Cited by 70Acute Myeloid Leukemia ResearchRetinoids in leukemia and cellular processesHematopoietic Stem Cell Transplantation

Current and emerging strategies for management of myelodysplastic syndromes

Saygin, Caner, Carraway, Hetty E.·2021·Blood Reviews

Abstract

Myelodysplastic syndromes (MDS) are characterized by ineffective hematopoiesis with varying degrees of dysplasia and peripheral cytopenias. MDS are driven by structural chromosomal alterations and somatic mutations in neoplastic myeloid cells, which are supported by a tumorigenic and a proinflammatory marrow microenvironment. Current treatment strategies for lower-risk MDS focus on improving quality of life and cytopenias, while prolonging survival and delaying disease progression is the focus for higher-risk MDS. Several promising drugs are in the horizon, including the hypoxia-inducible factor stabilizer roxadustat, telomerase inhibitor imetelstat, oral hypomethylating agents (CC-486), TP53 modulators (APR-246 and ALRN-6924), and the anti-CD47 antibody magrolimab. Targeted therapies approved for acute myeloid leukemia treatment, such as isocitrate dehdyrogenase inhibitors and venetoclax, are also being studied for use in MDS. In this review, we provide a brief overview of pathogenesis and current treatment strategies in MDS followed by a discussion of newer agents that are under clinical investigation.

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Crossref · 10.1016/j.blre.2020.100791

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141 of 141 references verified0 citation errors · 0 not checkable

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Authors
Saygin, C., & Carraway, H. E.
Affiliations
  • University of Chicago (US)
  • Cleveland Clinic (US)
Corresponding author
Carraway, Hetty E.
Venue
Blood Reviews
Publisher
Elsevier BV
Published
2021-07
Volume
48
Pages
100791
ISSN
0268-960X (ISSN-L)
OpenAlex
W3117581628
Cited by
70
References
141
Citations by year
2026: 5 · 2025: 13 · 2024: 11 · 2023: 18 · 2022: 12 · 2021: 10
FWCI
1.57
Type
journal article
Language
en
Open access
closed
Locations
  • Blood Reviews (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Hematology › Acute Myeloid Leukemia Research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Retinoids in leukemia and cellular processes
  • Health Sciences › Medicine › Hematology › Hematopoietic Stem Cell Transplantation
Keywords
myelodysplastic syndrome, ineffective hematopoiesis, cytopenia, chromosomal abnormalities, somatic mutations, bone marrow microenvironment, roxadustat, imetelstat, telomerase inhibitors, hypomethylating agents, CC-486, APR-246, magrolimab, anti-CD47 antibody, isocitrate dehydrogenase inhibitors, venetoclax, targeted therapy, MDS pathogenesis
MeSH terms
Bone Marrow, Combined Modality Therapy, Disease Susceptibility, Humans, Myelodysplastic Syndromes, Biomarkers, Treatment Outcome, Disease Management, Genetic Predisposition to Disease, Tumor Microenvironment, Symptom Assessment

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