Genetic instability in patients with Hodgkin's disease undergoing chemotherapy

被引:26
作者
Abdallah, JM [1 ]
Lombardi, DP [1 ]
Kirsch, IR [1 ]
机构
[1] NATL NAVAL MED CTR, NCI, MED ONCOL BRANCH, BETHESDA, MD 20889 USA
关键词
T cell; gene rearrangement; malignancy;
D O I
10.1172/JCI118343
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
We have studied the effect of chemotherapy on the level of a particular kind of genetic instability in patients with Hodgkin's disease. The particular type of genetic instability assayed is exemplified by trans-rearrangements between two (rather than within one) T cell antigen receptor. 16 patients were studied during their course of treatment. Presentation samples were available for 13 of these patients; 9 of them showed an increase in the level of trans-rearrangements during their exposure to chemotherapeutic agents (P < 0.043). All patients for whom posttherapy samples were available (10 out of 16) showed a return to baseline levels of trans-rearrangements 1-5 mo after completion of therapy (P < 0.03). Thus, this assay appears to be a marker for the ''destabilizing'' effects of certain chemotherapeutic agents.
引用
收藏
页码:2744 / 2747
页数:4
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