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Målrettet behandling af kronisk lymfatisk leukaemi
Engelsk titel: Targeted treatment of chronic lymphocytic leukaemia Läs online Författare: Niemann, Carsten Utoft Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 15077403

Tidskrift

Ugeskrift for Laeger 2015;175(11)1053-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

The development of targeted treatment of chronic lymphocytic leukaemia (CLL) is changing the prognostic outlook for CLL patients. The B-cell antigen receptor pathway is identified as pivotal for CLL pathogenesis and CLL cell proliferation. Inhibition of this pathway by ibrutinib (Bruton’s tyrosin kinase inhibition) and idelalisib (phosphatidylinositol 3-kinase inhibition) has recently shown impressive clinical results, also for CLL patients with relapsed/refractory disease and unfavourable prognostic markers. Apoptosis induction by inhibition of BCL2 with ABT-199 is reported with likewise promising clinical results.