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2014 ; 51
(3
): 177-87
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Evolving understanding of the CLL genome
#MMPMID25048782
Gruber M
; Wu CJ
Semin Hematol
2014[Jul]; 51
(3
): 177-87
PMID25048782
show ga
Over the past few years, massively parallel sequencing technologies have revealed
with high resolution the tremendous genetic and epigenetic heterogeneity in
chronic lymphocytic leukemia (CLL). We have learned how the molecular
architecture differs not only between affected individuals but also within
samples and over time. These insights have catalyzed our understanding of the
pathobiology of CLL and point to critical signaling pathways in the development
and progression of the disease. Several key driver alterations have been
identified, which serve to refine prognostic schemata but also to inspire the
development of new therapeutic strategies. Ongoing advances in technology promise
to further elucidate the molecular basis of CLL, and this knowledge is
anticipated to aid us in understanding and addressing the clinical challenge
presented by the vast variability in the clinical course of patients with CLL.