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Application of pegylated recombinant human granulocyte colony-stimulating factor(PEG-rhG-CSF) for the prevention of neutropenia in triple negative breast cancer patients older than 65 years during adjuvant chemotherapy 被引量:4
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作者 Shuxian Qu Jianing Qiu +2 位作者 Yidan Zhang Yongming Liu Zhendong Zheng 《Oncology and Translational Medicine》 2019年第5期218-222,共5页
Objective The aim of this study was to compare the efficacy and safety of pegylated recombinant human granulocyte colony-stimulating factor(PEG-rhG-CSF)and recombinant human granulocyte colonystimulating factor(rhG-CS... Objective The aim of this study was to compare the efficacy and safety of pegylated recombinant human granulocyte colony-stimulating factor(PEG-rhG-CSF)and recombinant human granulocyte colonystimulating factor(rhG-CSF)for the prevention of neutropenia in elderly breast cancer patients during adjuvant chemotherapy.Methods A total of 45 oncology inpatients with breast cancer,who received adjuvant chemotherapy and were older than 65 years from May 2017 to October 2018 in the General Hospital of the Northern Theater of the Chinese people’s Liberation Army,were included.Epirubivin Cyclophoshamide-Docetaxel(EC-T)sequential adjuvant chemotherapy was chosen.Forty-five patients were randomly divided into two groups;25 patients in the treatment group were treated with PEG-rhG-CSF and 20 patients in the control group were not treated with PEG-rhG-CSF,but only rhG-CSF.The experimental group was treated with the PEG-rhG-CSF at the end of chemotherapy for 24–48 h,with a 6 mg subcutaneous injection once per chemotherapy cycle.In the control group,rhG-CSF was administered after 48 h of chemotherapy,with a 100μg subcutaneous injection,1/d,d 1–7.The dosage could be increased step by step with the exacerbation of neutropenia.The primary aims of this study was to discover the incidence of leukopenia,neutropenia,neutrophilic fever,and adverse reactions in the two groups.Results The incidence of neutropenia,neutrophilic fever and adverse reactions decreased in the treatment group compared to the control group,but no significant difference existed between two groups(P>0.05).Patients in treatment group had a lower,but not statistically significant,incidence of adverse reactions(P>0.05).Conclusion Applying PEG-rhG-CSF could be effective in preventing neutropenia in elderly patients with postoperative adjuvant chemotherapy to treat breast cancer.It may effectively control the occurrence of neutropenia after chemotherapy and reduce the chance of infection.The incidence of side effects,such as fever and bone pain,was low.The adverse drug reactions were well tolerated by patients,which could ensure the smooth progress of chemotherapy. 展开更多
关键词 ELDERLY BREAST cancer NEUTROPENIA pegylated recombinant human granulocyte colonystimulating factor
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Anti-apoptotic effects of recombinant human granulocyte colony-stimulating factor in focal cerebral ischemic rats
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作者 Xia Yuan Shiming Zhang +1 位作者 Wanli Dong Qi Fang 《Neural Regeneration Research》 SCIE CAS CSCD 2011年第11期839-844,共6页
The neuroprotective effects of granulocyte colony-stimulating factor in cerebral ischemia/reperfusion injury are currently contentious. The present study examined the effects of subcutaneous injection of recombinant h... The neuroprotective effects of granulocyte colony-stimulating factor in cerebral ischemia/reperfusion injury are currently contentious. The present study examined the effects of subcutaneous injection of recombinant human granulocyte colony-stimulating factor (50 pg/kg) over 5 days in a model of cerebral ischemia/reperfusion with intraluminal filament occlusion in rats. The results indicated that recombinant human granulocyte colony-stimulating factor reduced brain infarct volume following cerebral ischemia/reperfusion injury in rats, down-regulated the expression of caspase-3 mRNA (a key protease for apoptosis in the cerebral ischemia zone), lowered the rate of neuronal apoptosis in the cerebral ischemia zone, and notably ameliorated neurological function. These results indicate that recombinant human granulocyte colony-stimulating factor has anti-apoptotic effects on neurons following focal cerebral ischemia/reperfusion injury, and exerts neuroprotective effects. 展开更多
关键词 recombinant human granulocyte colony-stimulating factor cerebral ischemia/ reperfusion injury ANTI-APOPTOSIS neural regeneration
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Refolding with Simultaneous Purification of Recombinant Human Granulocyte Colony-stimulating Factor from Escherichia coli Using Strong Anion Exchange Chromatography
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作者 ChaoZhanWANG JiangFengLIU XinDuGENG 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第3期389-392,共4页
The urea denatured recombinant human granulocyte colony-stimulating factor (rhG- CSF) which was expressed in Escheriachia coli (E. coli) was refolded with simultaneous purification by strong anion exchange chromatogra... The urea denatured recombinant human granulocyte colony-stimulating factor (rhG- CSF) which was expressed in Escheriachia coli (E. coli) was refolded with simultaneous purification by strong anion exchange chromatography (SAX) in the presence of low concentration- of urea. The effect of urea concentration on this refolding process was investigated. The obtained refolded rhG-CSF has a high specific activity of 2.3×108 U/mg, demonstrating that the proteins were completely refolded during the chromatographic process. With only one step by SAX in 40 min, purity and mass recovery of the refolded and purified rhG-CSF were 97% and 43%, respectively. 展开更多
关键词 recombinant human granulocyte colony-stimulating factor inclusion bodies protein refolding PURIFICATION strong anion exchange chromatography.
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A New Protocol for Solubilization, Refolding and Purification of Recombinant Human Granulocyte Colony-stimulating Factor in Inclusion Bodies
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作者 Jia Hua LIU Chao Zhan WANG Xin Du GENG 《Chinese Chemical Letters》 SCIE CAS CSCD 2006年第6期799-802,共4页
Recombinant human granulocyte colony-stimulating factor (rhG-CSF) in inclusion bodies was solubilized by 8 mol/L urea solution and subsequently precipitated by acetone to improve its purity. After that, the precipit... Recombinant human granulocyte colony-stimulating factor (rhG-CSF) in inclusion bodies was solubilized by 8 mol/L urea solution and subsequently precipitated by acetone to improve its purity. After that, the precipitates were solubilized by sodium hydroxide solution containing 2 mol/L urea. Then the solubilized rhG-CSF was passed through a size exclusion chromatography for refolding and extensive purification, and further purified by a weak anion exchange chromatography. The purity and mass recovery of refolded rhG-CSF were 96.5% and 75.6%, respectively. The bioactivity was 8.4x10^7 IU/mg. 展开更多
关键词 recombinant human granulocyte colony-stimulating factor alkaline solution solubilization of inclusion bodies protein refolding.
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Preclinical evaluation of herpes simplex virus armed with granulocyte-macrophage colony-stimulating factor in pancreatic carcinoma 被引量:4
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作者 Hao Liu Shou-Jun Yuan +5 位作者 Ying-Tai Chen Yi-Bin Xie Liang Cui Wei-Zhi Yang De-Xuan Yang Yan-Tao Tian 《World Journal of Gastroenterology》 SCIE CAS 2013年第31期5138-5143,共6页
AIM: To investigate the therapeutic efficacy and mechanisms of action of oncolytic-herpes-simplex-virus encoding granulocyte-macrophage colony-stimulating factor(HSVGM-CSF) in pancreatic carcinoma.METHODS: Tumor block... AIM: To investigate the therapeutic efficacy and mechanisms of action of oncolytic-herpes-simplex-virus encoding granulocyte-macrophage colony-stimulating factor(HSVGM-CSF) in pancreatic carcinoma.METHODS: Tumor blocks were homogenized in a sterile grinder in saline.The homogenate was injected into the right armpit of each mouse.After vaccination,the mice were randomly assigned into four groups: a control group,a high dose HSVGM-CSFgroup [1 × 107plaque forming units(pfu)/tumor],a medium dose HSVGM-CSF group(5 × 106pfu/tumor) and a low dose HSVGM-CSF group(5 × 105pfu/tumor).After initiation of drug administration,body weights and tumor diameters were measured every 3 d.Fifteen days later,after decapitation of the animal by cervical dislocation,each tumor was isolated,weighed and stored in 10% formaldehyde solution.The drug effectiveness was evaluated according to the weight,volume and relative volume change of each tumor.Furthermore,GM-CSF protein levels in serum were assayed by enzyme-linked immunosorbent assays at 1,2,3 and 4 d after injection of HSVGM-CSF.RESULTS: Injection of the recombinant mouse HSV encoding GM-CSF resulted in a significant reduction in tumor growth compared to the control group,and dosedependent effects were observed: the relative tumor proliferation rates of the low dose,medium dose and high dose groups on 15 d after injection were 45.5%,55.2% and 65.5%,respectively.The inhibition rates of the tumor weights of the low,middle,and high dose groups were 41.4%,46.7% and 50.5%,respectively.Furthermore,the production of GM-CSF was significantly increased in the mice infected with HSVGM-CSF.The increase in the GM-CSF level was more pronounced in the high dose group compared to the other two dose groups.CONCLUSION: Our study provides the first evidence that HSVGM-CSFcould inhibit the growth of pancreatic cancer.The enhanced GM-CSF expression might be responsible for the phenomenon. 展开更多
关键词 PANCREATIC CARCINOMA Gene THERAPY ANIMAL test Herpes-simplex-virus ENCODING granulocytemacrophage colony-stimulating factor
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CONSTRUCTION OF EUKARYOTIC EXPRESSION VECTOR WITH GRANULOCYTE-MACROPHAGE COLONY-STIMULATING FACTOR GENE 被引量:4
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作者 郑秋红 郑天荣 +2 位作者 谢云青 卢林 陈晖 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2000年第2期125-127,共3页
Objective: To construct the eukaryotic expression vector that express human granulocyte-macrophage colony-stimulating factor (hGM-CSF) gene for making highly express in mammalian cells. Methods: Extract totally RNA fr... Objective: To construct the eukaryotic expression vector that express human granulocyte-macrophage colony-stimulating factor (hGM-CSF) gene for making highly express in mammalian cells. Methods: Extract totally RNA from the induced human fetal lung (HFL) cell line. HGM-CSF cDNA was obtained by reverse transcription-polymerase chain reaction (RT-PCR), and then directionally subcloned into the HindIII and EcoRI site on the pcDNA3.1 plasmid, which was controlled by the CMV promoter, to form the recombinant expressing vector pcDNA3.1-GM-CSF. Results: The PCR amplification was identified and the sequence was analyzed, the results showed that hGM-CSF was properly inserted into the vector and the sequence was correct. 展开更多
关键词 human granulocyte-macrophage colony-stimulating factor (hGM-CSF) Reverse transcription and polymerse chain reaction (RT-PCR) Eukaryotic expression
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Granulocyte-macrophage colony-stimulating factor-transfected bone marrow stromal cells for the treatment of ischemic stroke 被引量:2
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作者 Xingjian Lin Yingdong Zhang +4 位作者 Weiguo Liu Jingde Dong Jie Lu Qing Di Jingping Shi 《Neural Regeneration Research》 SCIE CAS CSCD 2012年第16期1220-1227,共8页
Adult, male, Sprague-Dawley rats were injected with granulocyte-macrophage colony-stimulating factor-transfected bone marrow stromal cells (GM-CSF-BMSCs) into the ischemic boundary zone at 24 hours after onset of mi... Adult, male, Sprague-Dawley rats were injected with granulocyte-macrophage colony-stimulating factor-transfected bone marrow stromal cells (GM-CSF-BMSCs) into the ischemic boundary zone at 24 hours after onset of middle cerebral artery occlusion. Results showed reduced infarct volume, decreased number of apoptotic cells, improved neurological functions, increased angiogenic factor expression, and increased vascular density in the ischemic boundary zone in rats that underwent GM-CSF-BMSCs transplantation compared with the BMSCs group. Experimental findings suggested that GM-CSF-BMSCs could serve as a potential therapeutic strategy for ischemic stroke and are superior to BMSCs alone. 展开更多
关键词 bone marrow stromal cells granulocyte-macrophage colony-stimulating factor gene transfection ischemic stroke TRANSPLANTATION stem cells neural regeneration
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EFFECTS OF GRANULOCYTE-MACROPHAGE COLONY STIMULATING FACTOR GENE ENCODED VACCINIA VIRUS VECTOR ON MURINE PULMONARY METASTATIC MELANOMA
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作者 鞠佃文 曹雪涛 +4 位作者 万涛 马施华 王宝梅 于益芝 叶天星 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1997年第1期16-20,共5页
A recombinant vaccinia virus expressing murine granulocyte-macrophage colony-stimulating factor (VVGM-CSF) was tested for its antitumor activity.Murine pulmonary metastasis was established by injecting 20×10~5 B1... A recombinant vaccinia virus expressing murine granulocyte-macrophage colony-stimulating factor (VVGM-CSF) was tested for its antitumor activity.Murine pulmonary metastasis was established by injecting 20×10~5 B16F10 melanoma cells into the tail vein of C57BL/6 mice. Three days after B16F10 inoculation,WGM-CSF or VVTK, a thymidine kinase gene deficient control vaccinia virus, were injected intraperitoneally twice weekly for 2 weeks. Two weeks later, the mice were sacrificed and pulmonary metastasis fool counted.The results demonstrated that VVGM-CSF treatment significantly decreased the number of pulmonary metastasis and prolonged the survival time of tumorbearing mice. Cytotoxic and phagocytic activities of the peritoncal macrophages were found to be markedly elevated in mice treated with WGM-CSF. Nitric oxide released from the macrophages was also found to be increased. These data, together with our other results,strongly demonstrated that continuous secretion of GMCSF and activation of macrophages might pal-tially explain the therapeutic effects of VVGM-CSF on murine pulmonary metastasis. 展开更多
关键词 Vaccinia virus Gene therapy Melanoma granulocyte-macrophage colony-stimulating factor
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Pharmacokinetics of recombinant human granulocyte macrophage colony-stimulating factor in Macaca mulata 被引量:7
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作者 王仁刚 朱兴族 宋伟 《中国药理学报》 CSCD 1998年第1期50-53,共4页
目的:研究重组人粒细胞巨噬细胞集落刺激因子(rhGMCSF)在恒河猴体内的药物动力学.方法:用酶连接免疫吸附测定法检测血浆中rhGMCSF的含量.结果:ivrhGMCSF后血药浓度时间曲线符合三房室模型.第1,... 目的:研究重组人粒细胞巨噬细胞集落刺激因子(rhGMCSF)在恒河猴体内的药物动力学.方法:用酶连接免疫吸附测定法检测血浆中rhGMCSF的含量.结果:ivrhGMCSF后血药浓度时间曲线符合三房室模型.第1,2和3相的T12分别为005-007h,014-058h和14-41h.AUC随剂量成比例增加.iv高剂量和低剂量的Cl和K10都相似.scrhGMCSF后血药浓度的峰值为093±016μg·L-1,达峰时间为265±014h,生物利用度为061.结论:恒河猴rhGMCSF药物动力学数据为临床试验提供有用参考. 展开更多
关键词 药物动力学 ELISA RHGM-CSF
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Granulocyte-macrophage colony-stimulating factor and interleukin 4 induce the malignant transformation of the bone marrow- derived human adult mesenchymal stem cells 被引量:5
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作者 ZHOU Xiao-gang YANG Yi +4 位作者 YANG Jin-song ZHOU Jian FANG Tao-lin DAI Wen-da CHEN Zheng-rong 《Chinese Medical Journal》 SCIE CAS CSCD 2011年第5期729-733,共5页
Background The purpose of the study was to examine the effects of granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin 4 (IL-4) on the bone-marrow-derived human adult mesenchymal stem cells (... Background The purpose of the study was to examine the effects of granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin 4 (IL-4) on the bone-marrow-derived human adult mesenchymal stem cells (hMSCs). Methods The hMSCs were isolated and cultured with GM-CSF and IL-4 for a period of one month. A single colony of transformed cells was then isoloated and their phenotype was characterized by morphology, surface marker expression, and in vivo tumorigenesis.Results After one month culture, the transformed mesenchymal cells exhibited the morphology and phenotype similar to those of tumor cells, and also caused multiple fast growing lung deposits when it was injected into immunodeficient mice.Conclusion Cytokines-driven malignant transformation of hMSCs may be a useful model for studying signaling pathways initiating malignant transformation of hMSC. 展开更多
关键词 bone marrow-derived mesenchymal stem cells malignant transformation interleukin 4 granulocyte-macrophage colony-stimulating factor
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A pilot study on the combined therapy of granulocyte-macrophage colony-stimulating factor and hepatitis B vaccine on chronic hepatitis B virus carrier children
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作者 王建设 朱启镕 +1 位作者 张婷 俞蕙 《Chinese Medical Journal》 SCIE CAS CSCD 2002年第12期1824-1828,共5页
Objective To observe the efficacy of treating intrauterine infected chronic hepatitis B virus (HBV) carrier children with a combination of granulocyte macrophage colony stimulating factor (GM CSF) or hepatitis B i... Objective To observe the efficacy of treating intrauterine infected chronic hepatitis B virus (HBV) carrier children with a combination of granulocyte macrophage colony stimulating factor (GM CSF) or hepatitis B immunoglobulin (HBIG) plus recombinant hepatitis B vaccine (rHBvac) Methods A total of 27 chronic HBV infected children, who were born to HBV carrier mothers and received hepatitis B immunoprophylaxis at birth, were randomized into 2 groups: one receiving a combined therapy of 50 μg of GM CSF plus 10 μg of rHBvac injected intramuscularly at the same location (GM CSF group, 14 children) or 200 IU HBIG and 10 μg rHBvac in different muscles (HBIG group, 13 children) on a monthly four dose schedule HBV DNA quantification and other HBV serological markers were tested before and after the four dose therapy Results Twelve children in each group completed the study Of them, 3 children in the GM CSF group and 4 in the HBIG group had elevated serum alanine transaminase (ALT) before the trial, and then 2 in each group became ALT normal after the treatment Before the therapy, hepatitis B e antigen (HBeAg) positivity was found in nine children in the GM CSF group and 10 in the HBIG group One from each group had an HBeAg/anti HBe seroconversion after the treatment The quantity of HBV DNA was significantly lower after the treatment ( P =0 023) in GM CSF group, but was not significantly reduced in HBIG group No subjects were found to be negative for hepatitis B surface antigen (HBsAg) after the treatment, and no serious adverse events occurred in either group Conclusion Combined GM CSF and rHBvac therapy inhibit HBV replication in carrier children who were not protected after treatment with immunoprophylaxis 展开更多
关键词 recombinant hepatitis B vaccine ·granulocyte macrophage colony stimulating factor · chronic hepatitis B
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经纤支镜多次分段肺泡灌洗联合rhGM-CSF治疗原发性肺泡蛋白沉积症2例
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作者 王西华 何灿 《东南大学学报(医学版)》 2025年第1期18-22,共5页
目的:探讨2例肺泡蛋白沉积症(PAP)治疗的效果及安全性。方法:对本科收治的采用经纤支镜多次分段支气管肺泡灌洗(BAL)联合皮下注射重组人粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)等措施治疗的2例PAP患者进行回顾性分析。结果:2例PAP患者... 目的:探讨2例肺泡蛋白沉积症(PAP)治疗的效果及安全性。方法:对本科收治的采用经纤支镜多次分段支气管肺泡灌洗(BAL)联合皮下注射重组人粒细胞-巨噬细胞集落刺激因子(rhGM-CSF)等措施治疗的2例PAP患者进行回顾性分析。结果:2例PAP患者经纤支镜多次分段BAL联合皮下注射rhGM-CSF的治疗效果确切(患者症状消失快,影像学、肺功能、血气分析等检查结果均明显改善)、副作用轻微。结论:经纤支镜多次分段BAL联合rHuGM-CSF治疗PAP安全、方便、可行,近、远期疗效好,是在不具备施行全肺灌洗术条件或患者不适合全肺灌洗术的情况下首选的治疗方法。 展开更多
关键词 肺泡蛋白沉积症 分段支气管肺泡灌洗 重组人粒细胞-巨噬细胞集落刺激因子
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Effects of granulocyte-macrophage colony stimulating factor on the repair of vessel intima damaged by balloon 被引量:1
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作者 ZHANGXing-hua MAXiao-jing ZHAOTong 《Chinese Medical Journal》 SCIE CAS CSCD 2005年第3期220-225,共6页
The dysfunction of vascular endothelial cells plays a key role in startingand facilitating restenosis. The acceleration of intima repair and the recovery of endothelialfunction would reduce the restenosis rate. This s... The dysfunction of vascular endothelial cells plays a key role in startingand facilitating restenosis. The acceleration of intima repair and the recovery of endothelialfunction would reduce the restenosis rate. This study was undertaken to assess the effect ofgranulocyte-macrophage colony stimulating factor ( GM-CSF) on the repair of damaged iliac arteries.Twenty-four male New Zealand white rabbits undergoing primary iliac artery deendothelialization wererandomly divided into two groups ( GM-CSF group and control group) . The GM-CSF group received asubcutaneous injection of GM-CSF (10 μg ? kg^(-1) ? d^(-1) ) , and the control groupwas given a subcutaneous injection of equivalent saline. The iliac arteries of all animals weredamaged by balloon after 7 days. The levels of nitric oxide ( NO) were detected before, 1 week, 2weeks and 4 weeks after angioplasty. The repair and hyperplasia of the intima were observedmicroscopically and the indices of stenosis were evaluated by computerized planimetry after 4 weeksof angioplasty. The NO levels of the GM-CSF group were higher than those of the control group 2weeks and 4 weeks after angioplasty [91.92 +-11.57) μmol/L vs. (81. 67 +- 12. 18) μmol/L; (97. 67+- 10. 13 ) ( μmol/L vs. (83. 16 +-12. 64) μmol/L]. Four weeks after balloon damage,histological examination showed that neointima formation, vascular smooth muscle cells and fibroustissue of the GM-CSF group were less than those of the control group. The endothelium of the GM-CSFgroup was more integrated, and stenosis of lumen was slighter than that of the control group.Morphometry showed the lumen area of the GM-CSF group was larger than that of the control group[(1.27 +-0. 31) mm^2 vs. (0. 92 +- 0. 24) mm^2 ] , the neointimal area and percent of intimahyperplasia were significantly smaller than those of the control group [ (0. 85 +-0. 34) mm vs. (1.18 +-0. 38) mm^2; (40 +- 7)% vs. (55 +- 6)%]. GM-CSF could facilitate the repair of the intima,reduce neointima formation, better the function of the endothelium, and decrease the rate ofrestenosis. 展开更多
关键词 granulocyte-macrophage colony stimulating factor ANGIOPLASTY HYPERPLASIA
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升白康复口服液联合PEG-rhG-CSF治疗乳腺癌化疗相关粒细胞减少临床效果
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作者 田喆 王智勇 《北华大学学报(自然科学版)》 CAS 2025年第1期72-75,共4页
目的 分析联合使用升白康复口服液和聚乙二醇化重组人粒细胞集落刺激因子(PEG-rhG-CSF)治疗乳腺癌化疗相关粒细胞减少临床效果。方法 选取首次化疗后出现Ⅲ~Ⅳ度骨髓抑制的乳腺癌患者100例为研究对象,以随机信封法分组,再次化疗结束后使... 目的 分析联合使用升白康复口服液和聚乙二醇化重组人粒细胞集落刺激因子(PEG-rhG-CSF)治疗乳腺癌化疗相关粒细胞减少临床效果。方法 选取首次化疗后出现Ⅲ~Ⅳ度骨髓抑制的乳腺癌患者100例为研究对象,以随机信封法分组,再次化疗结束后使用PEG-rhG-CSF治疗的患者为对照组(50例),在此基础上联合使用升白康复口服液治疗的患者为试验组(50例),治疗14 d,对比两组患者化疗前后白细胞(WBC)和中性粒细胞(ANC)水平变化情况、ANC分级及不良反应。结果 化疗后,两组患者WBC及ANC水平比化疗前均明显下降,试验组两项指标水平均高于对照组(P<0.01);化疗后,试验组ANC等级中Ⅰ度、Ⅱ度占比均高于对照组(P<0.01),Ⅲ度、Ⅳ级占比均低于对照组(P<0.01);试验组不良反应发生率低于对照组(P<0.05)。结论 联合使用升白康复口服液和PEG-rhG-CSF可减轻乳腺癌化疗相关粒细胞减少症,减轻不良反应。 展开更多
关键词 升白康复口服液 聚乙二醇化重组人粒细胞集落刺激因子 乳腺癌 化疗相关粒细胞减少
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肺泡灌洗液外观不典型肺泡蛋白沉积症1例报告并文献复习
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作者 剧素贞 王祥 +2 位作者 赵开顺 余艳芳 屠春林 《复旦学报(医学版)》 北大核心 2025年第1期147-152,共6页
肺泡蛋白沉积症(pulmonary alveolar proteinosis,PAP)是一种罕见的肺部进行性呼吸功能障碍性疾病,起病隐匿,临床表现缺乏特异性,常被误诊误治。现报道1例嘉定区中心医院收治的肺泡灌洗液外观不典型的PAP患者,经皮下注射重组人粒细胞-... 肺泡蛋白沉积症(pulmonary alveolar proteinosis,PAP)是一种罕见的肺部进行性呼吸功能障碍性疾病,起病隐匿,临床表现缺乏特异性,常被误诊误治。现报道1例嘉定区中心医院收治的肺泡灌洗液外观不典型的PAP患者,经皮下注射重组人粒细胞-巨噬细胞集落刺激因子(granulocyte macrophage-colony stimulating factor,GMCSF)治疗后病情明显好转,并结合相关文献以加分析讨论,以加深对这种疾病及其疗法的认识。 展开更多
关键词 肺泡蛋白沉积症(PAP) 粒细胞-巨细胞集落刺激因子(GM-CSF) 肺泡灌洗液
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聚乙二醇化重组人粒细胞刺激因子对老年宫颈癌同步放化疗患者WBC、NEU水平的影响
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作者 郭嘉 龚拓拓 张莹冰 《临床和实验医学杂志》 2025年第3期307-311,共5页
目的观察针对老年宫颈癌同步放化疗患者以聚乙二醇化重组人粒细胞刺激因子(PEG-rhG-CSF)干预后对白细胞(WBC)、中性粒细胞(NEU)水平的影响。方法回顾性纳入2021年5月至2024年5月西安交通大学第一附属医院收治的老年宫颈癌患者78例作为... 目的观察针对老年宫颈癌同步放化疗患者以聚乙二醇化重组人粒细胞刺激因子(PEG-rhG-CSF)干预后对白细胞(WBC)、中性粒细胞(NEU)水平的影响。方法回顾性纳入2021年5月至2024年5月西安交通大学第一附属医院收治的老年宫颈癌患者78例作为研究对象。按照治疗方法不同将其分为研究组40例和对照组38例。所有患者均接受同步放化疗,研究组给予PEG-rhG-CSF治疗(6 mg/周期),对照组接受rhG-CSF治疗。观察治疗期间第1周期化疗前24 h(A_(0))、第1周期化疗后24~48 h(A_(1))、第1周期化疗后7 d(A_(2))及第2周期化疗前24 h(B_(0))、第2周期化疗后24~48 h(B_(1))、第2周期化疗后7 d(B_(2))的WBC计数、NEU计数、辅助T细胞(Th)1/Th2比例变化及NEU减少症和药物不良反应发生情况。结果两组WBC计数在化疗后时间、组间上差异均有统计学意义(P<0.05);研究组在A_(2)、B_(2)时间点的WBC计数分别为(8.08±2.54)×10^(9)/L、(7.42±1.67)×10^(9)/L,均明显高于对照组[(7.12±2.16)×10^(9)/L、(6.52±1.50)×10^(9)/L],差异均有统计学意义(P<0.05)。两组NEU计数在化疗后时间、组间、交互上差异均有统计学意义(P<0.05);研究组在A_(2)、B_(2)时间点的NEU计数分别为(7.58±2.14)×10^(9)/L、(5.98±1.52)×10^(9)/L,均明显高于对照组[(6.15±1.76)×10^(9)/L、(5.12±1.36)×10^(9)/L],差异均有统计学意义(P<0.05)。研究组NEU减少症的分级程度明显优于对照组,差异有统计学意义(P<0.05)。两组Th1/Th2比例在化疗后不同时间、组间上差异均有统计学意义(P<0.05);研究组在A_(2)、B_(2)时间点的Th1/Th2比例分别为2.12±0.59、2.19±0.55,均明显高于对照组的(1.80±0.52、1.86±0.47),差异均有统计学意义(P<0.05)。两组药物总不良反应发生率比较,差异无统计学意义(P>0.05)。结论相比于rhG-CSF,老年宫颈癌同步放化疗患者给予PEG-rhG-CSF干预可在一定程度上减少WBC、NEU降低风险,且有助于促进Th1/Th2免疫平衡。 展开更多
关键词 宫颈肿瘤 老年人 同步放化疗 聚乙二醇化重组人粒细胞刺激因子 白细胞 中性粒细胞
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Regulatory effects of lipopolysaccharide in murine macrophage proliferation 被引量:4
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《World Journal of Gastroenterology》 SCIE CAS CSCD 1998年第2期45-47,共3页
AIMS To study the regulatory effects of bacterial lipopolysaccharide (LPS) in murine macrophage proliferation . METHODS Using murine peritoneal exudate macrophage (PEM) and macrophage cell line J 774 A.1 as ... AIMS To study the regulatory effects of bacterial lipopolysaccharide (LPS) in murine macrophage proliferation . METHODS Using murine peritoneal exudate macrophage (PEM) and macrophage cell line J 774 A.1 as targets, LPS effects on M CSF and granulocyte macrophage colony stimulating factor (GM CSF) stimulated macrophage colony forming cells (CFU M) were detected. 125 I GM CSF receptor binding assay was used to examine LPS regulation on GM CSF receptor expression. RT PCR was employed to test TGF β 1 inhibition on IFN γ mRNA expression on macrophage induced by LPS. RESULTS Without direct effect on macrophage proliferation, LPS could inhibit the macrophage proliferation stimulated by GM CSF. However, with the concomitant existence of GM CSF and TGF β 1, the LPS inhibitory effect was eliminated. RT PCR analysis indicated that the strongest macrophage growth inhibitory factor IFN γ mRNA expression in macrophage induced by LPS was remarkably suppressed by TGF β 1, 125 I GM CSF receptor binding assay showed that LPS could enhance GM CSF receptor expression likewise as TGF β 1 . CONCLUSIONS LPS is involved in the network of macrophage proliferative regulation by multiple cytokines, displaying inhibitory and stimulatory effects based on the coexisting cytokines. 展开更多
关键词 ipopolysaccharide macrophage granulocyte macrophage colony stimulating factor transforming growth factor beta INTERFERON γ POLYMERASE chain reaction cytokines RNA messenger
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Granulocyte Colony-stimulating Factor-primed Bone Marrow: An Excellent Stem-cell Source for Transplantation in Acute Myelocytic Leukemia and Chronic Myelocytic Leukemia 被引量:1
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作者 Yuhang Li Min Jiang +8 位作者 Chen Xu Jianlin Chen Botao Li Jun Wang Jiangwei Hu Hongmei Ning Hu Chen Shuiping Chen Liangding Hu 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第1期20-24,共5页
Background:Steady-state bone marrow (SS-BM) and granulocyte colony-stimulating growth factor-primed BM/peripheral blood stem-cell (G-BM/G-PBSC) are the main stem-cell sources used in allogeneic hematopoietic stem... Background:Steady-state bone marrow (SS-BM) and granulocyte colony-stimulating growth factor-primed BM/peripheral blood stem-cell (G-BM/G-PBSC) are the main stem-cell sources used in allogeneic hematopoietic stem-cell transplantation.Here,we evaluated the treatment effects of SS-BM and G-BM/G-PBSC in human leucocyte antigen (HLA)-identical sibling transplantation.Methods:A total of 226 patients (acute myelogenous leukemia-complete remission 1,chronic myelogenous leukemia-chronic phase 1) received SS-BM,G-BM,or G-PBSC from an HLA-identical sibling.Clinical outcomes (graft-versus-host disease [GVHD],overall survival,transplant-related mortality [TRM],and leukemia-free survival [LFS]) were analyzed.Results:When compared to SS-BM,G-BM gave faster recovery time to neutrophil or platelet (P 〈 0.05).Incidence of grade Ⅲ-Ⅳ acute GVHD and extensive chronic GVHD (cGVHD) was lower than seen with SS-BM (P 〈 0.05) and similar to G-PBSC.Although the incidence of cGVHD in the G-BM group was similar to SS-BM,both were lower than G-PBSC (P 〈 0.05).G-BM and G-PBSC exhibited similar survival,LFS,and TRM,but were significantly different from SS-BM (P 〈 0.05).There were no significant differences in leukemia relapse rates among the groups (P 〉 0.05).Conclusions:G-CSF-primed bone marrow shared the advantages of G-PBSC and SS-BM.We conclude that G-BM is an excellent stem-cell source that may be preferable to G-PBSC or SS-BM in patients receiving HLA-identical sibling hematopoietic stem-cell transplantation. 展开更多
关键词 Bone Marrow granulocyte colony-stimulating Growth factor human Leucocyte Antigen-identical Sibling Hematopoietic Stem-cell Transplantation Peripheral Blood Stem-cells
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CONSTRUCTION AND EXPRESSION OF THE REPLICATION-DEFI-CIENT ADENONIRUS VECTOR OF HUMAN GM-CSF
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作者 章卫平 曹雪涛 陶群 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 1997年第4期72-76,共5页
The full-length cDNA encoding human Granulocyte macrophage colony stimulating factor (GM CSF) was cloned by RT PCR, placed under the control of CMV promoter, and inserted into adenovirus vector of E1 substitution... The full-length cDNA encoding human Granulocyte macrophage colony stimulating factor (GM CSF) was cloned by RT PCR, placed under the control of CMV promoter, and inserted into adenovirus vector of E1 substitution type, pAx1cw. Subsequently, the cassette cosmid was cotransfected into 293 cells together with EcoT22I digested Ad5 TPC, and the replication deficient recombinant adenoviruses(Ad) of human GM CSF were generated efficiently by homologous recombination, with the titers of 1.51×10 9pfu/ml. 48 hours after infection with prepared human GM CSF recombinant adenoviruses in vitro, HeLa cells and primary human skin fibroblasts expressed high levels of human GM CSF (80~400ng/ 10 6cells/24hr). These suggest that the recombinant Ad of human GM CSF prepared by COS/TPC method is effective in mediating GM CSF gene transfer and might be used in cancer gene therapy. 展开更多
关键词 granulocyte macrophage colony stimulating factor Adenovirus vector Gene transfer Gene expression
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聚乙二醇化重组人粒细胞刺激因子预防急性淋巴细胞白血病患儿化疗后中性粒细胞减少的临床疗效观察
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作者 尹凤 邱云 +2 位作者 李龙燕 谢帅 胡红梅 《临床和实验医学杂志》 2024年第4期366-369,共4页
目的探讨聚乙二醇化重组人粒细胞刺激因子(PEG-rhG-CSF)预防急性淋巴细胞白血病(ALL)患儿化疗后中性粒细胞减少的临床疗效。方法回顾性分析2020年7月至2023年7月在绵阳市中心医院就诊的60例急性ALL患儿的临床资料。根据治疗方法不同将... 目的探讨聚乙二醇化重组人粒细胞刺激因子(PEG-rhG-CSF)预防急性淋巴细胞白血病(ALL)患儿化疗后中性粒细胞减少的临床疗效。方法回顾性分析2020年7月至2023年7月在绵阳市中心医院就诊的60例急性ALL患儿的临床资料。根据治疗方法不同将患儿分为观察组和对照组,各30例。对照组采用重组人粒细胞刺激因子(rhG-CSF)进行干预,观察组采用PEG-rhG-CSF进行干预。比较两组患儿化疗前及化疗3周后绝对中性粒细胞计数(ANC)和白细胞计数(WBC)水平,化疗后3周的中性粒细胞减少的开始时间、持续时间和结束时间,比较两组患儿化疗3周后在白细胞降低发生率、中性粒细胞减少症(FN)发生率及不良反应发生率。结果化疗3周后,两组患者的ANC、WBC水平均较化疗前升高,且观察组患儿的ANC、WBC水平分别为(6.77±4.22)×10^(9)/L、(9.17±3.36)×10^(9)/L,均明显高于对照组[(6.34±2.34)×10^(9)/L、(8.91±3.56)×10^(9)/L],差异均有统计学意义(P<0.05)。两组患儿中性粒细胞减少的开始时间比较,差异无统计学意义(P>0.05);观察组患儿中性粒细胞减少的持续时间和结束时间分别为(8.99±3.31)、(4.79±1.18)d,均明显短于对照组[(15.56±4.91)、(6.97±3.32)d],差异均有统计学意义(P<0.05)。观察组患儿白细胞降低率、FN实际发生率、再住院率和抗生素使用率分别为30.00%、10.00%、3.33%、3.33%,均明显低于对照组(56.67%、40.00%、43.33%、36.67%),差异均有统计学意义(P<0.05)。观察组患儿的ANC减少、感染、骨骼肌肉酸痛、腹泻、恶心呕吐发生率分别为16.67%、6.67%、3.33%、6.67%、10.00%,均明显低于对照组(43.33%、30.00%、16.67%、26.67%、36.67%),差异均有统计学意义(P<0.05)。结论PEG-rhG-CSF能明显缩短急性ALL患儿化疗后中性粒细胞减少的持续时间和结束时间,且不良反应发生率低,在预防急性ALL患儿化疗后中性粒细胞减少方面疗效显著,安全性较高。 展开更多
关键词 儿童 急性淋巴细胞白血病 中性粒细胞减少 聚乙二醇化重组人粒细胞刺激因子
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