Clinical implications of molecular markers in acute myeloid leukemia.

Clinical implications of molecular markers in acute myeloid leukemia.
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DOI:
10.1111/ejh.13172
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发表时间:
2019-01
影响因子:
3.1
通讯作者:
Levis MJ
Levis MJ
中科院分区:
医学3区
文献类型:
--
作者:
Kayser S;Levis MJ

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最近更新的世界卫生组织(WHO)髓系肿瘤和白血病分类反映了这样一个事实,即对急性髓系白血病(AML)潜在致病机制的研究已经导致我们对该疾病的理解取得了显着进展。基因突变现在使我们能够探索细胞遗传学定义的AML子集之间的巨大差异,特别是细胞遗传学正常的AML的大子集。尽管在解开肿瘤基因组方面取得了进展,但只有少数复发性突变被纳入风险分层方案,并已被证明是临床相关的靶向病变。我们在这里讨论AML的分子标志物在诊断和治疗决策中的效用,特别强调了当前WHO分类中包含的畸变。
The recently updated World Health Organization (WHO) Classification of myeloid neoplasms and leukemia reflects the fact that research in the underlying pathogenic mechanisms of acute myeloid leukemia (AML) has led to remarkable advances in our understanding of the disease. Gene mutations now allow us to explore the enormous diversity among cytogenetically defined subsets of AML, particularly the large subset of cytogenetically normal AML. Despite the progress in unraveling the tumor genome, only a small number of recurrent mutations have been incorporated into risk-stratification schemes and have been proven to be clinically relevant, targetable lesions. We here discuss the utility of molecular markers in AML in prognostication and treatment decision making, specifically highlighting the aberrations included in the current WHO classification.
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