Document Detail


Pleiotropic mechanisms of action of lenalidomide efficacy in del(5q) myelodysplastic syndromes.
MedLine Citation:
PMID:  20942636     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Lenalidomide has demonstrated clinical activity in myelodysplastic syndromes, particularly in patients with a deletion in the long arm of chromosome 5 (del[5q] abnormality). It has a direct effect on the del(5q) clone, which may contribute to its ability to induce cytogenetic responses. Lenalidomide also stimulates erythropoiesis, leading to erythroid responses in certain patients. Other effects include immunomodulation, anti-inflammatory effects and angiogenesis inhibition. New findings indicate that lenalidomide modulates key genes located within the del(5q) region, including tumor suppressor genes, and regulators of the actin cytoskeleton and cell membrane. Its effects on cytoskeleton regulation may explain its direct antitumor and immunomodulatory effects. This article provides an overview of the known effects of lenalidomide and new insights into its activity in del(5q) myelodysplastic syndromes.
Authors:
Carla Heise; Troy Carter; Peter Schafer; Rajesh Chopra
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Expert review of anticancer therapy     Volume:  10     ISSN:  1744-8328     ISO Abbreviation:  Expert Rev Anticancer Ther     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101123358     Medline TA:  Expert Rev Anticancer Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  1663-72     Citation Subset:  IM    
Affiliation:
Department of Translational Development, Celgene Corporation, 1500 Owens St, Suite 600, San Francisco, CA 94158, USA. cheise@celgene.com
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