Acute Promyelocytic Leukemia: A Paradigm for Oncoprotein-Targeted Cure

被引:244
作者
de The, Hugues [1 ,2 ]
Pandolfi, Pier Paolo [3 ]
Chen, Zhu [4 ]
机构
[1] PSL Res Univ, Chaire Oncol Cellulaire & Mol, Coll France, Paris, France
[2] Univ Paris Diderot, CNRS UMR 7212, Sorbonne Paris Cite, Hop St Louis,INSERM UMR 944, Paris, France
[3] Harvard Med Sch, Canc Res Inst, Beth Israel Deaconess Canc Ctr, Dept Pathol & Med,Beth Israel Deaconess Med Ctr, Boston, MA USA
[4] Shanghai Jiao Tong Univ, Shanghai Inst Hematol, Ruijin Hosp, Sch Med, Shanghai 200025, Peoples R China
关键词
TRANS-RETINOIC ACID; PML-RAR-ALPHA; ARSENIC TRIOXIDE AS2O3; TUMOR-SUPPRESSOR PML; FOLLOW-UP; IN-VITRO; T(15-17) TRANSLOCATION; CELLULAR SENESCENCE; GROWTH-SUPPRESSOR; INTERFERON-ALPHA;
D O I
10.1016/j.ccell.2017.10.002
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Recent clinical trials have demonstrated that the immense majority of acute promyelocytic leukemia (APL) patients can be definitively cured by the combination of two targeted therapies: retinoic acid (RA) and arsenic. Mouse models have provided unexpected insights into the mechanisms involved. Restoration of PML nuclear bodies upon RA- and/or arsenic-initiated PML/RARA degradation is essential, while RA-triggered transcriptional activation is dispensable for APL eradication. Mutations of the arsenic-binding site of PML/RARA, but also PML, have been detected in therapy-resistant patients, demonstrating the key role of PML in APL cure. PML nuclear bodies are druggable and could be harnessed in other conditions.
引用
收藏
页码:552 / 560
页数:9
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