Outcomes of Measurable Residual Disease in Pediatric Acute Myeloid Leukemia before and after Hematopoietic Stem Cell Transplant: Validation of Difference from Normal Flow Cytometry with Chimerism Studies and Wilms Tumor 1 Gene Expression

Autor: Alexia Adams, Sanjay P Ahuja, Alfred P. Gillio, Roberta H. Adams, Lisa Eidenschink Brodersen, Sureyya Savasan, Mingwei Fei, Michael R. Loken, Michael A. Pulsipher, Kwang Woo Ahn, Morris Kletzel, David A. Jacobsohn, Pierre Teira, Barbara Bambach, Jeffrey H. Davis, David C. Delgado, Ann E. Haight, Reggie E. Duerst, Allen R. Chen, Mehmet Ozkaynak, Christopher C. Dvorak, Kimberly A. Kasow, Soheil Meshinchi, Troy C. Quigg, Madhu Gowda, Brent R. Logan, Julie-An Talano, Kirk R. Schultz, Victor Lewis, Bronwen E. Shaw, Michael Boyer, David Mitchell, David M. Loeb, Albert Kheradpour, Andrew C. Harris, Hilary Haines, Eneida R. Nemecek, Amy K. Keating, Shalini Shenoy, Robert J. Greiner, Aleksandra Petrovic, Marie Olszewski, Paul L. Martin, Terry J. Fry, Michelle Hudspeth, Alexandra Cheerva, Sana Khan, Monica Bhatia, Steven P. Margossian
Rok vydání: 2018
Předmět:
Myeloid
Male
Oncology
Cytogenetics and molecular genetics
Neoplasm
Residual

Transplantation Conditioning
medicine.medical_treatment
Disease
Hematopoietic stem cell transplantation
Regenerative Medicine
0302 clinical medicine
Stem Cell Research - Nonembryonic - Human
hemic and lymphatic diseases
Gene expression
Child
Cancer
Pediatric
screening and diagnosis
Leukemia
medicine.diagnostic_test
Stem cell transplantation
Hematopoietic Stem Cell Transplantation
Hematopoietic stem cell
Myeloid leukemia
Hematology
Allografts
Flow Cytometry
Laboratory hematology
Detection
Leukemia
Myeloid
Acute

medicine.anatomical_structure
Residual
Child
Preschool

030220 oncology & carcinogenesis
Female
Unrelated Donors
4.2 Evaluation of markers and technologies
Homologous
Adult
Pediatric Research Initiative
medicine.medical_specialty
Measurable residual disease
Adolescent
Pediatric Cancer
Clinical Sciences
Immunology
Acute
Article
Disease-Free Survival
Flow cytometry
03 medical and health sciences
Rare Diseases
Clinical Research
Internal medicine
Genetics
medicine
Humans
Transplantation
Homologous

Preschool
WT1 Proteins
Transplantation
business.industry
Inflammatory and immune system
Infant
Newborn

Infant
Wilms' tumor
Newborn
Stem Cell Research
medicine.disease
Neoplasm
business
Cytometry
030215 immunology
Zdroj: Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, vol 24, iss 10
ISSN: 1083-8791
DOI: 10.1016/j.bbmt.2018.06.010
Popis: We enrolled 150 patients in a prospective multi-center study of children with acute myeloid leukemia undergoing hematopoietic stem cell transplant (HSCT) comparing detection of measurable residual (MRD) disease by a “Difference from Normal” flow cytometry (ΔN) approach with assessment of Wilms tumor 1 (WT-1) gene expression without access to the diagnostic specimen. Prospective analysis of the specimens using this approach showed that 23% of patients being screened for HSCT had detectable residual disease by ΔN (0.04–53%). Of those patients who proceeded to transplant as being in morphologic remission, 10 had detectable disease (0.04–14%) by ΔN. The disease free survival of this group was 10% (0–35%), compared to 55% (46–64
Databáze: OpenAIRE