Atypical BCR-ABL mRNA transcripts in adult Acute lymphoblastic leukemia

被引:40
作者
Burmeister, Thomas [1 ]
Schwartz, Stefan [1 ]
Taubald, Almut [2 ]
Jost, Edgar [3 ]
Lipp, Thomas [4 ]
Schneller, Folker [5 ]
Diedrich, Helmut [6 ]
Thomssen, Henrike [7 ]
Mey, Ulrich J. M. [8 ]
Eucker, Jan [9 ]
Rieder, Harald [10 ]
Goekbuget, Nicola [11 ]
Hoelzer, Dieter [11 ]
Thiel, Eckhard [1 ]
机构
[1] Charite Univ Med Berlin, Campus Benjamin Franklin, Med Klin 3, Hindenburgdamm 30, D-12200 Berlin, Germany
[2] Friedrich Alexander Univ, Med Klin 3, Erlangen, Germany
[3] Rhein Westfalische TH, Med Klin 4, Aachen, Germany
[4] Stadt Klinikum Munchen GmbH, Klinikum Schwabing, Med Abt 1, Munich, Germany
[5] Tech Univ Munich, Klinikum Rechts Isar, Med Klin 3, Munich, Germany
[6] Med Hsch, Hamatol Hamostaseol & Onkol, Hannover, Germany
[7] Klinikum Bremen Mitte, Med Klin 1, Bremen, Germany
[8] Rheinische Friedrich Wilhelms Univ, Med Klin & Poliklin 1, Bonn, Germany
[9] Charite Univ Med Berlin, Med Klin 2, Berlin, Germany
[10] Heinrich Heine Univ, Inst Humangenet & Anthropol, Dusseldorf, Germany
[11] Goethe Univ Frankfurt, Med Klin 2, Frankfurt, Germany
关键词
acute lymphoblastic leukemia; BCR-ABL; PCR;
D O I
10.3324/haematol.11737
中图分类号
R5 [内科学];
学科分类号
1002 [临床医学]; 100201 [内科学];
摘要
RT-PCR detects chimeric BCR-ABL mRNA in approximately 25% of adult acute lymphoblastic leukemia (ALL) cases. Minor breakpoint transcripts (e1a2) are found in about 70% of positive cases and major breakpoint transcripts (e13a2, e14a2) in about 30% of cases. However, other atypical transcripts are sometimes observed. We report experience gained in the GMALL Study Group and identified 8 BCR-ABL-positive adult ALL cases with such atypical transcripts: 5 with e1a3, 2 with e13a3 (b2a3), and 1 with e6a2. This corresponds to a prevalence of 1-2% of all BCR-ABL-positive cases. The clinical courses are reported and diagnostic proposals are made.
引用
收藏
页码:1699 / 1702
页数:4
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