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Inhibition of apoptosis by BCR-ABL in chronic myeloid leukemia
A Bedi, BA Zehnbauer, JP Barber, SJ Sharkis and RJ Jones
Johns Hopkins Oncology Center, Johns Hopkins Medical Institutions,
Baltimore, MD 21287-8967.
BCR-ABL expression is presumed to effect clonal expansion in chronic
myeloid leukemia (CML) by deregulation of cell proliferation. However, most
studies have found that relative rates of cell proliferation are not
increased in CML. Moreover, we found that CML progenitors display a normal
proliferative response to growth factors and do not manifest greater
proliferative potential than normal progenitors. Growth of malignancies
depends on an imbalance between the rate of cell production and the rate of
cell death. We found that BCR-ABL expression inappropriately prolongs the
growth factor-independent survival of CML myeloid progenitors and
granulocytes by inhibiting apoptosis, a genetically programmed process of
active cell death; inhibition of BCR- ABL expression by antisense
oligonucleotides reversed the suppression of apoptosis as well as the
enhancement of survival. The decreased rate of programmed cell death
appears to be the primary mechanism by which BCR-ABL effects expansion of
the leukemic clone in CML.
Volume 83,
Issue 8,
pp. 2038-2044,
04/15/1994
Copyright © 1994 by The American Society of Hematology

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