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Beham-Schmid, C; Apfelbeck, U; Sill, H; Tsybrovsky, O; Höfler, G; Haas, OA; Linkesch, W.
Treatment of chronic myelogenous leukemia with the tyrosine kinase inhibitor STI571 results in marked regression of bone marrow fibrosis.
Blood. 2002; 99(1):381-383 Doi: 10.1182/blood.V99.1.381 [OPEN ACCESS]
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Leading authors Med Uni Graz
Beham-Schmid Christine
Co-authors Med Uni Graz
Apfelbeck Ute
Höfler Gerald
Linkesch Werner
Sill Heinz
Tsybrovskyy Oleksiy
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Abstract:
Morphologic bone marrow changes in patients with BCR-ABL-positive chronic myelogenous leukemia (CML) were investigated during treatment with the tyrosine kinase inhibitor STI571. Bone marrow trephine biopsy specimens from 23 pretreated patients with CML were examined morphologically and by morphometry before and 6 weeks and 3 months after the initiation of STI571 therapy (Glivec, Novartis, Basel, Switzerland). Bone marrow changes during treatment showed a quantitative normalization of erythropoiesis, a marked reduction of granulopoiesis, and a significant decrease in megakaryocytes with the reappearance of normal-sized forms. Furthermore, a significant regression of bone marrow fibrosis was observed in patients with initial fibrosis (P <.000,000,001). These results may expand the profile of STI571 and may offer novel therapeutic possibilities in diseases with bone marrow fibrosis.
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Adult -
Aged -
Aged, 80 and over -
Antineoplastic Agents - therapeutic use
Biopsy - therapeutic use
Bone Marrow - pathology
Enzyme Inhibitors - therapeutic use
Erythropoiesis - therapeutic use
Female - therapeutic use
Granulocytes - pathology
Hematopoiesis - pathology
Humans - pathology
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - drug therapy
Male - drug therapy
Megakaryocytes - pathology
Middle Aged - pathology
Myelofibrosis - drug therapy
Piperazines - therapeutic use
Protein-Tyrosine Kinases - antagonists and inhibitors
Pyrimidines - therapeutic use
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