Leukemia Relapses May Arise From Specialized Cells

Targeting the transient group of cells could prevent recurrence of the disease.

Written bySukanya Charuchandra
| 2 min read

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ABOVE: Leukemic regenerating cells, rather than leukemia stem cells, may be responsible for relapses after chemotherapy.
© ISTOCK.COM, MARILYN NIEVES

The paper

A.L. Boyd et al., “Identification of chemotherapy-induced leukemic-regenerating cells reveals a transient vulnerability of human AML recurrence,” Cancer Cell, 34:P483–98.e5, 2018.

Cancer researchers have long supposed that relapses of acute myeloid leukemia (AML) arise from a population of leukemia stem cells (LSC) that were dormant and therefore likely protected from chemotherapies that target dividing cells.

But when Mickie Bhatia of McMaster University in Canada and colleagues analyzed cancer cell populations from patient samples as well as those obtained from AML cells grafted into mice, they found that LSCs were depleted during chemotherapy. “By kinetically profiling the cells, we got a better impression of what was being killed during the chemotherapy, but also how it came back,” says Bhatia.

His team then sampled patient bone marrow cells at multiple time ...

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