Biomarkers of Response to Venetoclax Therapy in Acute Myeloid Leukemia.
Carlos Rodríguez-MedinaRuth StuckeyCristina Bilbao-SieyroMaría-Teresa Gómez-CasaresPublished in: International journal of molecular sciences (2024)
Recent progress in the use of massive sequencing technologies has greatly enhanced our understanding of acute myeloid leukemia (AML) pathology. This knowledge has in turn driven the development of targeted therapies, such as venetoclax, a BCL-2 inhibitor approved for use in combination with azacitidine, decitabine, or low-dose cytarabine for the treatment of newly diagnosed adult patients with AML who are not eligible for intensive chemotherapy. However, a significant number of AML patients still face the challenge of disease relapse. In this review, we will explore biomarkers that may predict disease progression in patients receiving venetoclax-based therapy, considering both clinical factors and genetic changes. Despite the many advances, we conclude that the identification of molecular profiles for AML patients who will respond optimally to venetoclax therapy remains an unmet clinical need.
Keyphrases
- acute myeloid leukemia
- newly diagnosed
- allogeneic hematopoietic stem cell transplantation
- low dose
- chronic lymphocytic leukemia
- end stage renal disease
- healthcare
- ejection fraction
- chronic kidney disease
- stem cells
- high dose
- radiation therapy
- genome wide
- dna methylation
- locally advanced
- acute lymphoblastic leukemia
- combination therapy
- living cells
- bone marrow
- free survival