MALČÍKOVÁ, Jitka, Jana ŠMARDOVÁ, Ludmila ROČŇOVÁ, Boris TICHÝ, Petr KUGLÍK, Vladimíra VRANOVÁ, Soňa ČEJKOVÁ, Miluše SVITÁKOVÁ, Hana SKUHROVÁ FRANCOVÁ, Yvona BRYCHTOVÁ, Michael DOUBEK, Martin BREJCHA, Martin KLABUSAY, Jiří MAYER, Šárka POSPÍŠILOVÁ and Martin TRBUŠEK. Monoallelic and biallelic inactivation of TP53 gene in chronic lymphocytic leukemia: selection, impact on survival, and response to DNA damage. Blood. Washington, DC: American Society of Hematology, 2009, vol. 114, No 26, p. 5307-5314. ISSN 0006-4971. Available from: https://dx.doi.org/10.1182/blood-2009-07-234708.
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Basic information
Original name Monoallelic and biallelic inactivation of TP53 gene in chronic lymphocytic leukemia: selection, impact on survival, and response to DNA damage.
Authors MALČÍKOVÁ, Jitka, Jana ŠMARDOVÁ, Ludmila ROČŇOVÁ, Boris TICHÝ, Petr KUGLÍK, Vladimíra VRANOVÁ, Soňa ČEJKOVÁ, Miluše SVITÁKOVÁ, Hana SKUHROVÁ FRANCOVÁ, Yvona BRYCHTOVÁ, Michael DOUBEK, Martin BREJCHA, Martin KLABUSAY, Jiří MAYER, Šárka POSPÍŠILOVÁ and Martin TRBUŠEK.
Edition Blood, Washington, DC, American Society of Hematology, 2009, 0006-4971.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30200 3.2 Clinical medicine
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 10.555
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1182/blood-2009-07-234708
UT WoS 000272863800011
Keywords (in Czech) CLL; TP53; inaktivace; FASAY; FISH
Keywords in English CLL; TP53; inactivation; FASAY; FISH
Tags International impact
Changed by Changed by: Mgr. Michal Petr, učo 65024. Changed: 10/4/2012 11:37.
Abstract
Deletion of TP53 gene, under routine assessment by fluorescence in situ hybridization analysis, connects with the worst prognosis in chronic lymphocytic leukemia (CLL). The presence of isolated TP53 mutation (without deletion) is associated with reduced survival in CLL patients. It is unclear how these abnormalities are selected and what their mutual proportion is. We used methodologies with similar sensitivity for the detection of deletions (interphase fluorescence in situ hybridization) and mutations (yeast functional analysis) and analyzed a large consecutive series of 400 CLL patients; a subset of p53-wild-type cases (n = 132) was screened repeatedly during disease course. The most common type of TP53 inactivation, ie, mutation accompanied by deletion of the remaining allele, occurred in 42 patients (10.5%). Among additional defects, the frequency of the isolated TP53 mutation (n = 20; 5%) and the combination of 2 or more mutations on separate alleles (n = 5; 1.3%) greatly exceeded the sole deletion (n = 3; 0.8%). Twelve patients manifested defects during repeated investigation; in all circumstances the defects involved mutation and occurred after therapy. Monoallelic defects had a negative impact on survival and impaired in vitro response to fludarabine. Mutation analysis of the TP53 should be performed before each treatment initiation because novel defects may be selected by previous therapies.
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MSM0021622430, plan (intention)Name: Funkční a molekulární charakteristiky nádorových a normálních kmenových buněk - identifikace cílů pro nová terapeutika a terapeutické strategie
Investor: Ministry of Education, Youth and Sports of the CR, Functional and molecular characteristics of cancer and normal stem cells - identification of targets for novel therapeutics and therapeutic strategies
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