Molecular diagnostics in the treatment of childhood acute lymphoblastic leukemia.

Abstract:

:Somatically acquired genetic alterations play an important role in the pathogenesis of acute lymphoblastic leukemia. The molecular analysis of these alterations has increased our understanding of the mechanisms of leukemogenesis. In addition, this information has led to improvements in our abilities to predict treatment response and to deliver the optimal intensity of treatment to individual patients. For example, the prognosis for patients with acute lymphoblastic leukemia whose leukemic cells express the TEL-AML1 fusion is favorable when they are treated on modem chemotherapy protocols, whereas patients whose leukemic lymphoblasts contain the MLL-AF4 or the BCR-ABL fusion sometimes require allogeneic hematopoietic stem cell transplantation for cure. Molecular techniques are also used to detect minimal residual disease and genetic polymorphisms that are important in optimizing drug therapy.

authors

Rubnitz JE

keywords:

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

182-6

issue

3

eissn

0393-974X

issn

1724-6083

journal_volume

14

pub_type

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