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The biological characteristics of adult CD34+ acute promyelocytic leukemia
We aimed to explore the expression of CD34 and its impact on the disease outcome in patients with APL. The study comprised 40 de novo APL patients. Diagnostic tools included peripheral blood and bone marrow morphology and cytochemistry, immunophenotyping, cytogenetic studies, and PML/RARα fusion gen...
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Published in: | Medical oncology (Northwood, London, England) London, England), 2012-06, Vol.29 (2), p.1119-1126 |
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creator | Ahmad, Ebtesam Ibrahim Akl, Hosneia kh Hashem, Mona E. Elgohary, Tarek Ali M. |
description | We aimed to explore the expression of CD34 and its impact on the disease outcome in patients with APL. The study comprised 40 de novo APL patients. Diagnostic tools included peripheral blood and bone marrow morphology and cytochemistry, immunophenotyping, cytogenetic studies, and PML/RARα fusion gene detection using RT-PCR. CD34 was expressed in 13 (32.5%) of cases with higher expression in M3v compared to M3 subtype. All M3v cases were CD34+, while only 7.4% of M3 cases were CD34+. CD34+ cases were associated with significant higher white blood cell count and peripheral blood promyelocytes. No significant association was found between PML/RAR-α isoform and molecular remission. CD34+ expression was significantly associated with decreased incidence of molecular remission and increased incidence of early death. The overall survival of patients with WBC count >11 × 103/μl was inferior to patients with WBC count |
doi_str_mv | 10.1007/s12032-011-9895-y |
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The study comprised 40 de novo APL patients. Diagnostic tools included peripheral blood and bone marrow morphology and cytochemistry, immunophenotyping, cytogenetic studies, and PML/RARα fusion gene detection using RT-PCR. CD34 was expressed in 13 (32.5%) of cases with higher expression in M3v compared to M3 subtype. All M3v cases were CD34+, while only 7.4% of M3 cases were CD34+. CD34+ cases were associated with significant higher white blood cell count and peripheral blood promyelocytes. No significant association was found between PML/RAR-α isoform and molecular remission. CD34+ expression was significantly associated with decreased incidence of molecular remission and increased incidence of early death. The overall survival of patients with WBC count >11 × 103/μl was inferior to patients with WBC count <11 × 103/μl, but no significant differences were observed in overall survival between CD34− and CD34+ or between bcr1 and bcr3 groups. Immunophenotypic analysis for CD34 could distinguish an APL subset with different biological characteristics and adverse prognostic outcome.</description><identifier>ISSN: 1357-0560</identifier><identifier>EISSN: 1559-131X</identifier><identifier>DOI: 10.1007/s12032-011-9895-y</identifier><identifier>PMID: 21399995</identifier><identifier>CODEN: MONCEZ</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Acute promyeloid leukemia ; Adolescent ; Adult ; Aged ; Antigens, CD34 - metabolism ; Bone marrow ; CD34 antigen ; Cytochemistry ; Female ; Flow Cytometry ; Fusion protein ; Hematology ; Humans ; Immunophenotyping ; Internal Medicine ; Leukemia ; Leukemia, Promyelocytic, Acute - classification ; Leukemia, Promyelocytic, Acute - metabolism ; Leukemia, Promyelocytic, Acute - mortality ; Leukemia, Promyelocytic, Acute - therapy ; Leukocytes ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Oncogene Proteins, Fusion - genetics ; Oncology ; Original Paper ; Pathology ; Peripheral blood ; Polymerase chain reaction ; Protein Isoforms ; Remission ; Remission Induction ; Retinoic acid receptor alpha ; Survival ; Survival Rate ; Treatment Outcome ; Young Adult</subject><ispartof>Medical oncology (Northwood, London, England), 2012-06, Vol.29 (2), p.1119-1126</ispartof><rights>Springer Science+Business Media, LLC 2011</rights><rights>Springer Science+Business Media, LLC 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-5215097fa9832c153e540cd53a29aaf7efb1b0383646b9e2f043cbad436a90e3</citedby><cites>FETCH-LOGICAL-c438t-5215097fa9832c153e540cd53a29aaf7efb1b0383646b9e2f043cbad436a90e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21399995$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ahmad, Ebtesam Ibrahim</creatorcontrib><creatorcontrib>Akl, Hosneia kh</creatorcontrib><creatorcontrib>Hashem, Mona E.</creatorcontrib><creatorcontrib>Elgohary, Tarek Ali M.</creatorcontrib><title>The biological characteristics of adult CD34+ acute promyelocytic leukemia</title><title>Medical oncology (Northwood, London, England)</title><addtitle>Med Oncol</addtitle><addtitle>Med Oncol</addtitle><description>We aimed to explore the expression of CD34 and its impact on the disease outcome in patients with APL. The study comprised 40 de novo APL patients. Diagnostic tools included peripheral blood and bone marrow morphology and cytochemistry, immunophenotyping, cytogenetic studies, and PML/RARα fusion gene detection using RT-PCR. CD34 was expressed in 13 (32.5%) of cases with higher expression in M3v compared to M3 subtype. All M3v cases were CD34+, while only 7.4% of M3 cases were CD34+. CD34+ cases were associated with significant higher white blood cell count and peripheral blood promyelocytes. No significant association was found between PML/RAR-α isoform and molecular remission. CD34+ expression was significantly associated with decreased incidence of molecular remission and increased incidence of early death. The overall survival of patients with WBC count >11 × 103/μl was inferior to patients with WBC count <11 × 103/μl, but no significant differences were observed in overall survival between CD34− and CD34+ or between bcr1 and bcr3 groups. Immunophenotypic analysis for CD34 could distinguish an APL subset with different biological characteristics and adverse prognostic outcome.</description><subject>Acute promyeloid leukemia</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Antigens, CD34 - metabolism</subject><subject>Bone marrow</subject><subject>CD34 antigen</subject><subject>Cytochemistry</subject><subject>Female</subject><subject>Flow Cytometry</subject><subject>Fusion protein</subject><subject>Hematology</subject><subject>Humans</subject><subject>Immunophenotyping</subject><subject>Internal Medicine</subject><subject>Leukemia</subject><subject>Leukemia, Promyelocytic, Acute - classification</subject><subject>Leukemia, Promyelocytic, Acute - metabolism</subject><subject>Leukemia, Promyelocytic, Acute - mortality</subject><subject>Leukemia, Promyelocytic, Acute - therapy</subject><subject>Leukocytes</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oncogene Proteins, Fusion - genetics</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Pathology</subject><subject>Peripheral blood</subject><subject>Polymerase chain reaction</subject><subject>Protein Isoforms</subject><subject>Remission</subject><subject>Remission Induction</subject><subject>Retinoic acid receptor alpha</subject><subject>Survival</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1357-0560</issn><issn>1559-131X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNqNkU1Lw0AQhhdRbK3-AC8S8CJIdGY_muxR6jcFLz14C5vtpEaTpu4mh_x7t7aKCIJ72YV95pkZXsaOES4QILn0yEHwGBBjnWoV9ztsiErpGAU-74a3UEkMagwDduD9KwBHxfU-G3AUOhw1ZI-zF4rysqmaRWlNFdkX44xtyZW-La2PmiIy865qo8m1kOeRsV1L0co1dU9VY_vARBV1b1SX5pDtFabydLS9R2x2ezOb3MfTp7uHydU0tlKkbazCEKCTwuhUcItKkJJg50oYro0pEipyzEGkYizHuSZegBQ2N3MpxkYDiRE722jDFO8d-TarS2-pqsySms5nCBxSBWH3f6CImGguIaCnv9DXpnPLsMeaElKm8CnEDWVd472jIlu5sjauD1C2jiTbRJIFcbaOJOtDzcnW3OU1zb8rvjIIAN8APnwtF-R-tv7L-gG-mpUk</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Ahmad, Ebtesam Ibrahim</creator><creator>Akl, Hosneia kh</creator><creator>Hashem, Mona E.</creator><creator>Elgohary, Tarek Ali M.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>7T5</scope><scope>H94</scope></search><sort><creationdate>20120601</creationdate><title>The biological characteristics of adult CD34+ acute promyelocytic leukemia</title><author>Ahmad, Ebtesam Ibrahim ; Akl, Hosneia kh ; Hashem, Mona E. ; Elgohary, Tarek Ali M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-5215097fa9832c153e540cd53a29aaf7efb1b0383646b9e2f043cbad436a90e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Acute promyeloid leukemia</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Antigens, CD34 - metabolism</topic><topic>Bone marrow</topic><topic>CD34 antigen</topic><topic>Cytochemistry</topic><topic>Female</topic><topic>Flow Cytometry</topic><topic>Fusion protein</topic><topic>Hematology</topic><topic>Humans</topic><topic>Immunophenotyping</topic><topic>Internal Medicine</topic><topic>Leukemia</topic><topic>Leukemia, Promyelocytic, Acute - classification</topic><topic>Leukemia, Promyelocytic, Acute - metabolism</topic><topic>Leukemia, Promyelocytic, Acute - mortality</topic><topic>Leukemia, Promyelocytic, Acute - therapy</topic><topic>Leukocytes</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oncogene Proteins, Fusion - genetics</topic><topic>Oncology</topic><topic>Original Paper</topic><topic>Pathology</topic><topic>Peripheral blood</topic><topic>Polymerase chain reaction</topic><topic>Protein Isoforms</topic><topic>Remission</topic><topic>Remission Induction</topic><topic>Retinoic acid receptor alpha</topic><topic>Survival</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ahmad, Ebtesam Ibrahim</creatorcontrib><creatorcontrib>Akl, Hosneia kh</creatorcontrib><creatorcontrib>Hashem, Mona E.</creatorcontrib><creatorcontrib>Elgohary, Tarek Ali M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><jtitle>Medical oncology (Northwood, London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmad, Ebtesam Ibrahim</au><au>Akl, Hosneia kh</au><au>Hashem, Mona E.</au><au>Elgohary, Tarek Ali M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The biological characteristics of adult CD34+ acute promyelocytic leukemia</atitle><jtitle>Medical oncology (Northwood, London, England)</jtitle><stitle>Med Oncol</stitle><addtitle>Med Oncol</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>29</volume><issue>2</issue><spage>1119</spage><epage>1126</epage><pages>1119-1126</pages><issn>1357-0560</issn><eissn>1559-131X</eissn><coden>MONCEZ</coden><abstract>We aimed to explore the expression of CD34 and its impact on the disease outcome in patients with APL. The study comprised 40 de novo APL patients. Diagnostic tools included peripheral blood and bone marrow morphology and cytochemistry, immunophenotyping, cytogenetic studies, and PML/RARα fusion gene detection using RT-PCR. CD34 was expressed in 13 (32.5%) of cases with higher expression in M3v compared to M3 subtype. All M3v cases were CD34+, while only 7.4% of M3 cases were CD34+. CD34+ cases were associated with significant higher white blood cell count and peripheral blood promyelocytes. No significant association was found between PML/RAR-α isoform and molecular remission. CD34+ expression was significantly associated with decreased incidence of molecular remission and increased incidence of early death. The overall survival of patients with WBC count >11 × 103/μl was inferior to patients with WBC count <11 × 103/μl, but no significant differences were observed in overall survival between CD34− and CD34+ or between bcr1 and bcr3 groups. Immunophenotypic analysis for CD34 could distinguish an APL subset with different biological characteristics and adverse prognostic outcome.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>21399995</pmid><doi>10.1007/s12032-011-9895-y</doi><tpages>8</tpages></addata></record> |
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subjects | Acute promyeloid leukemia Adolescent Adult Aged Antigens, CD34 - metabolism Bone marrow CD34 antigen Cytochemistry Female Flow Cytometry Fusion protein Hematology Humans Immunophenotyping Internal Medicine Leukemia Leukemia, Promyelocytic, Acute - classification Leukemia, Promyelocytic, Acute - metabolism Leukemia, Promyelocytic, Acute - mortality Leukemia, Promyelocytic, Acute - therapy Leukocytes Male Medicine Medicine & Public Health Middle Aged Oncogene Proteins, Fusion - genetics Oncology Original Paper Pathology Peripheral blood Polymerase chain reaction Protein Isoforms Remission Remission Induction Retinoic acid receptor alpha Survival Survival Rate Treatment Outcome Young Adult |
title | The biological characteristics of adult CD34+ acute promyelocytic leukemia |
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