Molecular Diagnosis and Treatment of Leukemia

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: closed (31 December 2020) | Viewed by 1509

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Research Center for Functional Genomics, Biomedicine and Translational Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400337 Cluj-Napoca, Romania
Interests: drug resistance; exosomes; biomarkers; personalized medicine; nucleic acid
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Special Issue Information

Dear Colleagues,

In the last several decades the field of leukemia has seen important advancements in the diagnosis, classification, and treatment of these patients. One of the first cornerstones in this regard is represented by the discovery that the BCR-ABL fusion is frequently present in chronic myeloid leukemia, and that it can be targeted with single-agent non-chemotherapy represented by imatinib. Since then, this approach has been extended to other leukemia, such as  acute myeloid leukemia, acute lymphoblastic leukemia, myeloproliferative neoplasms, and others. At present, most hospitals offer mutational analysis for genes like FLT3, JAK2, CALR, and MPL, to name a few. This has advanced in other hospitals with the existence of comprehensive gene panels that can better assess the prognosis of each patient.

Thus, the current Special Issue will be taking papers assessing the use of a variety of molecular markers in leukemia biology, diagnosis, prognosis, and treatment.

Dr. Ancuta Jurj
Guest Editor

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Keywords

  • Molecular diagnosis
  • Prognostic factors
  • Targeted therapy
  • Leukemia

Published Papers (1 paper)

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Research

11 pages, 3158 KiB  
Article
Immunophenotype of Measurable Residual Blast Cells as an Additional Prognostic Factor in Adults with B-Cell Acute Lymphoblastic Leukemia
by Yulia Davydova, Irina Galtseva, Nikolay Kapranov, Ksenia Nikiforova, Olga Aleshina, Yulia Chabaeva, Galina Isinova, Ekaterina Kotova, Andrey Sokolov, Vera Troitskaya, Sergey Kulikov and Elena Parovichnikova
Diagnostics 2023, 13(1), 21; https://0-doi-org.brum.beds.ac.uk/10.3390/diagnostics13010021 - 21 Dec 2022
Viewed by 1097
Abstract
Measurable residual disease (MRD) is a well-known independent prognostic factor in acute leukemias, and multicolor flow cytometry (MFC) is widely used to detect MRD. MFC is able not only to enumerate MRD accurately but also to describe an antigen expression profile of residual [...] Read more.
Measurable residual disease (MRD) is a well-known independent prognostic factor in acute leukemias, and multicolor flow cytometry (MFC) is widely used to detect MRD. MFC is able not only to enumerate MRD accurately but also to describe an antigen expression profile of residual blast cells. However, the relationship between MRD immunophenotype and patient survival probability has not yet been studied. We determined the prognostic impact of MRD immunophenotype in adults with B-cell acute lymphoblastic leukemia (B-ALL). In a multicenter study RALL-2016 (NCT03462095), 267 patients were enrolled from 2016 to 2022. MRD was assessed at the end of induction (day 70) in 94 patients with B-ALL by six- or 10-color flow cytometry in the bone marrow specimens. The 4 year relapse-free survival (RFS) was lower in MRD-positive B-ALL patients [37% vs. 78% (p < 0.0001)]. The absence of CD10, positive expression of CD38, and high expression of CD58 on MRD cells worsened the 4 year RFS [19% vs. 51% (p = 0.004), 0% vs. 51% (p < 0.0001), and 21% vs. 40% (p = 0.02), respectively]. The MRD immunophenotype is associated with RFS and could be an additional prognostic factor for B-ALL patients. Full article
(This article belongs to the Special Issue Molecular Diagnosis and Treatment of Leukemia)
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