Hypoxanthine-guanine phosphoribosyl-transferase in childhood leukemia: Relation with immunophenotype,in vitro drug resistance and clinical prognosis
| Autor: | Karel Hählen, Rob Pieters, G.J. Peters, E. R. Van Wering, A. J. P. Veerman, D. R. Huismans, A. H. Loonen, A. van der Does-van den Berg |
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| Rok vydání: | 1992 |
| Předmět: |
Male
Purine Hypoxanthine Phosphoribosyltransferase Cancer Research Adolescent Childhood leukemia Drug Resistance Drug resistance Immunophenotyping Leukocyte Count chemistry.chemical_compound Acute lymphocytic leukemia medicine Humans Child Thioguanine Thiopurine methyltransferase biology Infant Precursor Cell Lymphoblastic Leukemia-Lymphoma Prognosis medicine.disease Mercaptopurine Oncology chemistry Hypoxanthine-guanine phosphoribosyltransferase Child Preschool Immunology Cancer research biology.protein Female medicine.drug |
| Zdroj: | International Journal of Cancer. 51:213-217 |
| ISSN: | 1097-0215 0020-7136 |
| Popis: | Decreased activity of hypoxanthine-guanine phosphoribosyl-transferase (HGPRT), responsible for the conversion of 6-mercaptopurine and 6-thioguanine (6-TG) to their cytotoxic nucleotides, may cause resistance to these thiopurines in experimental leukemic systems. The clinical significance of this mechanism is as yet unclear. In 83 children with untreated acute lymphoblastic leukemia (ALL), we determined the prognostic value of HGPRT activity and the relation between HGPRT activity and resistance to thiopurines. HGPRT activity was determined radiochemically; in vitro resistance to 6-TG with the MTT assay. HGPRT level was significantly lower in T-ALL than in B-lineage ALL; no differences were found between sequential differentiation stages of B-lineage ALL. HGPRT activity was inversely related to the white-blood-cell count (WBC). Among patients with cALL and pre-B-ALL with WBC less than 50 x 10(9)/l, cases with a low HGPRT had a significantly poorer prognosis than those with a high HGPRT. WBC, age, sex, organomegaly and differentiation stage were comparable in both patient groups. No correlation was found between HGPRT activity and in vitro 6-TG resistance in cALL and pre-B-ALL patients. T-ALL cases were not more 6-TG-resistant than cALL and pre-B-ALL cases. Cells from 6 relapsed ALL cases did not show decreased HGPRT activity. We conclude that: (a) HGPRT is lower in T- than in B-lineage ALL and is constant in sequential differentiation stages of B-lineage ALL; (b) HGPRT activity is inversely related to tumor load; (c) low HGPRT activities are correlated with a poorer prognosis in precursor B-ALL but this cannot be explained by thiopurine resistance because (d) there is no relation between HGPRT activity and in vitro 6-TG resistance. |
| Databáze: | OpenAIRE |
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