“…However, and in spite of the drug's established efficacy and generally excellent patient response, primary or acquired resistance is an important clinical issue that frequently leads to a switch of therapy (Apperley, 2007;Karvela et al, 2012;Quintás-Cardama et al, 2009). Resistance mechanisms include several well-characterized processes that implicate the Bcr-Abl kinase, more specifically at the level of point mutations in the kinase domain (Karvela et al, 2012;Quintás-Cardama et al, 2009;Vaidya et al, 2012), but in an estimated 20% of CML cases resistance occurs through Bcr-Abl activity-independent mechanisms (e.g., activation of multidrug resistance pumps), some of which remain uncharacterized (Colavita et al, 2010;Correa et al, 2012;Hentschel et al, 2011;Lee et al, 2007). These mechanisms are of particular relevance in the advanced stages of the disease, when treatment failure is frequently attributed to Bcr-Abl-independent resistance (Eiring et al, 2011;Quintás-Cardama et al, 2009).…”