The Hidden Pathogenesis of CML: Is BCR-ABL1 the First Event?
Author(s) -
Naranie Shanmuganathan,
Susan Branford
Publication year - 2019
Publication title -
current hematologic malignancy reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.299
H-Index - 35
eISSN - 1558-822X
pISSN - 1558-8211
DOI - 10.1007/s11899-019-00549-1
Subject(s) - myeloid leukemia , breakpoint cluster region , hematology , medicine , disease , oncology , bioinformatics , immunology , cancer research , biology , receptor
Identification of the BCR-ABL1 fusion oncogene in patients diagnosed with chronic myeloid leukemia (CML) led to the development of targeted therapy responsible for the dramatic survival benefits observed in the past two decades. However, despite these revolutionary findings, there remains marked disparity in patient outcomes. Why do some patients present de novo while others evolve to the more aggressive stages of CML? Why can select patients successfully discontinue therapy as part of a treatment-free remission attempt whereas others fail to meet specific molecular milestones?
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