H00003 | |
H番号 | H00003 |
名称 | 急性骨髄性白血病 |
概要 | Acute myeloid leukemia (AML) is a disease that is characterized by uncontrolled proliferation of clonal neoplastic cells and accumulation in the bone marrow of blasts with an impaired differentiation program. AML accounts for approximately 80% of all adult leukemias and remains the most common cause of leukemia death. Two major types of genetic events have been described that are crucial for leukemic transformation. A proposed necessary first event is disordered cell growth and upregulation of cell survival genes. The most common of these activating events were observed in the RTK Flt3, in N-Ras and K-Ras, in Kit, and sporadically in other RTKs. Alterations in myeloid transcription factors governing hematopoietic differentiation provide second necessary event for leukemogenesis. Transcription factor fusion proteins such as PML-RARalpha (in Acute promyelocytic leukemia, a subtype of AML), AML-ETO or PLZF-RARalpha block myeloid cell differentiation by repressing target genes. In other cases, the transcription factors themselves are mutated. |
カテゴリ | がん 疾患パスウェイ hsa05221 急性骨髄性白血病 |
ネットワーク | nt06275 Acute myeloid leukemia nt06530(H00003) PI3K signaling |
病因遺伝子 | PML-RARalpha (translocation) [HSA:5371] [KO:K10054] AML1-ETO (translocation) [HSA:861] [KO:K08367] PLZF-RARalpha (translocation) [HSA:7704] [KO:K10055] FLT3 [HSA:2322] [KO:K05092] KIT [HSA:3815] [KO:K05091] NRAS [HSA:4893] [KO:K07828] KRAS [HSA:3845] [KO:K07827] AML1 [HSA:861] [KO:K08367] CEBPA [HSA:1050] [KO:K09055] CBFB [HSA:865] [KO:K25826] CHIC2 [HSA:26511] DNMT3A [HSA:1788] [KO:K17398] ETV6 [HSA:2120] [KO:K03211] GATA2 [HSA:2624] [KO:K17894] JAK2 [HSA:3717] [KO:K04447] LPP [HSA:4026] [KO:K16676] MLLT10 [HSA:8028] [KO:K23588] NPM1 [HSA:4869] [KO:K11276] NUP214 [HSA:8021] [KO:K14317] PICALM [HSA:8301] [KO:K20044] SH3GL1 [HSA:6455] [KO:K11247] TERT [HSA:7015] [KO:K11126] |
病原体 | - |
環境要因 | - |
発癌物質 | - |
治療薬 | ベタメタゾンリン酸エステルナトリウム [DR:D00972] トリアムシノロンアセトニド [DR:D00983] レノグラスチム [DR:D03247] シクロホスファミド水和物 [DR:D00287] メルカプトプリン水和物 [DR:D00161] シタラビン [DR:D00168] シタラビンオクホスファート水和物 [DR:D03046] エノシタビン [DR:D01633] フルダラビンリン酸エステル [DR:D01907] ダウノルビシン塩酸塩 [DR:D01264] エピルビシン塩酸塩 [DR:D02214] アクラルビシン塩酸塩 [DR:D01911] イダルビシン塩酸塩 [DR:D01747] ゲムツズマブオゾガマイシン [DR:D03259] (CD33陽性) ビンクリスチン硫酸塩 [DR:D02197] ビンデシン硫酸塩 [DR:D01769] トレチノイン [DR:D00094] アザシチジン [DR:D03021] ミトキサントロン塩酸塩 [DR:D02166] キザルチニブ塩酸塩 [DR:D09956] (FLT3-ITD変異陽性) ギルテリチニブフマル酸塩 [DR:D10800] (FLT3遺伝子変異陽性) L-アスパラギナーゼ [DR:D02997] ベネトクラクス [DR:D10679] タミバロテン [DR:D01418] クリサンタスパーゼ [DR:D10517] ウベニメクス [DR:D00087] |
コメント | - |
リンク | ICD-11: 2A60 ICD-10: C92.0 MeSH: D015470 |
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