TY - CHAP AU - F. Palacios AU - C. Abreu AU - P. Moreno AU - M. Giordano AU - R. Gamberale AU - P. Oppezzo ED - Pablo Oppezzo Y1 - 2012-02-10 PY - 2012 T1 - Microenvironment Interactions in Chronic Lymphocytic Leukemia: A Delicate Equilibrium Linking the Quiescent and the Proliferative Pool N2 - B-cell chronic lymphocytic leukemia (CLL) is considered a single disease with extremely variable course, and survival rates ranging from months to decades. It is clear that clinical heterogeneity reflects biologic diversity with at least two major subtypes in terms of cellular proliferation, clinical aggressiveness and prognosis. As CLL progresses, abnormal hematopoiesis results in pancitopenia and decreased immunoglobulin production, followed by nonspecific symptoms such as fatigue or malaise. A cure is usually not possible, and delayed treatment (until symptoms develop) is aimed at lengthening life and decreasing symptoms. Researchers are playing a lead role in investigating CLL's cause and the role of genetics in the pathogenesis of this disorder. Research programs are dedicated towards understanding the basic mechanisms underlying CLL with the hope of improving treatment options. BT - Chronic Lymphocytic Leukemia SP - Ch. 2 UR - https://doi.org/10.5772/27119 DO - 10.5772/27119 SN - PB - IntechOpen CY - Rijeka Y2 - 2024-04-27 ER -