Document Detail


Differentiation induction therapy of myelodysplastic syndromes.
MedLine Citation:
PMID:  2668648     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Myelodysplastic syndromes are a heterogenous group of haemopoietic stem cell disorders characterized by dysplastic haematopoiesis and a defective maturation of a slowly expanding or sometimes of a stable population of haemopoietic progenitors. Defective maturation, which may involve one or more of the marrow cell lineages is regarded as the central pathophysiological feature of myelodysplastic syndromes. Patients with myelodysplastic syndromes respond poorly to conventional cytotoxic chemotherapy, frequently developing a prolonged marrow aplasia. The alternative and more appropriate form of therapy is differentiation induction therapy. The results of few preliminary clinical studies in myelodysplastic patients showed that a combination of differentiating agents is superior to single agent differentiation therapy. An extensive pre-clinical screening of the response of fresh cells from myelodysplastic patients in primary culture is needed to establish the optimal doses and conditions for significant synergies between various differentiating agents followed by large controlled randomized clinical trials based on differentiation induction therapy for patients with myelodysplastic syndromes.
Authors:
H T Hassan; J Rees
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Leukemia research     Volume:  13     ISSN:  0145-2126     ISO Abbreviation:  Leuk. Res.     Publication Date:  1989  
Date Detail:
Created Date:  1989-09-19     Completed Date:  1989-09-19     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7706787     Medline TA:  Leuk Res     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  633-7     Citation Subset:  IM    
Affiliation:
Department of Haematological Medicine, University of Cambridge Clinical School, England, U.K.
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MeSH Terms
Descriptor/Qualifier:
Cell Differentiation / drug effects*
Humans
Myelodysplastic Syndromes / drug therapy,  pathology*
Neoplastic Stem Cells / pathology*

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