Yu Jifeng, Jiang Peter Y Z, Sun Hao, Zhang Xia, Jiang Zhongxing, Li Yingmei, Song Yongping
1The First Affiliated Hospital of Zhengzhou University, #1 East Jianshe Road, Zhengzhou, 450052 China.
2Academy of Medical and Pharmaceutical Sciences of Zhengzhou University, #1 East Jianshe Road, Zhengzhou, 450052 China.
Biomark Res. 2020 May 20;8:17. doi: 10.1186/s40364-020-00196-2. eCollection 2020.
Acute myeloid leukemia (AML) is a clonal malignancy characterized by genetic heterogeneity due to recurrent gene mutations. Treatment with cytotoxic chemotherapy has been the standard of care for more than half of a century. Although much progress has been made toward improving treatment related mortality rate in the past few decades, long term overall survival has stagnated. Exciting developments of gene mutation-targeted therapeutic agents are now changing the landscape in AML treatment. New agents offer more clinical options for patients and also confer a more promising outcome. Since Midostaurin, a FLT3 inhibitor, was first approved by US FDA in 2017 as the first gene mutation-targeted therapeutic agent, an array of new gene mutation-targeted agents are now available for AML treatment. In this review, we will summarize the recent advances in gene mutation-targeted therapies for patients with AML.
急性髓系白血病(AML)是一种克隆性恶性肿瘤,其特征是由于反复发生基因突变而具有基因异质性。半个多世纪以来,细胞毒性化疗一直是标准治疗方法。尽管在过去几十年中,在改善治疗相关死亡率方面取得了很大进展,但长期总体生存率一直停滞不前。针对基因突变的治疗药物的令人兴奋的发展正在改变AML治疗的格局。新药物为患者提供了更多临床选择,也带来了更有希望的结果。自2017年FLT3抑制剂米哚妥林作为首个针对基因突变的治疗药物首次获得美国食品药品监督管理局(FDA)批准以来,一系列新的针对基因突变的药物现已可用于AML治疗。在本综述中,我们将总结AML患者基因突变靶向治疗的最新进展。