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Resistance to Tyrosine Kinase Inhibition Therapy for Chronic Myelogenous Leukemia: A Clinical Perspective and Emerging Treatment Options
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The development of tyrosine kinase inhibitors (TKIs) has led to extended lifespans for many patients with chronic myelogenous leukemia (CML). However, 20% to 30% of patients fail to respond, respond suboptimally, or experience disease relapse after treatment with imatinib. A key factor is drug resistance. The molecular mechanisms implicated in this resistance include those that involve upregulation or mutation of BCR-ABL kinase and those that are BCR-ABL independent. The clinical consequences of these molecular mechanisms of resistance for disease pathogenesis remain open for debate. This review summarizes the molecular mechanisms and clinical consequences of TKI resistance and addresses the current and future treatment approaches for patients with TKI-resistant CML.
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“One cluster summarized the concepts related to the development of resistance to chemotherapy drugs, rendering the treatment ineffective in inhibiting cancer cell proliferation or inducing cell death. This discovery has been repeatedly validated through experimental results from BCR-ABL kinase-independent pathways that promote CML cell survival and proliferation, bypassing TKI inhibition [84, 85].”
From GOLDEN fusion: a graph-oriented learning with domain-embedding network fusion for generating super gene sets in functional genomics (2026) · cites this paper as [85]
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Mechanisms of Resistance to Tyrosine Kinase Inhibitors in Myeloid Leukemias
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Metadata
- Authors
- Jabbour, E. J., Cortes, J. E., & Kantarjian, H. M.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Jabbour, Elias J.
- Venue
- Clinical Lymphoma Myeloma and Leukemia
- Publisher
- Elsevier BV
- Published
- 2013-10
- Volume
- 13
- Issue
- 5
- Pages
- 515-529
- ISSN
- 2152-2650 (ISSN-L)
- PMC
- PMC4160831
- OpenAlex
- W2064888584
- Cited by
- 105
- References
- 175
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 8 · 2023: 3 · 2022: 13 · 2021: 12 · 2020: 8 · 2019: 11 · 2018: 5 · 2017: 8 · 2016: 5 · 2015: 19 · 2014: 6
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Lymphoma Myeloma & Leukemia (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Anthemis Consulting Ltd.
- Teva Pharmaceutical Industries
- Bristol-Myers Squibb
- Novartis
- Ariad
- Pfizer
- ChemGenex
- Topics
- Health Sciences › Medicine › Hematology › Chronic Myeloid Leukemia Treatments
- Health Sciences › Medicine › Hematology › Chronic Lymphocytic Leukemia Research
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Lung Cancer Treatments and Mutations
- Keywords
- chronic myeloid leukemia, tyrosine kinase inhibitors, imatinib, drug resistance, BCR-ABL tyrosine kinase, recurrence, second-line therapy, molecular mechanisms of resistance
- MeSH terms
- Antineoplastic Agents, Humans, Mutation, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Fusion Proteins, bcr-abl, Treatment Outcome, Drug Resistance, Neoplasm, Amino Acid Substitution, Protein Kinase Inhibitors
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