“…Total body irradiation (TBI)-based myeloablative pretransplant conditioning regimens are frequently used in hematopoietic stem cell transplantation (HSCT) for high-risk remission BPL (Bar et al, 2014; Bachanova et al, 2012; Kalaycio et al, 2011; Pulsipher et al, 2009; Balduzzi et al, 2014; Tracey et al, 2013; Locatelli et al, 2012; Mori et al, 2012; Gaynon et al, 2006; Marks et al, 2006). Although TBI-containing contemporary conditioning regimens are more effective than conditioning regimens without TBI (Kalaycio et al, 2011; Marks et al, 2006), relapse rates have remained high post-HSCT even after use of very intensive TBI-based conditioning regimens, especially in patients with a high minimal residual disease (MRD) burden (Uckun et al, 1993a; Pulsipher et al, 2009; Balduzzi et al, 2014; Bar et al, 2014; Bachanova et al, 2012), which is in agreement with our published data demonstrating that BPL cells are radiation-resistant (Uckun et al, 1993b; Uckun et al, 2010; Uckun et al, 2013; Uckun et al, 2015). New agents capable of killing radiation-resistant BPL cells and selectively augmenting their radiation sensitivity are therefore urgently needed.…”