Hiddemann W, Spiekermann K, Braess J, Feuring-Buske M, Buske C, Büchner T
Medizinische Klinik III, Universität München, Grosshadern, 81377 München.
Internist (Berl). 2006 Jun;47 Suppl 1:S33-9. doi: 10.1007/s00108-006-1622-y.
Genetic and molecular techniques have provided increasing insights into the biology of acute myeloid leukemia (AML). These investigations showed that AML is not a homogeneous disease but a heterogeneous group of biologically different subentities. These subentities are currently primarily defined by cytogenetics and molecular markers. They differ substantially in response to therapy and long-term outcome and hence allow different risk groups of patients to be defined. These will guide therapeutic decisions in future therapeutic strategies and may ultimately lead to an individualized treatment concept.
遗传和分子技术使人们对急性髓系白血病(AML)的生物学特性有了越来越深入的了解。这些研究表明,AML并非一种同质疾病,而是一组生物学特性不同的异质性亚实体。目前,这些亚实体主要通过细胞遗传学和分子标志物来定义。它们在对治疗的反应和长期预后方面存在很大差异,因此可以定义不同风险组的患者。这将为未来治疗策略中的治疗决策提供指导,并最终可能形成个体化的治疗理念。