Department of Leukemia, MD Anderson Cancer Center, Houston, TX, USA.
Blood Cancer J. 2021 Feb 22;11(2):41. doi: 10.1038/s41408-021-00425-3.
Progress in the understanding of the biology and therapy of acute myeloid leukemia (AML) is occurring rapidly. Since 2017, nine agents have been approved for various indications in AML. These included several targeted therapies like venetoclax, FLT3 inhibitors, IDH inhibitors, and others. The management of AML is complicated, highlighting the need for expertise in order to deliver optimal therapy and achieve optimal outcomes. The multiple subentities in AML require very different therapies. In this review, we summarize the important pathophysiologies driving AML, review current therapies in standard practice, and address present and future research directions.
急性髓系白血病(AML)的生物学和治疗的理解正在迅速取得进展。自 2017 年以来,已有 9 种药物被批准用于 AML 的各种适应症。其中包括几种靶向治疗药物,如 venetoclax、FLT3 抑制剂、IDH 抑制剂等。AML 的治疗很复杂,这突出表明需要专业知识,以提供最佳治疗并实现最佳结果。AML 的多个亚实体需要非常不同的治疗方法。在这篇综述中,我们总结了驱动 AML 的重要病理生理学,回顾了标准实践中的当前治疗方法,并探讨了当前和未来的研究方向。