015).PARP cleavage caused by combination was also inhibited by Z-VAD-FMK.Conclusion IFN-α enhances etoposide-mediated growth inhibition,cell cycle arrest and apoptosis in human osteosarcoma U2OS cells.The growth inhibiton and apoptosis are p53-dependent and Caspase-dependent.%目的 探讨干扰素(IFN)-α对足叶乙甙介导骨肉瘤细胞周期停滞和凋亡的影响及其分子机制.方法 采用IFN-α和足叶乙甙单独或联合处理骨肉瘤U2OS细胞72 h,通过锥虫蓝法测定细胞生长抑制率,应用流式细胞术检测细胞周期停滞,通过Hochest 33258荧光染色检测凋亡,反转录-聚合酶链反应(RT-PCR)检测p53在mRNA水平的表达,通过小干扰RNA(siRNA)干扰沉默p53的表达,采用Western blot法检测p53和聚腺苷二磷酸核糖聚合酶(PARP)的表达.结果 药物处理72 h,IFN-α、足叶乙甙和联合用药组细胞生长抑制率为:(2.29±1.03)%、(23.85±3.09)%和(50.51±3.77)%,IFN-α增强足叶乙甙的生长抑制,差异有统计学意义(P=0.008).在足叶乙甙和联合用药组均出现凋亡形态学改变.足叶乙甙组和联合用药组S期细胞为(19.68±3.62)%和(11.33±2.94)%,G2/M期细胞为(65.02±2.55)%和(76.09±2.87)%,两者组间差异有统计学意义(P=0.037).IFN-α没有增加足叶乙甙引起的p53在mRNA水平的表达,但沉默p53表达后空白组、对照siRNA组、p53-siRNA组的生长抑制率分别为:(55.72±3.88)%、(51.63±4.36)%和(36.40±3.95)%,p53沉默减弱了联合用药引起的生长抑制,差异有统计学意义(P=0.023),同时联合用药组的PARP裂解明显减弱.泛半胱氨酰天冬氨酸特异性蛋白酶(Caspase)抑制剂Z-VAD-FMK预处理后Z-VAD-FMK、足叶乙甙组、IFN-α+足叶乙甙组、足叶乙甙+Z-VAD-FMK组和IFN-α+足叶乙甙+ Z-VAD-FMK组的生长抑制率为(3.52±1.98)%、(27.11±4.06)%、(56.44±4.78)%、(21.37±3.55)%、(23.81±4.22)%.Z-VAD-FMK减弱联合用药引起的生长抑制,差异有统计学意义(P =0.015),并且联合用药引起的PARP裂解也被减弱.结论 IFN-α在人骨肉瘤U20S细胞中增强足叶乙甙介导的生长抑制、细胞周期停滞和凋亡,该作用依赖p53和Caspase.
    • 兰四友; 张德芬; 邓述恺; 王荣丽; 杨小琼
    • 摘要: 目的:观察小牛脾提取物注射液联合奈达铂和足叶乙甙化疗治疗小细胞肺癌(SCLC)的疗效。方法76例 SCLC 患者随机分为治疗组和对照组,每组38例,治疗组给予小牛脾提取物注射液联合奈达铂和足叶乙甙治疗,对照组给予奈达铂和足叶乙甙治疗,21 d为1个周期,每2个周期治疗后进行治疗情况全面评价,比较两组的治疗临床疗效、不良反应及临床表现;观察患者治疗前后外周血的 T细胞亚群、血清白细胞介素(IL)-2、转化生长因子(TGF)-β1浓度。结果治疗组和对照组的客观缓解率无明显差异(P>0.05);治疗组的白细胞减少、血小板减少、恶心呕吐发生率均显著低于对照组(P<0.05);治疗组的CD4+、CD56+阳性细胞百分率和CD4/CD8比值同对照组比较有显著升高(P<0.05);治疗组治疗后血清IL-2浓度较治疗前显著升高(P<0.05),血清TGF-β1浓度显著降低(P<0.05)。结论小牛脾提取物注射液联合化疗有良好客观缓解率,改善患者的免疫功能,减轻化疗的不良反应。
    • 李琛; 杨晓光; 钱海红; 陈丽萍; 张志华; 肖丽
    • 摘要: 目的 比较IP方案与EP方案治疗广泛期小细胞肺癌(ED-SCLC)的临床疗效、安全性及其对患者血清Ki-67、血管内皮生长因子(VEGF)水平的影响.方法 选择ED-SCLC 患者60例,随机分为IP组和EP组,各30例.IP组采用IP方案(伊立替康+顺铂)进行治疗,EP组采用EP方案(足叶乙甙+顺铂)进行治疗,21天为1个化疗周期,连续化疗2个周期.化疗结束后评价近期疗效,记录两组化疗期间毒性反应;化疗后随访,随访终点为化疗后1年或死亡,记录两组总生存期(OS)及1年生存率;采用ELISA法检测两组化疗前后血清Ki-67、VEGF.结果 IP组完全缓解2例、部分缓解17例、病情稳定7例、病情进展4例,近期有效率为63.33%,疾病控制率为86.67%;EP组完全缓解2例、部分缓解15例、病情稳定8例、病情进展5例,近期有效率为56.67%,疾病控制率为83.33%;两组近期有效率、疾病控制率比较P均>0.05.IP组中性粒细胞减少、血小板减少发生率均低于EP组(P0.05.两组OS及1年生存率比较P均>0.05.与化疗前比较,两组化疗后血清Ki-67、VEGF水平均降低,但IP组降低更明显(P<0.05或<0.01).结论 IP方案与EP方案对ED-SCLC患者近期疗效及生存情况的影响无明显差异,但IP方案毒性反应较轻,降低血清Ki-67、VEGF水平作用更明显.
    • 董伯升; 徐克友; 左彩莹; 张静; 董萍
    • 摘要: Objective To investigate the efficacy and safety of the combination chemotherapy of etoposide plus oxaliplatin as a second-line treatment for the patients with platinum-resistant epithelial o-varian cancer. Methods Sixty-one patients with recurrent and platinum-resistant epithelial ovarian canc-er were enrolled and divided into two groups randomly. The thirty patients in the observation group re-ceived etoposide plus oxaliplatin chemotherapy(etoposide 70 mg / m2 ,intravenous drip,d1 - 5;oxalipla-tin,100 mg / m2 ,ivgtt d1)and the thirty-one patients in the control group received topotecan monoche-motherapy(1. 0 mg / m2 ,ivgtt,d1 - 5). The efficacy and the common toxic reaction between the two groups were compared. Results The difference of curative effect between the two groups was statistically significant (P = 0. 011 ). The objective response rate in observation group and control group was 46. 66%,19. 35% (P = 0. 023)and disease control rate in the two different group was 80. 00%, 54. 83%(P = 0. 036),respectively. The median progression free survival in the observation group and the control group was (6. 00 ± 2. 13)months,(3. 25 ± 1. 00)months,respectively and the difference in progression free survival between the two groups was significant(P = 0. 015). There was no significant difference in the hematological toxicity or abnormal liver-function between the two groups(P > 0. 05). The adverse reactions of alopecia,nausea and vomiting,peripheral neurotoxicity between the two groups were all significantly different(P 0.05).两组患者脱发、恶心呕吐及周围神经毒性不良反应比较差异有统计学意义(P<0.05),观察组患者较严重,但均无Ⅲ、Ⅳ度严重不良反应发生.结论 与托泊替康单药方案比较,足叶乙甙联合奥沙利铂方案二线治疗铂耐药上皮性卵巢癌疗效较好,毒性反应可耐受,具有临床应用价值.
    • 李霞; 王建霞; 李昭昭; 夏鸣; 王新玲
    • 摘要: 目的 探讨3种化疗方案治疗低危恶性滋养细胞肿瘤的临床效果.方法 对2010年1月至2014年1月收入新疆医科大学附属肿瘤医院的初治低危恶性滋养细胞肿瘤患者87例进行回顾性研究,按不同治疗方案分为3组,即5-氟尿嘧啶(5-FU)组、甲氧蝶呤(MTX)组、足叶乙甙(VP-16)+MTX+放绒菌素-D(Art-D)组(EMA组),统计治疗疗程、人绒毛膜促性腺激素(HCG)转阴率、治愈率及化疗不良反应,并进行比较.结果 5-Fu组治愈率为51.85%,MTX组为61.50%,EAM组为85.70%,3组比较差异有统计学意义(P<0.05).在3组完成治疗的患者中,HCG转阴的疗程数比较差异无统计学意义(P>0.05).化疗不良反应5-Fu组最重,差异有统计学意义(P<0.05).结论 EMA联合化疗方案治愈率高,疗程时间短,化疗不良反应轻,患者依从性高,推荐EMA联合方案用于低危滋养细胞肿瘤化疗.
    • 林菜梅; 潘妙君; 罗泽民; 李勇; 池海波; 陈洪毅; 史华帝; 李乔巧
    • 摘要: Objective To compare the clinical effect on small cell lung cancer between topotecan combined with cisplatin and etoposide combined with cisplatin. Methods A total of 38 patients with small cell lung cancer were selected in the Central Nongken Hospital of Guangdong province from March 2014 to March 2015,and they were divided into control group and observation group according to RevMan 5. 0 software - induced random number table,each of 19 cases. patients of both groups received hydration treatment and diuretic therapy before chemotherapy,and patients of control group were given etoposide combined with cisplatin, while patients of observation group were given topotecan combined with cisplatin; both groups continuously treated for 2 cycles of chemotherapy(3 weeks as a cycle of chemotherapy),and patients without improvement of disease received 4 cycles of chemotherapy. Clinical effect,survival curve,incidence of toxic and side effects were compared between the two groups. Results No statistically significant differences of clinical effect was found between the two groups(u =1. 787,P > 0. 05). Until to September 2015,9 cases of control group(accounting for 47. 4% )died,8 cases of observation group(accounting for 42. 1% )died,no statistically significant differences of fatality rate was found between the two groups(P> 0. 05). The difference of survival curve was statistically significantly different( log - rank χ2 = 8. 319,P 0. 05). Conclusion The clinical effect of topotecan combined with cisplatin has similar clinical effect with etoposide combined with cisplatin in treating small cell lung cancer,but topotecan combined with cisplatin can effectively lengthen the lifetime without increasing the incidence of toxic and side effects.%目的:比较拓扑替康联合顺铂方案与足叶乙甙联合顺铂方案治疗小细胞肺癌(SCLC)的临床疗效。方法选取2014年3月—2015年3月广东省农垦中心医院收治的 SCLC 患者38例,按照 RevMan 5.0软件生成的随机数字表将患者分为对照组与观察组,每组19例。两组患者化疗前均采取水化利尿治疗,观察组患者给予拓扑替康联合顺铂方案治疗,对照组患者给予足叶乙甙联合顺铂方案治疗;3周为1个化疗周期,2个化疗周期后观察临床疗效,病情无好转者则持续治疗4个化疗周期。比较两组患者的临床疗效、生存曲线及毒副作用发生率。结果两组患者临床疗效比较,差异无统计学意义(u =1.787,P >0.05)。截至2015年9月,观察组中8例(42.1%)患者死亡,对照组中9例(47.4%)患者死亡,两组患者病死率比较,差异无统计学意义(P >0.05)。两组患者生存曲线比较,差异有统计学意义(log - rank χ2=8.319,P 0.05)。结论拓扑替康联合顺铂方案与足叶乙甙联合顺铂方案治疗 SCLC 患者的临床疗效相当,但拓扑替康联合顺铂方案能延长患者的生存期,且不增加毒副作用发生率。
    • 冯媛媛
    • 摘要: 目的:在对唑来磷酸联合化疗治疗肺癌骨转移患者的临床效果进行客观评价的基础上,进一步研究适合肺癌骨转移患者的临床治疗手段.方法:采取随机法选择笔者所在医院2012年10月-2015年10月接收的26例肺癌骨转移患者(试验组),本组患者治疗时接受唑来磷酸联合化疗治疗方案;同时选择26例肺癌骨转移患者(对照组)作为对照,本组患者治疗时接受唑来磷酸单独用药方案,客观比较两组入选患者治疗效果,并对其有效率以及疼痛等级评分等指标进行客观评定.结果:本次研究的所有患者中,试验组患者有效率为84.62%,对照组为61.54%,差异有统计学意义(P<0.05).两组患者在疼痛等级评分方面比较差异均无统计学意义(P>0.05).结论:在肺癌骨转移患者治疗中,选择唑来磷酸联合化疗治疗方案可取得显著成效,不仅安全性非常高,而且还能提升患者临床效果,可以进一步改善患者疼痛感,对于提升其预后水平发挥重要价值,可推广.
    • 彭春芳; 孙贵银; 向德兵; 吴华英; 巩茜; 曾健梅; 陈江艳
    • 摘要: Objective To investigate the efficacy and adverse reactions of IEVD regimen composed of ifos‐famide (IFO ,I) ,etoposide (VP‐16 ,E) ,vindesine (VDS ,V) ,dexamethasone (DXM ,D) in treating recurrent and re‐fractory non‐Hodgkin′s lymphoma(NHL) .Methods 32 cases of NHL with failure by CHOP regimen were given with IEVD regimen ,IFO 1 .2 g・m-2 ・d-1 ,by intravenous drip on 1-5 d ,then combined with mesna 400 mg by in‐travenous injection for 3 times at 0 ,4 ,8 h;VP‐16 80 mg・m -2 ・d-1 ,by intravenous drip on 1-3 d;VDS 3 mg・m -2・d-1 ,by intravenous injection on 1 ,8 d;DXM 20 mg/d ,by intravenous drip on 1-5 d ,with 28 d as one circle .The efficacy was evaluated after 2 treatment circles .The effective patients were continuously treated for 4 cycles of chem‐otherapy ,and the ineffective patients were treated with regimens else .Results In 32 cases treated by IEVD regimen , 10 cases were complete remission (CR) ,2 cases were complete remission unconfirmed (CRu) ,9 cases were partial re‐mission (PR) ,with the total effective rate of 65 .6% .The median duration of remission was 8 months ,and the 1‐year survival rate was 78 .1% (25/32) .The adverse reactions were mainly myelosuppression ,nausea ,vomiting and hair loss .Conclusion The IEVD regimen is an effective regimen in the treatment of recurrent and refractory NHL with tolerable adverse reactions .%目的:探讨用异环磷酰胺(IFO ,I)、足叶乙甙(VP‐16,E)、长春地辛(VDS ,V)、地塞米松(DXM ,D)组成的IEVD方案治疗复发和难治非霍奇金淋巴瘤的疗效和不良反应。方法32例经CHOP方案治疗失败的患者予IEVD方案治疗,IFO 1.2 g・m -2・d-1,静脉滴注,d1~5,IFO后配合美司那每次400 mg ,0 h、4 h、8 h静脉推注3次;VP‐1680 mg・m -2・d-1,静脉滴注,d1~3;VDS 3 mg・m-2・d-1,静脉注射,d1,8;DXM 20 mg/d ,静脉滴注,d1~5,平均每28天为1周期,化疗2个周期后进行疗效评价,有效者继续化疗4个周期,无效者更改治疗方案。结果32例患者接受IEVD方案化疗,完全缓解(CR)10例,未经确认的完全缓解(CRu)2例,部分缓解(PR)9例,总有效率65.6%,中位缓解期为8个月,1年生存率78.1%(25/32),不良反应主要为骨髓抑制、恶心呕吐和脱发。结论 IEVD方案是治疗复发或难治非霍奇金淋巴瘤的有效方案,不良反应可耐受。
    • 兰四友; 张德芬; 邓述恺; 王荣丽; 杨小琼
    • 摘要: 目的 观察足叶乙甙(VP-16)联合奈达铂(NDP)治疗小细胞肺癌(SCLC)的临床疗效和安全性.方法 80例SCLC患者随机分为治疗组和对照组,每组40例.治疗组采用VP-16联合NDP方案;对照组采用VP-16联合顺铂(DDP)方案.21 d为1周期,治疗2周期后全面评价治疗效果,比较两组患者的临床疗效及不良反应.结果 治疗组和对照组的客观缓解率(0RR)分别为77.5%和72.5%(P=0.46);中位无进展生存期(PFS)分别为9.8和7.9个月(P>0.05);1年生存率分别为68.6%和65.7%(p >0.05).治疗组胃肠道不良反应(呕吐、恶心)和血小板减少的发生率显著低于对照组(P<0.05),两组患者其他不良反应的发生率相比差异无统计学意义.结论 VP-16联合NDP与VP-16联合DDP治疗SCLC的临床疗效相似,效果较好,并且VP-16联合NDP方案的毒副反应较小.
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