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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1993-3-22
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pubmed:abstractText |
Bromodeoxyuridine (BrdU) was administered to 86 newly diagnosed patients with standard risk acute myeloid leukemia (AML) prior to starting induction therapy and the labeling index (LI), durations of S-phase (Ts), and the cell cycle (Tc) of myeloblasts were determined. Induction therapy with cytosine arabinoside and daunomycin was subsequently started. Bone marrow biopsies were obtained on days 6 and 17 and weekly thereafter, and were treated with a monoclonal anti-BrdU antibody to determine the fate of cells labeled on day 0 by BrdU. BrdU labeled granulocytes indicating the presence of in vivo differentiation (Diff+) were identified in 48 patients ranging from 1+ (1-10 labeled cells) to 4+ (greater than 31 labeled granulocytes). When compared to 38 differentiation negative (Diff-) patients, Diff+ group had longer Ts (14.5 hr vs. 10.95 hr, P = 0.015) and Tc (59.7 hr vs. 41.7 hr, P = 0.017). Remission duration was significantly longer (no median) for 3-4+ Diff+ as compared to Diff- (median = 220 days) patients (Wilcoxon P = 0.04). We conclude that the detection of in vivo differentiation in AML patients indicates a favorable long-term prognosis either due to the presence of a substantial amount of normal residual hematopoiesis prior to starting induction therapy or due to the ability of leukemic cells to undergo differentiation.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Feb
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pubmed:issn |
0361-8609
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
42
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
147-57
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:8438874-Acute Disease,
pubmed-meshheading:8438874-Antibodies, Monoclonal,
pubmed-meshheading:8438874-Biopsy, Needle,
pubmed-meshheading:8438874-Bone Marrow,
pubmed-meshheading:8438874-Bromodeoxyuridine,
pubmed-meshheading:8438874-Cell Cycle,
pubmed-meshheading:8438874-Cell Differentiation,
pubmed-meshheading:8438874-Cell Division,
pubmed-meshheading:8438874-Cytarabine,
pubmed-meshheading:8438874-Daunorubicin,
pubmed-meshheading:8438874-Drug Therapy, Combination,
pubmed-meshheading:8438874-Granulocytes,
pubmed-meshheading:8438874-Humans,
pubmed-meshheading:8438874-Leukemia, Myeloid,
pubmed-meshheading:8438874-Prognosis,
pubmed-meshheading:8438874-Remission Induction,
pubmed-meshheading:8438874-Risk Factors
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pubmed:year |
1993
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pubmed:articleTitle |
Clinical and prognostic significance of in vivo differentiation in acute myeloid leukemia.
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pubmed:affiliation |
Roswell Park Memorial Institute, Buffalo, New York.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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