Unraveling the complexity of tyrosine kinase inhibitor–resistant populations by ultra-deep sequencing of the BCR-ABL kinase domain

Author:

Soverini Simona1,De Benedittis Caterina1,Machova Polakova K.2,Brouckova Adela2,Horner David3,Iacono Michele4,Castagnetti Fausto1,Gugliotta Gabriele1,Palandri Francesca1,Papayannidis Cristina1,Iacobucci Ilaria1,Venturi Claudia1,Bochicchio Maria Teresa1,Klamova Hana2,Cattina Federica5,Russo Domenico5,Bresciani Paola6,Binotto Gianni7,Giannini Barbara8,Kohlmann Alexander9,Haferlach Torsten9,Roller Andreas9,Rosti Gianantonio1,Cavo Michele1,Baccarani Michele1,Martinelli Giovanni1

Affiliation:

1. Department of Experimental, Diagnostic and Specialty Medicine, Institute of Hematology “L. e A. Seràgnoli”, University of Bologna, Bologna, Italy;

2. Institute of Hematology and Blood Transfusion, Prague, Czech Republic;

3. Department of Biosciences, University of Milan, Milan, Italy;

4. Roche Applied Science, Monza, Italy;

5. Unit of Blood Diseases and Stem Cell Transplantation University of Brescia, Brescia, Italy;

6. Department of Medical and Surgical Sciences, Azienda Ospedaliero-Universitaria Policlinico, University of Modena e Reggio Emilia, Modena, Italy;

7. Department of Clinical and Experimental Medicine, Hematology Section, Padua University School of Medicine, Padua, Italy;

8. Laboratorio Unico Area Vasta Romagna, Pievesestina di Cesena, Italy; and

9. Munich Leukemia Laboratory, Munich, Germany

Abstract

Key Points UDS demonstrated that BCR-ABL KD mutations detectable with conventional methods may just be the tip of the iceberg. The information provided by conventional Sanger sequencing may not always be sufficient to predict responsiveness to a given TKI.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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