RELATIONSHIP OF [H-3] ARA-C INCORPORATION AND RESPONSE TO THERAPY WITH HIGH-DOSE ARA-C IN AML PATIENTS - A LEUKEMIA INTERGROUP STUDY

被引:0
|
作者
RAZA, A
GEZER, S
ANDERSON, J
LYKINS, J
BENNETT, J
BROWMAN, G
GOLDBERG, J
LARSON, R
VOGLER, R
PREISLER, HD
机构
[1] NEW YORK STATE DEPT HLTH, ROSWELL PK MEM INST, BUFFALO, NY 14263 USA
[2] HARVARD UNIV, SCH PUBL HLTH, BOSTON, MA 02115 USA
[3] UNIV ROCHESTER, ROCHESTER, NY 14627 USA
[4] HAMILTON CIV HOSP, HAMILTON, ONTARIO, CANADA
[5] HLTH SCI CTR SYRACUSE, SYRACUSE, NY USA
[6] UNIV CHICAGO, MED CTR, CHICAGO, IL 60637 USA
[7] EMORY UNIV, ATLANTA, GA 30322 USA
关键词
ACUTE MYELOID LEUKEMIA; CYTOSINE ARABINOSIDE; DRUG SENSITIVITY; REMISSION OUTCOME;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Pretherapy bone mar-row (BM) aspirates of 143 patients with acute myeloid leukemia (AML) were incubated simultaneously with bromodeoxyuridine (BrdU) and tritiated cytosine arabinoside ([H-3]Ara-C) to determine the labeling index (LI) and extent of [H-3]Ara-C incorporation. Of 143 AML patients, 121 received high-dose Ara-C (HDAra-C) as a single agent for induction therapy (55 newly diagnosed, 66 in first relapse), whereas 22 received HDAra-C plus mAMSA. The data demonstrate that a subset of patients who will fail HDAra-C remission induction therapy because of drug-resistant disease can be prospectively identified on the basis of the low amount of Ara-C incorporated by their leukemia cells.
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页码:1194 / 1200
页数:7
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