Nagai Tadashi
Division of Hematology, Department of Medicine, Jichi Medical University.
Nihon Rinsho. 2009 Oct;67(10):1921-5.
Combination chemotherapy with Ara-C and anthracycline anti-leukemia drugs is a standard therapeutics for acute myeloid leukemia (AML) and results in a high rate of complete remission (CR). Several salvage therapies have been established for relapse/refractory AML cases. In addition, a trial of the combination of chemotherapy with gemtuzumab ozogamicin for poor-risk AML is ongoing. The development of a new strategy including combination of conventional anti-leukemia drugs with molecule-targeting reagents might be needed to increase CR rate and cure rates by combination chemotherapy. Development of therapeutics to eradicate leukemia stem cells is also of important for increasing the cure rate of AML.
阿糖胞苷与蒽环类抗白血病药物联合化疗是急性髓系白血病(AML)的标准治疗方法,可导致较高的完全缓解(CR)率。对于复发/难治性AML病例,已经建立了几种挽救疗法。此外,一项针对高危AML患者的化疗联合吉妥珠单抗奥唑米星的试验正在进行中。可能需要制定一种新策略,将传统抗白血病药物与分子靶向试剂联合使用,以通过联合化疗提高CR率和治愈率。开发根除白血病干细胞的治疗方法对于提高AML的治愈率也很重要。