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双难治性慢性淋巴细胞白血病的治疗——一个未满足的临床需求

英文原题:Treatment of Double-Refractory Chronic Lymphocytic Leukemia-An Unmet Clinical Need.

查看英文原题

Treatment of Double-Refractory Chronic Lymphocytic Leukemia-An Unmet Clinical Need.

PubMed 2024/01/27(内容时间) Int J Mol Sci Q1 · IF 5.6(JCR 2025)

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中文摘要

近年来,慢性淋巴细胞白血病(CLL)的管理取得了显著改善。靶向B细胞淋巴瘤(BCL-2)和Bruton激酶(BTK)已成为抑制CLL活性的主要策略。这些药物通常耐受性良好,但由于耐药、不良反应和Richter转化,这些治疗会出现停药。既往使用过BTK抑制剂和BCL2的患者群体日益增多,他们受到后续方案的限制。本综述探讨了ibrutinib和venetoclax的耐药机制。此外,我们介绍了为治疗双重难治性CLL而评估的创新方法。

展开英文摘要原文

Recent years have seen significant improvement in chronic lymphocytic leukemia (CLL) management. Targeting B-cell lymphoma (BCL-2) and Bruton's kinase (BTK) have become the main strategies to restrain CLL activity. These agents are generally well tolerated, but the discontinuation of these therapies happens due to resistance, adverse effects, and Richter's transformation.

A growing population of patients who have previously used both BTK inhibitors and BCL2 suffer from the constriction of the following regimens. This review explores the resistance mechanisms for both ibrutinib and venetoclax.

Moreover, we present innovative approaches evaluated for treating double-refractory CLL.

论文信息

作者
Zygmunciak P、Robak T、Puła B
单位
Department of Hematology, Institute of Hematology and Transfusion Medicine, 02-776 Warsaw, Poland.Poland
文献类型
综述
期刊
International journal of molecular sciences2024 Jan 27
原文标识
PubMed 38338868 · DOI 10.3390/ijms25031589