-Translocations and fusions are a relatively common variant type found in cancer. Translocations are exchanges of large regions of DNA between different chromosomes, or between different regions of the same chromosome. Translocations may have breakpoints that occur in the middle of two different genes, resulting in fusions that have exons from both genes. A well known fusion results from the Philadelphia Chromosome, first identified in 1973 [@Rowley1973], which forms when chromosome 9 and chromosome 22 break and exchange large regions. This results in a fusion protein consisting of parts of the BCR gene and the ABL1 kinase gene, including the active kinase domain. The presence of BCR causes tetramer formation, which in turn activates the ABL1 kinase in a disregulated manner, driving oncogenic tyrosine kinase signaling. This fusion drives Chronic myeloid leukemia (CML) and is a driver that occurs in other cancer types as well. Targeted therapies against BCR::ABL1, such as imatinib, have been developed as a result of the discovery of this fusion and its driver properties [@Mughal2016].
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