Drug resistance may pre-exist or arise during therapy, but how precisely cancer treatment itself influences these processes is a major gap in the understanding of therapy resistance in cancer. A study of acute lymphocytic leukemia now provides direct evidence of thiopurine-induced mutations in the gene encoding the tumor suppressor p53 that result in multi-drug-resistant relapse.
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References
Freyer, D. R. et al. Blood 117, 3010–3015 (2011).
Pulsipher, M. A. et al. Bone Marrow Transplant. 50, 1173–1179 (2015).
Bhatla, T. et al. J. Pediatr. Hematol. Oncol. 36, 413–418 (2014).
Ma, X. et al. Nat. Commun. 6, 6604 (2015).
Yang, F. et al. Nat. Can. https://doi.org/10.1038/s43018-021-00230-8 (2021).
Meyer, J. A. et al. Nat. Genet. 45, 290–294 (2013).
Li, B. et al. Nat. Med. 21, 563–571 (2015).
Mullighan, C. G. et al. Nature 471, 235–239 (2011).
Evensen, N. A. et al. Haematologica 103, 830–839 (2018).
Li, B. et al. Blood 135, 41–55 (2020).
Waanders, E. et al. Blood Cancer Discov. 1, 96–111 (2020).
Boot, A. et al. Genome Res. 28, 654–665 (2018).
Alexandrov, L. B. et al. Nature 500, 415–421 (2013).
Saliba, J. et al. Pediatr. Blood Cancer 67, e28306 (2020).
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Evensen, N.A., Carroll, W.L. dMMR and thiopurines strand TP53 for ALL relapse. Nat Cancer 2, 777–779 (2021). https://doi.org/10.1038/s43018-021-00248-y
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DOI: https://doi.org/10.1038/s43018-021-00248-y