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Monitoring minimal residual disease with flow cytometry, antigen-receptor gene rearrangements and fusion transcript quantification in Philadelphia-positive childhood acute lymphoblastic leukemia

Thörn, Ingrid, 1957- (author)
Uppsala universitet,Hematologi och immunologi,Molecular Hematology
Botling, Johan (author)
Uppsala universitet,Hematologi och immunologi,Molecular Hematology
Hermansson, Monica (author)
Uppsala universitet,Institutionen för genetik och patologi
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Lönnerholm, Gudmar (author)
Uppsala universitet,Institutionen för kvinnors och barns hälsa,Barnonkologisk forskning/Pfeifer
Sundström, Christer (author)
Uppsala universitet,Hematologi och immunologi
Rosenquist, Richard (author)
Uppsala universitet,Hematologi och immunologi
Barbany, Gisela (author)
Karolinska Institutet,Uppsala universitet,Institutionen för genetik och patologi
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 (creator_code:org_t)
Elsevier BV, 2009
2009
English.
In: Leukemia Research. - : Elsevier BV. - 0145-2126 .- 1873-5835. ; 33:8, s. 1047-1054
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • In this study, we followed minimal residual disease (MRD) in eight children with Philadelphia-positive acute lymphoblastic leukemia (Ph+ ALL) using (i) flow cytometry (FCM), (ii) real-time quantitative PCR of IG/TCR gene rearrangements and (iii) RT-PCR detecting fusion gene transcripts. In six of the eight cases the kinetics of MRD clearance was comparable. One of the two discordant cases could be explained by presence of an alternative fusion transcript. The other discordant case showed high BCR-ABL1 RNA level while the other methods did not detect any MRD. In our limited material quantitative RT-PCR of fusion gene transcripts seemed particularly useful to measure MRD in Ph+ ALL. However, BCR-ABL1 expression may not reflect the percentage of leukemic cells as FCM and IG/TCR rearrangement quantification do, and these methods are thus complementary.

Keyword

MRD
Philadelphia positive ALL
real-time PCR
flow cytometry
antigen receptor genes
fusion gene transcripts
BCR-ABL1 mutations
MEDICINE
MEDICIN
Molekylär medicin
Molecular Medicine

Publication and Content Type

ref (subject category)
art (subject category)

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