Detection of BCR-ABL mutations in patients with CML treated with imatinib is virtually always accompanied by clinical resistance, and mutations in the ATP phosphate-binding loop (P-loop) are associated with a poor prognosis
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The mutations, Leu248Val at the N-terminal and Ser417Tyr, Glu459Lys, and Phe486Ser at the C-terminal of the kinase domain have not previously been described….Lost CCR (17), dose increased to 800 mg, lost MCR (24), acquired imatinib resistance.