Suppr超能文献

BCR-ABL1阴性骨髓增殖性肿瘤:JAK抑制剂在治疗手段中的综述

The BCR-ABL1-negative myeloproliferative neoplasms: a review of JAK inhibitors in the therapeutic armamentarium.

作者信息

Griesshammer Martin, Sadjadian Parvis

机构信息

a University Clinic for Haematology, Oncology, Haemostaseology and Palliative Care , Johannes Wesling Medical Center Minden, UKRUB, University of Bochum , Minden , Germany.

出版信息

Expert Opin Pharmacother. 2017 Dec;18(18):1929-1938. doi: 10.1080/14656566.2017.1404574. Epub 2017 Nov 26.

Abstract

The classical BCR-ABL1-negative myeloproliferative neoplasms (MPN) include primary myelofibrosis (PMF), polycythemia vera (PV) and essential thrombocythemia (ET). They are characterized by stem cell-derived clonal proliferation, harbor Janus kinase 2 (JAK2), or calreticulin (CALR), or myeloproliferative leukemia virus oncogene (MPL) driver mutations and exert an over activated JAK-signal transducer and activator of transcription (STAT) pathway. Therefore JAK inhibiting strategies have been successfully investigated in MPN clinical trials. Areas covered: The present review aims to provide a concise overview of the current and future role of JAK inhibitors in the therapeutic armamentarium of MPN. Expert opinion: The JAK1/JAK2 inhibitor ruxolitinib has clearly enriched the therapeutic armamentarium of MPN and is now licenced for more than five years in MF and over three years as second line in PV. Momelotinib, although of limited activity in MPN trials, demonstrated unique property of improving MF associated anemia. Less myelosuppressive or more selective JAK inhibitors like pacritinib, NS-01872 or Itacitinib are new promising agents tested in MF. JAK inhibition has become a cornerstone of MPN therapy and future efforts focus on ruxolitinib-based combinations and new JAK inhibitors.

摘要

经典的 BCR-ABL1 阴性骨髓增殖性肿瘤(MPN)包括原发性骨髓纤维化(PMF)、真性红细胞增多症(PV)和原发性血小板增多症(ET)。它们的特征是干细胞来源的克隆性增殖,存在 Janus 激酶 2(JAK2)、或钙网蛋白(CALR)、或骨髓增殖性白血病病毒癌基因(MPL)驱动突变,并导致 JAK 信号转导和转录激活因子(STAT)途径过度激活。因此,JAK 抑制策略已在 MPN 临床试验中得到成功研究。涵盖领域:本综述旨在简要概述 JAK 抑制剂在 MPN 治疗手段中的当前和未来作用。专家观点:JAK1/JAK2 抑制剂芦可替尼明显丰富了 MPN 的治疗手段,目前已在骨髓纤维化(MF)中获批使用超过五年,在 PV 中作为二线药物获批使用超过三年。莫洛替尼虽然在 MPN 试验中的活性有限,但显示出改善 MF 相关贫血的独特特性。帕西替尼、NS-01872 或伊塔替尼等骨髓抑制作用较小或更具选择性的 JAK 抑制剂是在 MF 中进行测试的新的有前景的药物。JAK 抑制已成为 MPN 治疗的基石,未来的努力集中在基于芦可替尼的联合治疗和新型 JAK 抑制剂上。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验