Blood Reviews最新文献

筛选
英文 中文
Evaluation of current mouse in vivo models and advanced in vitro models for leukaemia research. 目前白血病研究的小鼠体内模型和先进的体外模型的评价。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-06-23 DOI: 10.1016/j.blre.2025.101318
Xenia Bubnova, Lauren Hope, Helen Wheadon
{"title":"Evaluation of current mouse in vivo models and advanced in vitro models for leukaemia research.","authors":"Xenia Bubnova, Lauren Hope, Helen Wheadon","doi":"10.1016/j.blre.2025.101318","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101318","url":null,"abstract":"<p><p>Leukaemia is caused by genetic mutations within haematopoietic stem and progenitor cells, leading to the production of immature blasts. While mouse models have been instrumental in studying disease mechanisms and testing therapies, their limitations contribute to 90 % failure rate of new therapies in clinical trials. This is often attributed to the choice of model utilised, and failure of mouse models to accurately replicate the complexity of the human disease. This review examines different leukaemia mouse models, including transgenic, syngeneic and xenografts, discussing their phenotype, advantages and limitations. Finally, we describe advanced technologies for in vitro modelling of haematopoiesis and leukaemia. These models provide a promising platform for tumour microenvironment research, and a robust human-relevant pipeline for drug screening, reducing our reliance on in vivo testing. The information in this review will enable researchers to make informed decisions on the most appropriate models to carry out pre-clinical testing in the future.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101318"},"PeriodicalIF":6.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Iron chelation therapy in myelodysplastic syndromes and allogeneic hematopoietic cell transplantation, a delicate balance. 铁螯合治疗骨髓增生异常综合征和异基因造血细胞移植,一个微妙的平衡。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-06-23 DOI: 10.1016/j.blre.2025.101319
Fieke W Hoff, Eduard Schulz, Steven Pavletic, Alain Mina
{"title":"Iron chelation therapy in myelodysplastic syndromes and allogeneic hematopoietic cell transplantation, a delicate balance.","authors":"Fieke W Hoff, Eduard Schulz, Steven Pavletic, Alain Mina","doi":"10.1016/j.blre.2025.101319","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101319","url":null,"abstract":"<p><p>Anemia is a hallmark of myelodysplastic syndromes/neoplasms (MDS) and most patients with MDS chronically require red blood cell transfusions. Due to the body's inability to excrete excess iron, patients are at increased risk of iron overload, often defined by ferritin levels >1000 ng/mL. Iron overload can cause progressive organ damage from iron deposition in tissues and has been linked to increased mortality. In MDS patients undergoing allogeneic hematopoietic cell transplantation (HCT), iron overload has also been associated with increased non-relapse mortality, decreased overall survival, and a higher incidence of relapse. Prospective and retrospective studies have demonstrated the safety and clinical benefit of iron chelation therapy (ICT) in lower-risk MDS. Despite some common adverse effects associated with ICT, such as renal toxicity and gastro-intestinal symptoms, managing iron levels remains essential in transfusion-dependent MDS patients, and those who are undergoing HCT to optimize pre-transplant conditions, and enhance post-transplant outcomes.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101319"},"PeriodicalIF":6.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel therapies for acute myeloid leukemia. Does age still matter? 急性髓性白血病的新疗法。年龄还重要吗?
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-06-11 DOI: 10.1016/j.blre.2025.101317
Baher Krayem, Avraham Frisch, Netanel Horowitz
{"title":"Novel therapies for acute myeloid leukemia. Does age still matter?","authors":"Baher Krayem, Avraham Frisch, Netanel Horowitz","doi":"10.1016/j.blre.2025.101317","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101317","url":null,"abstract":"<p><p>The prognosis of patients with AML varies significantly with age, driven by biological heterogeneity and age-associated factors such as comorbidities, functional status, and hospitalization burden. Many novel therapies have been approved in recent years; however, pivotal trials often include patients within a restricted age range, limiting the extrapolation of their findings across the broader AML population. For example, the FLT3 inhibitor midostaurin was added to chemotherapy for patients aged 18-60 years, while the BCL-2 inhibitor venetoclax was combined with azacitidine in patients aged 75 years and older, leaving important knowledge gaps regarding their efficacy and safety in other age groups. Moreover, for several novel therapies, particularly in populations outside the original trial age range, supporting evidence is derived primarily from single-arm studies or real-world experience rather than randomized controlled trials, further complicating clinical decision-making. This review explores the efficacy and safety of widely used traditional and novel therapies for AML, with particular focus on the impact of age on these different therapeutic regimens.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101317"},"PeriodicalIF":6.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the depths of hypogammaglobulinemia in lymphoid malignancies: Pathophysiology, clinical implications, management options, and future directions. 探讨淋巴细胞恶性肿瘤低γ -球蛋白血症的深度:病理生理学、临床意义、管理选择和未来方向。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-06-10 DOI: 10.1016/j.blre.2025.101316
Alex Wonnaparhown, Talal Hilal, Albert Chong, Rafael Fonseca
{"title":"Exploring the depths of hypogammaglobulinemia in lymphoid malignancies: Pathophysiology, clinical implications, management options, and future directions.","authors":"Alex Wonnaparhown, Talal Hilal, Albert Chong, Rafael Fonseca","doi":"10.1016/j.blre.2025.101316","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101316","url":null,"abstract":"<p><p>The treatment of lymphoid malignancies is rapidly advancing with recognition of hypogammaglobulinemia (HG) and increased infection risk with the use of cellular-targeted therapies, such as chimeric antigen receptor (CAR) T cell and bispecific antibody (BsAb) therapy. Underlying adaptive immune dysfunction seen in malignancy, immunoparesis, and prior lines of B cell-targeting therapies also predispose patients to HG and infections prior to more advanced cellular therapies. Clinicians should become familiar with how to evaluate adaptive immunity and causes of HG. Various strategies exist to reduce infections in immunosuppressed patients, including risk-reducing practices, vaccination, prophylactic antibiotics, and IgG replacement therapy (IgG-RT). Future research should focus on identifying biomarkers to help with infectious risk-stratification and identify populations that would best benefit from IgG-RT.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101316"},"PeriodicalIF":6.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Tackling myeloma bone disease: From pathophysiology to cutting-edge therapies. 治疗骨髓瘤骨病:从病理生理学到尖端疗法。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-24 DOI: 10.1016/j.blre.2025.101305
Sophie Roux, Françoise Debiais, Marie-Hélène Vieillard
{"title":"Tackling myeloma bone disease: From pathophysiology to cutting-edge therapies.","authors":"Sophie Roux, Françoise Debiais, Marie-Hélène Vieillard","doi":"10.1016/j.blre.2025.101305","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101305","url":null,"abstract":"<p><p>Bone involvement in multiple myeloma (MM) is marked by osteolysis, driven by excessive bone resorption and a profound suppression of bone formation. Interactions between MM cells and the bone microenvironment-mediated by integrins,chemokines, and bone marrow stromal cells-play a critical role in the development of myeloma bone disease (MBD). Key players include osteoclasts, osteoblasts, and osteocytes. Osteoclast activation is mainly driven by RANK/RANKL and other pro-osteoclastogenic factors that disrupt bone remodeling, while impaired bone formation involves Wnt signaling inhibition and Runx2/Cbfa1 suppression. Emerging therapeutic strategies are focused on addressing both the tumor burden and the bone remodeling imbalance, with advances in molecular targeting and microRNA-based approaches. Similarly, novel anti-myeloma therapies show promise for MBD, though their full impact is not yet defined. This review highlights recent findings in MM-associated bone disease and discusses current and prospective therapies aimed at improving patient outcomes.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101305"},"PeriodicalIF":6.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unmet needs in hemophilic arthropathy. 血友病关节病未满足的需求。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-21 DOI: 10.1016/j.blre.2025.101304
Yesim Dargaud, Sebastien Lobet, Nathalie Roussel, Leonard A Valentino
{"title":"Unmet needs in hemophilic arthropathy.","authors":"Yesim Dargaud, Sebastien Lobet, Nathalie Roussel, Leonard A Valentino","doi":"10.1016/j.blre.2025.101304","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101304","url":null,"abstract":"<p><p>Hemophilia A and B are rare X-linked bleeding disorders caused by coagulation factor deficiencies, leading to joint bleeding, synovial hypertrophy and chronic hemophilic arthropathy marked by progressive cartilage and bone damage. Musculoskeletal issues remain the primary source of morbidity in people with hemophilia (PwH). Despite significant advances in prophylactic therapies, joint pain, functional limitations, and deterioration persist. The long-term impact of novel treatments on joint health and physical activity levels remains incompletely understood. Early detection and prevention of damage is challenging, highlighting the need for highly sensitive diagnostic tools to identify subclinical changes before irreversible damage occurs. Pain management, currently adapted from other conditions, does not fully meet the unique needs of PwH. Research into targeted pain relief, synovial hypertrophy management, and cartilage regeneration is crucial. Addressing unmet needs in diagnosis, treatment, and management requires collaboration between clinical and research communities to improve care effectiveness and enhance the quality of life for PwH.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101304"},"PeriodicalIF":6.9,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-reported outcomes - the missing link to advancing light chain (AL) amyloidosis clinical research. 患者报告的结果-推进轻链(AL)淀粉样变性临床研究的缺失环节。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-20 DOI: 10.1016/j.blre.2025.101303
Tobias Dittrich, Lina Weinert, Anita D'Souza
{"title":"Patient-reported outcomes - the missing link to advancing light chain (AL) amyloidosis clinical research.","authors":"Tobias Dittrich, Lina Weinert, Anita D'Souza","doi":"10.1016/j.blre.2025.101303","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101303","url":null,"abstract":"<p><p>Systemic light chain (AL) amyloidosis often results in multi-organ dysfunction and significant morbidity. Clinical assessments may not capture the full impact of disease and treatment on patients. Patient-reported outcomes (PROs) can help fill this gap. Although evidence suggests that the use of PROs provides additional predictive value beyond established cardiac staging systems, their integration into standard AL amyloidosis management remains limited. Our review examines the prognostic and therapeutic value of PROs and their current use as endpoints in clinical trials. We also discuss practical considerations, including instrument selection and administration, data interpretation, and reporting. Finally, we present a roadmap for integrating PROs into routine AL amyloidosis management, focusing on the selection of appropriate ePRO platforms and implementation strategies. We advocate a framework for data sharing and a coordinated research agenda. By addressing evidence gaps and prioritizing the patient perspective, PROs have the potential to advance AL amyloidosis care and research.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101303"},"PeriodicalIF":6.9,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The critical role of platelets in venous thromboembolism: Pathogenesis, clinical status, and emerging therapeutic strategies. 血小板在静脉血栓栓塞中的关键作用:发病机制、临床状况和新兴的治疗策略。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-14 DOI: 10.1016/j.blre.2025.101302
Shuang Liu, Yan Shen, Jiayi Chen, Zheng Ruan, Li Hua, Kankan Wang, Xiaodong Xi, Jianhua Mao
{"title":"The critical role of platelets in venous thromboembolism: Pathogenesis, clinical status, and emerging therapeutic strategies.","authors":"Shuang Liu, Yan Shen, Jiayi Chen, Zheng Ruan, Li Hua, Kankan Wang, Xiaodong Xi, Jianhua Mao","doi":"10.1016/j.blre.2025.101302","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101302","url":null,"abstract":"<p><p>Venous thromboembolism (VTE), encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE), is a complex vascular disorder with high morbidity and mortality, driven by Virchow's Triad: blood stasis, hypercoagulability, and endothelial injury. VTE is now recognized as an inflammatory process involving multiple components. Platelets are involved in the process of VTE, contributing to thrombosis initiation, progression, resolution and recurrence through coagulation activation, and interactions with immune and endothelial cells. Anticoagulation remains the cornerstone of VTE treatment; however, antiplatelet agents like aspirin have demonstrated therapeutic potential, particularly following major orthopedic surgeries. Furthermore, emerging platelet-targeted therapies and biomarkers offer new opportunities for improving VTE diagnosis and treatment. This review explores the evolving role of platelets in VTE pathophysiology, assesses current antiplatelet strategies, and highlights novel therapeutic approaches. Advancing platelet research in VTE may lead to safer, more effective interventions, optimizing outcomes for patients with this life-threatening condition.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101302"},"PeriodicalIF":6.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating the dynamic landscape of lower-risk MDS: Advances and emerging insights. 导航低风险MDS的动态景观:进展和新兴见解。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-14 DOI: 10.1016/j.blre.2025.101301
Alain Mina, Yazan Madanat, Yasmin Abaza, Amer M Zeidan
{"title":"Navigating the dynamic landscape of lower-risk MDS: Advances and emerging insights.","authors":"Alain Mina, Yazan Madanat, Yasmin Abaza, Amer M Zeidan","doi":"10.1016/j.blre.2025.101301","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101301","url":null,"abstract":"<p><p>Myelodysplastic syndromes/neoplasms (MDS) are a group of clonal myeloid malignancies characterized by ineffective hematopoiesis, cytopenias, and an increased risk of transformation to acute myeloid leukemia (AML). In lower-risk (LR) MDS, as defined by the revised and molecular international prognostic scoring systems (IPSS-R and IPSS-M), anemia is often the predominant clinical manifestation. Treatment strategies have traditionally focused on supportive care, including transfusion support and erythropoiesis stimulating agents (ESAs). While allogeneic hematopoietic stem cell transplantation remains the only potentially curative option for select patients, LR-MDS remain otherwise incurable with current therapies. With the exception of lenalidomide which was approved in 2005 in USA, therapeutic advancements in LR-MDS have stalled for almost 15 years. Progress has been limited by the disease's inherent complexity, indolent nature, and significant heterogeneity, as well as challenges in clinical trial design and execution. Recent advances in gene sequencing and molecular analyses have significantly increased our understanding of disease biology. These insights, coupled with collaborative efforts across the academic community, have led to meaningful shifts in classification, prognostication, and response assessment paradigms in LR-MDS. This evolution has led to a number of approvals, including luspatercept approved in 2020, and imetelstat, which was approved in 2024 in USA. As the therapeutic landscape of LR-MDS continues to evolve, there is growing optimism that these recent milestones will pave the way for further advancements and improved patient outcomes. Next set of studies should focus on the optimal sequencing and combinations of existing agents, as well as moving forward novel effective agents.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101301"},"PeriodicalIF":6.9,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The new era of primary immune thrombocytopenia management in adults: A narrative review of current and emerging treatments. 成人原发性免疫性血小板减少症管理的新时代:对当前和新兴治疗方法的叙述回顾。
IF 6.9 2区 医学
Blood Reviews Pub Date : 2025-05-09 DOI: 10.1016/j.blre.2025.101300
Tomás José González-López, Drew Provan
{"title":"The new era of primary immune thrombocytopenia management in adults: A narrative review of current and emerging treatments.","authors":"Tomás José González-López, Drew Provan","doi":"10.1016/j.blre.2025.101300","DOIUrl":"https://doi.org/10.1016/j.blre.2025.101300","url":null,"abstract":"<p><p>The purpose of this review is to highlight the treatments currently available and those under- going evaluation in clinical trials for the treatment of ITP in order to achieve optimal use of the various existing ITP treatments. Specifically, we point out the indications for use of the various therapies available: corticosteroids, intravenous immunoglobulins (IVIG), thrombo- poietic agents (TPO-RAs), Syk inhibitors: Fostamatinib, antiCD20 monoclonal antibodies i.e. rituximab and the use of splenectomy in ITP. A review of the use of new drugs in ITP is also included in our manuscript: Neonatal Fc receptor (FcRn) antagonists; Bruton tyrosine kinase (BTK) inhibition; B-cell activating factor (BAFF) pathway inhibition; plasma cell depletion (an- tiCD38 monoclonal antibodies); new Syk inhibitors and complement inhibition. We believe that a reader with little knowledge of ITP can gain a clear understanding of the current treatment of ITP and its more or less immediate treatment prospects.</p>","PeriodicalId":56139,"journal":{"name":"Blood Reviews","volume":" ","pages":"101300"},"PeriodicalIF":6.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信