Quantitative monitoring of the T315I mutation in patients with chronic myeloid leukemia (CML)

被引:13
作者
Chomel, Jean-Claude [1 ,2 ]
Sorel, Nathalie [2 ]
Bonnet, Marie-Laure [2 ]
Bertrand, Angelina [2 ]
Brizard, Francoise
Saulnier, Pierre-Jean [3 ]
Roy, Lydia [2 ,3 ]
Guilhot, Francois [2 ,3 ]
Turhan, Ali G. [2 ]
机构
[1] CHU Poitiers, EA 3805, Serv Hematol & Oncol Biol, F-86021 Poitiers, France
[2] Univ Poitiers, EA 3805, Poitiers, France
[3] CHU Poitiers, Ctr Invest Clin, INSERM, U802, F-86021 Poitiers, France
关键词
CML; BCR-ABL; T315I mutation; Monitoring; KINASE DOMAIN MUTATIONS; BCR-ABL; FOLLOW-UP; IMATINIB; TRANSCRIPTS;
D O I
10.1016/j.leukres.2008.08.018
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Tyrosine kinase inhibitors (TKIs) have dramatically improved the treatment of chronic myeloid leukemia (CML). However, resistances are occasionally observed, mainly due to mutations within the BCR-ABL kinase domain. The T315I substitution confers complete resistance to TKIs commonly used in clinical practice. In the present study, we used an allele-specific quantitative-RT-PCR to perform a molecular follow-up of BCR-ABL transcripts harboring the T315I mutation. We retrospectively quantified BCR-ABL(315I) mRNA in five patients who acquired the T315I mutation. Our results highlight the relevance of allele-specific Q-RT-PCR experiments for the monitoring of mutated BCR-ABL transcripts and Suggest that the kinetics of emergence of T315I mutant mRNA is influenced by the stage of the disease and the presence of previous BCR-ABL kinase domain mutations. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:551 / 555
页数:5
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