TY - JOUR
T1 - When can real-time quantitative RT-PCR effectively define molecular relapse in acute promyelocytic leukemia patients? (Results of the French Belgian Swiss APL Group)
AU - Cassinat, Bruno
AU - de Botton, Stéphane
AU - Kelaidi, Charikleia
AU - Ades, Lionel
AU - Zassadowski, Fabien
AU - Guillemot, Isabelle
AU - Schlageter, Marie Helene
AU - Raffoux, Emmanuel
AU - Harousseau, Jean Luc
AU - Legrand, Olivier
AU - Escoffre-Barbe, Martine
AU - Reman, Oumedaly
AU - Gardembas, Martine
AU - Himberlin, Chantal
AU - Cahn, Jean Yves
AU - Guyotat, Denis
AU - Bouscary, Didier
AU - Parry, Anne
AU - Rousselot, Philippe
AU - Baruchel, Andre
AU - Dombret, Hervé
AU - Chevret, Sylvie
AU - Fenaux, Pierre
AU - Chomienne, Christine
PY - 2009/9/1
Y1 - 2009/9/1
N2 - 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.
AB - 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.
KW - APL
KW - Minimal residual disease
KW - Prognosis
KW - RQ-PCR
KW - Relapse
UR - http://www.scopus.com/inward/record.url?scp=67549088250&partnerID=8YFLogxK
U2 - 10.1016/j.leukres.2008.12.010
DO - 10.1016/j.leukres.2008.12.010
M3 - Article
C2 - 19167754
AN - SCOPUS:67549088250
SN - 0145-2126
VL - 33
SP - 1178
EP - 1182
JO - Leukemia Research
JF - Leukemia Research
IS - 9
ER -