D 2007

CORRELATION BETWEEN CHROMOSOMAL ABERRATIONS AND STANDARD PROGNOSTIC FACTORS IN PATIENTS WITH MULTIPLE MYELOMA UNDERGOING AUTOLOGOUS STEM CELL TRANSPLANTATION

GREŠLIKOVÁ, Henrieta, Petr KUGLÍK, Hana FILKOVÁ, Alexandra OLTOVÁ, Zdeněk ADAM et. al.

Basic information

Original name

CORRELATION BETWEEN CHROMOSOMAL ABERRATIONS AND STANDARD PROGNOSTIC FACTORS IN PATIENTS WITH MULTIPLE MYELOMA UNDERGOING AUTOLOGOUS STEM CELL TRANSPLANTATION

Name in Czech

Vzťah medzi chromozómovými abnormalitami a štandardnými prognostickými faktormi u pacientov s mnohopočetným myelomom.

Authors

GREŠLIKOVÁ, Henrieta (703 Slovakia), Petr KUGLÍK (203 Czech Republic, guarantor), Hana FILKOVÁ (203 Czech Republic), Alexandra OLTOVÁ (203 Czech Republic), Zdeněk ADAM (203 Czech Republic), Andrea KŘIVANOVÁ (203 Czech Republic), Luděk POUR (203 Czech Republic), Jana SMEJKALOVÁ (203 Czech Republic), Marta KREJČÍ (203 Czech Republic) and Roman HÁJEK (203 Czech Republic)

Edition

Volume 21, Supplement 1. Edinburgh, Blood reviews, p. 85-85, 1 pp. 2007

Publisher

Churchill Livingstone

Other information

Language

English

Type of outcome

Stať ve sborníku

Field of Study

Genetics and molecular biology

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 5.922

RIV identification code

RIV/00216224:14110/07:00019111

Organization unit

Faculty of Medicine

ISSN

UT WoS

000249533100073

Keywords in English

multiple myeloma; cIg FISH; chromosomal changes;autologous stem cell transplantation

Tags

International impact, Reviewed
Změněno: 30/6/2008 10:10, RNDr. Henrieta Grešliková

Abstract

V originále

Introduction Cytogenetic abnormalities in multiple myeloma (MM) are one of the most important independent prognostic factors. Based on cytogenetic findings MM patients (pts.) could be divided into prognostic groups. The aim of this study was to determine the correlation between the aberration of the chromosome 13, rearrangement of IGH gene, translocations t(11;14) and t(4;14), the deletion of 17p13 and the prognostic factors in the patients with newly diagnosed MM who underwent autologous transplantation (AT) according protocol of CMG 2002 trial. Materials and Methods Fluorescence in situ hybridization and cytoplasm immunoglobulin staining (cIg-FISH) were used to detect monotypic plasma cells and aberrations mentioned above. Cytogenetic abnormalities were found in 70 newly diagnosed patients with MM, median of follow-up 17,5 months, median age 57 years (39-67), DS stadium: stage I 7,1%, II 24,3%, III 68,6%; A/B - 84.3%/15.7%. Results Overall response (OR) rate after AT was 78,5% including 13% CR, 27% VGPR and 38,5% PR. Median of time to progression (TTP) was 17,5 (0,4-41,4) months. Median of overall survival (OS) was 22,9 (0,4-48,5) months. The aberration of the chromosome 13 was found in 53,5% (37/69), IGH rearrangements in 57% (37/66), t(11;14) in 16,6% (11/66), t(4;14) in 23% (15/66) and deletion of 17p13 in 17% (9/53) pts. We have correlated standard prognostic factors (MIG, LD, B2M, Hb, CRP, Ca, albumin), TTP, progression free survival (PFS), duration of response (DOR) and OS with the occurrence of the mentioned aberrations. Higher CRP, lower albumin and lower Ca concentrations were detected in patients with aberration of chromosome 13. We have observed trend for shorter TTP in patients with deletion of 17p13 and then in pts without this deletion (18,5 vs.21,9 months; p=0,287). As for this aberration we have found no significant difference when compared incidence of each chromosomal aberration for TTP, DOR, PFS and OS. Conclusion We have analysed data of the homogenous group of patients undergoing autologous transplantation in the CMG trial of Czech Myeloma Group. Based on the results we conclude that patients with deletion of 13q14 have higher CRP, lower albumin and lower Ca concentration.

In Czech

Zaoberali sme sa koreláciou medzi chromozómovými aberáciami a štandardnými prognostickými faktormi u pacientov s mnohopočetným myelomom liečných konvenčnou chemoterapiou.

Links

NR8183, research and development project
Name: Molekulárně-cytogenetická analýza značených plazmatických buněk a prognostický význam klonálních chromosomových aberací u mnohočetného myelomu