髓系恶性肿瘤中的血栓形成,从 CHIP 到 AML。

Beatrice Borsellino, Carlos Bravo-Perez, Valeria Visconte, Luca Guarnera
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摘要

髓系恶性肿瘤的发展是一个从恶性前期开始的多步骤过程。对不确定潜能克隆造血(CHIP)的大规模研究发现,这种情况是罹患血液系统恶性肿瘤,尤其是骨髓增生异常综合征(MDS)和急性髓性白血病(AML)的风险因素。与此同时,研究还发现 CHIP 会增加血栓形成的风险,尤其是心血管疾病。同样,近年来,除了危及生命的特征外,髓系恶性肿瘤的血栓并发症也日益受到关注。本综述旨在收集从CHIP到AML等恶性发展过程中每一阶段髓系恶性肿瘤血栓形成的发生率、发病机制和临床影响方面越来越多的证据。
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Thrombosis in Myeloid Malignancies: From CHIP to AML.

The development of myeloid malignancies is a multi-step process starting from pre-malignant stages. Large-scale studies on clonal hematopoiesis of indeterminate potential (CHIP) identified this condition as a risk factor for developing hematologic malignancies, in particular myelodysplastic syndromes (MDS) and acute myeloid leukemia (AML). In parallel, CHIP was found to confer an enhanced thrombotic risk, in particular for cardiovascular diseases. In a similar fashion, in recent years, alongside their life-threatening features, increasing attention has been drawn toward thrombotic complications in myeloid malignancies. Thus, the purpose of this review is to gather a growing body of evidence on incidence, pathogenesis and clinical impact of thrombosis in myeloid malignancies at every step of malignant progression, from CHIP to AML.

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