Targeting the microenvironment in acute myeloid leukemia.

Targeting the microenvironment in acute myeloid leukemia.
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DOI:
10.1007/s11899-015-0255-4
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发表时间:
2015-06
影响因子:
2.9
通讯作者:
Uy, Geoffrey L.
Uy, Geoffrey L.
中科院分区:
医学3区
文献类型:
--
作者:
Rashidi, Armin;Uy, Geoffrey L.

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骨髓微环境在急性髓系白血病(AML)的发生、发展和复发中起着至关重要的作用。与正常的造血干细胞类似,AML原始细胞在其表面表达受体,使其能够与骨髓微环境的特定成分相互作用。这些相互作用导致化疗耐药和疾病复发。临床前研究和早期临床试验已经证明了在急性髓细胞白血病中靶向肿瘤-微环境相互作用的潜力。目前正在研究的药物包括低氧诱导剂和CXCR4的抑制剂,以及黏附分子,如VLA-4和E-选择素。
The bone marrow microenvironment plays a critical role in the development, progression, and relapse of acute myeloid leukemia (AML). Similar to normal hematopoietic stem cells, AML blasts express receptors on their surface, allowing them to interact with specific components of the marrow microenvironment. These interactions contribute to both chemotherapy resistance and disease relapse. Preclinical studies and early phase clinical trials have demonstrated the potential for targeting the tumor-microenvironment interactions in AML. Agents currently under investigation include hypoxia-inducible agents and inhibitors of CXCR4 and adhesion molecules such as VLA-4 and E-selectin.
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