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The evolutionary landscape of chronic lymphocytic leukemia treated with ibrutinib targeted therapy.


ABSTRACT: Treatment of chronic lymphocytic leukemia (CLL) has shifted from chemo-immunotherapy to targeted agents. To define the evolutionary dynamics induced by targeted therapy in CLL, we perform serial exome and transcriptome sequencing for 61 ibrutinib-treated CLLs. Here, we report clonal shifts (change >0.1 in clonal cancer cell fraction, Q?

SUBMITTER: Landau DA 

PROVIDER: S-EPMC5736707 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Treatment of chronic lymphocytic leukemia (CLL) has shifted from chemo-immunotherapy to targeted agents. To define the evolutionary dynamics induced by targeted therapy in CLL, we perform serial exome and transcriptome sequencing for 61 ibrutinib-treated CLLs. Here, we report clonal shifts (change >0.1 in clonal cancer cell fraction, Q < 0.1) in 31% of patients during the first year of therapy, associated with adverse outcome. We also observe transcriptional downregulation of pathways mediating  ...[more]

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2017-01-25 | GSE84801 | GEO