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Volume 351:634-636 August 12, 2004 Number 7
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Chronic Myelogenous Leukemia — Identifying the Hydra's Heads
Michael F. Clarke, M.D.

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 by Jamieson, C. H.M.
-PubMed Citation
Chronic myelogenous leukemia (CML) begins as an indolent disease in which the myeloid lineages in the bone marrow and blood gradually expand. Untreated, this chronic phase of CML inexorably progresses to an accelerated phase and finally to a blast crisis, in which large numbers of blast cells appear in the bone marrow and blood. The hallmark of CML is the Philadelphia chromosome, which corresponds to a t(9;22) translocation in which sequences of BCR that encode the N-terminal region of the BCR protein fuse with the tyrosine kinase catalytic domain of the ABL oncogene. This chimeric gene (BCR-ABL) is central . . . [Full Text of this Article]


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From the Departments of Medicine and Cell and Developmental Biology, University of Michigan Medical School, Ann Arbor.


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