It is interesting to note that dampening of the ADP response, that occurs during CLL disease progression, is attributable exclusively to selective disruption of the negative regulatory pathways (e.g. SIRPα, HDAC7, ship1) rather than the activating pathways (e.g. SYK, BTK, PI3K, SLAMF7). The gene discussed is INPP5D; the disease is B-cell chronic lymphocytic leukemia.