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Updated: Aug 9, 2026

Investigation of the Transcriptional Role of a RUNX1 Intronic Silencer by CRISPR/Cas9 Ribonucleoprotein in Acute Myeloid Leukemia Cells
Published on: September 1, 2019
Molecular therapeutic approaches to acute myeloid leukemia: targeting aberrant chromatin dynamics and signal
Francesco Piazza1, Gianpietro Semenzato
1Padova University School of Medicine, Venetian Institute of Molecular Medicine, Unit of Hematological Malignancies, via Orus 2 35129 Padova, Italy. francesco.piazza@unipd.it
Abstract:
Acute myeloid leukemia research and clinical management have greatly benefited from the achievements in molecular biology regarding the identification of the underlying pathogenetic mechanisms of transformation and resistance to therapy. In particular, two categories of alterations, the aberrant activity of transcription/chromatin-remodeling factors and the deregulated activation of signal transduction pathways, have been demonstrated to play a pivotal role in leukemic cell differentiation, proliferation and resistance to apoptosis. These molecular lesions have proven to be suitable therapeutic targets in acute promyelocytic leukemia and chronic myeloid leukemia and are now also seen as therapeutic targets for a wider group of leukemic disorders. The development of novel drugs such as histone deacetylase inhibitors, demethylating agents and inhibitors of receptor tyrosine kinases may potentially benefit acute myeloid leukemia patients.
Insights
Molecular biology advances have identified key targets in acute myeloid leukemia (AML), including aberrant transcription factors and signaling pathways. New drugs targeting these mechanisms offer potential therapeutic benefits for AML patients.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Background:
- Molecular biology has advanced acute myeloid leukemia (AML) research by identifying key pathogenetic mechanisms.
- Aberrant transcription/chromatin-remodeling factors and deregulated signal transduction pathways are crucial in leukemic cell development and therapy resistance.
Purpose of the Study:
- To highlight the role of molecular alterations in AML pathogenesis and therapy.
- To discuss the potential of novel molecularly targeted drugs for AML treatment.
Main Methods:
- Review of molecular biology findings in AML.
- Identification of key molecular lesions and their pathogenetic roles.
- Analysis of therapeutic targets and emerging drug classes.
Main Results:
- Specific molecular alterations, including transcription factor activity and signaling pathways, are pivotal in AML.
- These molecular lesions are validated therapeutic targets in certain leukemias and increasingly in AML.
- Novel drugs like HDAC inhibitors, demethylating agents, and TKIs show promise.
Conclusions:
- Understanding molecular mechanisms in AML is critical for effective clinical management.
- Targeting aberrant molecular pathways offers a promising strategy for novel AML therapies.
- Emerging targeted therapies have the potential to significantly benefit AML patients.
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