RT Journal Article A1 Portuguese, Andrew J. A1 Fang, Min A1 Tuazon, Sherilyn A. A1 Pont, Margot A1 Qu, Xiaoyu A1 Shasha, Carolyn A1 Comstock, Melissa A1 Lyons, Justina A1 Cole, Gabriel A1 Newell, Evan W. A1 Glynn, Emily A1 Soma, Lorinda A. A1 Green, Damian J. T1 Acquired CD38 gene deletion as a mechanism of tumor antigen escape in multiple myeloma JF Blood Advances JO Blood Adv YR 2023 DO 10.1182/bloodadvances.2023011295 VO 7 IS 23 SP 7235 OP 7238 SN 2473-9529 AB TO THE EDITOR:Anti-CD38 monoclonal antibodies (mAbs) are approved for multiple myeloma (MM) in the first-line and relapsed/refractory settings.1,2 Resistance portends a poor prognosis, yet underlying mechanisms have not been well characterized.3 Despite the generally high CD38 expression on most malignant plasma cells (PCs), variation in the surface level may affect the clinical efficacy of targeted therapy.4-9 Unfortunately, therapeutic anti-CD38 mAbs can interfere with detection and quantification of PC CD38 surface levels by conventional clinical flow cytometry (FC) assays for up to 6 months.10-12 Thus, the prevalence and course of CD38 antigen escape have not been well characterized. RD 11/15/2025 UL https://doi.org/10.1182/bloodadvances.2023011295