Figure 6
Figure 6. Model for IM-mediated shaping of the BCR-ABL expression repertoire in persisting precursor cells. Immature and mature progenitors express variable levels of BCR-ABL at primary diagnosis of CML (left). BAhigh clones are more sensitive to IM, leading to their preferential depletion from bone marrow compartments in optimal responders (A). A delayed depletion of genetically less stable BAhigh precursors (B) increases the risk for emergence of secondary mutations and IM resistance (C). Depletion of BAhigh and persistence of primarily BAlow progenies would conceivably be required for stable long-term remissions under IM.

Model for IM-mediated shaping of the BCR-ABL expression repertoire in persisting precursor cells. Immature and mature progenitors express variable levels of BCR-ABL at primary diagnosis of CML (left). BAhigh clones are more sensitive to IM, leading to their preferential depletion from bone marrow compartments in optimal responders (A). A delayed depletion of genetically less stable BAhigh precursors (B) increases the risk for emergence of secondary mutations and IM resistance (C). Depletion of BAhigh and persistence of primarily BAlow progenies would conceivably be required for stable long-term remissions under IM.

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