Abstract:Leukemia is a malignant tumor of hematopoietic dysplasia, although the researches on its pathogenesis are getting deeper and deeper, the drug resistance and relapse are still difficult problems in the world of medicine. It is known that bone marrow microenvironment plays an important role in drug resistance of leukemia. Bone marrow microenvironment can promote the survival, proliferation and anti-apoptosis of leukemic cells through multiple signaling pathways, and mediate the drug resistance of leukemia. In this paper, we review the mechanism of drug resistance mediated by the major signaling pathways in the bone marrow microenvironment.