Therapy-related myeloid neoplasms: when genetics and environment collide.

Therapy-related myeloid neoplasms: when genetics and environment collide.
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DOI:
10.1038/nrc.2017.60
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发表时间:
2017-08-24
期刊:
Nature reviews. Cancer
影响因子:
--
通讯作者:
Le Beau MM
Le Beau MM
中科院分区:
其他
文献类型:
--
作者:
McNerney ME;Godley LA;Le Beau MM

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治疗相关性骨髓肿瘤(t-MN)是原发性疾病(通常为恶性疾病、实体器官移植或自身免疫性疾病)化疗和/或放疗的晚期效应。生存期是以月而不是年来衡量的,这使得t-MN成为最具侵略性和致命性的癌症之一。在这篇综述中,我们讨论了最近的事态发展,重新构建我们的理解的遗传和环境的病因t-MN。新出现的数据阐明了谁是发展t-MN的最高风险,为什么t-MN是耐药的,以及我们如何利用这些信息来治疗并最终预防这种可怕的疾病。
Therapy-related myeloid neoplasms (t-MN) arise as a late-effect of chemotherapy and/or radiation administered for a primary condition, typically a malignant disease, solid organ transplant, or autoimmune disease. Survival is measured in months, not years, making t-MN one of the most aggressive and lethal cancers. In this review, we discuss recent developments that reframe our understanding of the genetic and environmental etiology of t-MN. Emerging data illuminate who is at highest risk for developing t-MN, why t-MN is chemoresistant, and how we may use this information to treat and ultimately prevent this dreaded disease.
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