急性髓性白血病治疗的最新进展。

Omar Abdel-Wahab, Ross L Levine
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引用次数: 16

摘要

急性髓性白血病(AML)是一种具有显著分子和临床异质性的疾病。尽管在鉴定AML患者恶性细胞中存在的体细胞遗传和表观遗传改变方面已经取得了明显的进展,但将这些知识转化为对AML临床治疗有影响的综合观点的进展一直较慢。AML治疗的最新临床进展包括研究表明,大剂量柔红霉素治疗在诱导化疗中对任何年龄的患者都有益处。我们还回顾了DNA甲基转移酶抑制剂阿扎胞苷在老年AML患者治疗中的应用,以及AML患者DNA甲基化总体模式的研究。最后,我们回顾了最近对异基因造血干细胞移植在AML首次完全缓解中的作用的评估。
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Recent advances in the treatment of acute myeloid leukemia.

Acute myeloid leukemia (AML) is a disorder with significant molecular and clinical heterogeneity. Although there have been clear advances in the identification of somatic genetic and epigenetic alterations present in the malignant cells of patients with AML, translating this knowledge into an integrated view with an impact on the clinical treatment of AML has been slower to evolve. Recent clinical advances in the treatment of AML include studies demonstrating the benefit of dose-intense daunorubicin therapy in induction chemotherapy for patients of any age. We also review use of the DNA methyltransferase inhibitor azacitidine for treatment of AML in elderly patients as well as a study of global patterns of DNA methylation in patients with AML. Lastly, we review a recent assessment of the role of allogeneic hematopoietic stem cell transplantation in AML in first complete remission.

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