Artículos de revistas
Chronic Myeloid Leukemia - Causes Of Treatment Failure With Imatinib [leucemia Mielóide Crônica - Causas De Falha Do Tratamento Com Mesilato De Imatinibe]
Registro en:
Revista Brasileira De Hematologia E Hemoterapia. , v. 30, n. SUPPL. 1, p. 22 - 26, 2008.
15168484
10.1590/S1516-84842008000500007
2-s2.0-55949121628
Autor
Pagnano K.B.B.
Institución
Resumen
Imatinib is currently the treatment of choice of CML, but despite of the excellent results, it is not able to completely eradicate the disease and resistance may occur. The most studied mechanism is the presence of ABL kinase mutations that interfere with imatinib binding and action, gene amplification and clonal evolution. However, there are other mechanisms involved and less studied such as drug absorption and influx and efflux of imatinib. Besides the true causes of resistance, compliance is always a concern and also drug interaction should be checked. 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