TY - JOUR T1 - Leucine replaced by methionine at 273 position in chronic myeloid leukemia: Knowns and unknowns… A1 - Aditi Thanky A1 - Govind Kanakasetty A1 - Suresh Mallekavu A1 - Lakshmaiah Kuntejowdahalli JF - Clinical Cancer Investigation Journal JO - Clin Cancer Investig J SN - 2278-0513 Y1 - 2016 VL - 5 IS - 2 DO - 10.4103/2278-0513.177135 SP - 178 EP - 180 N2 - Chronic myeloid leukemia is a clonal bone marrow stem cell disorder characterized by the presence of Philadelphia chromosome t(9;22)(q34;q11) leading to fusion oncogene BCR-ABL. Tyrosine kinase inhibitors (TKIs) act by competitively inhibiting BCR-ABL oncoprotein with significant response rates. However, up to 30% of patients fail to achieve complete cytogenetic remission on 1st line TKI imatinib, one of the reasons being mutations in BCR-ABL kinase domain leading to imatinib resistance. Over 80 such mutations have been documented in the literature; however, some of the rare mutations still remain to be studied for their impact in development of resistance and their responsiveness to currently available therapeutic options. Here, we report one such case of a rare mutation leucine replaced by methionine at 273 position and its clinical implications. UR - https://ccij-online.org/article/leucine-replaced-by-methionine-at-273-position-in-chronic-myeloid-leukemia:-knowns-and-unknowns…-567 ER -