BCL-2 inhibition in AML: an unexpected bonus?

Author:

Konopleva Marina1,Letai Anthony2ORCID

Affiliation:

1. The University of Texas MD Anderson Cancer Center, Houston, TX; and

2. Dana-Farber Cancer Institute, Boston, MA

Abstract

Abstract B-cell lymphoma 2 (BCL-2) was discovered at the breakpoint of the t(14;18) in follicular lymphoma >30 years ago. Although inhibition of BCL-2 first proved valuable in lymphoid malignancies, clinical progress in myeloid malignancies lagged. Here, we summarize the basic biology and preclinical results that spurred clinical BCL-2 inhibition in acute myeloid leukemia (AML). Response rates and toxicity for venetoclax in combination with standard AML agents, such as azacitidine, decitabine, and low-dose cytarabine, compare favorably with conventional induction chemotherapy. Durability of response requires further study.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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