“…Strong evidence supported that this phenotypic evolution is associated with the induction of genetic instability at the chromosomal level, including both numerical and structural chromosomal abnormalities in p210bcr/abl transformed cells, but these events are relatively rare occurrences in culture cells unless defects in DNA metabolism like repair, recombination, or replication, suggesting that genetic alteration at the nucleotide level may be involved (Laneuville et al, 1992). Furthermore, the secondary activation of N-ras (Ahuja et al, 1991;Collins et al, 1989;LeMaistre et al, 1989) and c-myc (McCarthy et al, 1984) genes and the functional inactivation of the anti-oncogene p53 observed frequently in patients developing blast crisis support the hypothesis of an early alteration of a genè guardian' of the genome confering a mutator phenotype at the nucleotide level (Loeb, 1991). Finally, genomic instability of microsatellite repeats associated with a late genetic event during the evolution of CML has been demonstrated (Wada et al, 1994).…”