“…Single-cell analysis reveals two distinct subsets of BCR-ABL + stem cells from patients who achieved hematological remission after being subjected to TKI treatments, with one group enriched for a quiescent gene signature and the other enriched for MYC and proliferation-associated gene sets, suggesting clonally segregated CML LSCs may account for differential sensitivities to TKIs, which can impact treatment outcomes [ 168 ]. Furthermore, transcriptomic profiling has revealed many signaling pathways integral for CML LSC survival, including the TP53-cMYC signaling network [ 169 , 170 ], arachidonate 5-lipoxygenase ( Alox5 ) [ 171 ], tyrosine-protein kinase BLK [ 172 ], the NFκB pathway [ 173 ], the JAK2/STAT5 axis [ 174 , 175 ], the AHI-BCR-ABL-JAK2-DNM2 network [ 176 , 177 ], Wnt activation [ 178 ], the proinflammatory transforming growth factor (TGF)-β and tumor-necrosis factor (TNF)-α signaling pathways [ 179 ], and integrin-linked kinase signaling [ 180 ]. Of note, CML LSCs, in comparison to their normal counterparts, can generate alternative transcript isoforms for genes, particularly those involved in the cellular proliferation and p53 signaling pathways [ 181 ].…”