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美国国立综合癌症网络(NCCN)工作组报告:白血病和淋巴瘤中的分子标志物

NCCN task force report: molecular markers in leukemias and lymphomas.

作者信息

Radich Jerald P, Zelenetz Andrew D, Chan Wing C, Croce Carlo M, Czuczman Myron S, Erba Harry P, Horning Sandra J, Houldsworth Jane, Smith B Douglas, Snyder David S, Sundar Hema M, Wetzler Meir, Winter Jane N

出版信息

J Natl Compr Canc Netw. 2009 Jul;7 Suppl 4:S1-34, quiz S35-6. doi: 10.6004/jnccn.2009.0077.

Abstract

The introduction of targeted therapies has revolutionized treatment and improved outcomes in patients with leukemias and lymphomas. However, many patients experience relapse caused by the persistence of residual malignant cells. Cytogenetic and molecular techniques are increasingly being used to assess and quantify minimal residual disease (MRD). The emergence of advanced technologies has led to the discovery of multiple novel molecular markers that can be used to detect MRD and predict outcome in patients with leukemias and lymphomas. Gene expression signatures that predict clinical outcomes in patients with non-Hodgkin's lymphoma have been identified. In chronic myelogenous leukemia, molecular monitoring has become more important in assessing response and detecting resistance to therapy. In acute leukemias, several new markers have shown potential in prognostication and monitoring treatment. In leukemias and lymphomas, microRNAs have been identified that may be useful in diagnostics and prognostication. To address these issues, the National Comprehensive Cancer Network (NCCN) organized a task force consisting of a panel of experts in leukemia and lymphoma to discuss recent advances in the field of molecular markers and monitoring MRD.

摘要

靶向治疗的引入彻底改变了白血病和淋巴瘤患者的治疗方式并改善了治疗结果。然而,许多患者会因残留恶性细胞的持续存在而复发。细胞遗传学和分子技术越来越多地用于评估和量化微小残留病(MRD)。先进技术的出现导致发现了多种可用于检测MRD并预测白血病和淋巴瘤患者预后的新型分子标志物。已鉴定出可预测非霍奇金淋巴瘤患者临床结果的基因表达特征。在慢性粒细胞白血病中,分子监测在评估反应和检测治疗耐药性方面变得更加重要。在急性白血病中,几种新标志物在预后评估和治疗监测方面显示出潜力。在白血病和淋巴瘤中,已鉴定出可能在诊断和预后评估中有用的微小RNA。为解决这些问题,美国国立综合癌症网络(NCCN)组织了一个由白血病和淋巴瘤专家小组组成的特别工作组,以讨论分子标志物和监测MRD领域的最新进展。

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