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Publication : The B cell mutator AID promotes B lymphoid blast crisis and drug resistance in chronic myeloid leukemia.

First Author  Klemm L Year  2009
Journal  Cancer Cell Volume  16
Issue  3 Pages  232-45
PubMed ID  19732723 Mgi Jnum  J:152377
Mgi Id  MGI:4358624 Doi  10.1016/j.ccr.2009.07.030
Citation  Klemm L, et al. (2009) The B cell mutator AID promotes B lymphoid blast crisis and drug resistance in chronic myeloid leukemia. Cancer Cell 16(3):232-45
abstractText  Chronic myeloid leukemia (CML) is induced by BCR-ABL1 and can be effectively treated for many years with Imatinib until leukemia cells acquire drug resistance through BCR-ABL1 mutations and progress into fatal B lymphoid blast crisis (LBC). Despite its clinical significance, the mechanism of progression into LBC is unknown. Here, we show that LBC but not CML cells express the B cell-specific mutator enzyme AID. We demonstrate that AID expression in CML cells promotes overall genetic instability by hypermutation of tumor suppressor and DNA repair genes. Importantly, our data uncover a causative role of AID activity in the acquisition of BCR-ABL1 mutations leading to Imatinib resistance, thus providing a rationale for the rapid development of drug resistance and blast crisis progression.
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