Mechanisms of relapse in acute leukaemia: involvement of p53 mutated subclones in disease progression in acute lymphoblastic leukaemia
1999

Study of p53 Mutations in Acute Leukaemia Relapse

Sample size: 55 publication Evidence: moderate

Author Information

Author(s): Zhu Y-M, Foroni L, McQuaker I G, Papaioannou M, Haynes A, Russell H H

Primary Institution: Department of Haematology, Nottingham City Hospital and the University of Nottingham, UK

Hypothesis

Are p53 mutations present at relapse in acute leukaemia and can they be detected at presentation?

Conclusion

The study found that p53 mutations are present in some patients at relapse of acute lymphoblastic leukaemia and can be detected in a minor clone at presentation.

Supporting Evidence

  • p53 mutations were found in 7 out of 55 cases at relapse.
  • The frequency of p53 mutations was higher in relapsed acute lymphoblastic leukaemia compared to acute myeloblastic leukaemia.
  • In 5 out of 7 cases, presentation samples were available for analysis.

Takeaway

This study looked at whether a specific gene mutation is present when leukemia comes back, and found that it can sometimes be seen even before the leukemia relapses.

Methodology

Bone marrow samples from 55 patients were analyzed for p53 mutations using direct sequencing and allele-specific PCR.

Participant Demographics

The study included both adults and children with relapsed acute leukaemia.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690183

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