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老年急性髓细胞性白血病个体化治疗研究进展

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老年急性髓细胞性白血病(AML)是一种严重危及生命的血液系统恶性肿瘤,目前化学治疗和造血干细胞移植仍然是治疗AML的主要手段,但在老年患者中应用受限.近年来,异柠檬酸脱氢酶1/2(IDH1/2)、类猫巨噬细胞刺激蛋白酪氨酸激酶3(FLT3)抑制剂等新型分子靶向药物,以及嵌合抗原受体T细胞(CAR-T)细胞免疫疗法等个体化方案不断涌现.由于个体异质性和耐药性等因素,老年AML长期治疗效果仍然不佳,亟须开发更加安全有效的精准化个体化治疗策略.化学治疗联合新型靶向药物或免疫治疗有望为老年AML治疗带来新希望.本文对老年AML治疗的最新研究进展作一综述,为更具个体化和安全性的治疗策略提供可行性方案.
Current developments in personalized treatment strategies for elderly acute myelogenous leukemia patients
Acute myelogenous leukemia(AML)is a life-threatening hematologic malignancy that predominantly affects the elderly.Currently,chemotherapy and hematopoietic stem cell transplantation are the primary treatment modalities for AML,though their clinical application is limited in older patients.Recent years have seen the development of novel molecular targeted therapies,such as isocitrate dehydrogenase 1/2(IDH1/2)and Feline macrophage stimulator-like tyrosine kinase 3(FLT3)inhibitors,as well as individ-ualized approaches like chimeric antigen receptor T-cell(CAR-T)therapy.However,due to patient heterogeneity and drug resistance,treatment outcomes for elderly AML remain unsatisfactory,underscoring the need for more precise and safer individualized treatment strategies.The combination of chemotherapy with novel targeted or immunotherapies shows promise as a future treatment direction.This research reviews the latest advances in the treatment of elderly AML,with a focus on achieving more individualized and safer therapeu-tic approaches.

Acute myelogenous leukemiaIndividualized treatmentTargeted therapyImmunotherapy

候雪婷、鲍计章

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上海中医药大学附属市中医医院,上海 200071

急性髓细胞性白血病 个体化治疗 靶向治疗 免疫治疗

2025

国际老年医学杂志
吉林大学

国际老年医学杂志

影响因子:0.435
ISSN:1674-7593
年,卷(期):2025.46(1)