دورية أكاديمية

Prognostic and biological implications of genetic abnormalities in multiple myeloma undergoing autologous stem cell transplantation: t(4;14) is the most relevant adverse prognostic factor, whereas RB deletion as a unique abnormality is not associated with adverse prognosis

التفاصيل البيبلوغرافية
العنوان: Prognostic and biological implications of genetic abnormalities in multiple myeloma undergoing autologous stem cell transplantation: t(4;14) is the most relevant adverse prognostic factor, whereas RB deletion as a unique abnormality is not associated with adverse prognosis
المؤلفون: Gutiérrez Gutiérrez, Norma Carmen, Castellanos, M. V., Martín, M. L., Mateos Manteca, María Victoria, Hernández, J. M., Fernández, M., Carrera, D., Rosiñol, Laura, Ribera, J. M., Ojanguren, J. M., Palomera, Luis, Gardella, S., Escoda, L., Hernández-Boluda, J. C., Bello, J. L., De la Rubia, Javier, Lahuerta, Juan José, San Miguel Izquierdo, Jesús Fernando
بيانات النشر: Springer Nature
سنة النشر: 2006
المجموعة: Universidad de Salamanca: Gredos (Gestión del Repositorio Documental de la Universidad de Salamanca)
مصطلحات موضوعية: Multiple myeloma, Genetic abnormalities, FISH, RB deletion, mieloma múltiple
الوصف: [EN]Fluorescence in situ hybridization (FISH) has become a powerful technique for prognostic assessment in multiple myeloma (MM). However, the existence of associations between cytogenetic abnormalities compels us to re-assess the value of each abnormality. A total of 260 patients with MM at the time of diagnosis, enrolled in the GEM-2000 Spanish transplant protocol, have been analyzed by FISH in order to ascertain the independent influence on myeloma prognosis of IGH translocations, as well as RB and P53 deletions. Survival analyses showed that patients with t(4;14), RB or P53 deletions had a significantly shorter survival than patients without these abnormalities. However, patients with RB deletions without other abnormalities in FISH analysis, displayed a similar outcome to those patients without genetic changes by FISH (46 vs 54 months, P ¼ 0.3). In the multivariate analysis the presence of t(4;14), RB deletion associated with other abnormalities, age 460 years, high proportion of S-phase cells and advanced stage of the disease according to the International Staging System retained their independent prognostic influence. In summary, RB deletion as a sole abnormality does not lead to a shortening in the survival of MM patients, whereas t(4;14) confers the worst prognosis in MM patients treated with high-dose chemotherapy.
نوع الوثيقة: article in journal/newspaper
اللغة: unknown
تدمد: 0887-6924
1476-5551
العلاقة: Gutierrez, N. C., Castellanos, M. V., Martin, M. L., Mateos, M. V., Hernandez, J. M., Fernandez, M., . & San Miguel, J. F. (2007). Prognostic and biological implications of genetic abnormalities in multiple myeloma undergoing autologous stem cell transplantation: t (4; 14) is the most relevant adverse prognostic factor, whereas RB deletion as a unique abnormality is not associated with adverse prognosis. Leukemia, 21(1), 143-150. doi:10.1038/sj.leu.2404413. Epub 2006 Oct 5. PMID: 17024116.; http://hdl.handle.net/10366/154372Test
DOI: 10.1038/sj.leu.2404413
الإتاحة: https://doi.org/10.1038/sj.leu.2404413Test
http://hdl.handle.net/10366/154372Test
حقوق: info:eu-repo/semantics/embargoedAccess
رقم الانضمام: edsbas.A6A8BE66
قاعدة البيانات: BASE
الوصف
تدمد:08876924
14765551
DOI:10.1038/sj.leu.2404413