Targeting RAS Signaling Pathways in Juvenile Myelomonocytic Leukemia (JMML)

  • Jennifer O’Hara Lauchle
  • Benjamin S. Braun


Juvenile myelomonocytic leukemia (JMML) is an aggressive, clonal ­myeloproliferative disorder (MPD) of childhood characterized by the overproduction of myelomonocytic cells that infiltrate the spleen, lung, and gastrointestinal tract (Arico et al. 1997; Emanuel et al. 1996). Children frequently present with anemia, thrombocytopenia, splenomegaly, and failure to thrive. The median age of diagnosis is 2 years of age. Without definitive treatment, the median survival of JMML patients is less than 1 year. Allogeneic hematopoietic stem cell transplantation (HSCT) is the only curative therapy with a probability of event-free survival at 5 years of 50% (Liu et al. 2004). The main cause of treatment failure continues to be leukemia relapse with death due to organ infiltration, infection, or transformation to acute myeloid leukemia. Stem cell transplantation is also associated with significant acute and chronic morbidity in young children. Therefore, new approaches to therapy are needed for children with newly diagnosed and relapsed JMML.


Acute Myeloid Leukemia Hematopoietic Stem Cell Transplantation Protein Tyrosine Phosphatase Malignant Peripheral Nerve Sheath Tumor Noonan Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Helen Diller Family Cancer Research Building (Optional)University of CaliforniaSan FranciscoUSA

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