When can real-time quantitative RT-PCR effectively define molecular relapse in acute promyelocytic leukemia patients? (Results of the French Belgian Swiss APL Group)

Bruno Cassinat, Stéphane de Botton, Charikleia Kelaidi, Lionel Ades, Fabien Zassadowski, Isabelle Guillemot, Marie Helene Schlageter, Emmanuel Raffoux, Jean Luc Harousseau, Olivier Legrand, Martine Escoffre-Barbe, Oumedaly Reman, Martine Gardembas, Chantal Himberlin, Jean Yves Cahn, Denis Guyotat, Didier Bouscary, Anne Parry, Philippe Rousselot, Andre BaruchelHervé Dombret, Sylvie Chevret, Pierre Fenaux, Christine Chomienne

    Résultats de recherche: Contribution à un journalArticleRevue par des pairs

    12 Citations (Scopus)

    Résumé

    10-20% of APL patients relapse and the challenge remains to early identify these patients to improve survival rate. We report PML-RARα transcript detection by RQ-PCR in 260 consecutive APL patients (n = 970 samples). 223 patients with samples of sufficient RNA quality to demonstrate they reached molecular remission were monitored for MRD. During follow-up, 38 of these patients were tested positive for PML-RARα mRNA. 13 out of the 38 patients (34%) effectively developed hematological relapse. In the first positive sample, specific PML-RARα NCN thresholds over which, or under which, patients could effectively be predicted to relapse or not, were identified and subsequently validated in a second cohort.

    langue originaleAnglais
    Pages (de - à)1178-1182
    Nombre de pages5
    journalLeukemia Research
    Volume33
    Numéro de publication9
    Les DOIs
    étatPublié - 1 sept. 2009

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