2019
DOI: 10.1007/s40487-018-0091-5
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Acute Promyelocytic Leukemia: A History over 60 Years—From the Most Malignant to the most Curable Form of Acute Leukemia

Abstract: Acute promyelocytic leukemia (APL) is a distinct subtype of acute myeloid leukemia (AML) that is cytogenetically characterized by a balanced reciprocal translocation between chromosomes 15 and 17, which results in the fusion of the promyelocytic leukemia (PML) and retinoic acid receptor alpha (RARa) genes. Because patients with APL present a tendency for severe bleeding, often resulting in an early fatal course, APL was historically considered to be one of the most fatal forms of acute leukemia. However, thera… Show more

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Cited by 54 publications
(63 citation statements)
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References 271 publications
(337 reference statements)
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“…Acute myeloid leukemia (AML) is an aggressive hematological cancer [ 8 , 9 ]. Acute promyelocytic leukemia (APL) is a subset of patients with specific genetic abnormalities and receiving a specific treatment different from other AML patients [ 10 , 11 ]. In the present review, the term AML refers to the non-APL variants of AML.…”
Section: Introductionmentioning
confidence: 99%
“…Acute myeloid leukemia (AML) is an aggressive hematological cancer [ 8 , 9 ]. Acute promyelocytic leukemia (APL) is a subset of patients with specific genetic abnormalities and receiving a specific treatment different from other AML patients [ 10 , 11 ]. In the present review, the term AML refers to the non-APL variants of AML.…”
Section: Introductionmentioning
confidence: 99%
“…Since APL was first described in 1957 [10], its management has undergone many changes, evolving from antimetabolite-based therapy to anthracycline and cytarabine-based chemotherapy between 1980 and 1988 [11]. In 1985, ATRA was first used to manage APL.…”
Section: Introductionmentioning
confidence: 99%
“…ATRA demonstrated clinical efficacy when used alone, substantially increasing the incidence of complete remission (CR) but not its durability [12,13]. However, a combination of ATRA with conventional AML chemotherapy was associated with improved outcomes and eradication of APL [11]. In the 1990s, ATO was introduced to treat relapsed APL, which resulted in higher CR rates [14].…”
Section: Introductionmentioning
confidence: 99%
“…After the pioneering evidence that ATRA is a successful option in the treatment of acute promyelocytic leukemia (APL) [7,8], over the last decades large interest has been attracted in studying the potential use of this retinoid in solid tumors, including pancreatic cancer [9,10]. In cells from pancreatic ductal adenocarcinoma (PDAC), ATRA induces cell-cycle arrest, apoptosis, and epithelial differentiation [11,12] and drives in vitro transdifferentiation into functional insulins secreting cells [13].…”
Section: Introductionmentioning
confidence: 99%