Clinical significance of the ABCB1 and ABCG2 gene expression levels in acute lymphoblastic leukemia

Objectives: Acute lymphoblastic leukemia (ALL) is a clonal disease that accounts for 20% of acute leukemias in adults. A high percentage of adult patients (ranging from 70 to 80%) reach complete remission; however, the 5-year survival rate is only 20-40%. One of the main obstacles to treatment succe...

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Veröffentlicht in:Hematology (Luxembourg) 2017-05, Vol.22 (5), p.286-291
Hauptverfasser: Olarte Carrillo, I., Ramos Peñafiel, C., Miranda Peralta, E., Rozen Fuller, E., Kassack Ipiña, J. J., Centeno Cruz, F., Garrido Guerrero, E., Collazo Jaloma, J., Nacho Vargas, K., Martínez Tovar, A.
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container_end_page 291
container_issue 5
container_start_page 286
container_title Hematology (Luxembourg)
container_volume 22
creator Olarte Carrillo, I.
Ramos Peñafiel, C.
Miranda Peralta, E.
Rozen Fuller, E.
Kassack Ipiña, J. J.
Centeno Cruz, F.
Garrido Guerrero, E.
Collazo Jaloma, J.
Nacho Vargas, K.
Martínez Tovar, A.
description Objectives: Acute lymphoblastic leukemia (ALL) is a clonal disease that accounts for 20% of acute leukemias in adults. A high percentage of adult patients (ranging from 70 to 80%) reach complete remission; however, the 5-year survival rate is only 20-40%. One of the main obstacles to treatment success is the drug resistance of leukemic cells. Therefore, our research group analyzed the ABCB1 and ABCG2 gene expression levels in 61 patients diagnosed with ALL and assessed whether the levels affected the clinical parameters and 40-month survival rate. Methods: The ABCB1 and ABCG2 gene expression levels were analyzed using real-time polymerase chain reaction in 61 patients diagnosed with ALL and 99 healthy donors as controls. The association between ABCB1 and ABCG2 gene expression levels and clinical variables was determined using the Chi-square test and Fisher's exact test. Overall survival (OS) was determined using the Kaplan-Meier method. Results: The results showed high ABCB1 and ABCG2 gene levels, which were 4.5 and 2.3 times the levels of healthy donors, respectively. A total of 52% of the study patients expressed high ABCB1 levels and were significantly associated with the high-risk patient group and a decreased 40-month survival rate of 78%. Only 49% of the patients expressed high ABCG2 gene levels. No association was found between the clinical parameters and the ABCG2 gene expression levels. Conclusions: Early detection of ABCB1 gene expression levels could be important for the diagnosis and monitoring of ALL patients.
doi_str_mv 10.1080/10245332.2016.1265780
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J. ; Centeno Cruz, F. ; Garrido Guerrero, E. ; Collazo Jaloma, J. ; Nacho Vargas, K. ; Martínez Tovar, A.</creator><creatorcontrib>Olarte Carrillo, I. ; Ramos Peñafiel, C. ; Miranda Peralta, E. ; Rozen Fuller, E. ; Kassack Ipiña, J. J. ; Centeno Cruz, F. ; Garrido Guerrero, E. ; Collazo Jaloma, J. ; Nacho Vargas, K. ; Martínez Tovar, A.</creatorcontrib><description>Objectives: Acute lymphoblastic leukemia (ALL) is a clonal disease that accounts for 20% of acute leukemias in adults. A high percentage of adult patients (ranging from 70 to 80%) reach complete remission; however, the 5-year survival rate is only 20-40%. One of the main obstacles to treatment success is the drug resistance of leukemic cells. Therefore, our research group analyzed the ABCB1 and ABCG2 gene expression levels in 61 patients diagnosed with ALL and assessed whether the levels affected the clinical parameters and 40-month survival rate. Methods: The ABCB1 and ABCG2 gene expression levels were analyzed using real-time polymerase chain reaction in 61 patients diagnosed with ALL and 99 healthy donors as controls. The association between ABCB1 and ABCG2 gene expression levels and clinical variables was determined using the Chi-square test and Fisher's exact test. Overall survival (OS) was determined using the Kaplan-Meier method. Results: The results showed high ABCB1 and ABCG2 gene levels, which were 4.5 and 2.3 times the levels of healthy donors, respectively. A total of 52% of the study patients expressed high ABCB1 levels and were significantly associated with the high-risk patient group and a decreased 40-month survival rate of 78%. Only 49% of the patients expressed high ABCG2 gene levels. No association was found between the clinical parameters and the ABCG2 gene expression levels. 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Therefore, our research group analyzed the ABCB1 and ABCG2 gene expression levels in 61 patients diagnosed with ALL and assessed whether the levels affected the clinical parameters and 40-month survival rate. Methods: The ABCB1 and ABCG2 gene expression levels were analyzed using real-time polymerase chain reaction in 61 patients diagnosed with ALL and 99 healthy donors as controls. The association between ABCB1 and ABCG2 gene expression levels and clinical variables was determined using the Chi-square test and Fisher's exact test. Overall survival (OS) was determined using the Kaplan-Meier method. Results: The results showed high ABCB1 and ABCG2 gene levels, which were 4.5 and 2.3 times the levels of healthy donors, respectively. A total of 52% of the study patients expressed high ABCB1 levels and were significantly associated with the high-risk patient group and a decreased 40-month survival rate of 78%. Only 49% of the patients expressed high ABCG2 gene levels. 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J.</au><au>Centeno Cruz, F.</au><au>Garrido Guerrero, E.</au><au>Collazo Jaloma, J.</au><au>Nacho Vargas, K.</au><au>Martínez Tovar, A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical significance of the ABCB1 and ABCG2 gene expression levels in acute lymphoblastic leukemia</atitle><jtitle>Hematology (Luxembourg)</jtitle><addtitle>Hematology</addtitle><date>2017-05-28</date><risdate>2017</risdate><volume>22</volume><issue>5</issue><spage>286</spage><epage>291</epage><pages>286-291</pages><issn>1607-8454</issn><eissn>1607-8454</eissn><abstract>Objectives: Acute lymphoblastic leukemia (ALL) is a clonal disease that accounts for 20% of acute leukemias in adults. A high percentage of adult patients (ranging from 70 to 80%) reach complete remission; however, the 5-year survival rate is only 20-40%. One of the main obstacles to treatment success is the drug resistance of leukemic cells. 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subjects ABCB1
ABCG2
acute lymphoblastic leukemia
Adolescent
Adult
ATP Binding Cassette Transporter, Sub-Family B - biosynthesis
ATP Binding Cassette Transporter, Sub-Family G, Member 2 - biosynthesis
Disease-Free Survival
Female
Gene Expression Regulation, Neoplastic
Humans
Male
Middle Aged
Neoplasm Proteins - biosynthesis
Precursor Cell Lymphoblastic Leukemia-Lymphoma - metabolism
Precursor Cell Lymphoblastic Leukemia-Lymphoma - mortality
Survival Rate
title Clinical significance of the ABCB1 and ABCG2 gene expression levels in acute lymphoblastic leukemia
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