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The BCR-ABL fusion protein results from the Philadelphia chromosome translocation, creating a constitutively active tyrosine kinase that drives chronic myeloid leukemia by activating multiple signaling pathways (RAS/MAPK, PI3K/AKT/mTOR) and promoting unchecked cell proliferation and survival. KIT and PDGFRβ are receptor tyrosine kinases involved in normal cellular signaling and development; mutations or dysregulation drive oncogenesis in several cancers by similar mechanisms. Targeted kinase inhibitors such as imatinib revolutionized therapy for CML and other malignancies by selectively blocking these aberrant kinases, though resistance and disease persistence remain clinical challenges.
Competitive inhibition of the ATP-binding site of the kinase domain; Prevention of phosphorylation of downstream signaling proteins; Inhibition of cell proliferation and induction of apoptosis
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