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[急性髓系白血病的新型疗法及其耐药机制]

[Novel therapies in AML and their resistance mechanisms].

作者信息

Takahashi Koichi

机构信息

Department of Leukemia/Genomic Medicine, MD Anderson Cancer Center.

出版信息

Rinsho Ketsueki. 2022;63(9):1052-1057. doi: 10.11406/rinketsu.63.1052.

Abstract

The landscape of acute myeloid leukemia treatment has changed dramatically over the past decade. In Japan, three novel molecularly targeted agents have been approved and rapidly changing the paradigm of AML therapy. However, as the clinical experience of these novel drugs accumulate, various resistance mechanisms have started to emerge. Here, we discuss the mechanism of action and resistance of the three recently approved drugs, FLT3 inhibitor, IDH inhibitor, and BCL2 inhibitor.

摘要

在过去十年中,急性髓系白血病的治疗格局发生了巨大变化。在日本,三种新型分子靶向药物已获批准,并正在迅速改变急性髓系白血病的治疗模式。然而,随着这些新型药物临床经验的积累,各种耐药机制开始出现。在此,我们讨论三种最近获批药物——FLT3抑制剂、异柠檬酸脱氢酶(IDH)抑制剂和BCL2抑制剂的作用机制及耐药性。

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