Molecular Pathways in Childhood Acute Lymphoblastic Leukemia: From the Bench to the Bedside

P. Bonaccorso, Nellina Andriano, V. Iachelli, Manuela La Rosa, P. Samperi, Emanuela Cannata, L. Lo Valvo, M. La Spina, A. Di Cataldo, G. Russo, L. Lo Nigro
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引用次数: 2

Abstract

Abstract Acute lymphoblastic leukemia (ALL) is the most common cancer in childhood, originating from a neoplastic deviation of B or T lymphocyte. Cytogenetic, cytofluorimetric, and genomic analyses clearly defined several subtypes of ALL. However, the leukemogenic process is characterized by different pathways' alteration which are still to be determined, in the attempt to identify specific targets to be druggable. In this review, we explore the main molecular pathways, which are commonly shared between different subtypes of pediatric ALL. These cell-signaling pathways affect many functions, including cell proliferation, apoptosis, migration, and differentiation. The PI3K/AKT/mTOR pathway is one of the most studied, with higher expected promises of being targetable. RAS pathway is also widely studied in all types of cancer. The Wnt/Beta catenin has been recently studied in ALL. Finally, CXCL12/CXCL4 axis has a crucial role in regulating hematopoietic stem cell and bone marrow niche. The complete characterization of these pathways will allow us to design a specific patient–disease profile associated with a tailored treatment, with the highest grade of efficacy and the lowest grade of toxicity.
儿童急性淋巴细胞白血病的分子途径:从实验室到床边
急性淋巴细胞白血病(Acute lymphoblastic leukemia, ALL)是儿童最常见的癌症,起源于B淋巴细胞或T淋巴细胞的肿瘤偏离。细胞遗传学、细胞荧光学和基因组学分析明确了ALL的几种亚型。然而,白血病发生过程的特点是不同途径的改变,这仍有待确定,试图确定具体的靶点是可药物治疗的。在这篇综述中,我们探讨了儿科ALL不同亚型之间共有的主要分子通路。这些细胞信号通路影响许多功能,包括细胞增殖、凋亡、迁移和分化。PI3K/AKT/mTOR通路是研究最多的途径之一,具有较高的可靶向性。RAS通路在各种类型的癌症中也被广泛研究。最近在ALL中研究了Wnt/ β连环蛋白。最后,CXCL12/CXCL4轴在调节造血干细胞和骨髓生态位中起着至关重要的作用。这些途径的完整表征将使我们能够设计出与量身定制的治疗相关的特定患者疾病概况,具有最高级别的疗效和最低级别的毒性。
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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