Table 1.
Blood Cancer | Ras-Raf Pathology | General Treatment Protocol | 5-Year Survival | References |
---|---|---|---|---|
Myelodysplastic Syndromes | NRas, KRas mutation in 7–48% of patients. | Use of erythropoietin stimulating agents to mitigate symptoms. Allogeneic stem cell transplant for higher risk patients. | 29% | [163,164,165,166,167] |
Acute Myeloid Leukemia | NRas, KRas mutations in 10–27% of de novo patients. | Induction via cytarabine and the addition of an anthracycline for patients followed by consolidation. | 24% | [167,168,169,170] |
Acute Lymphoblastic Leukemia | NRas, KRas mutations in 5–22% of patients. BRaf mutations have been found in infants and children with acute B and T-cell lymphoblastic leukemia. Small sample found ~21% of ALL patients with BRaf mutations. |
Induction using vincristine, corticosteroids, L asparaginase, and an anthracycline for patients followed by consolidation. | Between 30 and 45% | [171,172,173,174] |
Chronic Myelomonocytic Leukemia | NRas, KRas mutations in 30–50% with CMML. Subset of patients with CMML-1 presented BRaf mutations (~7%). |
Lack of consensus about a treatment that markedly expands overall survival rate. Hypomethylating agents have shown some promise and are approved by the FDA for CMML. Allogeneic stem cell transplantation regarded as only curative treatment. | 18.5% | [175,176,177,178,179] |
Chronic Myeloid Leukemia | NRas mutations in up to 1/3 of atypical CML. Chronic CML patients present up to 17% of Ras mutations, up to 58% of acute CML patients have Ras mutations. | Standard treatment involves the use of tyrosine kinase inhibitors in sequence. | 61% | [166,169,180,181] |