TRISOMY OF CHROMOSOME 8 IN PH-NEGATIVE CELLS OF THE BONE MARROW IN PATIENTS WITH CHRONIC MYELOID LEUKEMIA TREATED WITH INHIBITORS OF BCR-ABL TYROSINKINASES

被引:0
作者
Turkina, A. G. [1 ]
Domracheva, E. V. [1 ]
Vorontsova, A. V. [1 ]
Aseeva, E. A. [1 ]
Vinogradova, O. Yu. [1 ]
Stakhina, O. V. [1 ]
Gusarova, G. A. [1 ]
Dyagileva, O. A. [1 ]
Semenova, E. A. [1 ]
Vakhrusheva, M. Y. [1 ]
Kolosheinova, T. I. [1 ]
Abakumov, E. M. [1 ]
Chelysheva, E. Yu. [1 ]
Goryacheva, S. R. [1 ]
Ivanova, T. V. [1 ]
Zakharova, E. S. [1 ]
Kolosova, L. Yu. [1 ]
Zakharova, A. V. [1 ]
Naumova, I. N. [1 ]
Dyachenko, L. V. [1 ]
Kulikov, S. M. [1 ]
Kovaleva, L. G. [1 ]
Khoroshko, N. D. [1 ]
机构
[1] Russian Acad Med Sci, State Hematol Res Ctr, Moscow 109801, Russia
关键词
chronic myeloid leukemia; chromosome; 8; trisomy; Ph-negative cells; inhibitors of BCR-ABL tyrosinkinase; CHRONIC MYELOGENOUS LEUKEMIA; FLUORESCENCE; ABERRATIONS; CML;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aim. To analyse clinical implications of chromosome 8 trisomy in Ph-negative cells of the bone marrow in patients with chronic myeloid leukemia (CML) treated with inhibitors of tyrosinkinases (ITK). Material and methods. A total of 386 patients with CML (chronic phase - 288, acceleration phase - 77) received imatinib (400-800 mg/day). Because of resistance and/or intolerance some patients were switched to ITK H (nilotinib, dasatinib, bozutinib). This study included 8 CML patients (7 in a chronic phase, 1 in acceleration phase) treated with BCR-ABL ITK inhibitors of the first (imatinib) and the second line (ITK-II). The standard cytogenetic examination, on demand - investigation of the interphase nuclei with FISH, in some cases morphological, cytochemical and histological examinations of the bone marrow were made. Results. The existence of a Ph-negative clone with trisomy of chromosome 8 had no negative effect on the course of the disease. The patients showed a stable hematological and cytogenetic response and no need in changing treatment policy. In long-term follow-up Ph-negative clone with trisomy of the chromosome 8 persisted without a clear trend to rise in most patients. Conclusion. Detection of a Ph-negative clone with chromosome 8 trisomy at early stages suggests parallel existence of Ph-positive and Ph-negative clones. None of the patients had myelodisplasia.
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页码:29 / 36
页数:8
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