Efficacy and challenges involving combination therapies in CLL.

IF 6.5 2区 医学 Q1 PHARMACOLOGY & PHARMACY Drug Discovery Today Pub Date : 2024-11-15 DOI:10.1016/j.drudis.2024.104243
Majed A Alanazi, Faith A A Kwa, Musab M A Omar, Juliana Antonipillai, Denise E Jackson
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Abstract

Chronic lymphocytic leukemia (CLL), a malignant tumour, is characterized by expansion of mature monoclonal B lymphocytes expressing CD23 and CD5 in secondary lymphocytic organs, blood, and bone marrow. Here, we provide an in-depth review of CLL, emphasizing its pathophysiology, cytogenic changes, and treatment strategies, particularly the efficacy and challenges of treatments, such as Bruton tyrosine kinase (BTK) inhibitors, B cell lymphoma 2 (BCL2) inhibitors, and phosphatidylinositol 3-kinase (PI3K) inhibitors, as well as the need to understand their role in managing disease progression, chemoresistance, and intolerance. In addition, we explore efficacy based on patient response and comparison between monotherapy and combination therapy. We also highlight the need for innovative strategies to overcome treatment resistance and enhance patient outcomes.

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联合疗法在 CLL 中的疗效与挑战。
慢性淋巴细胞白血病(CLL)是一种恶性肿瘤,其特征是在继发性淋巴细胞器官、血液和骨髓中表达 CD23 和 CD5 的成熟单克隆 B 淋巴细胞扩增。在此,我们对 CLL 进行了深入综述,强调了其病理生理学、细胞变化和治疗策略,尤其是布鲁顿酪氨酸激酶 (BTK) 抑制剂、B 细胞淋巴瘤 2 (BCL2) 抑制剂和磷脂酰肌醇 3- 激酶 (PI3K) 抑制剂等治疗方法的疗效和挑战,以及了解它们在控制疾病进展、化疗耐药性和不耐受性方面的作用的必要性。此外,我们还根据患者的反应探讨了疗效,并对单一疗法和联合疗法进行了比较。我们还强调了克服治疗耐药性和提高患者疗效的创新策略的必要性。
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来源期刊
Drug Discovery Today
Drug Discovery Today 医学-药学
CiteScore
14.80
自引率
2.70%
发文量
293
审稿时长
6 months
期刊介绍: Drug Discovery Today delivers informed and highly current reviews for the discovery community. The magazine addresses not only the rapid scientific developments in drug discovery associated technologies but also the management, commercial and regulatory issues that increasingly play a part in how R&D is planned, structured and executed. Features include comment by international experts, news and analysis of important developments, reviews of key scientific and strategic issues, overviews of recent progress in specific therapeutic areas and conference reports.
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