2014
DOI: 10.1007/s12185-014-1603-1
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Progress in the treatment of acute promyelocytic leukemia: optimization and obstruction

Abstract: The past three decades have witnessed a great progress in the treatment of acute promyelocytic leukemia (APL). The current application of all-trans retinoic acid, arsenic trioxide (ATO), and anthracycline-based chemotherapies has been proved to be highly effective. Based on the risk factors of APL, optimization of the treatment emphasizes the role of ATO in induction, consolidation and maintenance therapy as a substitute to chemotherapy in low-and intermediate-risk patients, and in potential reduction of chemo… Show more

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Cited by 20 publications
(15 citation statements)
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“…Acute promyelocytic leukemia (APL) is a subtype of AML characterized by a promyelocytic leukemia‐retinoic acid receptor α(PML‐RARa)‐mediated differentiation block at the promyelocyte stage, which occurs (at least in part) through an impairment in C/EBPα function . This block is reversed by all‐trans retinoic acid (ATRA), which is used as frontline therapy for APL . After the start of ATRA treatment, mature neutrophil‐like cells originate from leukemic promyelocytes and their numbers increase in the bone marrow and peripheral blood of responder APL cases.…”
Section: Role Of Cebpβ In Other Hematological Malignanciesmentioning
confidence: 99%
“…Acute promyelocytic leukemia (APL) is a subtype of AML characterized by a promyelocytic leukemia‐retinoic acid receptor α(PML‐RARa)‐mediated differentiation block at the promyelocyte stage, which occurs (at least in part) through an impairment in C/EBPα function . This block is reversed by all‐trans retinoic acid (ATRA), which is used as frontline therapy for APL . After the start of ATRA treatment, mature neutrophil‐like cells originate from leukemic promyelocytes and their numbers increase in the bone marrow and peripheral blood of responder APL cases.…”
Section: Role Of Cebpβ In Other Hematological Malignanciesmentioning
confidence: 99%
“…Conventional chemotherapy, using cytotoxic drugs to inhibit the proliferation of malignant cells or destroy malignant cells, has become the most common and primary clinical strategy in the treatment of blood malignancies. The targeted chemotherapeutic drugs, such as the first FDA-approved tyrosine kinase inhibitor (TKI) imatinib has been used for treating chronic myeloid leukemia (CML) patients with oncoprotein BCR-ABL expression, which has resulted in well-pleasing and remarkable treatment outcomes for the majority of CML patients [1-3]. Unfortunately, multidrug resistance (MDR) is still the main reason for the failure and relapse of leukemia chemotherapy using conventional or targeted chemotherapeutic drugs.…”
Section: Introductionmentioning
confidence: 99%
“…A routine approach for AML treatment is chemotherapy 15 , however, this method is affected by the resistance that decreases the treatment efficiency in many cases, as it is frequently exemplified by resistance to ATRA 16,17 . In addition, the combination of cancer cells, and oncogenic lncRNA inhibitors, are more sensitive to chemotherapy agents, compared to each alone 18 .…”
Section: Discussionmentioning
confidence: 99%