Personalized medicine in CLL: Current status and future perspectives
Highlights • While CLL is still considered an incurable disease, the clinical course is extremely variable. Therefore, an individualized approach is needed. • Cytogenetic studies including FISH provide valuable prognostic information and are recommended in all newly diagnosed CLL patients. • The pre...
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Veröffentlicht in: | Cancer letters 2014-09, Vol.352 (1), p.4-14 |
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creator | Rozovski, Uri Hazan-Halevy, Inbal Keating, Michael J Estrov, Zeev |
description | Highlights • While CLL is still considered an incurable disease, the clinical course is extremely variable. Therefore, an individualized approach is needed. • Cytogenetic studies including FISH provide valuable prognostic information and are recommended in all newly diagnosed CLL patients. • The presence of somatic mutations in IGHV, expression of ZAP-70 or CD38, and serum levels of β2M, or thymidine kinase are also of prognostic value. • Several tyrosine kinase inhibitors currently being investigated in CLL induce responses in patients with chemotherapy-refractory disease. • In the future, integrated clinical and genetic information will guide personalized, curative therapy. |
doi_str_mv | 10.1016/j.canlet.2013.07.013 |
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All rights reserved. 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c616t-1dfee57c4a30824a9728b8a43cb3e0bef8f1c2cfc7255aa8997c62f279918c663</citedby><cites>FETCH-LOGICAL-c616t-1dfee57c4a30824a9728b8a43cb3e0bef8f1c2cfc7255aa8997c62f279918c663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0304383513005338$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23879961$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rozovski, Uri</creatorcontrib><creatorcontrib>Hazan-Halevy, Inbal</creatorcontrib><creatorcontrib>Keating, Michael J</creatorcontrib><creatorcontrib>Estrov, Zeev</creatorcontrib><title>Personalized medicine in CLL: Current status and future perspectives</title><title>Cancer letters</title><addtitle>Cancer Lett</addtitle><description>Highlights • While CLL is still considered an incurable disease, the clinical course is extremely variable. Therefore, an individualized approach is needed. • Cytogenetic studies including FISH provide valuable prognostic information and are recommended in all newly diagnosed CLL patients. • The presence of somatic mutations in IGHV, expression of ZAP-70 or CD38, and serum levels of β2M, or thymidine kinase are also of prognostic value. • Several tyrosine kinase inhibitors currently being investigated in CLL induce responses in patients with chemotherapy-refractory disease. • In the future, integrated clinical and genetic information will guide personalized, curative therapy.</description><subject>Chromosomes</subject><subject>CLL</subject><subject>Decision making</subject><subject>Drug therapy</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>Immunotherapy - trends</subject><subject>Leukemia</subject><subject>Leukemia, Lymphocytic, Chronic, B-Cell - therapy</subject><subject>Mutation</subject><subject>Personalized medicine</subject><subject>Precision medicine</subject><subject>Precision Medicine - standards</subject><subject>Precision Medicine - trends</subject><subject>Targeted therapy</subject><issn>0304-3835</issn><issn>1872-7980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUkuP0zAQthCILQv_AKFIXLgk-JHEDgekVXlKlUACziN3OgGX1Cl2Umn59Uzpsgt74TSW8s2X7zFCPFayUlK1z7cV-jjQVGmpTCVtxeOOWChndWk7J--KhTSyLo0zzZl4kPNWStnUtrkvzrRxtutatRCvPlLKY_RD-EmbYkebgCFSEWKxXK1eFMs5JYpTkSc_zbnwcVP08zQnKva8tyecwoHyQ3Gv90OmR1fzXHx58_rz8l25-vD2_fJiVWKr2qlUm56osVh7I52ufWe1WztfG1wbkmvqXa9QY49WN433russtrrXLFU5bFtzLl6eePfzmqUiK0t-gH0KO58uYfQB_v0Swzf4Oh6A7arOKSZ4dkWQxh8z5Ql2ISMNg480zhlU0xgrOT3L0Ke3oNtxThzUb5R2nbG1Y1R9QmEac07UX4tREo41wRZONcGxJpAWePDak7-NXC_96eXGKXGch0AJMgaKyP0kDh02Y_jfH24T4BBiQD98p0vKN14ga5Dw6Xgqx0tRho_E8OsXUxO6vQ</recordid><startdate>20140928</startdate><enddate>20140928</enddate><creator>Rozovski, Uri</creator><creator>Hazan-Halevy, Inbal</creator><creator>Keating, Michael J</creator><creator>Estrov, Zeev</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140928</creationdate><title>Personalized medicine in CLL: Current status and future perspectives</title><author>Rozovski, Uri ; Hazan-Halevy, Inbal ; Keating, Michael J ; Estrov, Zeev</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c616t-1dfee57c4a30824a9728b8a43cb3e0bef8f1c2cfc7255aa8997c62f279918c663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Chromosomes</topic><topic>CLL</topic><topic>Decision making</topic><topic>Drug therapy</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>Immunotherapy - trends</topic><topic>Leukemia</topic><topic>Leukemia, Lymphocytic, Chronic, B-Cell - therapy</topic><topic>Mutation</topic><topic>Personalized medicine</topic><topic>Precision medicine</topic><topic>Precision Medicine - standards</topic><topic>Precision Medicine - trends</topic><topic>Targeted therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rozovski, Uri</creatorcontrib><creatorcontrib>Hazan-Halevy, Inbal</creatorcontrib><creatorcontrib>Keating, Michael J</creatorcontrib><creatorcontrib>Estrov, Zeev</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer letters</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rozovski, Uri</au><au>Hazan-Halevy, Inbal</au><au>Keating, Michael J</au><au>Estrov, Zeev</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Personalized medicine in CLL: Current status and future perspectives</atitle><jtitle>Cancer letters</jtitle><addtitle>Cancer Lett</addtitle><date>2014-09-28</date><risdate>2014</risdate><volume>352</volume><issue>1</issue><spage>4</spage><epage>14</epage><pages>4-14</pages><issn>0304-3835</issn><eissn>1872-7980</eissn><abstract>Highlights • While CLL is still considered an incurable disease, the clinical course is extremely variable. 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subjects | Chromosomes CLL Decision making Drug therapy Hematology, Oncology and Palliative Medicine Humans Immunotherapy - trends Leukemia Leukemia, Lymphocytic, Chronic, B-Cell - therapy Mutation Personalized medicine Precision medicine Precision Medicine - standards Precision Medicine - trends Targeted therapy |
title | Personalized medicine in CLL: Current status and future perspectives |
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