Detection of tumor-specific marker for minimal residual disease in multiple myeloma patients
Autor: | Roman Hájek, Lena Kubiczkova, Ludek Pour, Zdenek Adam, Sabina Ševčíková, Fedor Kryukov, Jana Pelcova, Lenka Sedlarikova |
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Rok vydání: | 2014 |
Předmět: |
Male
Pathology medicine.medical_specialty Neoplasm Residual Immunoglobulin gamma-Chains lcsh:Medicine Real-Time Polymerase Chain Reaction General Biochemistry Genetics and Molecular Biology Flow cytometry 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases Biomarkers Tumor Medicine Humans Multiple myeloma Tumor marker Aged Aged 80 and over Gene Rearrangement medicine.diagnostic_test business.industry lcsh:R Cancer tumor-specific marker Gene rearrangement aso pcr Middle Aged medicine.disease Minimal residual disease 3. Good health rq-pcr 030220 oncology & carcinogenesis Monoclonal igh gene rearrangement minimal residual disease Leukocytes Mononuclear Immunoglobulin heavy chain Female business Immunoglobulin Heavy Chains Multiple Myeloma 030215 immunology |
Zdroj: | Biomedical Papers, Vol 159, Iss 4, Pp 554-561 (2015) |
ISSN: | 1804-7521 |
Popis: | Aims: Multiple myeloma (MM), the second most common hematological cancer, is a lymphoproliferative disease of terminally differentiated B lymphocytes characterized by expansion of monoclonal plasma cells. With the introduction of new drugs, MM has become a hard-to-treat disease. The aim of treatment is clinical remission and eradication of clinical manifestations but most MM patients eventually relapse. For this reason, more accurate monitoring of remission and relapse using molecular biology techniques is at the center of attention. Methods: For monitoring, we used allele-specific PCR and quantitative real-time PCR based on specific detection of VDJ immunoglobulin heavy chain gene rearrangement of clonal cells for monitoring. The hypervariable region of IgH rearrangement is used for detection of minimal residual disease (MRD) in MM as this sequence is used for allele-specific primers and probe design. This technique is a complementary tool for flow cytometry in MRD detection; however, it has not been established in the Czech Republic so far. Results: Qualitative and quantitative MRD detection was performed in 50% (5/10) patients and qualitative MRD detection in another 3 oligoclonal patients. Conclusions: Next to flow cytometry, detection of MRD by qPCR is a viable option and has been introduced in the Czech Republic. |
Databáze: | OpenAIRE |
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