2012
Analysis of Mutations in the BCR-ABL1 Kinase Domain, Using Direct Sequencing Detection of the T315I Mutation in Bone Marrow CD34+Cells of a Patient with Chronic Myelogenous Leukemia 6 Months Prior to its Emergence in Peripheral Blood
RÁZGA, Filip; Tomáš JURČEK; Ivana JEZISKOVA; Daniela ŽÁČKOVÁ; Dana DVOŘÁKOVÁ et. al.Basic information
Original name
Analysis of Mutations in the BCR-ABL1 Kinase Domain, Using Direct Sequencing Detection of the T315I Mutation in Bone Marrow CD34+Cells of a Patient with Chronic Myelogenous Leukemia 6 Months Prior to its Emergence in Peripheral Blood
Authors
RÁZGA, Filip (703 Slovakia, guarantor, belonging to the institution); Tomáš JURČEK (203 Czech Republic, belonging to the institution); Ivana JEZISKOVA (203 Czech Republic); Daniela ŽÁČKOVÁ (203 Czech Republic, belonging to the institution); Dana DVOŘÁKOVÁ (203 Czech Republic, belonging to the institution); Marek BORSKÝ (203 Czech Republic, belonging to the institution); Jiří MAYER (203 Czech Republic, belonging to the institution) and Zdeněk RÁČIL (203 Czech Republic, belonging to the institution)
Edition
Molecular Diagnosis & Therapy, AUCKLAND, ADIS INT LTD, 2012, 1177-1062
Other information
Language
English
Type of outcome
Article in a journal
Field of Study
30200 3.2 Clinical medicine
Country of publisher
New Zealand
Confidentiality degree
is not subject to a state or trade secret
References:
Impact factor
Impact factor: 1.692
RIV identification code
RIV/00216224:14740/12:00060675
Organization unit
Central European Institute of Technology
UT WoS
000305442900004
Keywords in English
CHRONIC MYELOID-LEUKEMIA; IMATINIB RESISTANCE; ABL MUTATIONS; TRANSCRIPTS; PROGENITORS; INHIBITOR; ASSAY
Tags
International impact, Reviewed
Changed: 23/4/2013 07:49, Olga Křížová
Abstract
V originále
Background and Objective: It has been shown that the occurrence of the BCR-ABL1 T315I mutation leads to a very poor therapeutic outcome in chronic myelogenous leukemia (CM L) patients treated with tyrosine kinase inhibitors. Therefore, early detection of this mutation could potentially lead to early therapeutic intervention and a better prognosis with the ongoing treatment regimen. Methods: The detection of BCR-ABL1 kinase domain (KID) mutations was performed by direct sequencing of peripheral blood (PB), total bone marrow (BM), and BM CD34+ cells from a reported CML patient. Results: In this patient, the T315I mutation was detected in BM CD34+ cells 6 months prior to its emergence in PB, suggesting evolution and expansion of the T315I mutation clone, which most likely originated from more primitive CML cells. Conclusion: Our finding reflects the natural development of a T315I mutation within the hematopoietic system of the reported patient and indicates the importance of BCR-ABL1 mutation monitoring in more primitive cell populations. Considering the natural history of T315I development in this reported CM L case, we hypothesize that BCR-ABL1 KD mutations may be pre-concentrated in more primitive CM L cells, which subsequently expand into the PB. These findings may have future implications for the strategy used for detecting BCR-ABL1 mutations.
Links
MSM0021622430, plan (intention) |
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