How I treat infant leukemia.

Abstract:

:Leukemia in infants is rare but generates tremendous interest due to its aggressive clinical presentation in a uniquely vulnerable host, its poor response to current therapies, and its fascinating biology. Increasingly, these biological insights are pointing the way toward novel therapeutic approaches. Using representative clinical case presentations, we review the key clinical, pathologic, and epidemiologic features of infant leukemia, including the high frequency of KMT2A gene rearrangements. We describe the current approach to risk-stratified treatment of infant leukemia in the major international cooperative groups. We highlight recent discoveries that elucidate the molecular biology of infant leukemia and suggest novel targeted therapeutic strategies, including modulation of aberrant epigenetic programs, inhibition of signaling pathways, and immunotherapeutics. Finally, we underscore the need for increased global collaboration to translate these discoveries into improved outcomes.

journal_name

Blood

journal_title

Blood

authors

Brown P,Pieters R,Biondi A

doi

10.1182/blood-2018-04-785980

subject

Has Abstract

pub_date

2019-01-17 00:00:00

pages

205-214

issue

3

eissn

0006-4971

issn

1528-0020

pii

blood-2018-04-785980

journal_volume

133

pub_type

杂志文章,随机对照试验

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