Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review

Introduction and purpose: Acute lymphoblastic leukemia is a medical condition with underlying abnormal proliferation of cells of the lymphoid system which are blocked at an early stage of differentiation. As a result of impaired lymphocyte maturation, the proliferation and accumulation of immature...

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Main Authors: Zuzanna Czudy, Wojciech Pawęska, Jan Radwański, Hanna Dominik, Marika Polatowska, Anna Gadomska, Justyna Kurek, Rafał Gorzyński, Michał Garstka, Justyna Molczyk-Sieńczak
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-08-01
Series:Journal of Education, Health and Sport
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Online Access:https://apcz.umk.pl/JEHS/article/view/45184
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author Zuzanna Czudy
Wojciech Pawęska
Jan Radwański
Hanna Dominik
Marika Polatowska
Anna Gadomska
Justyna Kurek
Rafał Gorzyński
Michał Garstka
Justyna Molczyk-Sieńczak
author_facet Zuzanna Czudy
Wojciech Pawęska
Jan Radwański
Hanna Dominik
Marika Polatowska
Anna Gadomska
Justyna Kurek
Rafał Gorzyński
Michał Garstka
Justyna Molczyk-Sieńczak
author_sort Zuzanna Czudy
collection DOAJ
description Introduction and purpose: Acute lymphoblastic leukemia is a medical condition with underlying abnormal proliferation of cells of the lymphoid system which are blocked at an early stage of differentiation. As a result of impaired lymphocyte maturation, the proliferation and accumulation of immature blastic cells, derived from tumor-transformed bone marrow precursor cells, develop in the bone marrow. The infiltration of the bone marrow by leukemic cells results in failure of normal hematopoiesis, with subsequent anemia, thrombocytopenia and neutropenia. Acute lymphoblastic leukemia is among the most aggressive proliferative diseases, and survival time is a few to several weeks without appropriate treatment. Materials and methods: The literature available on PubMed was reviewed using the words “acute lymphoblastic leukemia ”, “ALL”, “acute lymphoblastic leukemia treatment”. Summary: Acute lymphoblastic leukemia was managed with a chemotherapeutic drug combination for several years, with median overall survival of approximately 80% for all newly diagnosed cases. Patients with higher-risk relapses receive more intensive treatment, while patients with more favorable outcomes can avoid more toxic effects. Multicenter randomized controlled trials conducted by international collaborative efforts are helping to advance overall survival by exploring novel treatments. Hope for the future of leukemia therapy is defining the underlying molecular trails in the pathogenesis of the disease and clarifying host pharmacogenetic factors further. If successful, these efforts will allow the identification of new genes with candidate proteins for targeted therapies.
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spelling doaj.art-49b5e38aa15446a49e9fc71e63b83cd42023-08-19T10:48:24ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0144110.12775/JEHS.2023.44.01.005Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief reviewZuzanna Czudy0Wojciech Pawęska1Jan Radwański2Hanna Dominik3Marika Polatowska4Anna Gadomska5Justyna Kurek6Rafał Gorzyński7Michał Garstka8Justyna Molczyk-Sieńczak9University Hospital, Collegium Medicum University of Zielona Gora, Zyty 28, 65-046 Zielona Gora, Poland,District Hospital, Krakowska 3, 32-700, Bochnia, PolandProvincial Specialist Hospital No. 4, Legionow 10, 41-902 Bytom, PolandUniversity Hospital, Zyty 26, 65-046 Zielona Gora, Poland,Collegium Medicum University of Zielona Gora, Zyty 28, Zielona Gora 65-046, Poland,University Hospital, Zyty 26, 65-046 Zielona Gora, PolandClinical Hospital No. 2, Lwowska 60, 35-301 Rzeszow, Clinical Hospital, Collegium Medicum University of Poznan, Dluga ½, 61-848 Poznan, Poland, Medical Center HCP, 28 Czerwca 1956 r. 194, 61-485 PoznanNZOZ Alicja Ulanecka, Moscickiego 14, 33-100 Tarnow, Poland Introduction and purpose: Acute lymphoblastic leukemia is a medical condition with underlying abnormal proliferation of cells of the lymphoid system which are blocked at an early stage of differentiation. As a result of impaired lymphocyte maturation, the proliferation and accumulation of immature blastic cells, derived from tumor-transformed bone marrow precursor cells, develop in the bone marrow. The infiltration of the bone marrow by leukemic cells results in failure of normal hematopoiesis, with subsequent anemia, thrombocytopenia and neutropenia. Acute lymphoblastic leukemia is among the most aggressive proliferative diseases, and survival time is a few to several weeks without appropriate treatment. Materials and methods: The literature available on PubMed was reviewed using the words “acute lymphoblastic leukemia ”, “ALL”, “acute lymphoblastic leukemia treatment”. Summary: Acute lymphoblastic leukemia was managed with a chemotherapeutic drug combination for several years, with median overall survival of approximately 80% for all newly diagnosed cases. Patients with higher-risk relapses receive more intensive treatment, while patients with more favorable outcomes can avoid more toxic effects. Multicenter randomized controlled trials conducted by international collaborative efforts are helping to advance overall survival by exploring novel treatments. Hope for the future of leukemia therapy is defining the underlying molecular trails in the pathogenesis of the disease and clarifying host pharmacogenetic factors further. If successful, these efforts will allow the identification of new genes with candidate proteins for targeted therapies. https://apcz.umk.pl/JEHS/article/view/45184acute lymphoblastic leukemiaCAR Tchemiotherapybone marrowagressive proliferative disease
spellingShingle Zuzanna Czudy
Wojciech Pawęska
Jan Radwański
Hanna Dominik
Marika Polatowska
Anna Gadomska
Justyna Kurek
Rafał Gorzyński
Michał Garstka
Justyna Molczyk-Sieńczak
Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
Journal of Education, Health and Sport
acute lymphoblastic leukemia
CAR T
chemiotherapy
bone marrow
agressive proliferative disease
title Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
title_full Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
title_fullStr Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
title_full_unstemmed Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
title_short Treatment methods for patients suffering from acute lymphoblastic leukemia (all) - a brief review
title_sort treatment methods for patients suffering from acute lymphoblastic leukemia all a brief review
topic acute lymphoblastic leukemia
CAR T
chemiotherapy
bone marrow
agressive proliferative disease
url https://apcz.umk.pl/JEHS/article/view/45184
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