Verstovsek Srdan
Leukemia Department, M.D. Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 428, Houston, TX 77030, USA.
Leuk Res. 2009 May;33(5):617-23. doi: 10.1016/j.leukres.2008.10.001. Epub 2008 Nov 14.
Recent advances in the molecular characterization of Philadelphia chromosome-negative (Ph-) leukemias and related myeloid disorders have provided a clear rationale for investigating novel targeted therapies. Dasatinib is a tyrosine kinase inhibitor with activity against BCR-ABL, platelet-derived growth factor receptors (PDGFRs), c- KIT, fibroblast growth factor receptors (FGFRs), SRC family kinases (SFKs), and EPHA receptors, all of which have been implicated in the pathogenesis of Ph- leukemias and myeloid disorders. This review presents emerging data on the preclinical and clinical activity of dasatinib in these diseases, which suggest that larger clinical studies are warranted.
费城染色体阴性(Ph-)白血病及相关髓系疾病分子特征的最新进展为研究新型靶向治疗提供了明确的理论依据。达沙替尼是一种酪氨酸激酶抑制剂,对BCR-ABL、血小板衍生生长因子受体(PDGFRs)、c-KIT、成纤维细胞生长因子受体(FGFRs)、SRC家族激酶(SFKs)和EPHA受体具有活性,所有这些都与Ph-白血病和髓系疾病的发病机制有关。本综述介绍了达沙替尼在这些疾病中的临床前和临床活性的新数据,表明有必要进行更大规模的临床研究。