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去甲基化药物治疗后复发的急性髓系白血病中 CD70 的表达增加。

Increased expression of CD70 in relapsed acute myeloid leukemia after hypomethylating agents.

机构信息

Department of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX, 77030, USA.

出版信息

Virchows Arch. 2024 Nov;485(5):937-941. doi: 10.1007/s00428-024-03741-8. Epub 2024 Feb 22.

Abstract

Acute myeloid leukemia (AML) is the most common acute leukemia in adults. While induction chemotherapy leads to remission in most patients, a significant number will experience relapse. Therefore, there is a need for novel therapies that can improve remission rates in patients with relapsed and refractory AML. CD70 is the natural ligand for CD27 (a member of the TNF superfamily) and appears to be a promising therapeutic target. Consequently, there is considerable interest in developing chimeric antigen receptor (CAR) T-cell therapy products that can specifically target CD70 in various neoplasms, including AML. In this study, we employed routine diagnostic techniques, such as immunohistochemistry and flow cytometry, to investigate the expression of CD70 in bone marrow samples from treatment-naïve and relapsed AML patients after hypomethylating agents (HMA). Also, we evaluated the impact of HMA on CD70 expression and examined CD70 expression in various leukemic cell subsets and normal hematopoietic progenitors.

摘要

急性髓系白血病(AML)是成人中最常见的急性白血病。虽然诱导化疗可使大多数患者缓解,但仍有相当数量的患者会复发。因此,需要新的治疗方法来提高复发和难治性 AML 患者的缓解率。CD70 是 CD27(肿瘤坏死因子超家族成员之一)的天然配体,似乎是一个很有前途的治疗靶点。因此,人们对开发嵌合抗原受体(CAR)T 细胞疗法产品以特异性靶向包括 AML 在内的各种肿瘤中的 CD70 产生了浓厚的兴趣。在这项研究中,我们采用常规诊断技术,如免疫组织化学和流式细胞术,研究了去甲基化药物(HMA)后治疗初治和复发 AML 患者骨髓样本中 CD70 的表达。此外,我们还评估了 HMA 对 CD70 表达的影响,并检测了各种白血病细胞亚群和正常造血祖细胞中 CD70 的表达。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f43/11564407/a54f5275345e/428_2024_3741_Fig1_HTML.jpg

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