MINIMAL RESIDUAL DISEASE AFTER BONE-MARROW TRANSPLANT FOR CHRONIC MYELOID-LEUKEMIA DETECTED BY THE POLYMERASE CHAIN-REACTION

被引:49
作者
CROSS, NCP [1 ]
LIN, F [1 ]
BUNGEY, J [1 ]
GOLDMAN, JM [1 ]
机构
[1] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,LRF LEUKAEMIA UNIT,LONDON W12 ONN,ENGLAND
关键词
CML; BMT; MRD; PCR;
D O I
10.3109/10428199309047861
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
We describe the methodology and application of the polymerase chain reaction to detect BCR-ABL mRNA as a marker for CML cells. The technique is highly sensitive enabling the routine detection of 1 leukaemic cell in 10(5) or 10(6) normal cells and is therefore the most sensitive method available for detecting minimal residual disease. Analysis of marrow or blood from 80 patients after bone marrow transplantation for CML shows that residual leukaemia is often detectable for several months but that most subsequently become PCR negative. Patients who relapsed were all PCR positive before the detection of Philadelphia positive metaphases in bone marrow aspirates.
引用
收藏
页码:39 / 43
页数:5
相关论文
共 7 条
[1]  
Hughes T.P., Morgan G.J., Martiat P., Goldman J.M., Detection of residual leukaemia after bone marrow transplantation for chronic myeloid leukemia: role of polymerase chain reaction in predicting relapse, Blood, 77, pp. 874-878, (1991)
[2]  
Kwok S., Higuchi R., Avoiding false positives with PCR, Nature, 339, (1989)
[3]  
Hughes T.P., Janssen J.W.G., Morgan G.J., Et al., False-positive results with PCR to detect leukaemia-specific transcript, Lancet, 335, pp. 1037-1038, (1990)
[4]  
Morgan G.J., Hernandez A., Chan L.C., Hughes T.P., Martiat P., Wiedemann L.M., The role of alternative splicing patterns of BCR/ABL in the generation of the blast crisis of chronic myeloid leukaemia, Br. J. Haematol., 76, pp. 33-38, (1990)
[5]  
Goldman J.M., Gale R.P., Horowitz M.M., Et al., Bone marrow transplantation for chronic myeloid leukemia in chronic phase: Increased rate of relapse associated with T-cell depletion, Ann. Intern. Med., 108, (1988)
[6]  
Roth M.S., Antin J.H., Ash R., Valeri T.H., Gotlieb M., Silver S.M., Ginsburg D., Prognostic significance of Philadelphia chromosome-positive cells detected by the polymerase chain reaction after allogeneic bone marrow transplant for chronic myeloid leukemia, Blood, 79, pp. 276-282, (1992)
[7]  
Delage R., Soiffer R.J., Dear K., Ritz J., Clinical significance of BCR-ABL gene rearrangement detected by polymerase chain reaction after allogeneic bone marrow transplantation in chronic myelogenous leukemia, Blood, 78, pp. 2759-2767, (1991)