MLPA is a powerful tool for detecting lymphoblastic transformation in chronic myeloid leukemia and revealing the clonal origin of relapse in pediatric acute lymphoblastic leukemia

Copy number alterations (CNAs) at 58 different loci have been investigated in 95 bone marrow or peripheral blood samples from patients with chronic myeloid leukemia (CML) or pediatric acute lymphoblastic leukemia (pALL) using multiplex ligation-dependent probe amplification (MLPA). In all but one ca...

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Veröffentlicht in:Cancer genetics 2012-09, Vol.205 (9), p.465-469
Hauptverfasser: Alpár, Donát, de Jong, Danielle, Savola, Suvi, Yigittop, HaciAli, Kajtár, Béla, Kereskai, László, Pajor, László, Szuhai, Károly
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container_end_page 469
container_issue 9
container_start_page 465
container_title Cancer genetics
container_volume 205
creator Alpár, Donát
de Jong, Danielle
Savola, Suvi
Yigittop, HaciAli
Kajtár, Béla
Kereskai, László
Pajor, László
Szuhai, Károly
description Copy number alterations (CNAs) at 58 different loci have been investigated in 95 bone marrow or peripheral blood samples from patients with chronic myeloid leukemia (CML) or pediatric acute lymphoblastic leukemia (pALL) using multiplex ligation-dependent probe amplification (MLPA). In all but one case, the CNA profile correctly distinguished patients with CML who were in chronic phase from those in lymphoblast crisis. Within the chronic phase group, we could not separate patients resistant to imatinib therapy from those who were good responders. In our investigation of patients with pALL, a panel of MLPA probes broader than ever before was applied. Paired diagnostic and relapse samples from patients with pALL demonstrated clonally related or independent dominant clones, suggesting the presence of a pre-leukemic cell group. Identification of the origin of cell populations dominating at relapse will have a great effect on future treatment strategies. In summary, we have demonstrated the versatility of MLPA by using this cost-effective technique for two new applications.
doi_str_mv 10.1016/j.cancergen.2012.05.007
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In all but one case, the CNA profile correctly distinguished patients with CML who were in chronic phase from those in lymphoblast crisis. Within the chronic phase group, we could not separate patients resistant to imatinib therapy from those who were good responders. In our investigation of patients with pALL, a panel of MLPA probes broader than ever before was applied. Paired diagnostic and relapse samples from patients with pALL demonstrated clonally related or independent dominant clones, suggesting the presence of a pre-leukemic cell group. Identification of the origin of cell populations dominating at relapse will have a great effect on future treatment strategies. In summary, we have demonstrated the versatility of MLPA by using this cost-effective technique for two new applications.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22939399</pmid><doi>10.1016/j.cancergen.2012.05.007</doi><tpages>5</tpages></addata></record>
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subjects Acute lymphatic leukemia
acute lymphoblastic leukemia
Antineoplastic Agents
Benzamides
Cell Transformation, Neoplastic - genetics
Cell Transformation, Neoplastic - immunology
Cell Transformation, Neoplastic - pathology
Child
chronic myeloid leukemia
Clonal Evolution
clonal origin
Cohort Studies
DNA Copy Number Variations
Hematology, Oncology and Palliative Medicine
Humans
Imatinib Mesylate
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - genetics
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - immunology
Leukemia, Myelogenous, Chronic, BCR-ABL Positive - pathology
Lymphocyte Activation
Medical Education
MLPA
Nucleic Acid Amplification Techniques - methods
Piperazines
Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics
Precursor Cell Lymphoblastic Leukemia-Lymphoma - immunology
Precursor Cell Lymphoblastic Leukemia-Lymphoma - pathology
Pyrimidines
Recurrence
relapse
title MLPA is a powerful tool for detecting lymphoblastic transformation in chronic myeloid leukemia and revealing the clonal origin of relapse in pediatric acute lymphoblastic leukemia
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