p53 Pathway Alterations Influence Survival and Treatment Response In Chronic Lymphocytic Leukemia
Hun Ju Lee, Miguel Gallardo, Xiaorui Zhang et al.




Key Points:
  • 17p- mutation, containing p53 locus, major predictor poor outcome in CLL, but lack clarity how specific this mutation influence cancer progression

  • Mouse model of B-CLL (Eµ-TCL1) with fludarabine as cytotoxic treatment

  • Finding: fludarabine based therapies may have negative transformational impact on CLL progression if they have p53 mutations

  • Ibrutinib: superior treatment option compared to fludarabine when p53 mutations are present.

Implications:

  • Combined fludaribine and Ibrutinib treatment can be option in this population.

View the original abstract on the ASH website.






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