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急性髓系白血病中的大鼠肉瘤病毒科基因:发病机制及临床意义

Rat Sarcoma Virus Family Genes in Acute Myeloid Leukemia: Pathogenetic and Clinical Implications.

作者信息

Khattab Shaimaa, Berisha Adriatik, Baran Natalia, Piccaluga Pier Paolo

机构信息

Biobank of Research, IRCCS Azienda Ospedaliera, Universitaria di Bologna, Policlinico di S. Orsola, 40138 Bologna, Italy.

Department of Medical and Surgical Sciences, Bologna University School of Medicine, 40138 Bologna, Italy.

出版信息

Biomedicines. 2025 Jan 15;13(1):202. doi: 10.3390/biomedicines13010202.

Abstract

Acute myeloid leukemias (AMLs) comprise a group of genetically heterogeneous hematological malignancies that result in the abnormal growth of leukemic cells and halt the maturation process of normal hematopoietic stem cells. Despite using molecular and cytogenetic risk classification to guide treatment decisions, most AML patients survive for less than five years. A deeper comprehension of the disease's biology and the use of new, targeted therapy approaches could potentially increase cure rates. oncogene mutations are common in AML patients, being observed in about 15-20% of AML cases. Despite extensive efforts to find targeted therapy for -mutated AMLs, no effective and tolerable RAS inhibitor has received approval for use against AMLs. The frequency of mutations increases in the context of AMLs' chemoresistance; thus, novel anti-RAS strategies to overcome drug resistance and improve patients' therapy responses and overall survival are the need of the hour. In this article, we aim to update the current knowledge on the role of RAS mutations and anti-RAS strategies in AML treatments.

摘要

急性髓系白血病(AML)是一组具有基因异质性的血液系统恶性肿瘤,可导致白血病细胞异常生长,并阻碍正常造血干细胞的成熟过程。尽管使用分子和细胞遗传学风险分类来指导治疗决策,但大多数AML患者的生存期不足五年。对该疾病生物学的更深入理解以及使用新的靶向治疗方法可能会提高治愈率。癌基因突变在AML患者中很常见,约15%-20%的AML病例中可观察到。尽管人们为寻找针对RAS突变型AML的靶向治疗付出了巨大努力,但尚无有效的、可耐受的RAS抑制剂获批用于治疗AML。在AML化疗耐药的情况下,RAS突变的频率会增加;因此,当下迫切需要新的抗RAS策略来克服耐药性,改善患者的治疗反应和总体生存率。在本文中,我们旨在更新关于RAS突变和抗RAS策略在AML治疗中的作用的现有知识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0fb/11760468/6547f417fb3b/biomedicines-13-00202-g001.jpg

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