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2013 ; 2013
(ä): 189-200
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Alternative approaches to eradicating the malignant clone in chronic myeloid
leukemia: tyrosine-kinase inhibitor combinations and beyond
#MMPMID24319181
Ahmed W
; Van Etten RA
Hematology Am Soc Hematol Educ Program
2013[]; 2013
(ä): 189-200
PMID24319181
show ga
In patients with chronic myeloid leukemia (CML) in chronic phase who have
achieved complete molecular remission on imatinib therapy, clinical trials from
France and Australia have demonstrated that the majority experience prompt
molecular relapse of their leukemia upon discontinuation of the drug, showing
that long-term monotherapy with tyrosine kinase inhibitors is not curative in the
majority of patients with CML. This has focused attention on strategies to
eradicate residual disease in CML that is presumed to arise from malignant Ph+
stem cells, which should result in permanent cure and long-term leukemia-free
survival. Here, we review the evidence that targeting CML stem cells will be of
clinical benefit and discuss pharmacological and immunological approaches to
accomplish this goal. Where possible, we link preclinical studies of CML stem
cell biology to emerging results from clinical trials of agents that may target
these cells.