Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2003-6-13
pubmed:abstractText
We examined the efficacy of cyclosporin A (CsA) in 50 patients with myelodysplastic syndrome (MDS) consisting from 47 of RA, 1 of RARS, and 2 of RAEB. These patients showed various marrow cell types including hypo-, normo-, and hypercellularity. Patients belonged to the following International Prognostic Scoring System (IPSS) risk groups: 4 of low, 41 of intermediate-1, and 5 of intermediate-2. The median CsA dose was 4.58mg/kg, and treatment responses were classified according to the International Working Group (IWG) criteria. Hematological improvement (HI) was observed in 30 (60%) patients, and all of them were belonged to RA. In the patients with RARS or RAEB, no efficacy was observed. Four (8%) of the responders achieved partial remission (PR) with granulocytes > or = 1500microl(-1), Hb>11g/dl and platelets > or = 100,000microl(-1). Higher response rate (53%) was shown in erythroid lineage (HI-E) compared to platelet (HI-P, 36%) or neutrophil lineage (HI-N, 35%). When we analyzed the correlation between the response to CsA therapy and the karyotype or HLA type, there were significantly more responders with good karyotype or DRB1*1501 than with intermediate/poor karyotypes or with other HLA types. These results indicate the usefulness of CsA therapy for MDS patients with any marrow cellularity, especially for erythroid lineage and patients with good karyotype or DRB1*1501.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
0145-2126
pubmed:author
pubmed:issnType
Print
pubmed:volume
27
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
783-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:12804635-Adolescent, pubmed-meshheading:12804635-Adult, pubmed-meshheading:12804635-Aged, pubmed-meshheading:12804635-Anemia, Refractory, pubmed-meshheading:12804635-Anemia, Refractory, with Excess of Blasts, pubmed-meshheading:12804635-Blood Platelets, pubmed-meshheading:12804635-Bone Marrow, pubmed-meshheading:12804635-Cell Lineage, pubmed-meshheading:12804635-Cyclosporine, pubmed-meshheading:12804635-Drug Evaluation, pubmed-meshheading:12804635-Erythrocytes, pubmed-meshheading:12804635-Female, pubmed-meshheading:12804635-Humans, pubmed-meshheading:12804635-Immunosuppressive Agents, pubmed-meshheading:12804635-Japan, pubmed-meshheading:12804635-Karyotyping, pubmed-meshheading:12804635-Male, pubmed-meshheading:12804635-Middle Aged, pubmed-meshheading:12804635-Myelodysplastic Syndromes, pubmed-meshheading:12804635-Neutrophils, pubmed-meshheading:12804635-Pilot Projects, pubmed-meshheading:12804635-Treatment Outcome
pubmed:year
2003
pubmed:articleTitle
Cyclosporin A therapy for patients with myelodysplastic syndrome: multicenter pilot studies in Japan.
pubmed:affiliation
First Department of Internal Medicine, Tokyo Medical University, 6-7-1, Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan. shimamtt@tokyo-med.ac.jp
pubmed:publicationType
Journal Article, Clinical Trial, Research Support, Non-U.S. Gov't, Multicenter Study