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J Korean Med Sci. 2021;36(13):e85.

Recent Clinical Update of Acute Myeloid Leukemia: Focus on Epigenetic Therapies.

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제1저자 이은영 · 교신저자 윤성수

소속 (3)
  1. Department of Internal Medicine, Center for Hematologic Malignancy, National Cancer Center, Goyang, Korea.
  2. Department of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
  3. Department of Internal Medicine, Seoul National University Hospital, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea. ssysmc@snu.ac.kr.

Abstract

Acute myeloid leukemia (AML) is a complicated disease characterized by genetic heterogeneity and simultaneous alterations in multiple genes. For decades, its only curative method has been intensive induction chemotherapy with or without allogeneic hematopoietic stem cell transplantation, and this approach cannot be applied to elderly patients, who make up more than 50% of AML patients. Recent advances in genomics facilitated the elucidation of various mutations related to AML, and the most frequent mutations were discovered in epigenetic regulators. Alterations to epigenetic modifications that are essential for normal cell biology, including DNA methylation and histone acetylation, have been identified. As epigenetic dysregulation is an important carcinogenic mechanism and some epigenetic changes are reversible, these epigenetic alterations have become targets for novel drug development against AML. This review summarizes the recent advances in epigenetic therapies for AML and discusses future research directions.

© 2021 The Korean Academy of Medical Sciences.

Keywords

Acute Myeloid LeukemiaEpigenetic Therapy

Figures

Fig. 1
Fig. 1 Overview of epigenetic mechanisms and targeting agents. HDAC = histone deacetylase, EZH = enhancer of zeste 2 polycomb repressive complex, LSD = lysine demethylase, MLL = myeloid/lymphoid or mixed-lineage leukemia, DOT1L = DOT1 like histone lysine methyltransferase, HMA = hypomethylating agent, DNMT = DNA methyltransferase, IDH = isocitrate dehydrogenase.

그림 출처: PubMed Central 공개 논문 (PMC8021975)

Conflict of interest statement

The authors have no potential conflicts of interest to disclose.

그 밖의 정보
출판 형태
Journal Article, Review
저널
Journal of Korean medical science · eISSN 1598-6357
전자 출판
2021-04-05
MeSH
DNA (Cytosine-5-)-Methyltransferases / antagonists & inhibitors / metabolism · Drug Therapy, Combination · Enzyme Inhibitors / therapeutic use · Epigenomics* · Histone Deacetylase Inhibitors / therapeutic use · Humans · Isocitrate Dehydrogenase / antagonists & inhibitors / metabolism · Leukemia, Myeloid, Acute / genetics / pathology / therapy · Mutation · fms-Like Tyrosine Kinase 3 / antagonists & inhibitors / genetics / metabolism
Substances
Enzyme Inhibitors · Histone Deacetylase Inhibitors · Isocitrate Dehydrogenase · DNA (Cytosine-5-)-Methyltransferases · FLT3 protein, human · fms-Like Tyrosine Kinase 3
참고문헌
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