Non-classical karyotypic features in relapsed childhood B-cell precursor acute lymphoblastic leukemia

Wehrli, Lea A; Braun, Julia; Buetti, Luisa Nobile; Hagleitner, Nicole; Hengartner, Heinz; Kühne, Thomas; Lüer, Sonja; Ozsahin, Hulya; Popovic, Maja Beck; Niggli, Felix K; Betts, David R; Bourquin, Jean-Pierre (2009). Non-classical karyotypic features in relapsed childhood B-cell precursor acute lymphoblastic leukemia. Cancer genetics and cytogenetics, 189(1), pp. 29-36. New York, N.Y.: Elsevier 10.1016/j.cancergencyto.2008.10.002

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Karyotype analysis of acute lymphoblastic leukemia (ALL) at diagnosis has provided valuable prognostic markers for treatment stratification. However, reports of cytogenetic studies of relapsed ALL samples are limited. We compared the karyotypes from 436 nonselected B-cell precursor ALL patients at initial diagnosis and of 76 patients at first relapse. We noticed a relative increase of karyotypes that did not fall into the classic ALL cytogenetic subgroups (high hyperdiploidy, t(12;21), t(9;22), 11q23, t(1;19), <45 chromosomes) in a group of 29 patients at relapse (38%) compared to 130 patients at presentation (30%). Non-classical cytogenetic aberrations in these 29 patients were mostly found on chromosomes 1, 2, 7, 9, 13, 14, and 17. We also describe six rare reciprocal translocations, three of which involved 14q32. The most frequent abnormalities were found in 9p (12/29 cases) and were associated with a marked decrease in the duration of the second remission, but not of the probability of 10-year event-free survival after relapse treatment. From 29 patients with non-classical cytogenetic aberrations, only 8 (28%) had been stratified to a high risk-arm on the first treatment protocol, suggesting that this subgroup might benefit from the identification of new prognostic markers in future studies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Lüer, Sonja

ISSN:

0165-4608

ISBN:

19167609

Publisher:

Elsevier

Language:

English

Submitter:

Anette van Dorland

Date Deposited:

04 Oct 2013 15:03

Last Modified:

02 Mar 2023 23:22

Publisher DOI:

10.1016/j.cancergencyto.2008.10.002

PubMed ID:

19167609

Web of Science ID:

000263213000005

URI:

https://boris.unibe.ch/id/eprint/27215 (FactScience: 105049)

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