PH POSITIVE ACUTE LYMPHOBLASTIC-LEUKEMIA IN ADULTS - MOLECULAR AND CLINICAL-STUDIES

被引:20
作者
SPECCHIA, G [1 ]
MININNI, D [1 ]
GUERRASIO, A [1 ]
PALUMBO, G [1 ]
PASTORE, D [1 ]
LISO, V [1 ]
机构
[1] UNIV BARI,DEPT HEMATOL,BARI,ITALY
关键词
PH+; ALL; ACUTE LYMPHOBLASTIC LEUKEMIA; ADULTS; MOLECULAR GENETICS; CLINICAL STUDIES;
D O I
10.3109/10428199509075301
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Fifty-six patients with ALL were investigated for bcr involvement by PCR. Breakpoints were found in 15 patients (26.8%). There were no differences in clinical and hematologic features or the percentages of complete response (CR) between the Ph+ and Ph- cases. The duration of CR was 6 and 8 months, respectively. In 7/9 Ph1 relapsed ALL we observed increased expression of myeloid markers and 2/9 showed a switch of cytotype (Ly --> My). In none of the 13 Ph- relapsed ALL patients did we observe these findings. 7/15 of Ph+ cases expressed P190 and mRNA ela2 and 8/15 patients showed P210, with mRNA b3a2 in 5 and b2a2 in 3, respectively. The percentage of CR was 57% in the P190+ and 87% in the P210+ group. Investigation of more Ph1+ ALL cases treated with a uniform protocol should be performed in the future in order to determine whether any such biological and clinical differences exist.
引用
收藏
页码:37 / &
相关论文
共 30 条
[1]  
Pui C.H., Crist W.N., Cytogenetic abnormalities in childhood acute lymphoblastic leukemia correlates with clinical features and treatment outcome, Leuk. Lymph., 7, pp. 259-271, (1992)
[2]  
Foon K.A., Gale R.P., Immunologic classification of lymphoma and lymphoid leukemia, Blood Rev., 1, pp. 77-88, (1987)
[3]  
Ludwig W.D., Bartram C.R., Harbott J., Koller V., Haas O.A., Hansen-Hagge T., Heil G., Seibt-Jung H., Teichmann J.V., Ritter J., Knapp W., Gadner H., Tiel E., Riehm H., Phenotypic and genotypic heterogeneity in infant acute leukemia I. Acute Lymphoblastic leukemia, Leukemia, 3, 6, pp. 431-439, (1989)
[4]  
Specchia G., Pansini N., Mininni D., Mestice A., Debellis G., Ditonno P., Cleopazzo E., Pastore D., Liso V., Myeloid surface antigen expression in adult acute lymphoblastic leukemia, Prognostic Factor, Buchner., (1994)
[5]  
Bloomfield S.-C.D., Walker L.M., Goldman A.I., Van De La Berghe H., Chapelle A., Ruutu T., Alimena G., Garson O.M., Golomb H.M., Rowley J.D., Kaneko Y., Whang-Peng J., Prigogina E., Philip P., Sandberg A.A., Lawler S.D., Mitelman G., Six-year follow-up of the clinical significance of karyotype in acute lymphoblastic leukemia, Cancer Genet. Cytogenet., 40, (1989)
[6]  
Secher-Walker L.M., Craig J.M., Hawkins J.M., Hoffbrand A.V., Philadelphia positive acute lymphoblastic leukemia in adults: age distribution, BCR breakpoint and prognostic significance, Leukemia, 5, 3, pp. 196-199, (1991)
[7]  
Hirsch-Ginsberg C., Childs C., Chang K.S., Et al., Phenotypic and molecular heterogeneity in Philadelphia chromosome-positive acute leukemia, Blood, 71, 1, pp. 186-195, (1988)
[8]  
Secker-Walker L.M., Cookk H.M.G.P.J., Et al., Variable philadelphia breakpoints and potential lineage restriction of her rearrangement in acute lymphoblastic leukemia, Blood., 72, 2, pp. 784-791, (1988)
[9]  
Muller A.J., Young J.C., Perdergast A.M., Et al., BCR first exon sequences specifically activate the BCR-ABL tyrosine kinase oncogene of philadelphia positive human leukemias, Mol. Cell. Biol., 11, pp. 1785-1792, (1991)
[10]  
Serra A., Guerrasio A., Gaidano G., Rosso C., Rege-Cambrin G., Petroni D., Mazza U., Saglio G., Molecular defects associated with the acute phase CML, Leuk. Lymph., 11, pp. 25-28, (1993)