Treatment outcome of CRLF2-rearranged childhood acute lymphoblastic leukaemia: a comparative analysis of the AIEOP-BFM and UK NCRI-CCLG study groups

被引:36
作者
Attarbaschi, Andishe [1 ]
Morak, Maria [2 ]
Cario, Gunnar [3 ]
Cazzaniga, Giovanni [4 ]
Ensor, Hannah M. [5 ]
te Kronnie, Truus [6 ]
Bradtke, Jutta [7 ]
Mann, Georg [1 ]
Vendramini, Elena [6 ]
Palmi, Chiara [4 ]
Schwab, Claire [5 ]
Russell, Lisa J. [5 ]
Schrappe, Martin [3 ]
Conter, Valentino
Mitchell, Christopher D. [8 ]
Strehl, Sabine [2 ]
Zimmermann, Martin [9 ]
Poetschger, Ulrike [2 ]
Harrison, Christine J. [5 ]
Stanulla, Martin [3 ]
Panzer-Gruemayer, Renate [1 ,2 ]
Haas, Oskar A. [1 ]
Moorman, Anthony V. [5 ]
机构
[1] Med Univ Vienna, St Anna Childrens Hosp, Dept Paediat, A-1090 Vienna, Austria
[2] Childrens Canc Res Inst St Anna Kinderkrebsforsch, Vienna, Austria
[3] Univ Schleswig Holstein, Kiel, Germany
[4] Univ Milano Bicocca, Ctr Ric M Tettamanti, Monza, Italy
[5] Newcastle Univ, No Inst Canc Res, Leukaemia Res Cytogenet Grp, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England
[6] Univ Padua, SSD Ematol Clin & Sperimentale, Dept Paediat Salus Pueri, Padua, Italy
[7] Univ Giessen, Giessen, Germany
[8] John Radcliffe Hosp, Oxford OX3 9DU, England
[9] Hannover Med Sch, D-3000 Hannover, Germany
关键词
acute leukaemia; childhood leukaemia; genetics; B-PROGENITOR; CRLF2; REARRANGEMENT; CHILDREN; IKZF1; JAK;
D O I
10.1111/j.1365-2141.2012.09221.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The prognostic relevance of CRLF2 -rearrangements in childhood acute B-cell precursor lymphoblastic leukaemia (ALL), was assessed by a comparative analysis of 114 non-Down-syndrome patients (99 P2RY8-CRLF2+ , 15 IGH@-CRLF2+ ), 76 from the AIEOP-BFM ALL 2000 and 38 from the MRC ALL97 trials. The 6-year cumulative relapse incidence of P2RY8-CRLF2+ patients treated on the two trials was not statistically different: 0.37 +/- 0.06 vs. 0.25 +/- 0.08 (P = 0.194). In contrast, 0/9 IGH@-CRLF2+ AIEOP-BFM, but 5/6 ALL97 patients relapsed. Conclusively, P2RY8-CRLF2+ patients had an intermediate protocol-independent outcome while the different prognosis of IGH@-CRLF2+ patients could be related to the different structures of the applied treatment protocols.
引用
收藏
页码:772 / 777
页数:6
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