Recent advance of clinically approved small-molecule drugs for the treatment of myeloid leukemia

Eur J Med Chem. 2023 Dec 5:261:115827. doi: 10.1016/j.ejmech.2023.115827. Epub 2023 Sep 22.

Abstract

Myeloid leukemia denotes a hematologic malignancy characterized by aberrant proliferation and impaired differentiation of blood progenitor cells within the bone marrow. Despite the availability of several treatment options, the clinical outlook for individuals afflicted with myeloid leukemia continues to be unfavorable, making it a challenging disease to manage. Over the past, substantial endeavors have been dedicated to the identification of novel targets and the advancement of enhanced therapeutic modalities to ameliorate the management of this disease, resulting in the discovery of many clinically approved small-molecule drugs for myeloid leukemia, including histone deacetylase inhibitors, hypomethylating agents, and tyrosine kinase inhibitors. This comprehensive review succinctly presents an up-to-date assessment of the application and synthetic routes of clinically sanctioned small-molecule drugs employed in the treatment of myeloid leukemia. Additionally, it provides a concise exploration of the pertinent challenges and prospects encompassing drug resistance and toxicity. Overall, this review effectively underscores the considerable promise exhibited by clinically endorsed small-molecule drugs in the therapeutic realm of myeloid leukemia, while concurrently shedding light on the prospective avenues that may shape the future landscape of drug development within this domain.

Keywords: Clinical application; Drugs; Myeloid leukemia; Small-molecule; Synthetic routes.

Publication types

  • Review

MeSH terms

  • Bone Marrow
  • Humans
  • Leukemia, Myeloid*
  • Leukemia, Myeloid, Acute* / drug therapy
  • Prospective Studies