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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
9
pubmed:dateCreated
2004-6-29
pubmed:abstractText
Prognostic assessment is crucial for the management of AML. Although the use of karyotype analysis for risk-stratification is widely accepted, prognosis of AML remains ambiguous, particularly for patients categorized into the intermediate cytogenetic risk group and additional markers are required for an accurate prediction of outcome. For this study, we used multiplex real-time RT-PCR, which can simultaneously quantify WT1 and 10 distinct fusion gene transcripts, to prospectively evaluate the pre-treatment bone marrow findings of 53 de novo AML patients. Five patients with normal karyotype or insufficient metaphases detected by conventional karyotype analysis proved to have AML1-MTG8, CBFbeta-MYH11 or PML-RARalpha fusion transcripts. WT1 overexpression was observed in 92% of the patients, and the levels were significantly higher in the cytogenetic favorable risk group, especially patients with PML-RARalpha. WT1 levels also correlated with the percentage of blasts in bone marrow, especially in cases of core-binding factor leukemia. There was no association between initial WT1 levels and outcome in terms of event-free survival or overall survival. These results suggest that multiplex real-time RT-PCR is rapid and useful for the precise cytogenetic stratification of AML, and that WT1 levels at presentation correlate with several biologic features of leukemia, but have no prognostic significance.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Sep
pubmed:issn
1042-8194
pubmed:author
pubmed:copyrightInfo
Copyright 2004 Taylor and Francis Ltd
pubmed:issnType
Print
pubmed:volume
45
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1803-8
pubmed:meshHeading
pubmed-meshheading:15223639-Adolescent, pubmed-meshheading:15223639-Adult, pubmed-meshheading:15223639-Aged, pubmed-meshheading:15223639-Bone Marrow, pubmed-meshheading:15223639-Female, pubmed-meshheading:15223639-Humans, pubmed-meshheading:15223639-Leukemia, Monocytic, Acute, pubmed-meshheading:15223639-Male, pubmed-meshheading:15223639-Middle Aged, pubmed-meshheading:15223639-Prospective Studies, pubmed-meshheading:15223639-RNA, Messenger, pubmed-meshheading:15223639-RNA, Neoplasm, pubmed-meshheading:15223639-Recombinant Fusion Proteins, pubmed-meshheading:15223639-Reverse Transcriptase Polymerase Chain Reaction, pubmed-meshheading:15223639-Survival Rate, pubmed-meshheading:15223639-Transcription, Genetic, pubmed-meshheading:15223639-Treatment Outcome, pubmed-meshheading:15223639-WT1 Proteins
pubmed:year
2004
pubmed:articleTitle
Multiplex real-time RT-PCR for prospective evaluation of WT1 and fusion gene transcripts in newly diagnosed de novo acute myeloid leukemia.
pubmed:affiliation
Department of Hematology, Nagoya University Graduate School of Medicine, Nagoya, Japan. myanada@med.nagoya-u.ac.jp
pubmed:publicationType
Journal Article