Zhu Gelan, Cai Jiayi, Zhong Hua
Department of Hematology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, People's Republic of China.
Eur J Haematol. 2023 May;110(5):480-489. doi: 10.1111/ejh.13934. Epub 2023 Feb 7.
TP53 mutation is a frequent tumor suppressor mutation and a critical prognostic indicator across studies in many malignant tumors including hematologic malignancies. However, the role of TP53 and its correlative pathway in acute myeloid leukemia (AML) is enigmatic, which may provide possible emerging strategies with the potential to improve outcomes in AML. Accordingly, we focus not only on the TP53 mutation but also on the underlying mechanisms of the mutated TP53 signal pathway. While it is now generally accepted that TP53 mutations are widely associated with a dismal prognosis, resistance to chemotherapy, and high incidence of relapse and refractory AML. Hereby, the current therapeutics targeting TP53 mutant AML are summarized in this review. This will address emerging TP53-based therapeutic approaches, facilizing the TP53-targeted treatment options.
TP53突变是一种常见的肿瘤抑制基因突变,在包括血液系统恶性肿瘤在内的许多恶性肿瘤研究中都是关键的预后指标。然而,TP53及其相关通路在急性髓系白血病(AML)中的作用尚不清楚,这可能为改善AML预后提供潜在的新策略。因此,我们不仅关注TP53突变,还关注突变的TP53信号通路的潜在机制。虽然现在普遍认为TP53突变与预后不良、化疗耐药以及AML复发和难治的高发生率广泛相关。在此,本综述总结了目前针对TP53突变型AML的治疗方法。这将探讨基于TP53的新兴治疗方法,促进针对TP53的治疗选择。