Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2003-4-29
pubmed:abstractText
Inactivation of p53 has been shown to correlate with poor prognosis and drug resistance in malignant tumors. Nevertheless, few reports have directly shown such effects in primary tumor cells. Here, we investigated the p53 mutational status in 138 B-CLL samples and compared these findings with drug and gamma-irradiation sensitivity profiles. p53 mutations resulted not only in a shorter survival but, notably also in selective resistance to alkylating agents, fludarabine and gamma-irradiation. In contrast, no such effect was observed for vincristine, anthracyclines and glucocorticoids. Thus, these latter compounds induce cell death at least in part by p53-independent pathways. Interestingly, p53 mutations clustered in patients who had received prior chemotherapy. In fact, we show for the first time that treatment with DNA-damaging alkylating agents correlates with occurrence of p53 mutations in a clinical setting. This finding may explain at least to some extent the development of resistance to second-line anticancer chemotherapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1350-9047
pubmed:author
pubmed:issnType
Print
pubmed:volume
10
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
477-84
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12719725-Antineoplastic Agents, Alkylating, pubmed-meshheading:12719725-Apoptosis, pubmed-meshheading:12719725-Chlorambucil, pubmed-meshheading:12719725-Cyclophosphamide, pubmed-meshheading:12719725-DNA Damage, pubmed-meshheading:12719725-DNA Mutational Analysis, pubmed-meshheading:12719725-Drug Resistance, Neoplasm, pubmed-meshheading:12719725-Female, pubmed-meshheading:12719725-Gamma Rays, pubmed-meshheading:12719725-Humans, pubmed-meshheading:12719725-Leukemia, Lymphocytic, Chronic, B-Cell, pubmed-meshheading:12719725-Male, pubmed-meshheading:12719725-Middle Aged, pubmed-meshheading:12719725-Mutation, pubmed-meshheading:12719725-Risk Factors, pubmed-meshheading:12719725-Survival Rate, pubmed-meshheading:12719725-Tumor Suppressor Protein p53, pubmed-meshheading:12719725-Vidarabine
pubmed:year
2003
pubmed:articleTitle
Mutation of p53 and consecutive selective drug resistance in B-CLL occurs as a consequence of prior DNA-damaging chemotherapy.
pubmed:affiliation
Department of Hematology, Oncology and Tumor Immunology, Charité-Campus Berlin-Buch, Humboldt University, 13125 Berlin-Buch, Germany.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't