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Blood, 1 December 2004, Vol. 104, No. 12, pp. 3746-3753. Prepublished online as a Blood First Edition Paper on August 10, 2004; DOI 10.1182/blood-2004-05-1941.
Submitted May 25, 2004
Center for Biotechnology, College of Science and Technology, Temple University, Philadelphia, Pennsylvania, USA * Corresponding author; email: tskorski{at}temple.edu.
The oncogenic BCR/ABL tyrosine kinase induces constitutive DNA damage in Philadelphia chromosome (Ph1)-positive leukemia cells. We find that BCR/ABL-induced reactive oxygen species (ROS) cause chronic oxidative DNA damage resulting in replication fork-dependent double-strand breaks (DSBs). These lesions are repaired by BCR/ABL-stimulated homologous recombination repair (HRR) and non-homologous end-joining (NHEJ) mechanisms. A high mutation rate is detected in HRR products in BCR/ABL-positive cells, but not in the normal counterparts. In addition, large deletions are found in NHEJ products exclusively in BCR/ABL cells. We propose that the following series of events may contribute to genomic instability of Ph1-positive leukemias: BCR/ABL
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