Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities

Sylwia Flis,1 Tomasz Chojnacki2 1Department of Pharmacology, National Medicines Institute, 00-725 Warsaw, Poland; 2Department of Hematology, Military Institute of Medicine, 04-141 Warsaw, Poland Abstract: Chronic myeloid leukemia (CML) is a clonal myeloproliferative disorder of hematopoietic stem...

Full description

Bibliographic Details
Main Authors: Flis S, Chojnacki T
Format: Article
Language:English
Published: Dove Medical Press 2019-03-01
Series:Drug Design, Development and Therapy
Subjects:
Online Access:https://www.dovepress.com/chronic-myelogenous-leukemia-a-still-unsolved-problem-pitfalls-and-new-peer-reviewed-article-DDDT
_version_ 1811219096585371648
author Flis S
Chojnacki T
author_facet Flis S
Chojnacki T
author_sort Flis S
collection DOAJ
description Sylwia Flis,1 Tomasz Chojnacki2 1Department of Pharmacology, National Medicines Institute, 00-725 Warsaw, Poland; 2Department of Hematology, Military Institute of Medicine, 04-141 Warsaw, Poland Abstract: Chronic myeloid leukemia (CML) is a clonal myeloproliferative disorder of hematopoietic stem cells. At the molecular level, the disorder results from t(9;22)(q34;q11) reciprocal translocation between chromosomes, which leads to the formation of an oncogenic BCR–ABL gene fusion. Instead of progress in the understanding of the molecular etiology of CML and the development of novel therapeutic strategies, clinicians still face many challenges in the effective treatment of patients. In this review, we discuss the pathways of diagnosis and treatment of patients, as well as the problems appearing in the course of disease development. We also briefly refer to several aspects regarding the current knowledge on the molecular basis of CML and new potential therapeutic targets. Keywords: chronic myeloid leukemia, CML, BCR–ABL, tyrosine kinase inhibitors, TKI, TKI withdrawal, stem cells, autophagy
first_indexed 2024-04-12T07:19:39Z
format Article
id doaj.art-afdbd50be1e941cbb573b2041f88da2b
institution Directory Open Access Journal
issn 1177-8881
language English
last_indexed 2024-04-12T07:19:39Z
publishDate 2019-03-01
publisher Dove Medical Press
record_format Article
series Drug Design, Development and Therapy
spelling doaj.art-afdbd50be1e941cbb573b2041f88da2b2022-12-22T03:42:22ZengDove Medical PressDrug Design, Development and Therapy1177-88812019-03-01Volume 1382584344498Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilitiesFlis SChojnacki TSylwia Flis,1 Tomasz Chojnacki2 1Department of Pharmacology, National Medicines Institute, 00-725 Warsaw, Poland; 2Department of Hematology, Military Institute of Medicine, 04-141 Warsaw, Poland Abstract: Chronic myeloid leukemia (CML) is a clonal myeloproliferative disorder of hematopoietic stem cells. At the molecular level, the disorder results from t(9;22)(q34;q11) reciprocal translocation between chromosomes, which leads to the formation of an oncogenic BCR–ABL gene fusion. Instead of progress in the understanding of the molecular etiology of CML and the development of novel therapeutic strategies, clinicians still face many challenges in the effective treatment of patients. In this review, we discuss the pathways of diagnosis and treatment of patients, as well as the problems appearing in the course of disease development. We also briefly refer to several aspects regarding the current knowledge on the molecular basis of CML and new potential therapeutic targets. Keywords: chronic myeloid leukemia, CML, BCR–ABL, tyrosine kinase inhibitors, TKI, TKI withdrawal, stem cells, autophagyhttps://www.dovepress.com/chronic-myelogenous-leukemia-a-still-unsolved-problem-pitfalls-and-new-peer-reviewed-article-DDDTChronic myeloid leukemia (CML)BCR ABLtyrosine kinase inhibitorsstem cells
spellingShingle Flis S
Chojnacki T
Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
Drug Design, Development and Therapy
Chronic myeloid leukemia (CML)
BCR ABL
tyrosine kinase inhibitors
stem cells
title Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
title_full Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
title_fullStr Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
title_full_unstemmed Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
title_short Chronic myelogenous leukemia, a still unsolved problem: pitfalls and new therapeutic possibilities
title_sort chronic myelogenous leukemia a still unsolved problem pitfalls and new therapeutic possibilities
topic Chronic myeloid leukemia (CML)
BCR ABL
tyrosine kinase inhibitors
stem cells
url https://www.dovepress.com/chronic-myelogenous-leukemia-a-still-unsolved-problem-pitfalls-and-new-peer-reviewed-article-DDDT
work_keys_str_mv AT fliss chronicmyelogenousleukemiaastillunsolvedproblempitfallsandnewtherapeuticpossibilities
AT chojnackit chronicmyelogenousleukemiaastillunsolvedproblempitfallsandnewtherapeuticpossibilities