Hematology Department, Hospital Universitario de Gran Canaria Dr. Negrín, 35019 Las Palmas de Gran Canaria, Spain.
Morphology Department, Universidad de Las Palmas de Gran Canaria, 35016 Las Palmas de Gran Canaria, Spain.
Int J Mol Sci. 2024 Jan 24;25(3):1421. doi: 10.3390/ijms25031421.
Recent progress in the use of massive sequencing technologies has greatly enhanced our understanding of acute myeloid leukemia (AML) pathology. This knowledge has in turn driven the development of targeted therapies, such as venetoclax, a BCL-2 inhibitor approved for use in combination with azacitidine, decitabine, or low-dose cytarabine for the treatment of newly diagnosed adult patients with AML who are not eligible for intensive chemotherapy. However, a significant number of AML patients still face the challenge of disease relapse. In this review, we will explore biomarkers that may predict disease progression in patients receiving venetoclax-based therapy, considering both clinical factors and genetic changes. Despite the many advances, we conclude that the identification of molecular profiles for AML patients who will respond optimally to venetoclax therapy remains an unmet clinical need.
近年来,大规模测序技术的应用取得了重大进展,极大地增进了我们对急性髓系白血病 (AML) 病理学的理解。这一知识反过来又推动了靶向治疗的发展,例如 venetoclax,一种 BCL-2 抑制剂,已被批准与阿扎胞苷、地西他滨或低剂量阿糖胞苷联合用于治疗不适合强化化疗的新诊断成人 AML 患者。然而,仍有相当数量的 AML 患者面临疾病复发的挑战。在这篇综述中,我们将探讨可能预测接受 venetoclax 治疗的患者疾病进展的生物标志物,同时考虑临床因素和遗传变化。尽管取得了许多进展,但我们得出结论,确定对 venetoclax 治疗反应最佳的 AML 患者的分子谱仍然是一个未满足的临床需求。