Infant acute lymphoblastic leukemia: Lessons learned and future directions.

Abstract:

:Compared with acute lymphoblastic leukemia (ALL) in older children, ALL in infants has a dismal outcome because rearrangements of the mixed-lineage leukemia (MLL) gene occur in about 80% of these patients, leading to an aggressive type of leukemia. With most recent therapies, about 50% long-term event-free survival is achieved, but early bone marrow relapse remains a major problem. Early intensification of chemotherapy and new innovative therapies are necessary to improve outcome. Bone marrow transplantation should be limited to a small subset of well-recognized ALL patients with a very poor prognosis. New genetic and epigenetic insights into the biology of MLL-rearranged ALL suggest new possibilities for therapies.

journal_name

Curr Hematol Malig Rep

authors

Pieters R

doi

10.1007/s11899-009-0023-4

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

167-74

issue

3

eissn

1558-8211

issn

1558-822X

journal_volume

4

pub_type

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