Molecular follow-up of patients with promyelocytic leukaemia treated with all-trans retinoic acid

Six consecutive patients with promyelocytic leukaemia displaying the PML/RAR‐α fusion messenger ribonucleic acid (mRNA) – the molecular marker of the disease – were prospectively treated with all‐trans retinoic acid: Haematological complete remission was achieved in all of them. However, in three of...

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Veröffentlicht in:Clinical and laboratory haematology 1998-06, Vol.20 (3), p.173-176
Hauptverfasser: RUIZ-ARGÜELLES, G. J., GARCÉS-EISELE, J., RUIZ-ARGÜELLES, A.
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creator RUIZ-ARGÜELLES, G. J.
GARCÉS-EISELE, J.
RUIZ-ARGÜELLES, A.
description Six consecutive patients with promyelocytic leukaemia displaying the PML/RAR‐α fusion messenger ribonucleic acid (mRNA) – the molecular marker of the disease – were prospectively treated with all‐trans retinoic acid: Haematological complete remission was achieved in all of them. However, in three of them the PML/RAR‐α mRNA persisted. Subsequent treatment with ablative chemotherapy rendered the molecular remission in all cases. Two of the patients that did not achieve the molecular remission with ATRA were autografted with peripheral blood stem cells after clearing the PML/RAR‐α fusion mRNA. One patient with tretinoin‐induced molecular remission relapsed two years after diagnosis and died; the remaining five survive in complete haematological and molecular remission for periods ranging from 405 to 1695 days. Additional studies are needed to clarify the significance of the molecular follow‐up of patients with PML.
doi_str_mv 10.1046/j.1365-2257.1998.00107.x
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subjects Adolescent
Adult
all-trans retinoic acid
Antineoplastic agents
Antineoplastic Agents - therapeutic use
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Biomarkers, Tumor - genetics
Bone Marrow - chemistry
Bone Marrow - pathology
Chemotherapy
Child
Evaluation Studies as Topic
Female
Follow-Up Studies
Humans
Leukaemia
Leukemia, Promyelocytic, Acute - blood
Leukemia, Promyelocytic, Acute - drug therapy
Leukemia, Promyelocytic, Acute - genetics
Leukemia, Promyelocytic, Acute - pathology
Male
Medical sciences
Middle Aged
molecular
Neoplasm Proteins - genetics
Neoplasm, Residual
Neoplastic Stem Cells - chemistry
Oncogene Proteins, Fusion - genetics
Pharmacology. Drug treatments
Polymerase Chain Reaction
promyelocytic
Remission Induction
RNA, Messenger - analysis
RNA, Neoplasm - analysis
Treatment Outcome
Tretinoin - therapeutic use
title Molecular follow-up of patients with promyelocytic leukaemia treated with all-trans retinoic acid
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