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The biology of CML blast crisis

Open access
Calabretta, Bruno, Perrotti, Danilo·2004·Blood

Abstract

Chronic myelogenous leukemia (CML) evolves from a chronic phase characterized by the Philadelphia chromosome as the sole genetic abnormality into blast crisis, which is often associated with additional chromosomal and molecular secondary changes. Although the pathogenic effects of most CML blast crisis secondary changes are still poorly understood, ample evidence suggests that the phenotype of CML blast crisis cells (enhanced proliferation and survival, differentiation arrest) depends on cooperation of BCR/ABL with genes dysregulated during disease progression. Most genetic abnormalities of CML blast crisis have a direct or indirect effect on p53 or Rb (or both) gene activity, which are primarily required for cell proliferation and survival, but not differentiation. Thus, the differentiation arrest of CML blast crisis cells is a secondary consequence of these abnormalities or is caused by dysregulation of differentiation-regulatory genes (ie, C/EBPα). Validation of the critical role of certain secondary changes (ie, loss of p53 or C/EBPα function) in murine models of CML blast crisis and in in vitro assays of BCR/ABL transformation of human hematopoietic progenitors might lead to the development of novel therapies based on targeting BCR/ABL and inhibiting or restoring the gene activity gained or lost during disease progression (ie, p53 or C/EBPα).

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Metadata

Authors
Calabretta, B., & Perrotti, D.
Venue
Blood
Published
2004-06-01
Volume
103
Issue
11
Pages
4010-4022
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W2058576674
Cited by
592
References
9
FWCI
25.29
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The biology of CML blast crisis. https://app.cochat.ai/papers/10.1182/blood-2003-12-4111
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Calabretta, B., & Perrotti, D. (2004). The biology of CML blast crisis. Blood. https://doi.org/10.1182/blood-2003-12-4111

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