Ontology highlight
ABSTRACT:
SUBMITTER: Landau DA
PROVIDER: S-EPMC5736707 | biostudies-literature | 2017 Dec
REPOSITORIES: biostudies-literature
Landau Dan A DA Sun Clare C Rosebrock Daniel D Herman Sarah E M SEM Fein Joshua J Sivina Mariela M Underbayev Chingiz C Liu Delong D Hoellenriegel Julia J Ravichandran Sarangan S Farooqui Mohammed Z H MZH Zhang Wandi W Cibulskis Carrie C Zviran Asaf A Neuberg Donna S DS Livitz Dimitri D Bozic Ivana I Leshchiner Ignaty I Getz Gad G Burger Jan A JA Wiestner Adrian A Wu Catherine J CJ
Nature communications 20171219 1
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]