| Autor: |
Oppezzo, Pablo, Vasconcelos, Yuri, Settegrana, Catherine, Jeannel, Dominique, Vuillier, Françoise, Legarff-Tavernier, Magali, Kimura, Eliza Yuriko, Bechet, Stéphane, Dumas, Gérard, Brissard, Martine, Merle-Béral, Hélène, Yamamoto, Mihoko, Dighiero, Guillaume, Davi, Frédéric |
| Zdroj: |
Blood; July 2005, Vol. 106 Issue: 2 p650-657, 8p |
| Abstrakt: |
Although the zeta-associated protein of 70 kDa (ZAP-70) is overexpressed in patients with chronic lymphocytic leukemia (CLL) displaying unmutated IGVHgenes and poor prognosis, a previous microarray study from our group identified overexpression of LPLand ADAM29genes among unmutated and mutated CLL, respectively. To assess the prognostic value of these genes, we quantified their expression by real-time quantitative polymerase chain reaction (PCR) in a cohort of 127 patients with CLL and correlated this with clinical outcome, IGVHmutational status, and ZAP-70 protein expression. IGVHmutational status, ZAP-70, and the LPLand ADAM29mRNA ratios (L/A ratio) were predictive of event-free survival for the whole cohort and for patients with stage A disease. In patients in stage B and C, the L/A ratio was an independent prognostic factor, whereas ZAP-70 did not predict survival. Simultaneous usage of the L/A ratio and ZAP-70 expression allowed an almost perfect (99%) assessment of the IGVHstatus in the 80% of patients with concordant results (L/A+, ZAP-70+or L/A-, ZAP-70-). LPLand ADAM29gene expression could also be determined by a simple competitive multiplex reverse transcription PCR assay. Overall, quantification of LPLand ADAM29gene expression is a strong prognostic indicator in CLL, providing better prognostic assessment than ZAP-70 in advanced stages of the disease. (Blood. 2005;106:650-657) |
| Databáze: |
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