Chronic Myeloid Leukemia (CML)

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Chronic Myeloid leukemia (CML) is a blood and bone marrow disease that slowly progresses. The disease usually occurs in middle aged or older individuals and rarely occurs in children. In CML, an unusually high number of blood stem cells become granulocytes. These granulocytes, also called leukemia cells are irregular in shape and do not develop into healthy white blood cells. Eventually, they concentrate in the blood leaving no room for healthy cells which may lead to infection, anemia, or bleeding. The typical signs of CML include fatigue, fever, night sweats, and weight loss (6).
CML is due to a change in chromosome 22 (the Philadelphia chromosome, named from its place of discovery) of the DNA in immature bone marrow cells. It was discovered that there is a translocation, or movement of a part of DNA of the distal part, or long arms of chromosome 22 onto chromosome 9. The gene that is formed from the translocation is called the BCR-ABL gene from the c-ABL gene on chromosome 9 and the BCR gene on chromosome 22. The BCR-ABL gene results in the production of a mutated protein which c...

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