维甲酸协同砷剂治疗急性早幼粒细胞白血病的机制进展
刘冯 董敏 肖丁华
桂林医学院附属医院血液科,广西桂林 541001
Mechanism of Retinoic acid combined with arsenic in the treatment of acute promyelocytic leukemia
LIU Feng DONG Min XIAO Dinghua
Department of Hematology, Affiliated Hospital, Guilin Medical University, Guangxi Zhuang Autonomous Region, Guilin 541001, China
摘要 急性早幼粒细胞白血病(APL)是急性髓细胞白血病的一种特殊亚型。目前APL患者的首选治疗方案是维甲酸(RA)协同砷剂。近5年来,RA协同砷剂治疗APL的机制在分子生物学和细胞遗传学方面出现一些新的研究成果。本文主要从额外基因的改变、非基因的分子机制、联合药物的机制、佐剂和载体等进行阐述,从而为今后的基础研究提供参考。
关键词 :
急性早幼粒细胞白血病 ,
维甲酸 ,
砷剂 ,
机制
Abstract :Acute promyelocytic leukemia (APL) is a special subtype of acute myeloid leukemia. The first-line treatment for APL patients is retinoic acid (RA) combined with arsenic at present. There has been some new research achievement about the mechanism of RA and arsenic in the treatment of APL appeared in molecular biology and cytogenetics in the past five years. This article mainly describes the changes of additional genes, non-genetic molecular mechanisms, mechanisms of combined drug, adjuvants and carriers, so as to provide a reference for future basic research.
Key words :
Acute promyelocytic leukemia
Retinoic acid
Arsenic
Mechanism
基金资助: 国家自然科学基金资助项目(81560032);
桂林市科学研究与技术开发计划项目(2016012706-13);
广西高校中青年教师基础能力提升项目(KY2016LX226)。
作者简介 : 刘冯(1975.11-),男,硕士,副主任医师;研究方向:血液病。
[1] Abedin S,Altman JK. Acute promyelocytic leukemia:preventing early complications and late toxicities [J]. Hematology Am Soc Hematol Educ Program,2016,(1):10-15.
[2] McCulloch D,Brown C,Iland H. Retinoic acid and arsenic trioxide in the treatment of acute promyelocytic leukemia: current perspectives [J]. Onco Targets Ther,2017,10(3):1585-1601.
[3] Cicconi L,Lo-Coco F. Current management of newly diagnosed acute promyelocytic leukemia [J]. Ann Oncol,2016,27(8):1474-1481.
[4] O′Donnell MR,Tallman MS,Abboud CN,et al. Acute Myeloid Leukemia, Version 3.2017, NCCN Clinical Practice Guidelines in Oncology [J]. J Natl Compr Canc Netw,2017,15(7):926-957.
[5] 中华医学会血液学分会,中国医师协会血液科医师分会.中国急性早幼粒细胞白血病诊疗指南(2018年版)[J].中华血液学杂志,2018,39(3):179-183.
[6] Shen Y,Fu YK,Zhu YM,et al. Mutations of Epigenetic Modifier Genes as a Poor Prognostic Factor in Acute Promyelocytic Leukemia Under Treatment With All-Trans Retinoic Acid and Arsenic Trioxide [J]. EBioMedicine,2015,2(6):563-571.
[7] Wang LN,Tang YL,Zhang YC,et al. Arsenic trioxide and all-trans-retinoic acid selectively exert synergistic cytotoxicity against FLT3-ITD AML cells via co-inhibition of FLT3 signaling pathways [J]. Leuk Lymphoma,2017,58(10):2426-2438.
[8] Esnault C,Rahmé R,Rice KL,et al. FLT3-ITD impedes retinoic acid,but not arsenic,responses in murine acute promyelocytic leukemias [J]. Blood,2019,133(13):1495-1506.
[9] 李娜,窦春慧,管浩然,等.维甲酸联合亚砷酸治疗伴FLT3-ITD突变的APL患者的预后分析[J].临床血液学杂志,2019,32(5):687-692.
[10] Harinder SG,Rita Y,Cyrus RK,et al. Oral Arsenic Trioxide,All-Trans Retinoic Acid,and Ascorbic Acid Maintenance After First Complete Remission in Acute Promyelocytic Leukemia:Long-term Results and Unique Prognostic Indicators [J]. Cancer,2020,10(5):1002.
[11] Baba SM,Shah ZA,Pandith AA,et al. Influence of bcr-3 PML-RARα transcript on outcome in Acute Promyelocytic Leukemia patients of Kashmir treated with all-trans retinoic acid and/or arsenic trioxide [J]. Cancer Genet,2019,231-232:14-21.
[12] Tao S,Wang C,Chen Y,et al. Long-term effect of all-trans retinoic acid and arsenic trioxide sequential maintenance in patients with acute promyelocytic leukemia [J]. Leuk Lymphoma,2019,60(3):711-719.
[13] Liu X,Chen J,Yu S,et al. All-trans retinoic acid and arsenic trioxide fail to derepress the monocytic differentiation driver Irf8 in acute promyelocytic leukemia cells [J]. Cell Death Dis,2017,8(5):e2782.
[14] Zhang X,Pan J. Resistance to arsenic trioxide and retinoic acid therapy in acute promyelocytic leukemia [J]. Ann Hematol,2017,96(4):707-708.
[15] Kozono S,Lin YM,Seo HS,et al. Arsenic targets Pin1 and cooperates with retinoic acid to inhibit cancer-driving pathways and tumor-initiating cells [J]. Nat Commun,2018,9(1):3069.
[16] Huynh TT,Sultan M,Vidovic D,et al. Retinoic acid and arsenic trioxide induce lasting differentiation and demethylation of target genes in APL cells [J]. Sci Rep,2019,9(1):9414.
[17] Jambrovics K,Uray IP,Keillor JW,et al. Benefits of Combined All-Trans Retinoic Acid and Arsenic Trioxide Treatment of Acute Promyelocytic Leukemia Cells and Further Enhancement by Inhibition of Atypically Expressed Transglutaminase 2 [J]. Cancers:Basel,2020,12(3):648.
[18] Chen X,Wang F,Zhang Y,et al. A novel NPM1-RARG-NPM1 chimeric fusion in acute myeloid leukaemia resembling acute promyelocytic leukaemia but resistant to all-trans retinoic acid and arsenic trioxide [J]. Br J Cancer,2019,120(5):1023-1025.
[19] Gao N,Wang XX,Sun JR,et al. Clinical impact of galectin-3 in newly diagnosed t(15;17)(q22;q21)/PML-RARa acute promyelocytic leukemia treated with all-trans retinoic acid and arsenic trioxide-based regimens [J]. Ann Hematol,2017,96(5):711-718.
[20] Hu J,Sun Q,Fang W,et al. Effect of combination of all-trans retinoic acid and arsenic trioxide on apoptosis of acute promyelocytic leukemia cells [J]. Cell Mol Biol,2019, 65(4):97-100.
[21] Masciarelli S,Capuano E,Ottone T,et al. Retinoic Acid and Arsenic Trioxide Sensitize Acute Promyelocytic Leukemia Cells to ER Stress [J]. Leukemia,2018,32(2):285-294.
[22] Burnett AK,Russell NH,Hills RK,et al. Arsenic trioxide and all-trans retinoic acid treatment for acute promyelocytic leukaemia in all risk groups (AML17):results of a randomised,controlled,phase 3 trial [J]. Lancet Oncol,2015,16(13):1295-1305.
[23] Abaza Y,Kantarjian H,Garcia-Manero G,et al. Long-term outcome of acute promyelocytic leukemia treated with all trans retinoic acid,arsenic trioxide,and gemtuzumab [J]. Blood,2017,129(10):1275-1283.
[24] Zhang X,Zhang H,Chen L,et al. Arsenic trioxide and all-trans retinoic acid(ATRA)treatment for acute promyelocytic leukemia in all risk groups:study protocol for a randomized controlled trial [J]. Trials,2018,19(1):476.
[25] Jung YS,Cheong HJ,Kim SJ,et al. Src family kinase inhibitor PP2 enhances differentiation of acute promyelocytic leukemia cell line induced by combination of all-trans-retinoic acid and arsenic trioxide [J]. Leuk Res,2014,38(8):977-982.
[26] Farzaneh A,Ray ML,Joanne LD,et al. Fucoidan Enhances the Therapeutic Potential of Arsenic Trioxide and All-Trans Retinoic Acid in Acute Promyelocytic Leukemia,in vitro and in vivo [J]. Onco target,2016,7(29):46028-46041.
[27] Patel S,Guerenne L,Gorombei P,et al. pVAX14DNA-mediated Add-On Immunotherapy Combined With Arsenic Trioxide and All-Trans Retinoic Acid Targeted Therapy Effectively Increases the Survival of Acute Promyelocytic Leukemia Mice [J]. Blood Cancer J,2015, 5(12):e374.
[28] Fan J,He Q,Wang Z,et al. Self-Assembled Nanocomplex for Co-Delivery of Arsenic-Retinoic Acid Prodrug into Acute Promyelocytic Leukemia Cells [J]. J Biomed Nanotechnol,2018,14(6):1052-1065.
[1]
候爽1 田晓丰1 王岩1 臧洪亮1 赵民学2 王葆林1 曹宏1. 胆囊癌淋巴转移相关分子机制研究的综述 [J]. 中国医药导报, 2020, 17(9): 33-36.
[2]
郭灶耿1,2 孟瑞伟2 汪志宏1,2. 脑卒中复发相关影响因素研究进展 [J]. 中国医药导报, 2020, 17(9): 41-44,48.
[3]
徐琪 付佳 韩睿. SGLT-2抑制剂治疗糖尿病肾病的研究进展 [J]. 中国医药导报, 2020, 17(8): 21-24.
[4]
付佳 徐琪 韩睿. 维生素D及其受体在糖尿病肾病发病中的研究进展 [J]. 中国医药导报, 2020, 17(7): 23-26.
[5]
王江威1 苏晓琳1 赵婉1 王秋红1,2. 中药治疗胰腺癌的临床应用及作用机制研究进展 [J]. 中国医药导报, 2020, 17(7): 31-34.
[6]
刘兴慈1 苏克雷2 张业清1,2 朱梦月1 刘茜1 曹亚坤1 何孔琴1. 基于肠道微生态角度探讨中医药治疗社区获得性肺炎的作用机制 [J]. 中国医药导报, 2020, 17(7): 39-42.
[7]
周谦 苏娟▲ 季梦遥. 非酒精性脂肪性肝病的治疗研究进展 [J]. 中国医药导报, 2020, 17(6): 26-29.
[8]
夏国珍1 刘力1 梁艳妮2 李毅3 张聪伟3 李瑶1. 四神丸治疗溃疡性结肠炎分子机制研究进展 [J]. 中国医药导报, 2020, 17(33): 46-48.
[9]
徐扬1 徐朗2. 基于Malerba创新理论的我国制药企业技术创新机制研究 [J]. 中国医药导报, 2020, 17(33): 170-173.
[10]
段家峰1 张秋娟2 胡春梅1 施扬2 张怀璧1. 泌乳素瘤的分子发病机制及治疗研究进展 [J]. 中国医药导报, 2020, 17(31): 66-69.
[11]
黄天宇 张其成. 从百合病看古今医疗思想差异 [J]. 中国医药导报, 2020, 17(30): 149-152,160.
[12]
程玉1 谭诗云2 李明2 马凤梅1. 具核梭杆菌与结直肠癌相关性的研究进展 [J]. 中国医药导报, 2020, 17(3): 30-33.
[13]
王嵩 曹伊媛 黄思捷 郤庆 李国文. 肠易激综合征发病机制及中医药干预作用的研究进展 [J]. 中国医药导报, 2020, 17(27): 51-54.
[14]
江美芳 高崎 王丹丹. 基于LC-MS代谢组学技术在中药化学成分中的应用 [J]. 中国医药导报, 2020, 17(25): 133-136.
[15]
张纯萍. 芹菜素治疗2型糖尿病及其并发症的研究进展 [J]. 中国医药导报, 2020, 17(23): 34-36.