Significant Correlation Between the Degree of WT1 Expression and the International Prognostic Scoring System Score in Patients With Myelodysplastic Syndromes

To determine whether pattern of WT1 gene expression is a useful marker for establishing prognosis and tracking disease progression in patients with myelodysplastic syndromes (MDS). We performed a quantitative assessment of the WT1 transcript amount by real-time quantitative polymerase chain reaction...

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Veröffentlicht in:Journal of clinical oncology 2003-05, Vol.21 (10), p.1988-1995
Hauptverfasser: CILLONI, Daniela, GOTTARDI, Enrico, LEVIS, Alessandro, SAGLIO, Giuseppe, MESSA, Francesca, FAVA, Milena, SCARAVAGLIO, Patrizia, BERTINI, Marilena, GIROTTO, Mauro, MARINONE, Carlo, FERRERO, Dario, GALLAMINI, Andrea
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container_end_page 1995
container_issue 10
container_start_page 1988
container_title Journal of clinical oncology
container_volume 21
creator CILLONI, Daniela
GOTTARDI, Enrico
LEVIS, Alessandro
SAGLIO, Giuseppe
MESSA, Francesca
FAVA, Milena
SCARAVAGLIO, Patrizia
BERTINI, Marilena
GIROTTO, Mauro
MARINONE, Carlo
FERRERO, Dario
GALLAMINI, Andrea
description To determine whether pattern of WT1 gene expression is a useful marker for establishing prognosis and tracking disease progression in patients with myelodysplastic syndromes (MDS). We performed a quantitative assessment of the WT1 transcript amount by real-time quantitative polymerase chain reaction (RQ-PCR) in 173 samples (131 bone marrow samples and 42 peripheral-blood samples) from 131 patients with MDS (79 patients with refractory anemia [RA], 31 with RA with excess blasts [RAEB], 18 with secondary acute myeloid leukemia [s-AML] evolved from MDS, and three with deletion of 5q as the sole cytogenetic abnormality). Values obtained were correlated with the blast percentage and International Prognostic Scoring System (IPSS) score. Sixty-five percent of BM and 78% of PB samples for RA and 100% of BM and PB samples of RAEB and s-AML expressed WT1 transcript amounts greater than the level observed in healthy volunteers. The degree of WT1 expression was highly correlated with the type of MDS, was much higher in RAEB and s-AML compared with RA, and increased during disease progression. Moreover, a significant correlation was found between WT1 expression levels, blast cell percentage, and the presence of cytogenetic abnormalities. Therefore, we found a significant correlation between the amount of WT1 transcripts and the IPSS score, which currently represents the most reliable risk index of disease progression available for MDS patients. WT1 is a useful molecular marker for risk assessment in MDS patients.
doi_str_mv 10.1200/JCO.2003.10.503
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We performed a quantitative assessment of the WT1 transcript amount by real-time quantitative polymerase chain reaction (RQ-PCR) in 173 samples (131 bone marrow samples and 42 peripheral-blood samples) from 131 patients with MDS (79 patients with refractory anemia [RA], 31 with RA with excess blasts [RAEB], 18 with secondary acute myeloid leukemia [s-AML] evolved from MDS, and three with deletion of 5q as the sole cytogenetic abnormality). Values obtained were correlated with the blast percentage and International Prognostic Scoring System (IPSS) score. Sixty-five percent of BM and 78% of PB samples for RA and 100% of BM and PB samples of RAEB and s-AML expressed WT1 transcript amounts greater than the level observed in healthy volunteers. The degree of WT1 expression was highly correlated with the type of MDS, was much higher in RAEB and s-AML compared with RA, and increased during disease progression. Moreover, a significant correlation was found between WT1 expression levels, blast cell percentage, and the presence of cytogenetic abnormalities. Therefore, we found a significant correlation between the amount of WT1 transcripts and the IPSS score, which currently represents the most reliable risk index of disease progression available for MDS patients. 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Moreover, a significant correlation was found between WT1 expression levels, blast cell percentage, and the presence of cytogenetic abnormalities. Therefore, we found a significant correlation between the amount of WT1 transcripts and the IPSS score, which currently represents the most reliable risk index of disease progression available for MDS patients. 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Myelofibrosis</subject><subject>Medical sciences</subject><subject>Myelodysplastic Syndromes - diagnosis</subject><subject>Myelodysplastic Syndromes - genetics</subject><subject>Myelodysplastic Syndromes - metabolism</subject><subject>Myelodysplastic Syndromes - pathology</subject><subject>Polymerase Chain Reaction</subject><subject>Prognosis</subject><subject>Regression Analysis</subject><subject>WT1 Proteins - blood</subject><subject>WT1 Proteins - metabolism</subject><issn>0732-183X</issn><issn>1527-7755</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkc1uEzEURi0EoqGwZoe8AVaT-ieOJ0sIBYqKWilFZTfy2Hcmrjx2sB2VeRjeFU8SqasrX53v05UPQm8pmVNGyMWP9c28TD4vC0H4MzSjgslKSiGeoxmRnFW05r_P0KuUHgihi5qLl-iMMrngVPAZ-rexvbed1cpnvA4xglPZBo8_Q34E8DhvAX-BPgLg0OH7O4ov_-4ipDRBypsDcOUzRH8IKodvY-h9SNlqvNEhWt_jzZgyDIcnYOvxbWHB54Tvbd7inyO4YMa0c-qYGr2JYYD0Gr3olEvw5jTP0a-vl3fr79X1zber9afrSnMhcrVaKk7NknEmJJXSGFi1TLdG1EwazTinK8kE422rukKJ1jDBGQdttKqJJvwcfTj27mL4s4eUm8EmDc4pD2GfmvKPNSOcF_DiCOoYUorQNbtoBxXHhpJmMtIUI81kZFoUIyXx7lS9bwcwT_xJQQHenwCVtHJdVF7b9MQtarakYrrx45Hb2n77aCM0aVDOlVrWPOjA6OGEVV3z_y8ao3o</recordid><startdate>20030515</startdate><enddate>20030515</enddate><creator>CILLONI, Daniela</creator><creator>GOTTARDI, Enrico</creator><creator>LEVIS, Alessandro</creator><creator>SAGLIO, Giuseppe</creator><creator>MESSA, Francesca</creator><creator>FAVA, Milena</creator><creator>SCARAVAGLIO, Patrizia</creator><creator>BERTINI, Marilena</creator><creator>GIROTTO, Mauro</creator><creator>MARINONE, Carlo</creator><creator>FERRERO, Dario</creator><creator>GALLAMINI, Andrea</creator><general>American Society of Clinical Oncology</general><general>Lippincott Williams &amp; Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20030515</creationdate><title>Significant Correlation Between the Degree of WT1 Expression and the International Prognostic Scoring System Score in Patients With Myelodysplastic Syndromes</title><author>CILLONI, Daniela ; GOTTARDI, Enrico ; LEVIS, Alessandro ; SAGLIO, Giuseppe ; MESSA, Francesca ; FAVA, Milena ; SCARAVAGLIO, Patrizia ; BERTINI, Marilena ; GIROTTO, Mauro ; MARINONE, Carlo ; FERRERO, Dario ; GALLAMINI, Andrea</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c355t-96a31d623257177dde9b2cbd5827dc2331972523bbaf6235bd25323ecdca80c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Biological and medical sciences</topic><topic>Biomarkers, Tumor - blood</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Bone Marrow - metabolism</topic><topic>Case-Control Studies</topic><topic>Disease Progression</topic><topic>DNA Primers</topic><topic>Flow Cytometry</topic><topic>Gene Expression Regulation, Neoplastic</topic><topic>Hematologic and hematopoietic diseases</topic><topic>Humans</topic><topic>Immunophenotyping</topic><topic>Leukemia, Myeloid - diagnosis</topic><topic>Leukemia, Myeloid - genetics</topic><topic>Leukemia, Myeloid - metabolism</topic><topic>Leukemia, Myeloid - pathology</topic><topic>Leukemias. 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Moreover, a significant correlation was found between WT1 expression levels, blast cell percentage, and the presence of cytogenetic abnormalities. Therefore, we found a significant correlation between the amount of WT1 transcripts and the IPSS score, which currently represents the most reliable risk index of disease progression available for MDS patients. WT1 is a useful molecular marker for risk assessment in MDS patients.</abstract><cop>Baltimore, MD</cop><pub>American Society of Clinical Oncology</pub><pmid>12743153</pmid><doi>10.1200/JCO.2003.10.503</doi><tpages>8</tpages></addata></record>
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subjects Biological and medical sciences
Biomarkers, Tumor - blood
Biomarkers, Tumor - metabolism
Bone Marrow - metabolism
Case-Control Studies
Disease Progression
DNA Primers
Flow Cytometry
Gene Expression Regulation, Neoplastic
Hematologic and hematopoietic diseases
Humans
Immunophenotyping
Leukemia, Myeloid - diagnosis
Leukemia, Myeloid - genetics
Leukemia, Myeloid - metabolism
Leukemia, Myeloid - pathology
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Medical sciences
Myelodysplastic Syndromes - diagnosis
Myelodysplastic Syndromes - genetics
Myelodysplastic Syndromes - metabolism
Myelodysplastic Syndromes - pathology
Polymerase Chain Reaction
Prognosis
Regression Analysis
WT1 Proteins - blood
WT1 Proteins - metabolism
title Significant Correlation Between the Degree of WT1 Expression and the International Prognostic Scoring System Score in Patients With Myelodysplastic Syndromes
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