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急性髓细胞白血病的生物标志物、治疗方法及相关挑战的最新进展。

Recent advancements in biomarkers, therapeutics, and associated challenges in acute myeloid leukemia.

机构信息

Research and Development Cell, Parul Institute of Applied Sciences, Parul University, Vadodara, 391760, India.

Parul Institute of Applied Sciences, Parul University, Vadodara, 380060, India.

出版信息

Ann Hematol. 2024 Nov;103(11):4375-4400. doi: 10.1007/s00277-024-05963-x. Epub 2024 Aug 29.

Abstract

Acute myeloid leukemia (AML) is a common type of leukemia that has a high mortality rate. The reasons for high mortality in patients with AML are therapeutic resistance, limited ability to predict duration of response, and likelihood of cancer relapse. Biomarkers, such as leukemic stem cell biomarkers, circulatory biomarkers, measurable residual disease biomarkers, and molecular biomarkers, are used for prognosis, diagnosis, and targeted killing to selectively eliminate AML cells. They also play an indispensable role in providing therapeutic resistance to patients with AML. Therefore, targeting these biomarkers will improve the outcome of AML patients. However, identifying biomarkers that can differentiate between treatment-responsive and non-responsive AML patients remains a challenge. This review discusses recent advancements in AML biomarkers, promising therapeutics, and associated challenges in the treatment of AML.

摘要

急性髓系白血病(AML)是一种常见的白血病,死亡率较高。AML 患者死亡率高的原因是治疗耐药性、预测反应持续时间的能力有限以及癌症复发的可能性。生物标志物,如白血病干细胞标志物、循环生物标志物、可测量残留疾病标志物和分子标志物,用于预后、诊断和靶向杀伤,以选择性地消除 AML 细胞。它们在为 AML 患者提供治疗耐药性方面也起着不可或缺的作用。因此,针对这些生物标志物将改善 AML 患者的预后。然而,确定能够区分治疗反应和非反应性 AML 患者的生物标志物仍然是一个挑战。本综述讨论了 AML 生物标志物、有前途的治疗方法以及 AML 治疗中相关挑战的最新进展。

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