急性髓性白血病,骨髓增生异常相关(AML-MR):细胞遗传学异常和基因突变。

Fares Hassan, Carlos A Tirado
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引用次数: 0

摘要

目的:急性髓系白血病,骨髓增生异常相关(AML-MR)是急性髓系白血病中一种特别具有侵袭性和不良的亚型,主要影响老年人,他们经常面临复杂的治疗挑战和预后不良。大多数AML-MR患者未能达到缓解,导致总生存率显著降低。鉴于这些可怕的结果,了解AML-MR研究和临床实践的最新进展是必要的。本文回顾了世界卫生组织最新的AML-MR分类,强调了这种疾病的普遍突变和细胞遗传学异常。此外,我们探讨了最近的治疗发展,包括引入靶向治疗和低甲基化药物,这为改善患者的预后提供了有希望的途径。AML-MR的重新分类强调了遗传谱在阐明其病理和指导治疗策略方面的关键作用。未来的研究应侧重于开发个性化的治疗方法,以解决AML-MR复杂的遗传和临床复杂性,旨在提高患者的生存率和改善生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Acute Myeloid Leukemia, Myelodysplasia-Related (AML-MR): Cytogenetic Abnormalities and Gene Mutations.

Objectives: Acute myeloid leukemia, myelodysplasia-related (AML-MR) is a particularly aggressive and adverse subtype of acute myeloid leukemia, predominantly affecting older adults who often face complex treatment challenges and poor prognoses. The majority of AML-MR patients fail to achieve remission, leading to significantly reduced overall survival rates. In light of these dire outcomes, staying informed about the most recent advancements in AML-MR research and clinical practice is imperative. This review examines the latest World Health Organization classifications of AML-MR, highlighting this disease's prevalent mutations and cytogenetic abnormalities. Furthermore, we explore recent therapeutic developments, including the introduction of targeted therapies and hypomethylating agents, which offer promising avenues for improving patient outcomes. The reclassification of AML-MR underscores the critical role of genetic profiling in elucidating its pathology and guiding therapeutic strategies. Future research should focus on developing personalized treatment approaches that address the intricate genetic and clinical complexities of AML-MR, aiming to enhance survival rates and improve the quality of life for affected patients.

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