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Mechanisms of Primary and Secondary Resistance to Imatinib in Chronic Myeloid Leukemia
Open accessAbstract
BACKGROUND: Although the vast majority of patients with chronic myeloid leukemia (CML) respond to the tyrosine kinase inhibitor (TKI) imatinib mesylate, resistance might occur de novo or during treatment. METHODS: The authors reviewed the known mechanisms of primary and secondary resistance to imatinib and other TKIs used in the management of CML. RESULTS: Mutations within the kinase domain of BCR-ABLI account for 30% to 40% of cases of imatinib resistance. Other mechanisms include BCR-ABLI amplification, overexpression of the SRC family of kinases, and pharmacokinetic and pharmacodynamic factors. CONCLUSIONS: Although not all resistance mechanisms have been identified and understood, several agents based on the known mechanisms have already been designed and developed and are beginning clinical trials.
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Self-citationGranulocyte-macrophage progenitors as candidate leukemic stem cells in blast-crisis CML
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Metadata
- Authors
- Quintás-Cardama, A., Kantarjian, H. M., & Cortes, J. E.
- Venue
- Cancer Control
- Publisher
- SAGE Publications
- Published
- 2009-04
- Volume
- 16
- Issue
- 2
- Pages
- 122-131
- ISSN
- 1073-2748 (ISSN-L)
- OpenAlex
- W2152648806
- Cited by
- 238
- References
- 7
- FWCI
- 16.24
- Type
- journal article
- Language
- en
- Open access
- bronze
- Licence
- journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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