McKinnell Zoe, Karel Daniel, Tuerff Daniel, Sh Abrahim Marwa, Nassereddine Samah
Department of Hematology and Oncology, George Washington University Hospital, Washington, DC, USA.
J Hematol. 2022 Dec;11(6):197-209. doi: 10.14740/jh1042. Epub 2022 Dec 1.
Acute myeloid leukemia (AML) arising from myeloproliferative neoplasms (MPNs) represents a small subtype of secondary AML (sAML). This entity is well known to be associated with poor responses to available treatment options and dismal outcomes. To date, there are no standardized treatment options and there has been very little therapeutic advancement in recent years. This is a stark contrast to other subsets of AML for which there have been significant advances in therapeutic approaches, especially for patients with targetable mutations. We aim to focus our review on the incidence, risk factors for leukemogenesis, pathogenesis, molecular landscape, and emerging therapeutic options in post-myeloproliferative neoplasm acute myeloid leukemia (post-MPN AML).
由骨髓增殖性肿瘤(MPN)引发的急性髓系白血病(AML)是继发性AML(sAML)中的一个小亚型。众所周知,该实体与现有治疗方案反应不佳及预后不良相关。迄今为止,尚无标准化治疗方案,且近年来治疗进展甚微。这与AML的其他亚组形成鲜明对比,后者在治疗方法上取得了显著进展,尤其是对于具有可靶向突变的患者。我们旨在将综述重点放在骨髓增殖性肿瘤后急性髓系白血病(MPN后AML)的发病率、白血病发生的危险因素、发病机制、分子格局以及新兴治疗选择上。