Treatment-Free Remission in Chronic Myeloid Leukemia and New Approaches by Targeting Leukemia Stem Cells

被引:14
作者
Chen, Yilin [1 ]
Zou, Jing [1 ]
Cheng, Fanjun [1 ]
Li, Weiming [1 ]
机构
[1] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Hematol, Wuhan, Peoples R China
来源
FRONTIERS IN ONCOLOGY | 2021年 / 11卷
关键词
chronic myeloid leukemia; tyrosine kinase inhibitors; leukemia stem cells; discontinuation; treatment-free remission; CHRONIC MYELOGENOUS LEUKEMIA; MAJOR MOLECULAR RESPONSE; TYROSINE KINASE INHIBITORS; MINIMAL RESIDUAL DISEASE; BCR-ABL; CML STEM; IMATINIB DISCONTINUATION; THERAPEUTIC TARGET; IN-VITRO; ENHANCES ELIMINATION;
D O I
10.3389/fonc.2021.769730
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The therapeutic landscape for chronic myeloid leukemia (CML) has improved significantly with the approval of tyrosine kinase inhibitors (TKIs) for therapeutic use. Most patients with optimal responses to TKIs can have a normal life expectancy. Treatment-free remission (TFR) after discontinuing TKI has increasingly become a new goal for CML treatment. However, TKI only "control" CML, and relapse after discontinuation has become a key factor hindering patient access to attempt TFR. In this study, we reviewed studies on TKI discontinuation, including both first and second-generation TKI. We also reviewed predictors of relapse, new monitoring methods, and strategies targeting leukemic stem cells.</p>
引用
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页数:16
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