Evaluating Treatment Response of Chronic Myeloid Leukemia: Emerging Science and Technology

作者：Cagnetta Antonia^*; Garuti Anna; Marani Carlo; Cea Michele; Miglino Maurizio; Rocco Ilaria; Palermo Claudia; Fugazza Giuseppina; Cirmena Gabriella; Colombo Nicoletta; Grasso Raffaella; Nencioni Alessio; Gobbi Marco; Patrone Franco

来源：Current Cancer Drug Targets, 2013, 13(7): 779-790.

• chronic myelogenous leukemia
• cytogenetic analysis
• molecular monitoring
• minimal residual disease
• mutational analysis

Chronic myeloid leukemia (CML) is a hematological disease accounting for about 15-20% of all adult leukemias. The clinical and biologic advances achieved in such a malignancy, represent one of the best successes obtained by translational medicine. Indeed, identification of the fusion oncogene BCR-ABL has allowed using of small molecule inhibitors of its tyrosine kinase activity which, in turn, have literally revolutionized the treatment of CML. Importantly the successfully clinical management was also realized on appropriate diagnosis, disease monitoring as well as early identification of such mutations causing drug resistance. Notably the recent availability of refined laboratory equipments represented by the Next Generation Sequencing (NGS) and genomic analyses has further contributed to gain ground towards the cure of this tumor. These issues are discussed here together with an overview on how patients treated with tyrosine kinase inhibitors should be monitored.

• 出版日期2013-9