Abstract

Nilotinib is approved for treatment of newly diagnosed chronic myeloid leukemia (CML) and it is shown superiority over imatinib in first-line treatment for patients of CML. In this study, we established a nilotinib-resistant cell line, K562NR, and evaluated the resistance to nilotinib and efficacy of dasatinib. We found activation of Lyn plays a dominant role in survival of the nilotinib-resistant cell line. We found dasatinib induces the apoptosis of nilotinib-resistant cells and inhibits Lyn kinase activity. This novel nilotinib-resistant CML cell line may help to explore novel therapy for CML.

Highlights

  • Nilotinib is approved for treatment of newly diagnosed chronic myeloid leukemia (CML) and it is shown superiority over imatinib in first-line treatment for patients of CML

  • Nilotinib has shown superiority over imatinib in first-line treatment for CML-chronic phase (CP) patients, the management of CML following the development of nilotinib resistance remains a challenge

  • Dasatinib is an effective therapy after imatinib and nilotinib therapy failure in CML patients [6]

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Summary

Introduction

Nilotinib is approved for treatment of newly diagnosed chronic myeloid leukemia (CML) and it is shown superiority over imatinib in first-line treatment for patients of CML. To the editor The BCR/ABL kinase inhibitor, imatinib, is the single effective and the standard treatment for chronic myeloid leukemia (CML) [1]. In Evaluating Nilotinib Efficacy and Safety in clinical Trials-newly diagnosed CML (ENESTnd), nilotinib has shown superior efficacy as front line treatment for patients with CML-chronic phase (CP) in comparison with imatinib [4,5].

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