Venetoclax Dose Escalation Triggers a Rapid BAFF–BCL-2 Survival Axis in CLL: Implications for Resistance and Combination Strategies
Highlights
– Venetoclax monotherapy rapidly reduces circulating CLL subpopulations but surviving cells upregulate prosurvival BCL-2 family proteins (BCL-2, BCL-XL, MCL-1) and show reduced drug sensitivity.
– Venetoclax treatment (and anti-CD20 therapy) is associated with an early increase in plasma BAFF levels; BAFF signaling is required for the survival-program induction in preclinical models.
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