Azanucleoside treatment leads to B-cell precursor acute lymphoblastic leukemia

Vijay Negi,Ryan M Bertoli,Olivia Tuckey,Y. Zhu,Robert L. Walker,Michael Difilippantonio,James H Doroshow,Paul S. Meltzer,Peter D. Aplan

Published 2025 in Blood neoplasia

ABSTRACT

Key Points • Treatment with ATC, an investigational azanucleoside, invariably leads to BCP-ALL in immunodeficient mice.• Two related mechanisms result in C>G mutation involving known cancer genes; the primary mechanism mutates 5-methyl-cytosine in a CpG context.

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