What is the role of the bone marrow microenvironment in AML?

Best Pract Res Clin Haematol. 2021 Dec;34(4):101328. doi: 10.1016/j.beha.2021.101328. Epub 2021 Oct 23.

Abstract

Acute myeloid leukemia (AML) continues to be associated with relapse and resistance to chemotherapy. The bone marrow microenvironment in AML has been shown to regulate responsiveness to chemotherapy and to support disease progression. This review summarizes some recent experimental insights into the crucial role of the bone marrow microenvironment in AML and persistence after chemotherapy.

Keywords: AML; Acute myeloid leukemia; Bone marrow microenvironment; Chemotherapy persistence; Hematopoietic stem cells; Leukemic stem cells; Metabolism; Niche; mTORC1.

Publication types

  • Review

MeSH terms

  • Bone Marrow*
  • Disease Progression
  • Humans
  • Leukemia, Myeloid, Acute* / drug therapy
  • Tumor Microenvironment