视黄醇类药物在血液学中的应用:是否恰逢其时?
Retinoids in hematology: a timely revival?
机构信息
INSERM Unité (U)944, Centre National de la Recherche Scientifique (CNRS) Unité Mixte de Recherche (UMR) 7212, Institut de Recherche Saint-Louis (IRSL), Université de Paris, Hôpital Saint-Louis, Paris, France.
Collège de France, Paris Sciences et Lettres (PSL) Research University, INSERM U1050, CNRS, UMR 7241, Paris, France; and.
出版信息
Blood. 2021 May 6;137(18):2429-2437. doi: 10.1182/blood.2020010100.
The retinoic acid receptors (RARA, RARB, and RARG) are ligand-regulated nuclear receptors that act as transcriptional switches. These master genes drew significant interest in the 1990s because of their key roles in embryogenesis and involvement in a rare malignancy, acute promyelocytic leukemia (APL), in which the RARA (and very rarely, RARG or RARB) genes are rearranged, underscoring the central role of deregulated retinoid signaling in leukemogenesis. Several recent provocative observations have revived interest in the roles of retinoids in non-APL acute myeloid leukemia (AML), as well as in normal hematopoietic differentiation. We review the role of retinoids in hematopoiesis, as well as in the treatment of non-APL AMLs. From this perspective, broader uses of retinoids in the management of hematopoietic tumors are discussed.
维甲酸受体(RARA、RARB 和 RARG)是配体调节的核受体,作为转录开关起作用。这些主基因在 20 世纪 90 年代引起了极大的关注,因为它们在胚胎发生中起关键作用,并参与一种罕见的恶性肿瘤,即急性早幼粒细胞白血病(APL),其中 RARA(极少数情况下为 RARG 或 RARB)基因发生重排,强调了失调的视黄酸信号在白血病发生中的核心作用。最近的一些有启发性的观察结果重新引起了人们对维甲酸在非 APL 急性髓细胞白血病(AML)以及正常造血分化中的作用的兴趣。我们回顾了维甲酸在造血以及非 APL AML 治疗中的作用。从这个角度来看,讨论了更广泛地在造血肿瘤的治疗中使用维甲酸。