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简明综述:造血干细胞移植在急性髓细胞白血病治疗中的作用。

Concise review: the role of hematopoietic stem cell transplantation in the treatment of acute myeloid leukemia.

机构信息

Department of Hematologic Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio, USA.

出版信息

Stem Cells. 2012 Aug;30(8):1581-6. doi: 10.1002/stem.1140.

Abstract

Allogeneic hematopoietic stem cell transplantation (HSCT) is a potentially curative option for patients with acute myeloid leukemia (AML). Our understanding of the biology of leukemic stem cells has continued to improve over the last decade and risk stratification using cytogenetics and molecular markers have improved our ability to select patients who would benefit from allogeneic transplantation. Results of HSCT have also improved substantially, extending the potential application of allogeneic transplant to more patients. This review discusses the theoretical aspects of transplant, analyzes clinical results, and provides recommendations for the use of HSCT in AML. Further study of the biology of leukemic stem cells and the role for HSCT is necessary to optimize outcomes in AML patients.

摘要

异基因造血干细胞移植(HSCT)是急性髓系白血病(AML)患者潜在的治愈选择。在过去的十年中,我们对白血病干细胞生物学的理解不断提高,通过细胞遗传学和分子标志物进行风险分层,提高了我们选择从异基因移植中受益的患者的能力。HSCT 的结果也有了实质性的改善,扩大了异基因移植在更多患者中的应用潜力。这篇综述讨论了移植的理论方面,分析了临床结果,并为 AML 患者 HSCT 的应用提供了建议。进一步研究白血病干细胞的生物学和 HSCT 的作用对于优化 AML 患者的结果是必要的。

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