Poor prognosis osteosarcoma: new therapeutic approach

被引:33
作者
Fagioli, F.
Biasin, E.
Mereuta, O. M.
Muraro, M.
Luksch, R. [1 ]
Ferrari, S. [2 ]
Aglietta, M. [3 ]
Madon, E.
机构
[1] Ist Nazl Studio & Cura Tumori, Dept Pediat Oncol, I-20133 Milan, Italy
[2] Univ Bologna, Ist Ortoped Rizzoli, Div Chemotherapy, Bologna, Italy
[3] Univ Turin, IRCC, Turin, Italy
关键词
high-grade osteosarcoma; high-dose chemotherapy; immunotherapy; cytotoxic lymphocytes;
D O I
10.1038/bmt.2008.71
中图分类号
Q6 [生物物理学];
学科分类号
071011 ;
摘要
Over the past 30 years, a significant improvement in the prognosis of localized osteosarcoma of the extremities has been observed. Despite these results, approximately 30-40% of patients will relapse, mostly within the first 3 years from diagnosis. The prognosis of patients with recurrent disease or metastases at diagnosis is poor. To improve the survival in this patient population, several attempts have been made. An increased dose intensity of chemotherapy induces short lasting remission but does not increase the survival. In the era of targeted therapy, few drugs have been tested with dismal results. The use of biological agents endowed with immunomodulant activity (that is IL-2) or reduced-intensity allogeneic hemopoietic SCT has produced intriguing results that need further confirmation. In this context, an ongoing study explores the antitumor activity of specific T-cytotoxic lymphocytes.
引用
收藏
页码:S131 / S134
页数:4
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