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‹ Tue · 11 Aug 2026
Promising but preliminary

Beyond BCL-2: What drives venetoclax resistance in acute myeloid leukemia?

Understanding how leukemia cells escape venetoclax therapy reveals combination strategies to restore drug sensitivity and improve treatment outcomes.

This Cancer Cell perspective catalogues the expanding landscape of venetoclax resistance mechanisms in AML, identifying BCL-family compensation, somatic BAX mutations, mitochondrial structure remodeling, and lineage-associated transcription factor reprogramming as validated or emerging drivers. The authors propose combination strategies targeting metabolic adaptations and call for prospective validation of these putative resistance mechanisms in clinical AML cohorts.

What the study was

Study design
Narrative Review / Perspective
Population
AML patients on venetoclax-based therapy who develop acquired treatment resistance
Category
Treatment Innovation
Maturity
Exploratory
Journal
Cancer Cell

Why it surfaced

Cancer Cell review on emerging venetoclax resistance mechanisms; highly relevant as venetoclax+azacitidine is now AML SOC and resistance is a major clinical challenge requiring novel combination strategies.

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