TREATMENT OF NEUROTOXIC SIDE-EFFECTS OF INTERFERON-ALPHA WITH NALTREXONE

被引：80

作者：

VALENTINE, AD ^{[1
]}

MEYERS, CA ^{[1
]}

TALPAZ, M ^{[1
]}

机构：

[1] UNIV TEXAS,MD ANDERSON CANCER CTR,DEPT CLIN INVEST,HOUSTON,TX 77030

来源：

CANCER INVESTIGATION | 1995年 / 13卷 / 06期

关键词：

D O I：

10.3109/07357909509024923

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Interferon-alpha (IFN-alpha) has potential dose-limiting neurotoxic side effects when used in cancer therapy. The nature of this neurotoxicity is speculative, and there is no definitive treatment. Because animal studies suggest that IFN-alpha acts at opioid receptor sites, we save naltrexone, a long-acting opioid antagonist, to 9 patients who had hematological malignancies and who suffered from IFN-alpha side effects. Seven of these patients experienced complete or moderate relief of side effects. Five of the patients rested before and during naltrexone treatment showed improvement of cognitive functioning. Two patients could not tolerate naltrexone side effects. This study suggests an intervention against IFN-alpha side effects and provides support for the role of opioid receptor interaction in IFN-alpha neurotoxicity.

引用

页码：561 / 566

页数：6

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