Can we afford to let sleeping dogs lie?

被引:17
作者
Deininger, MWN [1 ]
Holyoake, TL
机构
[1] Oregon Hlth Sci Univ, Portland, OR 97201 USA
[2] Univ Glasgow, Glasgow G12 8QQ, Lanark, Scotland
关键词
D O I
10.1182/blood-2004-12-4764
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with chronic mvelogcnous leukemia (CML) mutations of the BCR-ABL kinase domain (KD) have been identified as the leading cause of acquired resistance to imatinib, while the mechanisms underlying the persistence of minimal residual disease (MRD) are unknown. In this issue of Blood, Chu and colleagues report several patients with KD mutations at the time of complete cytogenetic response (CCR), implicating mutations as a cause of disease persistence.
引用
收藏
页码:1840 / 1841
页数:2
相关论文
共 7 条
[1]   Detection of BCR-ABL mutations in patients with CML treated with imatinib is virtually always accompanied by clinical resistance, and mutations in the ATP phosphate-binding loop (P-loop) are associated with a poor prognosis [J].
Branford, S ;
Rudzki, Z ;
Walsh, S ;
Parkinson, I ;
Grigg, A ;
Szer, J ;
Taylor, K ;
Herrmann, R ;
Seymour, JF ;
Arthur, C ;
Joske, D ;
Lynch, K ;
Hughes, T .
BLOOD, 2003, 102 (01) :276-283
[2]   To the editor: Discontinuation of imatinib therapy after achieving a molecular response [J].
Cortes, J ;
O'Brien, S ;
Kantarjian, H .
BLOOD, 2004, 104 (07) :2204-2205
[3]   Imatinib mesylate does not inhibit BCR-ABL kinase activity in CML stem cells in vitro. [J].
Elrick, LJ ;
Hamilton, A ;
Deininger, MW ;
Holyoake, TL .
BLOOD, 2004, 104 (11) :546A-546A
[4]   Clinical resistance to STI-571 cancer therapy caused by BCR-ABL gene mutation or amplification [J].
Gorre, ME ;
Mohammed, M ;
Ellwood, K ;
Hsu, N ;
Paquette, R ;
Rao, PN ;
Sawyers, CL .
SCIENCE, 2001, 293 (5531) :876-880
[5]   Primitive, quiescent, Philadelphia-positive stem cells from patients with chronic myeloid leukemia are insensitive to STI571 in vitro [J].
Graham, SM ;
Jorgensen, HG ;
Allan, E ;
Pearson, C ;
Alcorn, MJ ;
Richmond, L ;
Holyoake, TL .
BLOOD, 2002, 99 (01) :319-325
[6]  
Laurence A, 2004, BLOOD, V104, p292A
[7]   Divergent clinical outcome in two CML patients who discontinued imatinib therapy after achieving a molecular remission [J].
Mauro, MJ ;
Druker, BJ ;
Maziarz, RT .
LEUKEMIA RESEARCH, 2004, 28 :S71-S73