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100 1 _ |a Bloehdorn, Johannes
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245 _ _ |a Multi-platform profiling characterizes molecular subgroups and resistance networks in chronic lymphocytic leukemia.
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520 _ _ |a Knowledge of the genomic landscape of chronic lymphocytic leukemia (CLL) grows increasingly detailed, providing challenges in contextualizing the accumulated information. To define the underlying networks, we here perform a multi-platform molecular characterization. We identify major subgroups characterized by genomic instability (GI) or activation of epithelial-mesenchymal-transition (EMT)-like programs, which subdivide into non-inflammatory and inflammatory subtypes. GI CLL exhibit disruption of genome integrity, DNA-damage response and are associated with mutagenesis mediated through activation-induced cytidine deaminase or defective mismatch repair. TP53 wild-type and mutated/deleted cases constitute a transcriptionally uniform entity in GI CLL and show similarly poor progression-free survival at relapse. EMT-like CLL exhibit high genomic stability, reduced benefit from the addition of rituximab and EMT-like differentiation is inhibited by induction of DNA damage. This work extends the perspective on CLL biology and risk categories in TP53 wild-type CLL. Furthermore, molecular targets identified within each subgroup provide opportunities for new treatment approaches.
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700 1 _ |a Braun, Andrejs
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700 1 _ |a Taylor-Weiner, Amaro
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700 1 _ |a Jebaraj, Billy Michael Chelliah
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700 1 _ |a Robrecht, Sandra
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700 1 _ |a Krzykalla, Julia
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700 1 _ |a Pan, Heng
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700 1 _ |a Giza, Adam
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700 1 _ |a Akylzhanova, Gulnara
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700 1 _ |a Holzmann, Karlheinz
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700 1 _ |a Scheffold, Annika
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700 1 _ |a Johnston, Harvey E
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700 1 _ |a Yeh, Ru-Fang
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700 1 _ |a Klymenko, Tetyana
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700 1 _ |a Tausch, Eugen
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700 1 _ |a Eichhorst, Barbara
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700 1 _ |a Bullinger, Lars
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700 1 _ |a Fischer, Kirsten
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700 1 _ |a Weisser, Martin
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700 1 _ |a Robak, Tadeusz
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700 1 _ |a Schneider, Christof
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700 1 _ |a Gribben, John
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700 1 _ |a Dahal, Lekh N
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700 1 _ |a Carter, Mathew J
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700 1 _ |a Elemento, Olivier
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700 1 _ |a Landau, Dan A
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700 1 _ |a Neuberg, Donna S
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700 1 _ |a Wu, Catherine J
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700 1 _ |a Döhner, Hartmut
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700 1 _ |a Stilgenbauer, Stephan
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773 _ _ |a 10.1038/s41467-021-25403-y
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