RT Journal Article T1 Genomic mutation profile in progressive chronic lymphocytic leukemia patients prior to first-line chemoimmunotherapy with FCR and rituximab maintenance (REM) A1 Gonzalez-Rincon, Julia A1 Garcia-Vela, Jose A. A1 Gomez, Sagrario A1 Fernandez-Cuevas, Belen A1 Nova-Gurumeta, Sara A1 Perez-Sanz, Nuria A1 Alcoceba, Miguel A1 Gonzalez, Marcos A1 Anguita, Eduardo A1 Lopez-Jimenez, Javier A1 Gonzalez-Barca, Eva A1 Yanez, Lucrecia A1 Perez-Persona, Ernesto A1 de la Serna, Javier A1 Fernandez-Zarzoso, Miguel A1 Deben, Guillermo A1 Penalver, Francisco J. A1 Fernandez, Maria C. A1 de Oteyza, Jaime Perez A1 Andreu, M. angeles A1 Ruiz-Guinaldo, M. angeles A1 Paz-Arias, Raquel A1 Garcia-Malo, M. Dolores A1 Recasens, Valle A1 Collado, Rosa A1 Cordoba, Raul A1 Navarro-Matilla, Belen A1 Sanchez-Beato, Margarita A1 Garcia-Marco, Jose A. K1 Recurrent mutations K1 Clinical impact K1 Coding genome K1 Cll K1 Fludarabine K1 Notch1 K1 Survival K1 Sf3b1 K1 Tp53 K1 Cyclophosphamide AB Chronic Lymphocytic Leukemia (CLL) is the most prevalent leukemia in Western countries and is notable for its variable clinical course. This variability is partly reflected by the mutational status of IGHV genes. Many CLL samples have been studied in recent years by next-generation sequencing. These studies have identified recurrent somatic mutations in NOTCH1, SF3B1, ATM, TP53, BIRC3 and others genes that play roles in cell cycle, DNA repair, RNA metabolism and splicing. In this study, we have taken a deep-targeted massive sequencing approach to analyze the impact of mutations in the most frequently mutated genes in patients with CLL enrolled in the REM (rituximab en mantenimiento) clinical trial. The mutational status of our patients with CLL, except for the TP53 gene, does not seem to affect the good results obtained with maintenance therapy with rituximab after front-line FCR treatment. PB Public library science SN 1932-6203 YR 2021 FD 2021-01-01 LK https://hdl.handle.net/10668/25213 UL https://hdl.handle.net/10668/25213 LA en DS RISalud RD Apr 11, 2025