Acute Myelogenous Leukemia and its Microenvironment: A Molecular Conversation
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Acute Myelogenous Leukemia and its Microenvironment: A Molecular Conversation. / Ghiaur, Gabriel; Wroblewski, Mark; Loges, Sonja.
In: SEMIN HEMATOL, Vol. 52, No. 3, 07.2015, p. 200-6.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Acute Myelogenous Leukemia and its Microenvironment: A Molecular Conversation
AU - Ghiaur, Gabriel
AU - Wroblewski, Mark
AU - Loges, Sonja
N1 - Copyright © 2015 Elsevier Inc. All rights reserved.
PY - 2015/7
Y1 - 2015/7
N2 - Survival of patients with acute myelogenous leukemia (AML) depends on our ability to prevent relapse in patients that achieved complete remission after intensive chemotherapy. While studies focusing on the malignant clone brought many advances in understanding AML biology and chemoresistance, little improvement has been made in eliminating the last bastion of malignant cells, the minimal residual disease (MRD). Inspired by Sir Paget's "soil and seed" hypothesis, it is becoming more clear that there is constant feedback between the malignant clone and the leukemic microenvironment. This "molecular conversation" dictates AML behavior and holds the key to eliminating MRD. Here we review recent advances in our understanding of how leukemia cells modify their microenvironment and how these changes reinforce AML homeostasis. In addition, we outline current clinical and preclinical efforts to disrupt these interactions and to therapeutically target MRD.
AB - Survival of patients with acute myelogenous leukemia (AML) depends on our ability to prevent relapse in patients that achieved complete remission after intensive chemotherapy. While studies focusing on the malignant clone brought many advances in understanding AML biology and chemoresistance, little improvement has been made in eliminating the last bastion of malignant cells, the minimal residual disease (MRD). Inspired by Sir Paget's "soil and seed" hypothesis, it is becoming more clear that there is constant feedback between the malignant clone and the leukemic microenvironment. This "molecular conversation" dictates AML behavior and holds the key to eliminating MRD. Here we review recent advances in our understanding of how leukemia cells modify their microenvironment and how these changes reinforce AML homeostasis. In addition, we outline current clinical and preclinical efforts to disrupt these interactions and to therapeutically target MRD.
KW - Animals
KW - Bone Marrow
KW - Cell Communication
KW - Humans
KW - Leukemia, Myeloid, Acute
KW - Neoplasm, Residual
KW - Stem Cells
KW - Tumor Microenvironment
U2 - 10.1053/j.seminhematol.2015.03.003
DO - 10.1053/j.seminhematol.2015.03.003
M3 - SCORING: Journal article
C2 - 26111467
VL - 52
SP - 200
EP - 206
JO - SEMIN HEMATOL
JF - SEMIN HEMATOL
SN - 0037-1963
IS - 3
ER -