Здравоохранение Кыргызстана
Zdravoohraneniye Kyrgyzstana

ISSN 1694-8068 (Print)

ISSN 1694-805X (Online)

Результаты лечения больных с хроническим миелоидным лейкозом в Кыргызской Республике с применением ингибиторов тирозинкиназ разных поколений

Результаты лечения больных с хроническим миелоидным лейкозом в Кыргызской Республике с применением ингибиторов тирозинкиназ разных поколений
Полный текст Full text  

Аннотация

Введение. Хронический миелоидный лейкоз (ХМЛ) – миелопролиферативное заболевание, встречающееся с частотой 1-2 случая на 100 000 взрослых. ХМЛ характеризуется сбалансированной генетической транслокацией t(9;22)(q34;q11.2). Эта перестройка известна как филадельфийская хромосома (Ph-хромосома). Цель исследования. Оценка результатов лечения ингибиторами тирозинкиназ 546 больных Ph+ХМЛ в Кыргызской Республике за период с 2003 по 2023 гг. Материалы и методы. В качестве материалов были использованы результаты молекулярно-генетических исследований больных, получивших лечение препаратами, такими как иматиниб, нилотиниб, дазатиниб, понатиниб. Результаты и обсуждение. Общая выживаемость за 20 лет составила 83 %. Смертность равна 5,1 %. Частота больших молекулярных ответов и полных молекулярных ответов составила 49 % и 32 % соответственно. Заключение. Использование различных поколений ингибиторов тирозинкиназы при ХМЛ позволяет значительно увеличить продолжительность и качество жизни пациентов.

Об авторах

Жусупова Шербет Колдошовна, соискатель, заведующая отделе нием Онкогематологии Национального центра онкологии и гематологии, Бишкек, Кыргызская Республика

Zhusupova Sherbet Koldoshovna, applicant, head of the Oncohematology Department of the National Center of Oncology and Hematology, Bishkek, Kyrgyz Republic

Жусупова Шербет Колдошовна, арыз ээси, Улуттук онкология жана гематология борборунун онкогематология бөлүмүнүн башчысы, Бишкек шаары, Кыргыз Республикасы

Список литературы

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

Для цитирования

Жусупова Ш.К. Результаты лечения больных с хроническим миелоидным лейкозом в Кыргызской Республике с применением ингибиторов тирозинкиназ разных поколений. Научно-практический журнал «Здравоохранение Кыргызстана» 2025, № 3, с. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77

For citation
 Zhusupova Sh.K. Results of treatment of patients with chro nic myeloid leukemia in the Kyrgyz Republic using tyrosine kinase inhibitors of different generations. Scientific practical journal “Health care of Kyrgyzstan” 2025, No.3, p. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77
Цитата үчүн

Жусупова Ш.К. Кыргыз Республикасында өнөкөт миелолейкоз менен ооруган бейтаптарды ар кандай муундагы тирозинкиназа ингибиторлору менен дарылоонун жыйынтыктары. Кыргызстандын саламаттык сактоо
илимий-практикалык журналы 2025, № 3, б. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77

Авторы Жусупова Ш.К.
Ссылка doi.org https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77
Страницы 73-77
Ключевые слова Лечение, Выживаемость, Хронический миелолейкоз, Диагностика
Русский
Об авторах

Жусупова Шербет Колдошовна, соискатель, заведующая отделе нием Онкогематологии Национального центра онкологии и гематологии, Бишкек, Кыргызская Республика

Полный текст

PDF (RUS)

Список литературы

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

Для цитирования

Жусупова Ш.К. Результаты лечения больных с хроническим миелоидным лейкозом в Кыргызской Республике с применением ингибиторов тирозинкиназ разных поколений. Научно-практический журнал «Здравоохранение Кыргызстана» 2025, № 3, с. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77

Английский
About authors

Zhusupova Sherbet Koldoshovna, applicant, head of the Oncohematology Department of the National Center of Oncology and Hematology, Bishkek, Kyrgyz Republic

Full text

PDF (RUS)

References

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

For citation
 Zhusupova Sh.K. Results of treatment of patients with chro nic myeloid leukemia in the Kyrgyz Republic using tyrosine kinase inhibitors of different generations. Scientific practical journal “Health care of Kyrgyzstan” 2025, No.3, p. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77
Кыргызский
Авторлор жөнүндө

Жусупова Шербет Колдошовна, арыз ээси, Улуттук онкология жана гематология борборунун онкогематология бөлүмүнүн башчысы, Бишкек шаары, Кыргыз Республикасы

Шилтемелер

1. American Cancer Society. Cancer Facts & Figures 2017. Atlanta: American Cancer Society; 2017.
2. Huang X, Cortes J, Kantarjian H. Estimations of the increasing prevalence and plateau prevalence of chronic myeloid
leukemia in the era of tyrosine kinase inhibitor therapy. Cancer. 2012; 118(12): 3123–3127.
3. Rowley JD. Letter: A new consistent chromosomal abnormality in chronic myelogenous leukaemia identified by quinacrine
fluorescence and Giemsa staining. Nature. 1973; 243(5405): 290–293.
4. Mandanas RA, Leibowitz DS, Gharehbaghi K, et al. Role of p21 RAS in p210 bcr-abl transformation of murine myeloid
cells. Blood. 1993; 82(6): 1838–1847.
5. Okuda K, Matulonis U, Salgia R, Kanakura Y, Druker B, Griffin JD. Factor independence of human myeloid leukemia
cell lines is associated with increased phosphorylation of the proto-oncogene Raf-1. Exp Hematol. 1994; 22(11): 1111–1117.
6. Raitano AB, Halpern JR, Hambuch TM, Sawyers CL. The Bcr-Abl leukemia oncogene activates Jun kinase and requires
Jun for transformation. Proc Natl Acad Sci USA. 1995; 92(25): 11746–11750.
7. Sawyers CL, Callahan W, Witte ON. Dominant negative MYC blocks transformation by ABL oncogenes. Cell.1992; 70(6): 
901–910.
8. Shuai K, Halpern J, ten Hoeve J, Rao X, Sawyers CL. Constitutive activation of STAT5 by the BCR-ABL oncogene in
chronic myelogenous leukemia. Oncogene. 1996; 13(2): 247–254.
9. Carlesso N, Frank DA, Griffin JD. Tyrosyl phosphorylation and DNA binding activity of signal transducers and activators
of transcription (STAT) proteins in hematopoietic cell lines transformed by Bcr/Abl. J Exp Med. 1996; 183(3): 811–820.
10. Guru Murthy GS, Atallah E. Treatment-Free Remission in CML: the US Perspective.Curr Hematol Malig Rep. 2019
Feb;14(1):56-61. doi: 10.1007/s11899-019-0496-8.
11. Narlı Özdemir Z, Kılıçaslan NA, Yılmaz M, Eşkazan AE.Guidelines for the treatment of chronic myeloid leukemia from the
NCCN and ELN: differences and similarities.Int J Hematol. 2023 Jan;117(1):3-15. doi: 10.1007/s12185-022-03446-1.
12. Braun TP, Eide CA, Druker BJ.Response and Resistance to BCR-ABL1-Targeted Therapies. Cancer Cell. 2020 Apr
13;37(4):530-542. doi: 10.1016/j.ccell.2020.03.006.

Цитата үчүн

Жусупова Ш.К. Кыргыз Республикасында өнөкөт миелолейкоз менен ооруган бейтаптарды ар кандай муундагы тирозинкиназа ингибиторлору менен дарылоонун жыйынтыктары. Кыргызстандын саламаттык сактоо
илимий-практикалык журналы 2025, № 3, б. 73-77. https://dx.doi.org/10.51350/zdravkg2025.3.9.10.73.77

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