Critical molecular pathways in cancer stem cells of chronic myeloid leukemia

被引:52
作者
Chen, Y. [1 ]
Peng, C. [1 ]
Sullivan, C. [2 ]
Li, D. [3 ]
Li, S. [1 ]
机构
[1] Univ Massachusetts, Sch Med, Dept Med, Div Hematol Oncol, Worcester, MA 01605 USA
[2] Maine Inst Human Genet & Hlth, Dept Canc Res, Bangor, ME USA
[3] Edith Cowan Univ, Sch Comp & Secur Sci, Mt Lawley, WA, Australia
关键词
BCR-ABL; leukemic stem cells; CML; therapeutic agents; CHRONIC MYELOGENOUS LEUKEMIA; ACUTE LYMPHOBLASTIC-LEUKEMIA; HEDGEHOG-SIGNALING PATHWAY; COLONY-STIMULATING FACTOR; BCR-ABL; TYROSINE KINASE; BLAST-CRISIS; SONIC-HEDGEHOG; BETA-CATENIN; HEMATOPOIETIC-CELLS;
D O I
10.1038/leu.2010.143
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Inhibition of BCR-ABL with kinase inhibitors in the treatment of Philadelphia-positive (Ph+) chronic myeloid leukemia (CML) is highly effective in controlling but not curing the disease. This is largely due to the inability of these kinase inhibitors to kill leukemia stem cells (LSCs) responsible for disease relapse. This stem cell resistance is not associated with the BCR-ABL kinase domain mutations resistant to kinase inhibitors. Development of curative therapies for CML requires the identification of crucial molecular pathways responsible for the survival and self-renewal of LSCs. In this review, we will discuss our current understanding of these crucial molecular pathways in LSCs and the available therapeutic strategies for targeting these stem cells in CML. Leukemia (2010) 24, 1545-1554; doi:10.1038/leu.2010.143; published online 24 June 2010
引用
收藏
页码:1545 / 1554
页数:10
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