急性髓系白血病分子生物标志物的研究进展
Research progress on molecular biomarkers of acute myeloid leukemia.
作者信息
Yin Pei-Yuan, Wang Rui-Wen, Jing Rui, Li Xing, Ma Jing-Hua, Li Kai-Min, Wang Hua
机构信息
Hematology Department, Yantai Affiliated Hospital, Binzhou Medical University, Yantai, Shandong, China.
Department of Blood Supply, Yantai Center Blood Station, Yantai, Shandong, China.
出版信息
Front Oncol. 2023 Feb 7;13:1078556. doi: 10.3389/fonc.2023.1078556. eCollection 2023.
Acute myeloid leukemia (AML) is the most common type of adult acute leukemia. The pathophysiology of the disease has been studied intensively at the cellular and molecular levels. At present, cytogenetic markers are an important basis for the early diagnosis, prognostic stratification and treatment of AML. However, with the emergence of new technologies, the detection of other molecular markers, such as gene mutations and epigenetic changes, began to play important roles in evaluating the occurrence and development of diseases. Recent evidence shows that identifying new AML biomarkers contributes to a better understanding of the molecular mechanism of the disease and is essential for AML screening, diagnosis, prognosis monitoring, and individualized treatment response. In this review, we summarized the promising AML biomarkers from four aspects, which contributing to a better understanding of the disease. Of course, it must be soberly aware that we have not listed all biomarkers of AML. Anyway, the biomarkers we mentioned are representative. For example, mutations in TP53, FLT3, and ASXL1 suggest poor prognosis, low remission rate, short survival period, and often require allogeneic hematopoietic stem cell transplantation. The CEBPA double mutation, NPM1 and CBF mutation suggest that the prognosis is good, the remission rate is high, the survival period is long, and the effect of chemotherapy or autotherapy is good. As for other mutations mentioned in the article, they usually predict a moderate prognosis. All in all, we hope it could provide a reference for the precise diagnosis and treatment of AML.
急性髓系白血病(AML)是成人急性白血病最常见的类型。该疾病的病理生理学已在细胞和分子水平上进行了深入研究。目前,细胞遗传学标志物是AML早期诊断、预后分层和治疗的重要依据。然而,随着新技术的出现,其他分子标志物的检测,如基因突变和表观遗传变化,开始在评估疾病的发生和发展中发挥重要作用。最近的证据表明,识别新的AML生物标志物有助于更好地理解该疾病的分子机制,对于AML的筛查、诊断、预后监测和个体化治疗反应至关重要。在本综述中,我们从四个方面总结了有前景的AML生物标志物,这有助于更好地理解该疾病。当然,必须清醒地认识到我们并未列出AML的所有生物标志物。无论如何,我们提到的生物标志物具有代表性。例如,TP53、FLT3和ASXL1的突变提示预后不良、缓解率低、生存期短,且常需要异基因造血干细胞移植。CEBPA双突变、NPM1和CBF突变提示预后良好、缓解率高、生存期长,化疗或自体治疗效果良好。至于文章中提到的其他突变,它们通常预示着中等预后。总而言之,我们希望它能为AML的精确诊断和治疗提供参考。
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