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ERIC recommendations on TP53 mutation analysis in chronic lymphocytic leukemia
S. Pospisilova, D. Gonzalez, J. Malcikova, M. Trbusek, D. Rossi, AP. Kater, F. Cymbalista, B. Eichhorst, M. Hallek, H. Döhner, P. Hillmen, M. van Oers, J. Gribben, P. Ghia, E. Montserrat, S. Stilgenbauer, T. Zenz
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, přehledy
Grantová podpora
NS9858
MZ0
CEP - Centrální evidence projektů
Digitální knihovna NLK
Plný text - Článek
Zdroj
NLK
ProQuest Central
od 2000-01-01 do Před 1 rokem
Open Access Digital Library
od 1997-01-01
Medline Complete (EBSCOhost)
od 1997-01-01 do 2015-11-30
Nursing & Allied Health Database (ProQuest)
od 2000-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2000-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 2000-01-01 do Před 1 rokem
PubMed
22297721
DOI
10.1038/leu.2012.25
Knihovny.cz E-zdroje
- MeSH
- chronická lymfatická leukemie diagnóza genetika terapie MeSH
- lidé MeSH
- lidské chromozomy, pár 17 genetika MeSH
- mutace genetika MeSH
- nádorový supresorový protein p53 genetika MeSH
- prognóza MeSH
- směrnice pro lékařskou praxi jako téma MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
Recent evidence suggests that - in addition to 17p deletion - TP53 mutation is an independent prognostic factor in chronic lymphocytic leukemia (CLL). Data from retrospective analyses and prospective clinical trials show that ∼5% of untreated CLL patients with treatment indication have a TP53 mutation in the absence of 17p deletion. These patients have a poor response and reduced progression-free survival and overall survival with standard treatment approaches. These data suggest that TP53 mutation testing warrants integration into current diagnostic work up of patients with CLL. There are a number of assays to detect TP53 mutations, which have respective advantages and shortcomings. Direct Sanger sequencing of exons 4-9 can be recommended as a suitable test to identify TP53 mutations for centers with limited experience with alternative screening methods. Recommendations are provided on standard operating procedures, quality control, reporting and interpretation. Patients with treatment indications should be investigated for TP53 mutations in addition to the work-up recommended by the International workshop on CLL guidelines. Patients with TP53 mutation may be considered for allogeneic stem cell transplantation in first remission. Alemtuzumab-based regimens can yield a substantial proportion of complete responses, although of short duration. Ideally, patients should be treated within clinical trials exploring new therapeutic agents.
Central European Institute of Technology Masaryk University Czech Republic
Centre for Haemato Oncology Barts Cancer Institute Queen Mary University of London London UK
Department of Hematology Academic Medical Center Amsterdam The Netherlands
Department of Internal Medicine 3 University of Ulm Ulm Germany
Department of Internal Medicine 5 University Hospital Heidelberg Heidelberg Germany
Department of Translational Oncology National Center for Tumor Diseases Heidelberg Germany
Division of Molecular Pathology The Institute of Cancer Research London UK
Hôpital Avicenne Université Paris XIII Laboratoire d'hématologie Bobigny France
Leeds Teaching Hospitals NHS Trust St James's University Hospital Leeds UK
Citace poskytuje Crossref.org
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