A 43-year-old man is diagnosed with chronic myeloid leukemia (CML) and started on standard imatinib therapy (tyrosine kinase inhibitor, TKI). Which of the following clinical findings indicate this therapy protocol is NOT appropriate and should be altered? O Ph+ chromosome is undetectable in bone marrow cells after 9 months of treatment. O The BCR ABL1 (fusion) to ABL1 (wild-type) expression (MRNA) ratio is significantly reduced after 3 months of treatment. O The expression (MRNA) ratio of BCR-ABL1/ABL1 is down to 0.08% after 18 months of therapy. O 1-month into therapy and the patient shows an increased frequency of bone marrow cells with the Ph+ chromosome. O His WBC counts have returned to normal levels.

Biology Today and Tomorrow without Physiology (MindTap Course List)
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Author:Cecie Starr, Christine Evers, Lisa Starr
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Chapter10: Biotechnology
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A 43 year-old man is diagnosed with chronic myeloid leukemia (CML)
and started on standard imatinib therapy (tyrosine kinase inhibitor,
TKI). Which of the following clinical findings indicate this therapy
protocol is NOT appropriate and should be altered?
O Ph+ chromosome is undetectable in bone marrow cells after 9 months of treatment.
O The BCR ABL1 (fusion) to ABL1 (wild-type) expression (MRNA) ratio is significantly
reduced after 3 months of treatment.
O The expression (mRNA) ratio of BCR-ABL1/ABL1 is down to 0 08% after 18 months
of therapy
O 1-month into therapy and the patient shows an increased frequency of bone marrow
cells with the Ph+ chromosome
O His WBC counts have returned to normal levels.
Transcribed Image Text:A 43 year-old man is diagnosed with chronic myeloid leukemia (CML) and started on standard imatinib therapy (tyrosine kinase inhibitor, TKI). Which of the following clinical findings indicate this therapy protocol is NOT appropriate and should be altered? O Ph+ chromosome is undetectable in bone marrow cells after 9 months of treatment. O The BCR ABL1 (fusion) to ABL1 (wild-type) expression (MRNA) ratio is significantly reduced after 3 months of treatment. O The expression (mRNA) ratio of BCR-ABL1/ABL1 is down to 0 08% after 18 months of therapy O 1-month into therapy and the patient shows an increased frequency of bone marrow cells with the Ph+ chromosome O His WBC counts have returned to normal levels.
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