NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES

<p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 200%; text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: " lang="EN-US">In the last decade, significant advances have been made in the tr...

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Main Authors: Mariangela Greco, Francesco D'Alò, Marianna Criscuolo, Maria Teresa Voso
Format: Article
Language:English
Published: PAGEPress Publications 2010-05-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:http://www.mjhid.org/article/view/6072
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author Mariangela Greco
Francesco D'Alò
Marianna Criscuolo
Maria Teresa Voso
author_facet Mariangela Greco
Francesco D'Alò
Marianna Criscuolo
Maria Teresa Voso
author_sort Mariangela Greco
collection DOAJ
description <p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 200%; text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: " lang="EN-US">In the last decade, significant advances have been made in the treatment of patients with Myelodysplastic Syndromes (MDS).<span style="mso-spacerun: yes;">  </span>Although best supportive care continues to have an important role in the management of MDS, todate the therapeutic approach is diversified according to IPSS risk group, karyotype, patient’s age, comorbidities, and compliance. </span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 200%; text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: " lang="EN-US">Hematopoietic growth factors play a major role in lower risk MDS patients, and include high dose erithropoiesis stimulating agents, which were shown to prolong survival, and thrombopoietic receptor agonists. Standard supportive care should also include iron chelating therapy to reduce organ damage related to iron overload in transfusion-dependent patients. Biologic therapies have been introduced in MDS, with lenalidomide, which has been shown to induce transfusion independence in most patients with the 5q- Syndrome. <span style="mso-spacerun: yes;"> </span>Hypomethylating agents have shown efficacy in INT-2/high risk MDS patients, reducing the risk of leukemic transformation and increasing survival. Other agents under development for the treatment of MDS include histone deacetylase inhibitors, farnesyltransferase inhibitors, clofarabine and ezatiostat.</span></p>
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spelling doaj-art-b0f61382a6c44635bf2bf5187d03b2382025-08-20T02:43:58ZengPAGEPress PublicationsMediterranean Journal of Hematology and Infectious Diseases2035-30062010-05-0122e2010021e2010021NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMESMariangela GrecoFrancesco D'AlòMarianna CriscuoloMaria Teresa Voso<p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 200%; text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: " lang="EN-US">In the last decade, significant advances have been made in the treatment of patients with Myelodysplastic Syndromes (MDS).<span style="mso-spacerun: yes;">  </span>Although best supportive care continues to have an important role in the management of MDS, todate the therapeutic approach is diversified according to IPSS risk group, karyotype, patient’s age, comorbidities, and compliance. </span></p><p class="MsoNormal" style="margin: 0cm 0cm 0pt; line-height: 200%; text-align: justify;"><span style="font-size: 12pt; line-height: 200%; font-family: " lang="EN-US">Hematopoietic growth factors play a major role in lower risk MDS patients, and include high dose erithropoiesis stimulating agents, which were shown to prolong survival, and thrombopoietic receptor agonists. Standard supportive care should also include iron chelating therapy to reduce organ damage related to iron overload in transfusion-dependent patients. Biologic therapies have been introduced in MDS, with lenalidomide, which has been shown to induce transfusion independence in most patients with the 5q- Syndrome. <span style="mso-spacerun: yes;"> </span>Hypomethylating agents have shown efficacy in INT-2/high risk MDS patients, reducing the risk of leukemic transformation and increasing survival. Other agents under development for the treatment of MDS include histone deacetylase inhibitors, farnesyltransferase inhibitors, clofarabine and ezatiostat.</span></p>http://www.mjhid.org/article/view/6072Myelodysplastic syndrome
spellingShingle Mariangela Greco
Francesco D'Alò
Marianna Criscuolo
Maria Teresa Voso
NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
Mediterranean Journal of Hematology and Infectious Diseases
Myelodysplastic syndrome
title NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
title_full NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
title_fullStr NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
title_full_unstemmed NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
title_short NEW TREATMENTS FOR MYELODYSPLASTIC SYNDROMES
title_sort new treatments for myelodysplastic syndromes
topic Myelodysplastic syndrome
url http://www.mjhid.org/article/view/6072
work_keys_str_mv AT mariangelagreco newtreatmentsformyelodysplasticsyndromes
AT francescodalo newtreatmentsformyelodysplasticsyndromes
AT mariannacriscuolo newtreatmentsformyelodysplasticsyndromes
AT mariateresavoso newtreatmentsformyelodysplasticsyndromes