期刊
LEUKEMIA & LYMPHOMA
卷 48, 期 5, 页码 912-922出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/10428190701245112
关键词
lipoprotein lipase; B-cell chronic lymphocytic leukemia; dystrophin; ZAP-70; IgV(H) gene mutational status; Q-RT-PCR
资金
- NCI NIH HHS [1R15CA113331-01] Funding Source: Medline
- NATIONAL CANCER INSTITUTE [R15CA113331] Funding Source: NIH RePORTER
Mutational status of immunoglobulin variable region genes ( VH-genes) is known as the strongest predictor of long term prognosis in B-CLL. However, applications in the routine clinical practice are time consuming, and therefore some other predictions are required. In this study, we have compared prognostic values of real time PCR quantification of the expression levels of four genes previously shown to be differentially expressed in VH-unmutated and mutated B-CLL subtypes: ZAP-70, ZBTB20, DMD and LPL. The study included 134 B-CLL patients. Expression levels of LPL and DMD genes were significantly correlated to mutational status, while expression levels of of ZAP-70 gene correlated only in CD19+ selected cases ( N = 40). No correlation was observed for ZBTB20 gene. Expression levels of LPL and DMD predicted overall survival in the entire cohort of patients. Prognostic values of LPL gene expression levels were significant even for CLL patients with stage A. Quantitative RT-PCR assays for measuring LPL gene expression are robust enough to be introduced into routine clinical practice.
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