scholarly journals New Drugs Bringing New Challenges to AML: A Brief Review

2021 ◽  
Vol 11 (10) ◽  
pp. 1003
Author(s):  
Zhi Han Yeoh ◽  
Ashish Bajel ◽  
Andrew H. Wei

The better understanding of the genomic landscape in acute myeloid leukaemia (AML) has progressively paved the way for precision medicine in AML. There is a growing number of drugs with novel mechanisms of action and unique side-effect profiles. This review examines the impact of evolving novel therapies on survival in AML and the challenges that ensue.

2019 ◽  
Vol 12 ◽  
pp. 175628641983657 ◽  
Author(s):  
Luisa Klotz ◽  
Joachim Havla ◽  
Nicholas Schwab ◽  
Reinhard Hohlfeld ◽  
Michael Barnett ◽  
...  

In recent years, there has been a paradigm shift in the treatment of multiple sclerosis (MS) owing to the approval of a number of new drugs with very distinct mechanisms of action. All approved disease-modifying drugs primarily work directly on the immune system. However, the identification of an ‘optimal choice’ for individual patients with regard to treatment efficacy, treatment adherence and side-effect profile has become increasingly complex including conceptual as well as practical considerations. Similarly, there are peculiarities and specific requirements with regard to treatment monitoring, especially in relation to immunosuppression, the development of secondary immune-related complications, as well as the existence of drug-specific on- and off-target effects. Both classical immunosuppression and selective immune interventions generate a spectrum of potential therapy-related complications. This article provides a comprehensive overview of available immunotherapeutics for MS and their risks, detailing individual mechanisms of action and side-effect profiles. Furthermore, practical recommendations for patients treated with modern MS immunotherapeutics are provided.


2019 ◽  
Vol 58 (12) ◽  
pp. 903-914 ◽  
Author(s):  
Ing S. Tiong ◽  
Andrew H. Wei

2020 ◽  
Vol 16 (14) ◽  
pp. 961-972
Author(s):  
Khalil Saleh ◽  
Nadine Khalifeh-Saleh ◽  
Hampig Raphael Kourie

Acute myeloid leukemia (AML) is a heterogeneous neoplasm characterized by the monoclonal proliferation of immature progenitors. It is the most common acute leukemia in adults and its incidence increases with age. The standard traditional treatment in fit patients was the ‘3 + 7’ regimen and cytarabine consolidation followed or not with allogeneic stem cell transplantation. Recently, several targeted therapies such as gemtuzumab ozogamicin targeting the CD33+ AML, midostaurin, gilteritinib and crenolanib inhibiting FLT3-positive AML and ivosidenib and enasidenib blocking IDH-mutated AML have been approved. These new drugs led to the change of the landscape of the treatment of AML and transforming this disease to a targetable one. We aimed in this paper to review the implications of each new target, the mechanisms of action of these new drugs and we discuss all the studies leading to the approval of these new drugs in their indications according to each target.


Vox Sanguinis ◽  
2013 ◽  
Vol 105 (1) ◽  
pp. 81-84 ◽  
Author(s):  
R. T. Hoeg ◽  
E. B. Leinoe ◽  
P. Andersen ◽  
T. W. Klausen ◽  
H. S. Birgens

Blood ◽  
2016 ◽  
Vol 127 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Eytan M. Stein ◽  
Martin S. Tallman

Abstract Multiple new drugs are being developed to treat acute myeloid leukemia (AML), including novel formulations of traditional chemotherapy-antibody drug conjugates and agents that target specific mutant enzymes. Next-generation sequencing has allowed us to discover the genetic mutations that lead to the development and clinical progression of AML. Studies of clonal hierarchy suggest which mutations occur early and dominate. This has led to targeted therapy against mutant driver proteins as well as the development of drugs such as CPX-351 and SGN-CD33A whose mechanisms of action and efficacy may not be dependent on mutational complexity. In this brief review, we discuss drugs that may emerge as important for the treatment of AML in the next 10 years.


2019 ◽  
Vol 85 (12) ◽  
pp. 2689-2693 ◽  
Author(s):  
Selin Kucukyurt ◽  
Ahmet Emre Eskazan

2014 ◽  
Vol 94 (1) ◽  
pp. 35-43 ◽  
Author(s):  
L. Bolkun ◽  
D. Lemancewicz ◽  
E. Jablonska ◽  
A. Szumowska ◽  
U. Bolkun-Skornicka ◽  
...  

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Edgar Ferrer-González ◽  
Junso Fujita ◽  
Takuya Yoshizawa ◽  
Julia M. Nelson ◽  
Alyssa J. Pilch ◽  
...  

AbstractAddressing the growing problem of antibiotic resistance requires the development of new drugs with novel antibacterial targets. FtsZ has been identified as an appealing new target for antibacterial agents. Here, we describe the structure-guided design of a new fluorescent probe (BOFP) in which a BODIPY fluorophore has been conjugated to an oxazole-benzamide FtsZ inhibitor. Crystallographic studies have enabled us to identify the optimal position for tethering the fluorophore that facilitates the high-affinity FtsZ binding of BOFP. Fluorescence anisotropy studies demonstrate that BOFP binds the FtsZ proteins from the Gram-positive pathogens Staphylococcus aureus, Enterococcus faecalis, Enterococcus faecium, Streptococcus pyogenes, Streptococcus agalactiae, and Streptococcus pneumoniae with Kd values of 0.6–4.6 µM. Significantly, BOFP binds the FtsZ proteins from the Gram-negative pathogens Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Acinetobacter baumannii with an even higher affinity (Kd = 0.2–0.8 µM). Fluorescence microscopy studies reveal that BOFP can effectively label FtsZ in all the above Gram-positive and Gram-negative pathogens. In addition, BOFP is effective at monitoring the impact of non-fluorescent inhibitors on FtsZ localization in these target pathogens. Viewed as a whole, our results highlight the utility of BOFP as a powerful tool for identifying new broad-spectrum FtsZ inhibitors and understanding their mechanisms of action.


Nature ◽  
2018 ◽  
Vol 562 (7728) ◽  
pp. 526-531 ◽  
Author(s):  
Jeffrey W. Tyner ◽  
Cristina E. Tognon ◽  
Daniel Bottomly ◽  
Beth Wilmot ◽  
Stephen E. Kurtz ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document