Centro Paulista de Oncologia do Grupo Oncoclinicas, São Paulo, Brazil; Hospital Nove de Julho, São Paulo, Brazil.
Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Biol Blood Marrow Transplant. 2020 Sep;26(9):e215-e221. doi: 10.1016/j.bbmt.2020.06.007. Epub 2020 Jun 16.
Allogeneic hematopoietic stem cell transplantation remains an important treatment modality for patients with acute myeloid leukemia (AML). Recent advances have extended donor availability for patients without matched donors. Transplantation is now increasingly offered to older patients, including those above 70 years and less fit individuals. Better prognostic models are being developed. Proceeding faster to transplantation with haploidentical donors if an urgent transplant is needed, such as in patients with detectable minimal residual disease, may allow more patients to get to transplant, and it is hoped more will be cured from their disease. With continuous improvements in treatment-related toxicity and mortality, relapse has become the most important cause of treatment failure, and novel approaches are needed to make the next big leap in the treatment of this disease with transplantation. In this review we aim to summarize recent advances and provide future research directions in the transplantation for patients with AML.
异基因造血干细胞移植仍然是急性髓细胞白血病(AML)患者的重要治疗方法。最近的进展扩大了没有匹配供体的患者的供体可用性。移植现在越来越多地提供给年龄较大的患者,包括 70 岁以上和身体状况较差的患者。正在开发更好的预后模型。如果需要紧急移植,例如在有可检测的微小残留病的患者中,如果快速进行单倍体相合供体移植,可能会使更多的患者接受移植,并且有望治愈更多的疾病。随着治疗相关毒性和死亡率的不断降低,复发已成为治疗失败的最重要原因,需要新的方法来使移植治疗该病取得下一个重大飞跃。在这篇综述中,我们旨在总结 AML 患者移植治疗的最新进展,并为未来的研究方向提供建议。