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基因疗法,治好“不可治愈”癌症

2015-11-18 徐颖 译 环球科学

近日,英国研究者采用一种基因疗法,成功治愈了一个患有耐药性白血病的一岁女孩,成为免疫细胞疗法治愈“不可治愈”的癌症的全球首个案例。   该患儿名为Layla Richards,在位于伦敦中心的大奥蒙德街医院(Great Ormond Street Hospital)接受治疗,该医院在治疗白血病和其他癌症方面有领先优势。经过几个月的隔离治疗以后,Layla已经摆脱癌症,在家里恢复得不错。医

近日,英国研究者采用一种基因疗法,成功治愈了一个患有耐药性白血病的一岁女孩,成为免疫细胞疗法治愈“不可治愈”的癌症的全球首个案例。
  

 
该患儿名为Layla Richards,在位于伦敦中心的大奥蒙德街医院(Great Ormond Street Hospital)接受治疗,该医院在治疗白血病和其他癌症方面有领先优势。经过几个月的隔离治疗以后,Layla已经摆脱癌症,在家里恢复得不错。医生认为她的治疗结果是“简直就是一个奇迹”,专家也表示这代表人类在治疗白血病方面向前迈进了一大步。
 
Layla被诊断出癌症时只有14周。就在断奶不久之后,她出现了心跳加快的症状。血液检测证实Layla患有急性淋巴细胞白血病中较有侵略性的一种,这是儿童白血病最常见的形式。
 
医生对她进行了数轮化疗,随后又进行了骨髓移植治疗,企图帮助她摆脱癌症,但七周之后,家人被告知Layla体内的癌细胞又回来了。
 
医生告诉Layla的父母,已经没有任何方法可以挽救Layla了,并且建议临终关怀。但是Layla的母亲Lisa Foley表示不想放弃,要求医生尝试一切方法,即使是从没有在人身上试验过的方法。随后,医院专家告诉这家人,他们正在开发一项新的试验性疗法。
 
科学家们使用一种新的基因编辑技术来操控免疫细胞对抗白血病,使用“分子剪刀”来编辑基因,产生设计好程序的免疫细胞去捕捉和杀死抗药的白血病。这种治疗方法以前只在实验室小鼠身上试验过,为此,医学伦理委员会专门召开了紧急会议,批准了这种新疗法在Layla身上的使用。
 
Layla的父亲名叫Ashleigh Richards,是一名30岁的司机,他说:“这项治疗从未用于人类,这听起来太恐怖了。但尽管有风险,我们还是想尝试这种治疗。她病得那么痛苦,我们必须要做点什么。”
 
Layla被注入一小瓶1ml Ucart19的基因改造细胞。和医生预期一样,她得了皮疹,但除此之外似乎都很好。几周之后,Layla的父亲打电话通知她的母亲,说会诊医生已经得到了治疗结果。
 
“我原以为会是个坏消息,”Layla的母亲说,“但是随后他说,基因编辑的细胞起效果了,我们都喜极而泣。”
 
Richards先生说:“尽管现在她很好,但是我们不知道未来会怎样。目前她仍然需要每月检查骨髓细胞,她的余生可能都需要药物维持。”Foley女士说:“我们很幸运,在正确的时间正确的地点得到了这小瓶细胞。期待Layla可以保持健康,也希望这种新型的治疗手段可以帮助更多的孩子。”
 
Layla的主治医生,Gosh医院骨髓移植主任Paul Veys教授说:“这是我们第一次在人身上使用这种治疗手段,我们不知道它是否会起效、何时起效,当知道它起效果的时候我们都乐疯了。要知道,她的白血病实在非常严重,能有这种治疗效果简直就是一个奇迹。”
 
伦敦大学学院儿童健康研究所细胞和基因治疗学教授,大奥蒙德街医院免疫学顾问Waseem Qasim说:“我们只在一个非常坚强的小姑娘身上使用了这种治疗手段,对于这是否适合所有孩子,还必须保持谨慎态度。但是,这是新基因工程技术的一个里程碑,这个小姑娘身上的治疗效果是令人惊讶的。如果可以复制,它就代表着我们在白血病和其他癌症治疗方面向前迈进了一大步。”

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    2017-08-04 随梦飞扬

    使用“分子剪刀”来编辑基因,产生设计好程序的免疫细胞去捕捉和杀死抗药的白血病。

    0

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    2017-07-10 李东泽

    很好,不错,以后会多学习

    0

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    2016-11-18 HuangHY

    基因疗法是一项非常有潜力的治疗方法。华西医院的CRISPR基因编辑细胞治疗转移性非小细胞肺癌,也是巨大进步!

    0

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    2016-10-29 童小孩

    基因疗法

    0

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    2016-07-19 doctorJiangchao

    未来的方向

    0

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    2016-07-19 doctorJiangchao

    基因组学的发展总体是好的

    0

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    2016-07-19 doctorJiangchao

    造福了人类

    0

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    2015-11-18 vpssa

    当走投无路时,有时也需要有撞墙的勇气。

    0

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