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Phase IIB trial of oral Midostaurin (PKC412), the FMS-like tyrosine kinase 3 receptor (FLT3) and multi-targeted kinase inhibitor, in patients with acute myeloid leukemia and high-risk myelodysplastic syndrome with either wild-type or mutated FLT3.口服 Midostaurin(PKC412)、FMS 样酪氨酸激酶 3 受体(FLT3)和多靶点激酶抑制剂的 IIB 期临床试验,用于治疗伴有野生型或突变型 FLT3 的急性髓系白血病和高危骨髓增生异常综合征患者。
J Clin Oncol. 2010 Oct 1;28(28):4339-45. doi: 10.1200/JCO.2010.28.9678. Epub 2010 Aug 23.
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Distinct clinical and biological features of de novo acute myeloid leukemia with additional sex comb-like 1 (ASXL1) mutations.具有额外性连锁基因座 X 对应的 RNA 结合蛋白 1(ASXL1)突变的初发性急性骨髓性白血病的独特临床与生物学特征。
Blood. 2010 Nov 18;116(20):4086-94. doi: 10.1182/blood-2010-05-283291. Epub 2010 Aug 6.
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Next-generation sequencing of the TET2 gene in 355 MDS and CMML patients reveals low-abundance mutant clones with early origins, but indicates no definite prognostic value.对 355 例 MDS 和 CMML 患者的 TET2 基因进行下一代测序显示,具有早期起源的低丰度突变克隆,但无明确的预后价值。
Blood. 2010 Nov 11;116(19):3923-32. doi: 10.1182/blood-2010-03-274704. Epub 2010 Aug 6.
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Combined mutations of ASXL1, CBL, FLT3, IDH1, IDH2, JAK2, KRAS, NPM1, NRAS, RUNX1, TET2 and WT1 genes in myelodysplastic syndromes and acute myeloid leukemias.ASXL1、CBL、FLT3、IDH1、IDH2、JAK2、KRAS、NPM1、NRAS、RUNX1、TET2 和 WT1 基因在骨髓增生异常综合征和急性髓系白血病中的联合突变。
BMC Cancer. 2010 Aug 2;10:401. doi: 10.1186/1471-2407-10-401.
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Role of Tet proteins in 5mC to 5hmC conversion, ES-cell self-renewal and inner cell mass specification.Tet 蛋白在 5mC 向 5hmC 的转化、胚胎干细胞自我更新和内细胞团特化中的作用。
Nature. 2010 Aug 26;466(7310):1129-33. doi: 10.1038/nature09303.
6
Somatic mutations of the histone methyltransferase gene EZH2 in myelodysplastic syndromes.骨髓增生异常综合征中组蛋白甲基转移酶基因 EZH2 的体细胞突变。
Nat Genet. 2010 Aug;42(8):665-7. doi: 10.1038/ng.620. Epub 2010 Jul 4.
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Inactivating mutations of the histone methyltransferase gene EZH2 in myeloid disorders.在髓系疾病中,组蛋白甲基转移酶基因 EZH2 的失活突变。
Nat Genet. 2010 Aug;42(8):722-6. doi: 10.1038/ng.621. Epub 2010 Jul 4.
8
Incidence and prognostic value of TET2 alterations in de novo acute myeloid leukemia achieving complete remission.初发急性髓系白血病患者达到完全缓解后 TET2 改变的发生率及其预后价值。
Blood. 2010 Aug 19;116(7):1132-5. doi: 10.1182/blood-2009-07-234484. Epub 2010 May 20.
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Histone H2A deubiquitinase activity of the Polycomb repressive complex PR-DUB.多梳抑制复合物 PR-DUB 的组蛋白 H2A 去泛素化酶活性。
Nature. 2010 May 13;465(7295):243-7. doi: 10.1038/nature08966. Epub 2010 May 2.
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Novel therapies for myelodysplastic syndromes.骨髓增生异常综合征的新型治疗方法。
Hematol Oncol Clin North Am. 2010 Apr;24(2):423-41. doi: 10.1016/j.hoc.2010.02.010.

骨髓增生异常综合征的分子生物学。

Molecular biology of myelodysplastic syndromes.

机构信息

Human Oncology and Pathogenesis Program and Leukemia Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, NY 10065, USA.

出版信息

Semin Oncol. 2011 Oct;38(5):613-20. doi: 10.1053/j.seminoncol.2011.04.013.

DOI:10.1053/j.seminoncol.2011.04.013
PMID:21943667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3183432/
Abstract

Myelodysplastic syndromes (MDS) are a group of clonal hematopoetic disorders marked by ineffective hematopoiesis, peripheral cytopenias, and an increased risk of transformation to acute myeloid leukemia. Multiple processes govern hematopoietic progenitor proliferation and natural differentiation into mature myeloid elements. Molecular events that disrupt any of these processes have the potential to lead to ineffective hematopoiesis and an MDS phenotype. Recent advances in genomic analysis have identified a number of new genes that may be involved. The molecular description of MDS will lead to better understanding, classification, and treatment of this disease.

摘要

骨髓增生异常综合征(MDS)是一组克隆性造血疾病,其特征为无效造血、外周血细胞减少以及向急性髓系白血病转化的风险增加。多种过程控制造血祖细胞的增殖和自然分化为成熟髓系细胞。破坏这些过程中的任何一个过程的分子事件都有可能导致无效造血和 MDS 表型。基因组分析的最新进展已经确定了一些可能涉及的新基因。MDS 的分子描述将导致对这种疾病的更好理解、分类和治疗。