Castillo-Rama M, Grande C, Martínez-Sanchez P, Olavarria E, Marín D, Paz-Artal E, Andrés A, Morales J M
Hospital 12 de Octubre, Madrid.
Nefrologia. 2009;29(6):604-7. doi: 10.3265/Nefrologia.2009.29.6.5346.en.full.
Chronic myeloid leukemia (CML) is a myeloproliferative disorder characterized by clonal expansion of cells in the myeloid line, expressing the BCR-ABL fusion protein responsible for the oncogenic effect of CML. The current frontline therapy in CML is the BCR-ABL tyrosine kinase inhibitor, Imatinib. Although this drug has been shown to improve survival in CML patients, its role in the context of a transplant setting has not been widely described in the literature. We report on the long term molecular remission of CML in a 55 year old man with a second renal transplant who is hepatitis C virus positive, and has associated cardiovascular and immunological risk factors.
慢性髓性白血病(CML)是一种骨髓增殖性疾病,其特征是髓系细胞克隆性扩增,表达负责CML致癌作用的BCR-ABL融合蛋白。CML目前的一线治疗是使用BCR-ABL酪氨酸激酶抑制剂伊马替尼。尽管已证明该药物可提高CML患者的生存率,但其在移植背景下的作用在文献中尚未得到广泛描述。我们报告了一名55岁男性CML患者的长期分子缓解情况,该患者接受了第二次肾移植,丙型肝炎病毒呈阳性,并有相关的心血管和免疫危险因素。