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揭示CLL-1的潜力:急性髓系白血病治疗的一个有前景的靶点。

Unveiling the potential of CLL-1: a promising target for AML therapy.

作者信息

Soleimani Samarkhazan Hamed, Zehtabcheh Sara, Seraji Hamideh Rahmani, Beqaj Safedin H, Tayefeh Shamim, Mohammadi Mohammad Hossein, Aghaei Mojtaba

机构信息

Student Research Committee, Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Biomark Res. 2025 Feb 12;13(1):28. doi: 10.1186/s40364-025-00738-6.

Abstract

Acute myeloid leukemia (AML) remains a formidable blood cancer, despite recent advances in treatment. A significant challenge persists in improving patient outcomes, particularly in addressing relapse and treatment resistance. Identifying new therapeutic targets is critical for advancing AML therapy. C-type lectin-like molecule-1 (CLL-1) has emerged as a promising therapeutic target in AML. This cell surface receptor is highly expressed on AML blasts and demonstrates stable expression throughout disease progression. CLL-1's consistent presence makes it an ideal candidate for monitoring minimal residual disease (MRD), which is a critical indicator for predicting relapse. Beyond its utility as a diagnostic marker, CLL-1 offers exciting potential in the development of immunotherapies. Emerging strategies, such as CAR-T-cell therapy and antibody-drug conjugates (ADCs), are being investigated to leverage the immune system against CLL-1-expressing AML cells. This review examines the structure, function, and expression patterns of CLL-1 in AML and other hematologic malignancies, providing insights into its role in disease pathogenesis and treatment potential. Exploring CLL-1 as a target for diagnosis, MRD monitoring, and immunotherapy opens new avenues for AML treatment. A deeper understanding of its relationship with AML pathogenesis will aid in the development of targeted therapies, offering hope for improved patient outcomes in the future.

摘要

尽管近期在治疗方面取得了进展,但急性髓系白血病(AML)仍然是一种严重的血液癌症。在改善患者预后方面,尤其是在解决复发和治疗耐药性问题上,仍然存在重大挑战。确定新的治疗靶点对于推进AML治疗至关重要。C型凝集素样分子1(CLL-1)已成为AML中有前景的治疗靶点。这种细胞表面受体在AML原始细胞上高度表达,并在疾病进展过程中表现出稳定的表达。CLL-1的持续存在使其成为监测微小残留病(MRD)的理想候选者,而MRD是预测复发的关键指标。除了作为诊断标志物的用途外,CLL-1在免疫疗法的开发中也具有令人兴奋的潜力。正在研究诸如嵌合抗原受体T细胞(CAR-T)疗法和抗体药物偶联物(ADC)等新兴策略,以利用免疫系统对抗表达CLL-1的AML细胞。这篇综述探讨了CLL-1在AML和其他血液系统恶性肿瘤中的结构、功能和表达模式,深入了解其在疾病发病机制中的作用和治疗潜力。将CLL-1作为诊断、MRD监测和免疫疗法的靶点进行探索,为AML治疗开辟了新途径。对其与AML发病机制关系的更深入理解将有助于开发靶向疗法,为未来改善患者预后带来希望。

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