Zhang Jin Yan, Xu Zhen Shu
Fujian Institute of Hematology, Fujian Provincial Key Laboratory of Hematology, Fujian Medical University Union Hospital, Fuzhou 350000, Fujian Province, China.
Fujian Institute of Hematology, Fujian Provincial Key Laboratory of Hematology, Fujian Medical University Union Hospital, Fuzhou 350000, Fujian Province, China. E-mail:
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2014 Oct;22(5):1472-5. doi: 10.7534/j.issn.1009-2137.2014.05.055.
Chronic lymphocytic leukemia (CLL), an indolent B-cell malignancy, is characterized by heterogeneity of the clinical course. Notch signaling pathway is an evolutionarily conserved signaling pathway and involved in the normal regulation of cell survival, proliferation, differentiation, apoptosis and other physiological processes. In recent years, more and more researchers study the relationship between Notch signaling pathway and chronic lymphocytic leukemia and have found that Notch molecules present in CLL cells with high expression or mutation, which associated with the prognosis, anti-apoptosis, drug-resistance and so on. In this article, the recent advances of studies on CLL and Notch pathway, including the expression level of Notch molecules in CLL cells, the anti-apoptosis and drug-resistance of Notch molecules in CLL cells, the mutation of Notch molecules in CLL cells, the relation of Notch molecules with CLL prognosis and the application prospect of Notch molecule inhibitors are reviewed.
慢性淋巴细胞白血病(CLL)是一种惰性B细胞恶性肿瘤,其临床病程具有异质性。Notch信号通路是一条进化上保守的信号通路,参与细胞存活、增殖、分化、凋亡等生理过程的正常调节。近年来,越来越多的研究者研究Notch信号通路与慢性淋巴细胞白血病之间的关系,发现Notch分子在CLL细胞中呈高表达或突变状态,这与预后、抗凋亡、耐药等相关。本文就CLL与Notch通路的研究进展,包括CLL细胞中Notch分子的表达水平、CLL细胞中Notch分子的抗凋亡及耐药作用、CLL细胞中Notch分子的突变情况、Notch分子与CLL预后的关系以及Notch分子抑制剂的应用前景进行综述。