CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Straight to the Point-The Novel Strategies to Cure Pediatric AML.
Straight to the Point-The Novel Strategies to Cure Pediatric AML.
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过去几十年来,得益于支持治疗改善、危险因素认识加深以及化疗强化,儿童急性髓系白血病(AML)治疗结局有所改善;但该病仍危及生命,总生存率约为70%。根据法美英(FAB)分类,AML分为M0至M7共8个亚型,各亚型的发病机制和治疗应答不同。AML治愈率的提高归因于标准化疗强化、风险分层更精准、支持治疗进步,以及利用微小残留病监测治疗应答。儿童AML治疗仍主要依靠强化常规化疗。因此,必须发现更精准的新分子靶点,以针对各白血病亚型的特定异常。本文综述儿童AML治疗中具有潜力的靶向异常。
Although the outcome has improved over the past decades, due to improved supportive care, a better understanding of risk factors, and intensified chemotherapy, pediatric acute myeloid leukemia remains a life-threatening disease, and overall survival (OS) remains near 70%. According to French-American-British (FAB) classification, AML is divided into eight subtypes (M0-M7), and each is characterized by a different pathogenesis and response to treatment.
However, the curability of AML is due to the intensification of standard chemotherapy, more precise risk classification, improvements in supportive care, and the use of minimal residual disease to monitor response to therapy. The treatment of childhood AML continues to be based primarily on intensive, conventional chemotherapy.
Therefore, it is essential to identify new, more precise molecules that are targeted to the specific abnormalities of each leukemia subtype.
Here, we review abnormalities that are potential therapeutic targets for the treatment of AML in the pediatric population.
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