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Clinical Implications of Basic Research
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Volume 360:928-930 February 26, 2009 Number 9
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Acute Promyelocytic Leukemia — Weapons of Mass Differentiation
Jonathan D. Licht, M.D.

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Acute myeloid leukemia (AML) involves the immortalization of immature myeloid progenitors and is a heterogeneous disease. Current clinical practice separates AML into low-, intermediate-, and high-risk categories according to cytogenetic anomalies. Among the low-risk subtypes of AML is acute promyelocytic leukemia (APL). Approximately 98% of persons with APL carry a translocation of chromosomes 15 and 17, typically resulting in the fusion between RAR{alpha} (retinoic acid receptor {alpha}), which encodes a retinoic acid receptor, and the promyelocytic leukemia (PML) protein. These persons are treated with all-trans retinoic acid in combination with chemotherapy; this treatment results in prolonged remission in more . . . [Full Text of this Article]


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From the Division of Hematology and Oncology, Robert H. Lurie Comprehensive Cancer Center of Northwestern University, Chicago.


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