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Clinical significan...
Clinical significance of DNA methylation in chronic lymphocytic leukemia patients: results from 3 UK clinical trials
- Article/chapterEnglish2019
Publisher, publication year, extent ...
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2019-08-21
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American Society of Hematology,2019
Numbers
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LIBRIS-ID:oai:prod.swepub.kib.ki.se:142618034
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http://kipublications.ki.se/Default.aspx?queryparsed=id:142618034URI
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https://doi.org/10.1182/bloodadvances.2019000237DOI
Supplementary language notes
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Language:English
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Summary in:English
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Chronic lymphocytic leukemia patients with mutated immunoglobulin heavy-chain genes (IGHV-M), particularly those lacking poor-risk genomic lesions, often respond well to chemoimmunotherapy (CIT). DNA methylation profiling can subdivide early-stage patients into naive B-cell–like CLL (n-CLL), memory B-cell–like CLL (m-CLL), and intermediate CLL (i-CLL), with differing times to first treatment and overall survival. However, whether DNA methylation can identify patients destined to respond favorably to CIT has not been ascertained. We classified treatment-naive patients (n = 605) from 3 UK chemo and CIT clinical trials into the 3 epigenetic subgroups, using pyrosequencing and microarray analysis, and performed expansive survival analysis. The n-CLL, i-CLL, and m-CLL signatures were found in 80% (n = 245/305), 17% (53/305), and 2% (7/305) of IGHV-unmutated (IGHV-U) cases, respectively, and in 9%, (19/216), 50% (108/216), and 41% (89/216) of IGHV-M cases, respectively. Multivariate Cox proportional analysis identified m-CLL as an independent prognostic factor for overall survival (hazard ratio [HR], 0.46; 95% confidence interval [CI], 0.24-0.87; P = .018) in CLL4, and for progression-free survival (HR, 0.25; 95% CI, 0.10-0.57; P = .002) in ARCTIC and ADMIRE patients. The analysis of epigenetic subgroups in patients entered into 3 first-line UK CLL trials identifies m-CLL as an independent marker of prolonged survival and may aid in the identification of patients destined to demonstrate prolonged survival after CIT.
Added entries (persons, corporate bodies, meetings, titles ...)
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Amarasinghe, HE
(author)
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Kadalayil, L
(author)
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Beattie, A
(author)
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Forster, J
(author)
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Blakemore, SJ
(author)
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Parker, H
(author)
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Bryant, D
(author)
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Larrayoz, M
(author)
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Clifford, R
(author)
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Robbe, P
(author)
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Davis, ZA
(author)
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Else, M
(author)
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Howard, DR
(author)
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Stamatopoulos, B
(author)
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Steele, AJ
(author)
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Rosenquist, RKarolinska Institutet
(author)
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Collins, A
(author)
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Pettitt, AR
(author)
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Hillmen, P
(author)
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Plass, C
(author)
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Schuh, A
(author)
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Catovsky, D
(author)
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Oscier, DG
(author)
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Rose-Zerilli, MJJ
(author)
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Oakes, CC
(author)
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Strefford, JC
(author)
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Karolinska Institutet
(creator_code:org_t)
Related titles
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In:Blood advances: American Society of Hematology3:16, s. 2474-24812473-95372473-9529
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Wojdacz, TK
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Amarasinghe, HE
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Kadalayil, L
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Beattie, A
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Forster, J
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Blakemore, SJ
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show more...
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Parker, H
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Bryant, D
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Larrayoz, M
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Clifford, R
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Robbe, P
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Davis, ZA
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Else, M
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Howard, DR
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Stamatopoulos, B
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Steele, AJ
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Rosenquist, R
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Collins, A
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Pettitt, AR
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Hillmen, P
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Plass, C
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Schuh, A
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Catovsky, D
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Oscier, DG
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Rose-Zerilli, MJ ...
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Oakes, CC
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Strefford, JC
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Blood advances
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Karolinska Institutet