D 2007

Clinical implications of 13q14 and 17p13 deletion, t(4;14) and 1q21 amplification in patients with relapsed multiple myeloma treated by Thalidomide or Bortezomib (Velcade)

KUGLÍK, Petr, Romana ZAORALOVÁ, Hana FILKOVÁ, Henrieta GREŠLIKOVÁ, Pavel NĚMEC et. al.

Basic information

Original name

Clinical implications of 13q14 and 17p13 deletion, t(4;14) and 1q21 amplification in patients with relapsed multiple myeloma treated by Thalidomide or Bortezomib (Velcade)

Name in Czech

Klinický význam delece 13q14 a 17p13, translokace t(4;14) a amplifikace 1q21 u relabujících pacientů s mnohočetným myelomem léčených novými typy léků (Thalidomid a Velcade)

Authors

KUGLÍK, Petr (203 Czech Republic, guarantor), Romana ZAORALOVÁ (203 Czech Republic), Hana FILKOVÁ (203 Czech Republic), Henrieta GREŠLIKOVÁ (703 Slovakia), Pavel NĚMEC (203 Czech Republic), Alexandra OLTOVÁ (203 Czech Republic), Luděk POUR (203 Czech Republic), Zdeněk ADAM (203 Czech Republic), M. KREJČÍ (203 Czech Republic) and Roman HÁJEK (203 Czech Republic)

Edition

Netherlands, Chromosome Research, p. 185-186, 2 pp. 2007

Publisher

Springer

Other information

Language

English

Type of outcome

Stať ve sborníku

Field of Study

Genetics and molecular biology

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 3.469

RIV identification code

RIV/00216224:14110/07:00022440

Organization unit

Faculty of Medicine

ISSN

UT WoS

000248859800387

Keywords in English

Multiple myeloma; cIg-FISH; 13q deletion; p53 deletion; t(4;14); amp1q21; Velcade; Thalidomide

Tags

International impact
Změněno: 30/6/2008 09:54, Mgr. Romana Zaoralová

Abstract

V originále

The aim of this study was to investigate if Thalidomide or Bortezomib (Velcade) is able to antagonize the impact of negative cytogenetic prognostic markers in patients with relapsed multiple myeloma (MM). We have focused on four chromosomal aberrations known as negative prognostic factors in MM treated by conventional or myeloablative treatment: deletion of 13q14, deletion of 17p13 (p53), translocation t(4;14) and amplification of CKS1B gene (amp1q21). We have identified monotypic plasma cells and studied chromosomal aberrations by cytoplasmic light-chain fluorescence in situ hybridization (cIg-FISH) technique. Two groups of patients with relapsed multiple myeloma of similar age, sex, stage of the disease and other parameters were treated by Thalidomide based regimens (24 patients) and by Bortezomib based regimens (18 patients). In our preliminary experiments, we did not find statistically significant difference in OS and TTP between patients with/without chromosomal aberrations (del p53, t(4;14), ampl 1q21). So it is possible that the new drugs overcome their negative prognostic impact. Patients with 13q14 deletion had significant shorter time to progression median (8.9 month) in comparison with patients lacking RB deletion. Similarly, patients with combination of 3 or 4 of unfavorable cytogenetic abnormalities had significant shorter time to progression median (6.0 month) in comparison with patients with 1 or 2 aberrations These data suggest that cytogenetic abnomalities can define subgroup of patients with relapsed MM not benefiting from Thalidomide and velcade treatment. Data are still preliminary and we need wait for results from large randomized trials.

In Czech

Práce se zabývá klinickým významem přítomnosti delece 13q14, delece genu p53, translokace t(4;14) a amplifikace 1q21 u relabovaných pacientů s mnohočetným myelomem léčených novými typy léků (Thalidomid a Velcade).

Links

LC06027, research and development project
Name: Univerzitní výzkumné centrum - Česká myelomová skupina (Acronym: LC MGUS)
Investor: Ministry of Education, Youth and Sports of the CR, University Research Centre - Czech Myeloma Group
MSM0021622415, plan (intention)
Name: Molekulární podstata buněčných a tkáňových regulací
Investor: Ministry of Education, Youth and Sports of the CR, Molecular basis of cell and tissue regulations