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[考试辅导] 医学考博每日一读:

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发表于 2012-7-20 22:52:00 | 显示全部楼层 |阅读模式
It may be possible to use "stem cell shielding" to protect the body from the damaging effects of chemotherapy, early results from a US trial suggest.! }, |, u' P* f3 [* k4 K' w9 _
Chemotherapy drugs try to kill rapidly dividing cancer cells, but they can also affect other healthy tissues such as bone marrow.& s( n! `# ~  U/ U5 N& O$ J( m
A study, in Science Translational Medicine, used genetically modified stem cells to protect the bone marrow.$ z; k4 ~/ n& e$ }* N1 e8 H
Cancer Research UK said it was a "completely new approach".% e6 _+ |- o4 M) A1 {
The body constantly churns out new blood cells in the hollow spaces inside bone. However, bone marrow is incredibly susceptible to chemotherapy.
4 I4 b* W1 ^' l2 xThe treatment results in fewer white blood cells being produced, which increases the risk of infection, and fewer red blood cells, which leads to shortness of breath and tiredness.
. o" U6 W" [& C* }1 \* I- u4 Y# ~Researchers at the Fred Hutchinson Cancer Research Center, in Seattle, said these effects were "a major barrier" to using chemotherapy and often meant the treatment had to be stopped, delayed or reduced. + |" u0 w/ M8 D$ _6 v
'Protective shields'
8 i- N. r" H2 B* o0 }They have tried to protect the bone marrow in three patients with a type of brain cancer, glioblastoma.
, h8 y- I$ h# rOne of the researchers, Dr Jennifer Adair, said: "This therapy is analogous to firing at both tumour cells and bone marrow cells, but giving the bone marrow cells protective shields while the tumour cells are unshielded."
+ @1 j/ `% I" @  X0 LBone marrow was taken from the patients and stem cells, which produce blood, were isolated. A virus was then used to infect the cells with a gene which protected the cells against a chemotherapy drug. The cells were then put back into the patient.
# m, _" Y* @+ J+ x) r4 B( lThe lead author of the report, Prof Hans-Peter Kiem, said: "We found that patients were able to tolerate the chemotherapy better, and without negative side effects, after transplantation of the gene-modified stem cells than patients in previous studies who received the same type of chemotherapy without a transplant of gene-modified stem cells."- j1 J$ [( g1 }) E9 W0 `
The researchers said the three patients had all lived longer than the average survival time of 12 months for the cancer. They said one patient was still alive 34 months after treatment., o  x* U3 y8 a7 K( D- o" @9 A' ?
Cancer Research UK scientist Prof Susan Short said: "This is a very interesting study and a completely new approach to protecting normal cells during cancer treatment. 1 J3 X, V* F' m- D* }0 k
"It needs to be tested in more patients but it may mean that we can use temozolomide [a chemotherapy drug] for more brain tumour patients than we previously thought.
: T  E/ P/ E& U"This approach could also be a model for other situations where the bone marrow is affected by cancer treatment."8 C9 W3 n: u* T
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