PML/RARA gene fusion is a hallmark of acute promyelocytic leukemia (APL). PML/RARA protein fusion inhibits the differentiation and maturation of promyelocytic cells by dominant negative inhibition, thereby blocking cell differentiation leading to sustained proliferation. All-trans retinoic acid (ATRA) and arsenic trioxide can target the degradation of PML/RARA fusion protein, restore the function of wild-type PML and RARA genes, relieve their inhibition of gene transcription, induce cell differentiation and apoptosis, and effectively treat APL. The combination of ATRA and chemotherapy can achieve a complete response rate of 90% to 95% of APL, and can achieve long-term survival of more than 70% of patients.