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携带突变的朗格汉斯细胞组织细胞增多症经曲美替尼成功治疗

Langerhans Cell Histiocytosis With Mutation Successfully Treated With Trametinib.

作者信息

Lang Min, Chang Long, Cao Xin-Xin

机构信息

Department of Hematology Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.

State Key Laboratory of Complex Severe and Rare Diseases Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing China.

出版信息

EJHaem. 2025 May 27;6(3):e70067. doi: 10.1002/jha2.70067. eCollection 2025 Jun.

Abstract

The discovery of the MAPK pathway mutations in lesions of patients with Langerhans cell histiocytosis (LCH) has made targeted therapy an important therapeutic approach for these patients. Theoretically, the RAF-independent mutation is naturally resistant to allosteric MEK inhibitors. We report a dramatic response to MEK inhibitor trametinib in a case of LCH with mutation, which indicates that trametinib is worth trying in recurrence and refractory LCH patients with . : The authors have confirmed clinical trial registration is not needed for this submission.

摘要

朗格汉斯细胞组织细胞增多症(LCH)患者病变中丝裂原活化蛋白激酶(MAPK)通路突变的发现,使靶向治疗成为这些患者的一种重要治疗方法。理论上,不依赖RAF的突变对变构MEK抑制剂天然耐药。我们报告了1例存在 突变的LCH患者对MEK抑制剂曲美替尼有显著反应,这表明曲美替尼值得在复发和难治性的 突变LCH患者中尝试。:作者已确认本投稿无需临床试验注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8b/12109469/3e6499295945/JHA2-6-e70067-g001.jpg

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