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Moreover, dysregulation of multiple signaling pathways that normally regulate cellular transcription, growth, translation, and proliferation is frequently encountered in this malignancy. ALL is the most frequent tumor in childhood, and adult ALL patients still correlate with poor survival. This review focuses on modern therapies in ALL that move beyond standard chemotherapy, with a particular emphasis on immunotherapeutic approaches as new treatment strategies. Bi\u2010specific T\u2010cell Engagers (BiTE) antibodies, the chimeric antigen receptor (CAR)\u2010T cells, or CRISPR\u2010Cas9 (clustered regularly interspaced short palindromic repeats [CRISPR]\u2013associated nuclease 9) represent other new innovative approaches for this disease. Target and tailored therapy could make the difference in previously untreatable cases, i.e., precision and personalized medicine. Clinical trials will help to select the most efficient novel therapies in ALL management and to integrate them with existing treatments to achieve durable cures.<\/jats:p>","DOI":"10.1002\/hon.2678","type":"journal-article","created":{"date-parts":[[2019,9,5]],"date-time":"2019-09-05T12:00:19Z","timestamp":1567684819000},"page":"22-33","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["New biomarkers and therapeutic strategies in acute lymphoblastic leukemias: Recent advances"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0801-7811","authenticated-orcid":false,"given":"Carolina","family":"Simioni","sequence":"first","affiliation":[{"name":"Department of Medical Sciences University of Ferrara  Ferrara Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Bergamini","sequence":"additional","affiliation":[{"name":"Department of Morphology, Surgery 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