Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
8
pubmed:dateCreated
2003-7-29
pubmed:abstractText
Detection of minimal residual disease (MRD), using immunoglobulin (Ig) and T-cell receptor (TCR) gene rearrangements as clone-specific targets, represents the most recent development in diagnosis and treatment of acute lymphoblastic leukaemia (ALL). Nevertheless, risk of false-negative results, due to secondary or ongoing rearrangements of Ig/TCR genes during the disease course, might hamper MRD detection. Therefore, to gain extensive information on clonal stability, we performed PCR-GeneScan analysis of Ig/TCR gene rearrangements at diagnosis and subsequent relapse in bone marrow samples from 53 childhood precursor-B-ALL patients. In addition, sequencing analysis of junctional regions at diagnosis and relapse provided a detailed insight in the stability and changes of Ig/TCR gene rearrangements during the disease course. At least one stable clonal Ig/TCR target was found in 94% of patients. In three patients complete differences in Ig/TCR rearrangements between diagnosis and relapse were observed, suggesting relapse with a new clone. At relapse, 71% of diagnostic clonal PCR targets was conserved. Since the comparison of Ig/TCR gene rearrangements at diagnosis and relapse in our precursor-B-ALL patients did not show significant difference in the stability of different clonal PCR targets (IGH, 70%; IGK, 71%; TCRD, 67%; TCRG, 75%), we conclude that there is no 'preferential' clone-specific target for MRD monitoring.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0887-6924
pubmed:author
pubmed:issnType
Print
pubmed:volume
17
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1573-82
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:12886245-Adolescent, pubmed-meshheading:12886245-Child, pubmed-meshheading:12886245-Child, Preschool, pubmed-meshheading:12886245-Clone Cells, pubmed-meshheading:12886245-Female, pubmed-meshheading:12886245-Follow-Up Studies, pubmed-meshheading:12886245-Gene Rearrangement, B-Lymphocyte, pubmed-meshheading:12886245-Gene Rearrangement, T-Lymphocyte, pubmed-meshheading:12886245-Genes, Immunoglobulin, pubmed-meshheading:12886245-Humans, pubmed-meshheading:12886245-Infant, pubmed-meshheading:12886245-Male, pubmed-meshheading:12886245-Neoplasm, Residual, pubmed-meshheading:12886245-Polymerase Chain Reaction, pubmed-meshheading:12886245-Precursor B-Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:12886245-Precursor Cell Lymphoblastic Leukemia-Lymphoma, pubmed-meshheading:12886245-Recurrence, pubmed-meshheading:12886245-Sequence Analysis, DNA, pubmed-meshheading:12886245-Time Factors
pubmed:year
2003
pubmed:articleTitle
Clonality profile in relapsed precursor-B-ALL children by GeneScan and sequencing analyses. Consequences on minimal residual disease monitoring.
pubmed:affiliation
Laboratorio di Emato Oncologia, Dipartimento di Pediatria, Universita' di Padova, Italy.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't