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Background: Philadelphia chromosome (Ph)-like B-acute lymphoblastic leukemia (B-ALL) is a clinically significant, high-risk genetic subtype of B-ALL cases. There are few data on the incidence, characterization, and treatment outcomes of Ph-like ALL cases from low- and middle-income countries. There is a pressing need to establish a well-organized/cost-effective approach for identifying Ph-like ALL instances.

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Shared and Distinctive Transcriptomic and Proteomic Pathways in Adult and Juvenile Dermatomyositis.

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Environmental Autoimmunity Group, Clinical Research Branch, National Institute of Environmental Health Sciences, NIH, Bethesda, Maryland and Research Triangle, Park, North Carolina.

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Article Synopsis
  • Philadelphia-like (Ph-like) B-cell acute lymphoblastic leukemia (ALL) is a high-risk subtype that mimics Ph-positive ALL in gene expression but lacks a fusion; genetic fusions in some patients may respond to tyrosine kinase inhibitors (TKIs).
  • A study at MD Anderson Cancer Center analyzed patients with B-cell ALL to detect recurrent genetic fusions typically found in Ph-like ALL, focusing on those treated with TKIs.
  • Out of 23 patients identified with genetic fusions, many were cryptic and only detectable through specialized assays; TKI treatment showed promising results, especially for those with specific fusions, indicating the potential for improved outcomes with early TKI initiation and necessitating further research.
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