从分子认识到儿童和青少年BCR::ABL1和abl型急性淋巴细胞白血病最佳治疗方案的床边

Sarah K. Tasian , Judith M. Boer , Monique L. den Boer
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引用次数: 0

摘要

本文旨在探讨儿童和青少年BCR:: abl1重排(费城染色体阳性[Ph+])和abl类融合驱动的BCR:: abl1样(Ph-like)急性淋巴细胞白血病(ALL)的异同。将讨论这些历史上高风险白血病的生物学,现代实验室诊断,当前的治疗方法,治疗失败的潜在原因,新兴的靶向治疗和患者的免疫治疗方法的最新见解。虽然本综述的主要重点是患有BCR:: abl1阳性和abl级ALL的儿童和青少年,但也将讨论最近成人临床试验的扩展知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From the bench of molecular understanding to the bedside of optimal therapy for BCR::ABL1 and ABL-class acute lymphoblastic leukemia in children and adolescents
This review aims to discuss similarities and dissimilarities between BCR::ABL1-rearranged (Philadelphia chromosome-positive [Ph+]) and ABL-class fusion-driven BCR::ABL1-like (Ph-like) acute lymphoblastic leukemia (ALL) in children and adolescents. Recent insights into the biology of these historically high-risk leukemias, modern laboratory diagnostics, current treatment approaches, potential causes of treatment failure, emerging new targeted therapies and immunotherapeutic approaches for patients will be discussed. While the primary focus of this review is upon children and adolescents with BCR::ABL1-positive and ABL-class ALL, extended knowledge from recent adult clinical trials will also be addressed.
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