慢性粒细胞白血病的细胞凋亡分子机制及临床治疗研究进展
摘要
慢性粒细胞白血病(CML)以染色体移位形成BCR/ABL融合基因为标志,编码的融合蛋白 P210BCR/ABL具有较强的蛋白酪氨酸激酶活性,可激活Ras-Raf-MAPK、STAT-Bcl-XL、PI3K-AKT、 NFκB等多条信号转导途径,直接或间接作用于细胞凋亡的开关——线粒体,使BCR/ABL阳性细胞耐受凋亡,导致肿瘤疾病发生。因此诱导凋亡是目前临床治疗慢性粒细胞白血病的重要方法之一,本文就慢性粒细胞白血病的细胞凋亡分子机制,以及在此基础上临床新近发展的一些治疗策略作一简述。
出处
《国外医学(输血及血液学分册)》
2005年第6期499-503,共5页
Foreign Medical Sciences(Section of Blood Transfusion and Heanatology)
参考文献26
-
1Wang X. The expanding role of mitochondria in apoptosis.Genes & Development, 2001, 15(22):2922-2933.
-
2Gross A, McDonnell JM, Korsmeyer SJ. BCL-2 family members and the mitochondria in apoptosis. Genesg & Development, 1999, 13(15) : 1899-1911.
-
3Burlacu A. Regulation of apoptosis by Bcl-2 family proteins. J Cell Mol Med, 2003, 7(3):249-257.
-
4Amarante-Mendes G, Naekyang Kim C, Liu L, et al. Bcr-Abl Exerts Its Antiapoptotic Effect Against Diverse Apoptotic Stimuli Through Blockage of Mitochondrial Release of Cytochrome C and Activation of Caspase-3. Blood, 1998, 91 (5) : 1700-1705.
-
5Yang J, Liu X, Bhalla K, et al. Prevention of Apoptosis by Bcl-2 :Release of Cytochrome c from Mitochondria Blocked. Science,1997, 275(5303):1129-1132.
-
6Amarante-Mendes G, McGahon AJ, Nishioka WK, et al. Bcl-2-independent Bcr - Abl-mediated resistance to apoptosis: protection is correlated with up regulation of Bcl-XL. Oncogene, 1998, 16(11):1383-1390.
-
7Gesbert F, Griffin JD. Bcr/Abl activates transcription of the Bcl-X gene through STAT5. Blood, 2000,96 (6):2269-2276.
-
8Klejman A, Schreiner SJ, Nieborowska-Skorska M, et al. The Src family kinase Hck couples BCR/ABL to STAT5 activation in myeloid leukemia cells. The EMBO Journal, 2002, 21 (21):5766-5774.
-
9Nieborowska-Skorska M, Hoser G, Kossev p, et al.Complementary functions of the antiapoptotic protein A1 and serine/threonine kinase pim-1 in the BCR/ABL-mediated leukemogenesis. Blood, 2002, 99(12):4531-4539.
-
10Salomoni P, Condorelli F, Sweeney SM, et al. Versatility of BCR/ABL-expressing leukemic cells in circumventing proapoptotic BAD effects, Blood, 2000, 96 (2):676- 684.
-
1沈孛,林圣云,胡致平,沈一平,沈建平.慢性粒细胞性白血病的不典型染色体移位检测[J].浙江临床医学,2001,3(10):712-712.
-
2阮春慧,郭兆香,陈玉云.全反式维甲酸治疗乙双吗啉所致急性早幼粒细胞白血病14例[J].白血病,1996,5(1):27-28.
-
3扶云碧.BCR/ABL癌基因启动JAK/STAT信号传导途径的机制后果及意义[J].国外医学(输血及血液学分册),2001,24(6):473-476. 被引量:3
-
4常晓慧,王芝琪.细胞凋亡与白血病多药耐药的关系[J].哈尔滨医科大学学报,2002,36(1):82-84. 被引量:1
-
5谈东风.滑膜肉瘤[J].中国组织化学与细胞化学杂志,2016,25(2):174-178. 被引量:15
-
6王炎,成志勇,张密,王哲,孙旭丽,谢旭磊,付建珠.AML1/ETO阳性急性髓系白血病误诊1例分析[J].实用肿瘤杂志,2015,30(3):278-280. 被引量:1
-
7季天海,李慧灵,蒋会勇,赵彤,余英豪.ALCL染色体移位的间变性淋巴瘤激酶的表达及其与预后的关系[J].中国实验血液学杂志,2008,16(3):543-546. 被引量:4
-
8夏月平.慢性粒细胞白血病靶向治疗药物实验研究进展[J].临床医药文献电子杂志,2016,3(12):2446-2447. 被引量:2
-
9刘彤华.免疫组织化学规范化的问题[J].中华病理学杂志,2008,37(12):793-794. 被引量:2
-
10赵玉珍,刘明瑜,贾联苏.肺部肿块的 B 超诊断[J].河北医学院学报,1991,12(2):52-53.