Genomic profiling of high-risk acute lymphoblastic leukemia

Acute lymphoblastic leukemia (ALL) is a heterogeneous disease comprising multiple subtypes with different genetic alterations and responses to therapy. Recent genome-wide profiling studies of ALL have identified a number of novel genetic alterations that target key cellular pathways in lymphoid grow...

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Veröffentlicht in:Leukemia 2010-10, Vol.24 (10), p.1676-1685
Hauptverfasser: Collins-Underwood, J R, Mullighan, C G
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description Acute lymphoblastic leukemia (ALL) is a heterogeneous disease comprising multiple subtypes with different genetic alterations and responses to therapy. Recent genome-wide profiling studies of ALL have identified a number of novel genetic alterations that target key cellular pathways in lymphoid growth and differentiation and are associated with treatment outcome. Notably, genetic alteration of the lymphoid transcription factor gene IKZF1 is a hallmark of multiple subtypes of ALL with poor prognosis, including BCR-ABL1 -positive lymphoid leukemia and a subset of ‘BCR-ABL1-like’ ALL cases that, in addition to IKZF1 alteration, harbor genetic mutations resulting in aberrant lymphoid cytokine receptor signaling, including activating mutations of Janus kinases and rearrangement of cytokine receptor-like factor 2 ( CRLF2 ). Recent insights from genome-wide profiling studies of B-progenitor ALL and the potential for new therapeutic approaches in high-risk disease are discussed.
doi_str_mv 10.1038/leu.2010.177
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subjects 631/208/191/2018
692/699/67/1990/283/2125
692/700/1750
Acute lymphoblastic leukemia
Acute lymphocytic leukemia
Adults
Arrays
BCR-ABL protein
Biological and medical sciences
Biomarkers, Tumor - genetics
Biomarkers, Tumor - metabolism
Cancer Research
Care and treatment
Cell cycle
Critical Care Medicine
Cytokines
Gene Expression Profiling
Gene mutations
Genes
Genetic aspects
Genome, Human
Genomes
Genomics
Health aspects
Health risks
Hematologic and hematopoietic diseases
Hematology
Humans
Intensive
Internal Medicine
Kinases
Leukemia
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphatic leukemia
Medical sciences
Medicine
Medicine & Public Health
Mutation
Oligonucleotide Array Sequence Analysis
Oncology
Pediatrics
Precursor Cell Lymphoblastic Leukemia-Lymphoma - genetics
Precursor Cell Lymphoblastic Leukemia-Lymphoma - metabolism
Precursor Cell Lymphoblastic Leukemia-Lymphoma - pathology
Receptors
review
Risk Factors
Signal Transduction
Transcription factors
title Genomic profiling of high-risk acute lymphoblastic leukemia
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