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논문 기본 정보

자료유형
학술저널
저자정보
Zahra Nekoukar (Department of Clinical Pharmacy Mazandaran University of Medical Sciences Iran) Minoo Moghimi (Department of Clinical Pharmacy, Mazandaran University of Medical Sciences, Iran) Ebrahim Salehifar (Pharmaceutical Sciences Research Center, Hemoglobinopathy Institute, Department of Clinical Pharmac)
저널정보
대한혈액학회 Blood Research Blood Research Vol.56 No.4
발행연도
2021.12
수록면
229 - 242 (14page)
DOI
10.5045/br.2021.2021117

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초록· 키워드

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Chronic myeloid leukemia (CML), a myeloproliferative disorder caused by the over activity of BCR-ABL1 (breakpoint cluster region-Abelson), has been successfully treated by Tyrosine kinase inhibitors (TKIs). While imatinib is known as the first-line treatment of CML, in some cases other TKIs including dasatinib, nilotinib, bosutinib, and ponatinib may be preferred. Dasatinib, a second-generation TKI, inhibits multiple family kinases including BCR-ABL, SRC family kinases, receptor kinases, and TEC family kinases. It is effective against most imatinib-resistant cases except T315I mutation. Despite the superiority of dasatinib in its hematologic and cytogenetic responses in CML compared to imatinib, its potentially harmful pulmonary complications including pleural effusion (PE) and pulmonary arterial hypertension (PAH) may limit its use. Appropriate management of these serious adverse reactions is critical in both improving the quality of life and the outcome of the patient. In this narrative review, we will scrutinize the pulmonary complications of dasatinib and focus on the management of these toxicities.

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