New approach to fighting chronic myeloid leukemia
Abl-kinase and leukemia Abl-kinase can turn “on” molecules that are involved in many cell functions including cell growth. In chronic myeloid leukemia, the chromosome that contains the gene for Abl-kinase swaps a section with another chromosome, causing what is known as the “Philadelphia chromosome.” When this mutation takes place in the blood stem cells in the bone marrow, Abl-kinase fuses with another protein, turning into a deregulated, hyperactive enzyme. This causes large numbers of blood-forming stem cells to grow into an abnormal type of white blood cell, which gives rise to chronic myeloid leukemia. To treat this type of leukemia we use drugs that specifically bind and block a part of Abl-kinase called the “active site.” As the name suggests, this is the part of the enzyme that binds molecules to turn them on. …