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RUNX1-ETO白血病

RUNX1-ETO Leukemia.

作者信息

Lin Shan, Mulloy James C, Goyama Susumu

机构信息

Division of Experimental Hematology and Cancer Biology, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Division of Cellular Therapy, The Institute of Medical Science, The University of Tokyo, Tokyo, Japan.

出版信息

Adv Exp Med Biol. 2017;962:151-173. doi: 10.1007/978-981-10-3233-2_11.

Abstract

AML1-ETO leukemia is the most common cytogenetic subtype of acute myeloid leukemia, defined by the presence of t(8;21). Remarkable progress has been achieved in understanding the molecular pathogenesis of AML1-ETO leukemia. Proteomic surveies have shown that AML-ETO forms a stable complex with several transcription factors, including E proteins. Genome-wide transcriptome and ChIP-seq analyses have revealed the genes directly regulated by AML1-ETO, such as CEBPA. Several lines of evidence suggest that AML1-ETO suppresses endogenous DNA repair in cells to promote mutagenesis, which facilitates acquisition of cooperating secondary events. Furthermore, it has become increasingly apparent that a delicate balance of AML1-ETO and native AML1 is important to sustain the malignant cell phenotype. Translation of these findings into the clinical setting is just beginning.

摘要

AML1-ETO白血病是急性髓系白血病最常见的细胞遗传学亚型,由t(8;21)的存在所定义。在理解AML1-ETO白血病的分子发病机制方面已取得显著进展。蛋白质组学研究表明,AML-ETO与包括E蛋白在内的多种转录因子形成稳定复合物。全基因组转录组和ChIP-seq分析揭示了由AML1-ETO直接调控的基因,如CEBPA。多项证据表明,AML1-ETO抑制细胞内的内源性DNA修复以促进诱变,这有助于获得协同的继发性事件。此外,越来越明显的是,AML1-ETO与天然AML1之间的微妙平衡对于维持恶性细胞表型很重要。将这些发现转化为临床应用才刚刚开始。

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