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. 2011 Jan;35(1):99-102.
doi: 10.1016/j.leukres.2010.05.029. Epub 2010 Jun 22.

p53 and autophagy contribute to dasatinib resistance in primary CLL lymphocytes

Lilian Amrein  1 , Denis Soulières, James B Johnston, Raquel Aloyz
Affiliations

p53 and autophagy contribute to dasatinib resistance in primary CLL lymphocytes

Lilian Amrein et al. Leuk Res. 2011 Jan.

Abstract

B-cell chronic lymphocytic leukemia (CLL) is the most common leukemia in adults and there is no cure for the disease. Although dasatinib is cytotoxic to primary CLL lymphocytes in vitro, the drug has been shown to be active in a small percent of CLL patients. Our previous results suggest that dasatinib targets del17 CLL lymphocytes which are the CLL patients with the worst prognosis. Here we present mechanistic evidence that dasatinib induces endoplasmic reticulum stress and autophagy in CLL lymphocytes. Furthermore we provide evidence suggesting that autophagy mediates resistance to the drugs, process that is modulated by p53.

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