Current status of the treatment of thrombotic events in myeloproliferative neoplasm
-
摘要: 骨髓增殖性肿瘤(myeloproliferative neoplasm,MPN)是一组克隆性造血干细胞疾病,以红细胞,巨核细胞或粒细胞系中的一个或多个髓细胞系过度增殖为特征;临床表现为一种或多种血细胞增生,伴肝脾或淋巴结肿大,有白血病转化风险。根据2016年WHO淋巴/造血组织肿瘤分类,经典费城染色体阴性MPN包括真性红细胞增多症(polycythemia vera,PV),原发性血小板增多症(essential thrombocythemia,ET)和原发性骨髓纤维化(primary myelofibrosis,PMF)。血栓和出血事件是MPN患者重要的发病和死亡原因,降低其发生率成为MPN患者治疗的主要目标。本文就MPN患者血栓形成机制,风险分层和相应防治策略展开叙述。
-
Key words:
- myeloproliferative neoplasm /
- thrombotic complications /
- treatment /
- risk stratification
-
[1] Kaifie A,Kirschner M,Wolf D,et al.Bleeding,thrombosis,and anticoagulation in myeloproliferative neoplasms(MPN):analysis from the German SAL-MPN-registry[J].J Hematol Oncol,2016,9:18.
[2] De Stefano V,Vannucchi AM,Ruggeri M,et al.Splanchnic vein thrombosis in myeloproliferative neoplasms:risk factors for recurrences in a cohort of 181 patients[J].Blood Cancer J,2016,6(11):e493.
[3] Kc D,Falchi L,Verstovsek S.The underappreciated risk of thrombosis and bleeding in patients with myelofibrosis:a review[J].Ann Hematol,2017,96(10):1595-1604.
[4] Barbui T,Carobbio A,Cervantes F,et al.Thrombosis in primary myelofibrosis:incidence and risk factors[J].Blood,2010,115(4):778-782.
[5] Tevet M,Ionescu R,Dragan C,et al.Influence of the JAK2 V617F Mutation and Inherited Thrombophilia on the Thrombotic Risk among Patients with Myeloproliferative Disorders[J].Maedica(Bucur),2015,10(1):27-32.
[6] Cervantes F,Alvarez-Larrán A,Arellano-Rodrigo E,et al.Frequency and risk factors for thrombosis in idiopathic myelofibrosis:analysis in a series of 155 patients from a single institution[J].Leukemia,2006,20(1):55-60.
[7] De Grandis M,Cambot M,Wautier MP,et al.JAK2V617F activates Lu/BCAM-mediated red cell adhesion in polycythemia vera through an EpoR-independent Rap1/Akt pathway[J].Blood,2013,121(4):658-665.
[8] Edelmann B,Gupta N,Schnoeder T M,et al.JAK2-V617F promotes venous thrombosis through β1/β2 integrin activation[J].J Clin Invest,2018,128(10):4359-4371.
[9] Wolach O,Sellar RS,Martinod K,et al.Increased neutrophil extracellular trap formation promotes thrombosis in myeloproliferative neoplasms[J].Sci Transl Med,2018,10(436):eaan8292
[10] Fuchs TA,Brill A,Duerschmied D,et al.Extracellular DNA traps promote thrombosis[J].Proc Natl Acad Sci U S A,2010,107(36):15880-15885.
[11] Barbui T,Tefferi A,Vannucchi AM,et al.Philadelphia chromosome-negative classical myeloproliferative neoplasms:revised management recommendations from European LeukemiaNet[J].Leukemia,2018,32(5):1057-1069.
[12] Landolfi R,Marchioli R,Kutti J,et al.Efficacy and safety of low-dose aspirin in polycythemia vera[J].N Engl J Med,2004,350(2):114-124.
[13] Marchioli R,Finazzi G,Specchia G,et al.Cardiovascular events and intensity of treatment in polycythemia vera[J].N Engl J Med,2013,368(1):22-33.
[14] Tefferi A,Vannucchi AM,Barbui T.Polycythemia vera treatment algorithm 2018[J].Blood Cancer J,2018,8(1):3.
[15] Tefferi A,Vannucchi AM,Barbui T.Essential thrombocythemia treatment algorithm 2018[J].Blood Cancer J,2018,8(1):2.
[16] Awada H,Voso MT,Guglielmelli P,et al.Essential Thrombocythemia and Acquired von Willebrand Syndrome:The Shadowlands between Thrombosis and Bleeding[J].Cancers,2020,12(7):1746.
[17] Barbui T,Barosi G,Birgegard G,et al.Philadelphia-negative classical myeloproliferative neoplasms:critical concepts and management recommendations from European LeukemiaNet[J].J Clin Oncol,2011,29(6):761-770.
[18] Pascale S,Petrucci G,Dragani A,et al.Aspirin-insensitive thromboxane biosynthesis in essential thrombocythemia is explained by accelerated renewal of the drug target[J].Blood,2012,119(15):3595-3603.
[19] Alvarez-Larrán A,Pereira A,Guglielmelli P,et al.Antiplatelet therapy versus observation in low-risk essential thrombocythemia with a CALR mutation[J].Haematologica,2016,101(8):926-931.
[20] Tefferi A,Barbui T.Polycythemia vera and essential thrombocythemia:2019 update on diagnosis,risk-stratification and management[J].Am J Hematol,2019,94(1):133-143.
[21] Vannucchi AM,Kiladjian JJ,Griesshammer M,et al.Ruxolitinib versus standard therapy for the treatment of polycythemia vera[J].N Engl J Med,2015,372(5):426-435.
[22] Gisslinger H,Klade C,Georgiev P,et al.Ropeginterferon alfa-2b versus standard therapy for polycythaemia vera(PROUD-PV and CONTINUATION-PV):a randomised,non-inferiority,phase 3 trial and its extension study[J].Lancet Haematol,2020,7(3):e196-e208.
[23] Chifotides HT,Bose P,Verstovsek S.Givinostat:an emerging treatment for polycythemia vera[J].Expert Opin Investig Drugs,2020,29(6):525-536.
[24] Finazzi G,Vannucchi AM,Barbui T.Prefibrotic myelofibrosis:treatment algorithm 2018[J].Blood Cancer J,2018,8(11):104.
[25] Fedratinib Becomes New Option in Myelofibrosis[J].Cancer Discov,2019,9(10):1332.
[26] Verstovsek S,Gotlib J,Mesa RA,et al.Long-term survival in patients treated with ruxolitinib for myelofibrosis:COMFORT-I and-II pooled analyses[J].J Hematol Oncol,2017,10(1):156.
[27] Kearon C,Akl EA,Comerota AJ,et al.Antithrombotic therapy for VTE disease:Antithrombotic Therapy and Prevention of Thrombosis,9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J].Chest,2012,141(2 Suppl):e419S-e496S.
[28] Finazzi G,De Stefano V,Barbui T.Splanchnic vein thrombosis in myeloproliferative neoplasms:treatment algorithm 2018[J].Blood Cancer J,2018,8(7):64.
[29] De Stefano V,Carobbio A,Di Lazzaro V,et al.Benefit-risk profile of cytoreductive drugs along with antiplatelet and antithrombotic therapy after transient ischemic attack or ischemic stroke in myeloproliferative neoplasms[J].Blood Cancer J,2018,8(3):25.
[30] Lansberg MG,O'donnell MJ,Khatri P,et al.Antithrombotic and thrombolytic therapy for ischemic stroke:Antithrombotic Therapy and Prevention of Thrombosis,9th ed:American College of Chest Physicians Evidence-Based Clinical Practice Guidelines[J].Chest,2012,141(2 Suppl):e601S-e636S.
[31] Amarenco P.Transient Ischemic Attack[J].N Engl J Med,2020,382(20):1933-1941.
[32] Prasad K,Siemieniuk R,Hao Q,et al.Dual antiplatelet therapy with aspirin and clopidogrel for acute high risk transient ischaemic attack and minor ischaemic stroke:a clinical practice guideline[J].BMJ,2018,363:k5130.
[33] Fukuda K,Yokoi Y.Endovascular approach for acute limb ischemia without thrombolytic therapy[J].Ther Adv Cardiovasc Dis,2020,14:1753944720924575.
[34] Cerquozzi S,Barraco D,Lasho T,et al.Risk factors for arterial versus venous thrombosis in polycythemia vera:a single center experience in 587 patients[J].Blood Cancer J,2017,7(12):662.
计量
- 文章访问数: 565
- PDF下载数: 456
- 施引文献: 0