Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
1994-9-20
pubmed:abstractText
We attempted to identify the minimal residual leukemic clone as related to the clinical course in patients with acute B lymphocytic leukemia (B-ALL). DNA was extracted from stored bone marrow slides, and the third complementarity determining region (CDRIII) was amplified by polymerase chain reaction (PCR) using primers with consensus sequences for VH and JH. After amplification of the CDRIII band, the DNA fragment of CDRIII was inserted into the cloning vector PUC118. After cloning, the DNA sequences for CDRIII were determined. Clonospecific DNA sequences in CDRIII were selected, and clonospecific primers for each patient were synthesized. Using the clonospecific primers, we carried out second-round PCR to detect minimal residual disease (MRD) during several stages of the clinical course. Basically, the sensitivity of detection for MRD was between 10(-4) and 10(-5) cells. Even when leukemic cells were not detected in the morphologic study, with this detection system, the MRD was identified as an amplified CDRIII band stained with ethidium bromide on agarose gel. After bone marrow transplantation (BMT), MRD was detected for at least 4 months. In this article, we discuss the difference in sensitivity of detection for MRD between the BCR-ABL fusion gene and CDRIII in Philadelphia chromosome-positive (Ph+) B-ALL, as well as the possible clinical application of this method to predict relapse and prognosis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0301-472X
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:geneSymbol
BCR/ABL
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
881-7
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:8062887-Adolescent, pubmed-meshheading:8062887-Adult, pubmed-meshheading:8062887-Base Sequence, pubmed-meshheading:8062887-Bone Marrow Transplantation, pubmed-meshheading:8062887-Burkitt Lymphoma, pubmed-meshheading:8062887-Child, pubmed-meshheading:8062887-DNA, Neoplasm, pubmed-meshheading:8062887-Female, pubmed-meshheading:8062887-Fusion Proteins, bcr-abl, pubmed-meshheading:8062887-Gene Amplification, pubmed-meshheading:8062887-Humans, pubmed-meshheading:8062887-Immunoglobulin Heavy Chains, pubmed-meshheading:8062887-Leukemia, Myelogenous, Chronic, BCR-ABL Positive, pubmed-meshheading:8062887-Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative, pubmed-meshheading:8062887-Male, pubmed-meshheading:8062887-Molecular Sequence Data, pubmed-meshheading:8062887-Prognosis, pubmed-meshheading:8062887-Recurrence
pubmed:year
1994
pubmed:articleTitle
Detection of minimal residual disease using clonospecific primers for CDRIII in patients with acute B lymphocytic leukemia with or without Philadelphia chromosome: possibility of clinical application as a tool for improving prognosis.
pubmed:affiliation
Third Department of Internal Medicine, Kinki University School of Medicine, Osaka, Japan.
pubmed:publicationType
Journal Article, Case Reports