罗兴春, 朱玉, 冯悦, 刘蓓. Bcl-2抑制剂venetoclax在髓系肿瘤中的治疗进展[J]. 中国肿瘤临床, 2020, 47(19): 995-1000. DOI: 10.3969/j.issn.1000-8179.2020.19.925
引用本文: 罗兴春, 朱玉, 冯悦, 刘蓓. Bcl-2抑制剂venetoclax在髓系肿瘤中的治疗进展[J]. 中国肿瘤临床, 2020, 47(19): 995-1000. DOI: 10.3969/j.issn.1000-8179.2020.19.925
Luo Xingchun, Zhu Yu, Feng Yue, Liu Bei. Research progress on the Bcl-2 inhibitor venetoclax for myeloid neoplasm[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(19): 995-1000. DOI: 10.3969/j.issn.1000-8179.2020.19.925
Citation: Luo Xingchun, Zhu Yu, Feng Yue, Liu Bei. Research progress on the Bcl-2 inhibitor venetoclax for myeloid neoplasm[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2020, 47(19): 995-1000. DOI: 10.3969/j.issn.1000-8179.2020.19.925

Bcl-2抑制剂venetoclax在髓系肿瘤中的治疗进展

Research progress on the Bcl-2 inhibitor venetoclax for myeloid neoplasm

  • 摘要: 随着各类靶向药物的研发,髓系肿瘤的治疗取得了突破性进展。作为一种选择性Bcl-2(B-cell lymphoma-2)抑制剂,venetoclax能够抑制抗凋亡蛋白Bcl-2的表达,调控线粒体凋亡通路,诱导肿瘤细胞死亡,其单药及联合治疗在髓系肿瘤中的临床疗效肯定。目前,较为常用的治疗方案为venetoclax联合去甲基化药物或低剂量阿糖胞苷。近年来,venetoclax研究热点主要集中在与其他小分子抑制剂的联合应用,其中研究较多的是靶向作用于基因突变或凋亡通路的小分子抑制剂。本文就venetoclax在髓系肿瘤中的治疗进展做出综述。

     

    Abstract: With the development of various targeted drugs, the treatments of myeloid neoplasms have made a breakthrough. As a selective B-cell lymphoma-2 (Bcl-2) inhibitor, venetoclax can inhibit the expression of anti-apoptotic Bcl-2 proteins, regulate the mitochondrial pathway of apoptosis, and induce tumor cell death. Venetoclax monotherapy and combination therapy have shown positive clinical efficacy for myeloid neoplasms. At present the common treatment is venetoclax in combination with hypomethylating agents (HMAs) or low dose cytarabine (LDAC). Currently, the research focus is mainly on the combination of venetoclax with other small molecule inhibitors targeting gene mutations or apoptotic pathways. This review summarizes the progress on venetoclax for the treatment of myeloid neoplasms.

     

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