By Charles A. Schiffer (auth.), Anjali S. Advani, Hillard M. Lazarus (eds.)
The present explosion of latest components of controversy within the remedy of acute lymphocytic leukemia in adults and teenagers makes this entire booklet a miles wanted reference for hematologists and oncologists. This publication assembles major specialists from around the world to hide the entire spectrum of ALL subtypes and their remedies. particular issues of debate contain symptoms for allogeneic bone marrow transplant in first whole remission, the function of minimum residual illness in making remedy judgements, the therapy of teenagers, and the remedy of Philadelphia chromosome optimistic ALL with the appearance of the tyrosine kinase inhibitors. this can be the 1st e-book to concentration completely at the grownup ALL sufferer. It presents an entire evaluate of prognosis, molecular pathogenesis, overview, and remedy for this significant sufferer population.
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Additional resources for Adult Acute Lymphocytic Leukemia: Biology and Treatment
Jeha, S. (2001). Tumor lysis syndrome. Seminars in Hematology, 38(4 Suppl 10), 4–8. 29. , et al. (2001). Hypercalcemia in a patient with B-cell acute lymphoblastic leukemia: A role of proinflammatory cytokine. The American Journal of the Medical Sciences, 322(2), 109–112. 30. , et al. (2001). Life threatening hypercalcemia in a young man with ALL. Deutsche Medizinische Wochenschrift, 126(1–2), 7–11. 31. , et al. (2004). Hypercalcemia with nephrocalcinosis and impaired renal function due to increased parathyroid hormone secretion at onset of childhood acute lymphoblastic leukemia.
2). However, in virtually all cases the lymphoblasts exhibit incomplete maturation and immunophenotypic asynchrony and aberrancy that deviates from the spectrum of antigen expression typical of normal B lymphocytes stages of maturation. The clinical and prognostic significance of these subtypes have been overcome by the cytogenetic characteristics and modern therapeutic approach. 2 Immunophenotypes of ALL (From ) Subtype Characteristic markers Precursor B-cell CD19+, CD22+, CD79a+, cIg+/−, PAX5, sIgm−, HLA-DR+ CD20, CD34 – variable expression CD45 – may be absent Early precursor (pre-pre or CD19+, cCD79a+, cCD22+, TdT+, CD10− pro-)-B cell Common (early pre)-B cell CD10+ Pre-B cell CD10+/−, c-m+ Precursor T-cell TdT+, CD7+, cCD3+ (lineage specific); HLA-DR+/−, CD1a+/−, CD2+/−, CD4+/−, CD5+/−, CD7+/−, CD8+/− Pro-T cCD3+, CD7+, CD2−, CD1a−, CD34+/−CD4−, CD8− Pre-T cCD3+, CD7+, CD2+, CD1a−, CD34+/−CD4−, CD8− Cortical T cCD3+, CD7+, CD2+, CD1a+, CD34−CD4+, CD8+ Medullary T cCD3+, CD7+, CD2+, CD1a−, CD34−sCD3+; either CD4+ or CD8+ O.
Previously, in vitro experiments suggested that BCR-ABL induction causes a shift in Ikaros splicing, and encourages isoforms lacking DNA-binding domains . However, a more recent paper demonstrates actual deletion of key DNA binding domains. In a genome wide screen of deletions and additions in ALL, Mullighan et al. found an exceptionally high loss of the IKZF1 gene (coding for Ikaros) in Ph+ ALL cases . Of the 43 Ph+ cases studied, 36 (84%) had deletions in IKZF1. In 19 cases, the deletion was restricted to the region coding Ikaros exons 3–6 (designated the IK6 variant).
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