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伴有FLT3基因突变的急性髓系白血病的治疗

Treatment of Acute Myeloid Leukemia with the FLT3 Gene Mutation.

作者信息

Best-Aguilera Carlos, Rodrigo Gómez-Vázquez O, Elizabeth Guzmán-Hernández A, Monserrat Rojas-Sotelo R

机构信息

Department of Hematology, Hospital General de Occidente/ Universidad de Guadalajara, Av. Zoquipan 1050, 45170, Zapopan, Jal., Mexico.

Private Practice, Avenida Piotr Tchaikovsky 750 in. 58, Arcos de Guadalupe, 45037, Zapopan, Jal., Mexico.

出版信息

Curr Oncol Rep. 2017 Mar;19(3):21. doi: 10.1007/s11912-017-0573-x.

Abstract

In acute myeloid leukemia (AML), mutations of the Fms-like tyrosine kinase 3 receptor (FLT3) and its overexpression are related with hyperleukocytosis, higher risk of relapse, and decrease of both disease-free survival and overall survival. It has been suggested that this phenomenon confers proliferative and survival advantages to the malignant blast cells. As a consequence, it is an attractive therapeutic target. As the best treatment strategy for mutated FLT3 AML remains to be defined, the addition of FLT3 inhibitor drugs to chemotherapy or to the bone marrow transplant approach has become a growing strategy. With encouraging results, this combination seems to be an attractive option. Relevant data regarding the current treatment trends on mutated FLT3 AML is reviewed here.

摘要

在急性髓系白血病(AML)中,Fms样酪氨酸激酶3受体(FLT3)的突变及其过表达与白细胞增多症、更高的复发风险以及无病生存期和总生存期的缩短有关。有人认为,这种现象赋予了恶性原始细胞增殖和生存优势。因此,它是一个有吸引力的治疗靶点。由于针对FLT3突变型AML的最佳治疗策略仍有待确定,在化疗或骨髓移植方法中添加FLT3抑制剂药物已成为一种越来越普遍的策略。鉴于取得了令人鼓舞的结果,这种联合治疗似乎是一个有吸引力的选择。本文综述了有关FLT3突变型AML当前治疗趋势的相关数据。

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