Research progress on gene mutations and drug resistance in leukemia

IF 15.8 1区 医学 Q1 PHARMACOLOGY & PHARMACY
Xiangyu Ma , Jiamin Xu , Yanan Wang , Joshua S. Fleishman , Hao Bing , Boran Yu , Yanming Li , Letao Bo , Shaolong Zhang , Zhe-Sheng Chen , Libo Zhao
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Abstract

Leukemia is a type of blood cancer characterized by the uncontrolled growth of abnormal cells in the bone marrow, which replace normal blood cells and disrupt normal blood cell function. Timely and personalized interventions are crucial for disease management and improving survival rates. However, many patients experience relapse following conventional chemotherapy, and increasing treatment intensity often fails to improve outcomes due to mutated gene-induced drug resistance in leukemia cells. This article analyzes the association of gene mutations and drug resistance in leukemia. It explores genetic abnormalities in leukemia, highlighting recently identified mutations affecting signaling pathways, cell apoptosis, epigenetic regulation, histone modification, and splicing mechanisms. Additionally, the article discusses therapeutic strategies such as molecular targeting of gene mutations, alternative pathway targeting, and immunotherapy in leukemia. These approaches aim to combat specific drug-resistant mutations, providing potential avenues to mitigate leukemia relapse. Future research with these strategies holds promise for advancing leukemia treatment and addressing the challenges of drug-resistant mutations to improve patient outcomes.
白血病基因突变与耐药研究进展。
白血病是一种血癌,其特征是骨髓中异常细胞不受控制地生长,这些细胞取代了正常的血细胞,破坏了正常的血细胞功能。及时和个性化的干预措施对于疾病管理和提高生存率至关重要。然而,许多患者在常规化疗后出现复发,并且由于白血病细胞中基因突变引起的耐药,增加治疗强度往往不能改善结果。本文分析了基因突变与白血病耐药的关系。它探讨了白血病的遗传异常,强调了最近发现的影响信号通路、细胞凋亡、表观遗传调控、组蛋白修饰和剪接机制的突变。此外,本文还讨论了白血病的治疗策略,如基因突变的分子靶向、替代途径靶向和免疫治疗。这些方法旨在对抗特定的耐药突变,为减轻白血病复发提供了潜在的途径。这些策略的未来研究有望推进白血病治疗,并解决耐药突变的挑战,以改善患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Drug Resistance Updates
Drug Resistance Updates 医学-药学
CiteScore
26.20
自引率
11.90%
发文量
32
审稿时长
29 days
期刊介绍: Drug Resistance Updates serves as a platform for publishing original research, commentary, and expert reviews on significant advancements in drug resistance related to infectious diseases and cancer. It encompasses diverse disciplines such as molecular biology, biochemistry, cell biology, pharmacology, microbiology, preclinical therapeutics, oncology, and clinical medicine. The journal addresses both basic research and clinical aspects of drug resistance, providing insights into novel drugs and strategies to overcome resistance. Original research articles are welcomed, and review articles are authored by leaders in the field by invitation. Articles are written by leaders in the field, in response to an invitation from the Editors, and are peer-reviewed prior to publication. Articles are clear, readable, and up-to-date, suitable for a multidisciplinary readership and include schematic diagrams and other illustrations conveying the major points of the article. The goal is to highlight recent areas of growth and put them in perspective. *Expert reviews in clinical and basic drug resistance research in oncology and infectious disease *Describes emerging technologies and therapies, particularly those that overcome drug resistance *Emphasises common themes in microbial and cancer research
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