Department of Hematology, Erasmus Medical Center, Rotterdam, The Netherlands.
Blood. 2016 Jan 7;127(1):42-52. doi: 10.1182/blood-2015-07-604512. Epub 2015 Dec 10.
Acute myeloid leukemia (AML) is the most common type of acute leukemia in adults. AML is a heterogeneous malignancy characterized by distinct genetic abnormalities. Recent discoveries have highlighted an additional important role of dysregulated epigenetic mechanisms in the pathogenesis of the disease. In contrast to genetic changes, epigenetic modifications are frequently reversible, which provides opportunities for targeted treatment using specific inhibitors. In this review, we will provide an overview of the current state of epigenetics and epigenetic therapy in AML and will describe perspectives on how to identify promising new approaches for epigenetic targeted treatment.
急性髓系白血病(AML)是成人中最常见的急性白血病类型。AML 是一种异质性恶性肿瘤,其特征是存在明显的遗传异常。最近的发现强调了失调的表观遗传机制在疾病发病机制中的另一个重要作用。与遗传变化不同,表观遗传修饰通常是可逆的,这为使用特定抑制剂进行靶向治疗提供了机会。在这篇综述中,我们将概述 AML 中的表观遗传学和表观遗传学治疗的现状,并描述如何确定有前途的新的表观遗传靶向治疗方法的观点。