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Retinoic Acid and Arsenic for Treating Acute Promyelocytic Leukemia 英文参考文献
Open access, freely available online
Research in Translation
Retinoic Acid and Arsenic for Treating Acute
Promyelocytic Leukemia
Guang-Biao Zhou, Wei-Li Zhao, Zhen-Yi Wang, Sai-Juan Chen, Zhu Chen*
A
cute promyelocytic leukemia
(APL) was ?rst identi?ed as
a distinct subtype of acute
myeloid leukemia in 1957 by Leif
Hillestad. It is called M3 in the
French–American–British classi?cation,
with a variant type referred to as
microgranular (M3v in the French–
American–British nomenclature) [1].
APL is characterized by three features:
(1) the presence of an accumulation
of abnormal promyelocytes (see
Glossary) that do not differentiate
into mature granulocytes, (2) the
occurrence of ?brinogenopenia
and disseminated intravascular
An important discovery of the early
1970s was that myeloid leukemic cells
could be reprogrammed to resume
normal differentiation and to become
non-dividing mature granulocytes or
macrophages as a result of stimulation
by various cytokines [3,4]. Based on this
discovery, Leo Sachs at the Weizmann
Institute of Science, Rehovot, Israel,
hypothesized in 1978 that treatment
with agents that induce cancer cells
to complete differentiation could be
a potential therapeutic option for
patients with cancer [5]. In the early
1980s, Breitman and colleagues showed
that retinoic acid (RA; Figure 2), a
derivative of vitamin A, could induce
terminal differentiation of human
promyelocytic leukemic cells in vitro
[6,7]. But the ?rst clinical reports of
using RA showed con?icting results.
Some case reports showed bene?cial
effects of 13-cis RA in people with
refractory or relapsed APL [8,9,10], but
other reports showed that 13-cis RA was
ineffective in treating APL [11].
Beginning in the early 1980s, the
Shanghai Institute of Hematology
conducted a series of experiments on
differentiation therapy for APL. These
experiments showed that all-trans
RA (ATRA) could induce terminal
differentiation of HL-60, a cell line
with promyelocytic features, and fresh
leukem
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