ERK1/2 phosphorylation is an independent predictor of complete remission in newly diagnosed adult acute lymphoblastic leukemia

被引:38
作者
Gregorj, Chiara
Ricciardi, Maria R.
Petrucci, Maria T.
Scerpa, Maria C.
De Cave, Fabiana
Fazi, Paola
Vignetti, Marco
Vitale, Antonella
Mancini, Marco
Cimino, Giuseppe
Palmieri, Salvatore
Di Raimondo, Francesco
Specchia, Giorgina
Fabbiano, Francesco
Cantore, Nicola
Mosna, Federico
Camera, Andrea
Luppi, Mario
Annino, Luciana
Miraglia, Eustachio
Fioritoni, Giuseppe
Ronco, Francesca
Meloni, Giovanna
Mandelli, Franco
Andreeff, Michael
Milella, Michele
Foa, Robin
Tafuri, Agostino [1 ]
机构
[1] Univ Roma La Sapienza, Dept Cellular Biotechnol & Hematol, Div Hematol, Rome, Italy
[2] Ctr Data, Gruppo Italiano MEA GIMEMA Fdn, Rome, Italy
[3] Azienda Osped Rilievo Nazl A Cardarelli, Div Ematol, Naples, Italy
[4] Univ Studi Catania, Osped Ferrarotto, Cattedra Ematol, Catania, Italy
[5] Univ Studi Bari, Unit Operativa Ematol 1, Bari, Italy
[6] Azienda Osped V Cervello, Div Ematol, Palermo, Italy
[7] Azienda Osped SG Moscati, Avellino, Italy
[8] Univ Studi Verona, Div Ematol, Policlin GB Rossi, Verona, Italy
[9] Univ Naples Federico II, Naples, Italy
[10] Complesso Osped S Giovanni Addolorata, Unit Operativa Ematol, Rome, Italy
[11] ASL Napoli 1 Osped San Giovanni Bosco, Div Ematol, Naples, Italy
[12] Azienda USL, Unit Operativa Ematol Clin, Pescara, Italy
[13] Azienda Osped Bianchi Melacrino Morelli Reggio, Dipartimento Ematol Oncol, Calabria, Italy
[14] Univ Texas, MD Anderson Canc Ctr, Sect Mol Hematol & Therapy, Houston, TX 77030 USA
[15] Regina Elena Inst Canc Res, Div Med Oncol, Rome, Italy
关键词
D O I
10.1182/blood-2006-05-021071
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Extracellular signal-regulated kinase1/2 (ERK1/2) is frequently found constitutively activated (p-ERK1/2) in hematopoietic diseases, suggesting a role in leukernogenesis. The aim of this study was to assess the expression and clinical role of p-ERK1/2 in adult acute lymphoblastic leukemia (ALL). In 131 primary samples from adult de novo ALL patients enrolled in the Gruppo Italiano per le Malattle Ematologiche dell'Adulto (GIMEMA) Leucemia Acute Linfoide (LAL) 2000 protocol and evaluated by flow cytometry, constitutive ERK1/2 activation was found in 34.5% of cases; these results were significantly associated with higher white blood cell (WBC) values (P =.013). In a multivariate analysis, p-ERK1/2 expression was an independent predictor of complete remission achievement (P =.027). Effective approaches toward MEK inhibition need to be explored in order to evaluate whether this may represent a new therapeutic strategy for adult ALL patients.
引用
收藏
页码:5473 / 5476
页数:4
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