“…In particular, 5 of the top 50 genes (PSMA1, UBE1, NEDD8, PSMD3, and PSMD1) are associated with proteasomedependent protein degradation, which has been implicated in TKI resistance of CML stem and progenitor cells. 44 In addition, 3 of the top 50 genes (TXN, RPA3, and MUS81) are associated with DNA damage or repair pathways, adding to the observation of increased homologous recombination repair in samples from imatinib nonresponders, 45 and a report implicating RAD52 as a target to enhance the effects of TKIs on CML cells. 46 Drug resistance remains a significant clinical problem in targeted cancer therapy.…”