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急性髓系白血病治疗新策略全景:治疗趋势、挑战和未来方向

英文原题:The landscape of novel strategies for acute myeloid leukemia treatment: Therapeutic trends, challenges, and future directions.

查看英文原题

The landscape of novel strategies for acute myeloid leukemia treatment: Therapeutic trends, challenges, and future directions.

PubMed 2023/06/09(内容时间) Toxicol Appl Pharmacol Q2 · IF 3.6(JCR 2025)

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中文摘要

急性髓系白血病(AML)是一种高度异质性的血液系统恶性肿瘤,具有多种细胞遗传学和分子异常,因此难以管理和治愈。随着对AML发病分子机制的认识加深,大量新型靶向治疗策略涌现,显著扩充了治疗选择并改变AML治疗格局。尽管如此,由基因组突变或旁路信号激活所致的耐药和难治病例仍是重大挑战。因此,亟需发现新的治疗靶点、优化联合策略并开发高效药物。本文详细综述靶向治疗单药或联合其他疗法的优势与局限。此外,还介绍热疗、单克隆抗体治疗和CAR-T 细胞治疗等创新方案,这些方法可能为AML患者提供安全可行的治疗选择。

展开英文摘要原文

Acute myeloid leukemia (AML) is a highly heterogeneous subtype of hematological malignancies with a wide spectrum of cytogenetic and molecular abnormalities, which makes it difficult to manage and cure.

Along with the deeper understanding of the molecular mechanisms underlying AML pathogenesis, a large cohort of novel targeted therapeutic approaches has emerged, which considerably expands the medical options and changes the therapeutic landscape of AML. Despite that, resistant and refractory cases caused by genomic mutations or bypass signalling activation remain a great challenge.

Therefore, discovery of novel treatment targets, optimization of combination strategies, and development of efficient therapeutics are urgently required. This review provides a detailed and comprehensive discussion on the advantages and limitations of targeted therapies as a single agent or in combination with others.

Furthermore, the innovative therapeutic approaches including hyperthermia, monoclonal antibody-based therapy, and CAR-T cell therapy are also introduced, which may provide safe and viable options for the treatment of patients with AML.

论文信息

作者
Wu RH、Zhu CY、Yu PH、Ma Y、Hussain L、Naranmandura H、Wang QQ
第一作者单位
College of Life Sciences, Changchun Normal University, Changchun 130032, China.China
通讯作者单位
Department of Hematology of First Affiliated Hospital, and Department of Public Health, Zhejiang University School of Medicine, Hangzhou 310058, China. Electronic address: wangqian_cc@zju.edu.cn.China
文献类型
综述
期刊
Toxicology and applied pharmacology2023 Aug 15
原文标识
PubMed 37302559 · DOI 10.1016/j.taap.2023.116585