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用重组人γ-干扰素(IFN)和肿瘤坏死因子(TNF)体外净化骨髓中残存的白血病细胞时,1000U/mlIFN或100U/mlTNF单独应用时仅能清除大约80%左右,而二者联用时则能起到协同抗白血病的效应,可清除90%以上残存的白血病细胞,但对CFU-GM的形成却没有协同抑制作用,抑制率仅为54%。在高热体外净化研究中,单独加热到41℃作用2h,清除率达90%,若同时加入1000U/ml的IFN,可大大增强高热的净化效果,清除率可达98%以上,且减轻了高热对CFU-GM的抑制作用,CFU-GM的抑制率下降为24.5%,与单纯高热净化时的32.8%相比,P<0.05。因此可以利用提高温度的办法来进一步达到体外净化的目的
In vitro purification of residual leukemia cells in the bone marrow using recombinant human interferon-gamma (IFN) and tumor necrosis factor (TNF), only approximately 80% of 1000 U/ml IFN or 100 U/ml TNF can be eliminated when used alone, and when they are used together The synergistic anti-leukemia effect can eliminate more than 90% of the remaining leukemia cells, but there is no synergistic inhibition effect on the formation of CFU-GM, inhibition rate is only 54%. In the high-calorie in-vitro purification study, heating alone to 41°C for 2 hours resulted in a clearance rate of 90%. If 1000U/ml IFN is added at the same time, the high-temperature purification effect can be greatly enhanced, the clearance rate can reach over 98%, and the high fever can be reduced. For the inhibitory effect of CFU-GM, the inhibitory rate of CFU-GM decreased to 24.5%, compared with 32.8% for pure hyperthermia, P<0.05. Therefore, the method of raising the temperature can be used to further achieve the purpose of in vitro purification.