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Lookup NU author(s): Dr Frederik van DelftORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
Cancer stem cells can escape therapeutic killing by adopting a quiescent or dormant state. The reversibility of this condition provides the potential for later recurrence or relapse, potentially many years later. We describe the genomics of a rare case of childhood BCR-ABL1-positive, B-cell precursor acute lymphoblastic leukemia that relapsed, with an acute myeloblastic leukemia immunophenotype, 22 years after the initial diagnosis, sustained remission and presumed cure. The primary and relapsed leukemias shared the identical BCR-ABL1 fusion genomic sequence and two identical immunoglobulin gene rearrangements, indicating that the relapse was a derivative of the founding clone. All other mutational changes (single-nucleotide variant and copy number alterations) were distinct in diagnostic or relapse samples. These data provide unambiguous evidence that leukemia-propagating cells, most probably pre-leukemic stem cells, can remain covert and silent but potentially reactivatable for more than two decades.
Author(s): Ford AM, Mansur MB, Furness CL, van Delft FW, Okamura J, Suzuki T, Kobayashi H, Kaneko Y, Greaves M
Publication type: Article
Publication status: Published
Journal: Leukemia
Year: 2015
Volume: 29
Issue: 11
Pages: 2202-2207
Print publication date: 01/11/2015
Online publication date: 14/07/2015
Acceptance date: 13/05/2015
Date deposited: 13/04/2016
ISSN (print): 0887-6924
ISSN (electronic): 1476-5551
Publisher: Nature Publishing Group
URL: http://dx.doi.org/10.1038/leu.2015.132
DOI: 10.1038/leu.2015.132
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