[HTML][HTML] Clonal dynamics towards the development of venetoclax resistance in chronic lymphocytic leukemia

CD Herling, N Abedpour, J Weiss, A Schmitt… - Nature …, 2018 - nature.com
CD Herling, N Abedpour, J Weiss, A Schmitt, RD Jachimowicz, O Merkel, M Cartolano…
Nature communications, 2018nature.com
Deciphering the evolution of cancer cells under therapeutic pressure is a crucial step to
understand the mechanisms that lead to treatment resistance. To this end, we analyzed
whole-exome sequencing data of eight chronic lymphocytic leukemia (CLL) patients that
developed resistance upon BCL2-inhibition by venetoclax. Here, we report recurrent
mutations in BTG1 (2 patients) and homozygous deletions affecting CDKN2A/B (3 patients)
that developed during treatment, as well as a mutation in BRAF and a high-level focal …
Abstract
Deciphering the evolution of cancer cells under therapeutic pressure is a crucial step to understand the mechanisms that lead to treatment resistance. To this end, we analyzed whole-exome sequencing data of eight chronic lymphocytic leukemia (CLL) patients that developed resistance upon BCL2-inhibition by venetoclax. Here, we report recurrent mutations in BTG1 (2 patients) and homozygous deletions affecting CDKN2A/B (3 patients) that developed during treatment, as well as a mutation in BRAF and a high-level focal amplification of CD274 (PD-L1) that might pinpoint molecular aberrations offering structures for further therapeutic interventions.
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