Arsenic Trioxide Synergistically Enhances The Antileukemia Activity Of Bcl-2 Inhibitor Abt-199 In Acute Myeloid Leukemia

BLOOD(2019)

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摘要
Background Acute myeloid leukaemia (AML) is a malignancy derived from haematopoietic stem cells in which maturation and apoptosis are blocked and proliferation is uncontrolled during differentiation. With the optimization of chemotherapy regimens, the emergence of new drugs and the development of haematopoietic stem cell transplantation technology, the complete remission (CR) rate and long-term survival of AML patients have significantly improved, but 20-40% of patients still have difficulty achieving a CR. Furthermore, approximately 60% of patients eventually relapse after a CR. Patients who are unable to obtain a CR and who relapse after remission are more likely to develop refractory AML. For patients with refractory/relapsed AML, there is no standard rescue therapy, and general chemotherapy drugs have limited efficacy. It is of great significance to explore new salvage treatment options.
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关键词
Bcl-2 inhibitor, ABT-199, arsenic trioxide, Mcl-1, AKT, apoptosis
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