| Literature DB >> 33440683 |
Carmelo Gurnari1,2,3,4, Maria Teresa Voso2,5, Katia Girardi1, Angela Mastronuzzi1, Luisa Strocchio1.
Abstract
Acute promyelocytic leukemia (APL) represents a paradigm of precision medicine. Indeed, in the last decades, the introduction of all-trans retinoic acid (ATRA) and arsenic trioxide (ATO) completely revolutionized the therapeutic approach to this previously highly fatal disorder. This entirely chemotherapy-free treatment, which provided excellent survival rates, has been initially validated in adults and, recently, translated in the pediatric setting. This review summarizes currently available data on the use of ATRA and ATO combination in pediatric APL, providing a particular focus on peculiar issues and challenges, such as the occurrence of pseudotumor cerebri and death during induction (early death), as well as the advantage offered by the ATO/ATRA combination in sparing long-term sequelae.Entities:
Keywords: acute promyelocytic leukemia; all-trans retinoic acid; arsenic trioxide; children
Mesh:
Year: 2021 PMID: 33440683 PMCID: PMC7826974 DOI: 10.3390/ijms22020642
Source DB: PubMed Journal: Int J Mol Sci ISSN: 1422-0067 Impact factor: 5.923