Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia

Comprehensive genomic profiling examinations (CGPs) have recently been developed, and a variety of tumor-agnostic mutations have been detected, leading to the development of new molecular-targetable therapies across solid tumors. In addition, the elucidation of hereditary tumors, such as breast and...

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Main Authors: Hironori Arai, Yosuke Minami, SungGi Chi, Yoshikazu Utsu, Shinichi Masuda, Nobuyuki Aotsuka
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/10/12/3008
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author Hironori Arai
Yosuke Minami
SungGi Chi
Yoshikazu Utsu
Shinichi Masuda
Nobuyuki Aotsuka
author_facet Hironori Arai
Yosuke Minami
SungGi Chi
Yoshikazu Utsu
Shinichi Masuda
Nobuyuki Aotsuka
author_sort Hironori Arai
collection DOAJ
description Comprehensive genomic profiling examinations (CGPs) have recently been developed, and a variety of tumor-agnostic mutations have been detected, leading to the development of new molecular-targetable therapies across solid tumors. In addition, the elucidation of hereditary tumors, such as breast and ovarian cancer, has pioneered a new age marked by the development of new treatments and lifetime management strategies required for patients with potential or presented hereditary cancers. In acute myeloid leukemia (AML), however, few tumor-agnostic or hereditary mutations have been the focus of investigation, with associated molecular-targeted therapies remaining poorly developed. We focused on representative tumor-agnostic mutations such as the <i>TP53</i>, <i>KIT</i>, <i>KRAS</i>, <i>BRCA1</i>, <i>ATM</i>, <i>JAK2</i>, <i>NTRK3</i>, <i>FGFR3</i> and <i>EGFR</i> genes, referring to a CGP study conducted in Japan, and we considered the possibility of developing molecular-targeted therapies for AML with tumor-agnostic mutations. We summarized the frequency, the prognosis, the structure and the function of these mutations as well as the current treatment strategies in solid tumors, revealed the genetical relationships between solid tumors and AML and developed tumor-agnostic molecular-targeted therapies and lifetime management strategies in AML.
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spelling doaj.art-e166d6bd1b1a46018c29572c12dec3a92023-11-24T13:25:07ZengMDPI AGBiomedicines2227-90592022-11-011012300810.3390/biomedicines10123008Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid LeukemiaHironori Arai0Yosuke Minami1SungGi Chi2Yoshikazu Utsu3Shinichi Masuda4Nobuyuki Aotsuka5Department of Hematology and Oncology, Japanese Red Cross Narita Hospital, Iidacho 286-0041, JapanDepartment of Hematology, National Cancer Center Hospital East, Kashiwa 277-8577, JapanDepartment of Hematology, National Cancer Center Hospital East, Kashiwa 277-8577, JapanDepartment of Hematology and Oncology, Japanese Red Cross Narita Hospital, Iidacho 286-0041, JapanDepartment of Hematology and Oncology, Japanese Red Cross Narita Hospital, Iidacho 286-0041, JapanDepartment of Hematology and Oncology, Japanese Red Cross Narita Hospital, Iidacho 286-0041, JapanComprehensive genomic profiling examinations (CGPs) have recently been developed, and a variety of tumor-agnostic mutations have been detected, leading to the development of new molecular-targetable therapies across solid tumors. In addition, the elucidation of hereditary tumors, such as breast and ovarian cancer, has pioneered a new age marked by the development of new treatments and lifetime management strategies required for patients with potential or presented hereditary cancers. In acute myeloid leukemia (AML), however, few tumor-agnostic or hereditary mutations have been the focus of investigation, with associated molecular-targeted therapies remaining poorly developed. We focused on representative tumor-agnostic mutations such as the <i>TP53</i>, <i>KIT</i>, <i>KRAS</i>, <i>BRCA1</i>, <i>ATM</i>, <i>JAK2</i>, <i>NTRK3</i>, <i>FGFR3</i> and <i>EGFR</i> genes, referring to a CGP study conducted in Japan, and we considered the possibility of developing molecular-targeted therapies for AML with tumor-agnostic mutations. We summarized the frequency, the prognosis, the structure and the function of these mutations as well as the current treatment strategies in solid tumors, revealed the genetical relationships between solid tumors and AML and developed tumor-agnostic molecular-targeted therapies and lifetime management strategies in AML.https://www.mdpi.com/2227-9059/10/12/3008acute myeloid leukemiatumor agnosticsolid tumorgenomic profilinghereditary breast and ovarian cancervariant
spellingShingle Hironori Arai
Yosuke Minami
SungGi Chi
Yoshikazu Utsu
Shinichi Masuda
Nobuyuki Aotsuka
Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
Biomedicines
acute myeloid leukemia
tumor agnostic
solid tumor
genomic profiling
hereditary breast and ovarian cancer
variant
title Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
title_full Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
title_fullStr Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
title_full_unstemmed Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
title_short Molecular-Targeted Therapy for Tumor-Agnostic Mutations in Acute Myeloid Leukemia
title_sort molecular targeted therapy for tumor agnostic mutations in acute myeloid leukemia
topic acute myeloid leukemia
tumor agnostic
solid tumor
genomic profiling
hereditary breast and ovarian cancer
variant
url https://www.mdpi.com/2227-9059/10/12/3008
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