临床肿瘤学杂志

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干扰素在胆系肿瘤治疗中的作用及其研究进展

方 祯1,华海清2   

  1. 1 210046 南京 南京中医药大学第一临床医学院2 210002 解放军八一医院全军肿瘤中心肿瘤内科
  • 收稿日期:2013-12-10 修回日期:2013-01-15 出版日期:2014-02-28 发布日期:2014-02-28
  • 通讯作者: 华海清

Progression of interferon for biliary tract cancer

FANG Zhen,HUA Haiqing.   

  1. The First Medical College,Nanjing University of Chinese Medicine,Nanjing 210046,China
  • Received:2013-12-10 Revised:2013-01-15 Online:2014-02-28 Published:2014-02-28
  • Contact: HUA Haiqing

摘要: 干扰素是一种具有广泛生物活性的细胞因子,具有多方面的抗肿瘤作用。干扰素家族包括Ⅰ、Ⅱ、Ⅲ 3种类型。研究表明,Ⅰ型干扰素尤其是INF-α2b联合单药氟尿嘧啶(5-FU)或以其为基础的化疗方案对胆系肿瘤有效, 联合HELF方案(羟基喜树碱+足叶乙甙+亚叶酸钙+5-FU)对晚期胆囊癌疗效较好;Ⅱ型干扰素除有较好的免疫调节作用外,可有效抑制胆系肿瘤细胞生长和促进细胞凋亡,在与钙调素(CaM)拮抗剂、米非司酮及中药等联合运用时可增效;Ⅲ型干扰素目前仅用于病毒性疾病的治疗,但基础研究证实其抗肿瘤作用明确,值得进一步研究。本文就干扰素在胆系肿瘤治疗中的作用及其研究进展作一综述。

Abstract: Interferon is a kind of cytokines with broad biological activity, it has a wide range of antitumor effect. Interferon family includes three types, type Ⅰ, type Ⅱ and type Ⅲ. Studies have shown that type Ⅰ interferon especially INF-α2b which combined with 5-FUbased chemotherapy can play a certain role in biliary tract cancer,and INF-α combined with HELF chemotherapy regimen is a nice regimen for advcanced gallbladder carcinoma.In addition to better immunomodulatory effects, type Ⅱ interferon can inhibit biliary tumor cell and promote apoptosis.When type Ⅱ interferon combined with CaMantagonist or Mifeptistone or Chinese medicine can be synergistic. Type Ⅲ interferons currently uses only for the treatment of viral diseases, but basic researches clearly demonstrate its antitumor effect, it is worth further study. This article reveiws the progression of intereron in treating biliary tract cancer.

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