© 2004 by Oxford University Press
© 2004 Oxford University Press
EDITORIALS |
MCL-1 Promoter Insertions Dial-Up Aggressiveness of Chronic Leukemia
Affiliations of authors: The Burnham Institute, La Jolla, CA.
Correspondence to: John C. Reed, The Burnham Institute, 10901 N. Torrey Pines Rd., La Jolla, CA 92037 (e-mail: reedoffice@burnham.org)
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Chronic lymphocytic leukemia (CLL) is the most common form of leukemia in the western world, accounting for approximately 12 000 new cases annually, and a prevalence of about 50 000 to 60 000 patients in the United States alone. CLL is a quintessential example of a human malignancy caused predominantly by defective apoptosis, as opposed to accelerated cell division. The malignant lymphocytes that accumulate in patients with CLL are largely quiescent, noncycling cells that display prolonged lifespans due to failed programmed cell death (1). Normally, a delicate balance of anti-apoptotic and pro-apoptotic genes keeps cell lifespan in check, functioning analogous to an electrical rheostat to carefully adjust the body's cell flux dial that ensures the daily production of approximately 5070 billion cells in humans that is offset by a commensurate amount of cell
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