How and why minimal residual disease studies are necessary in leukemia: a review from WP10 and WP12 of the European LeukaemiaNet.
نویسندگان
چکیده
Resistance to therapeutic agents is a major factor in the failure of cancer treatments. In leukemia, the resistant cells remaining in the bone marrow and/or peripheral blood constitute minimal residual disease and are detectable by highly sensitive assays when the patient appears to be in complete remission. Early detection of the expansion of residual cells permits clinical intervention with the aim of reversing the proliferation of resistant leukemic cells. Therefore, accurate and precise measurement of minimal residual disease can greatly enhance optimization of oncology patients' clinical management. This notion is supported by a large body of data among chronic myeloid leukemia patients, but minimal residual disease detection and monitoring is increasingly applied to other types of leukemia, and is starting to be a factor in decision-making for some therapeutic trials in childhood acute lymphoblastic leukemia. Here, from the solid ground of minimal residual disease detection in chronic myeloid leukemia, the current state of the art and development of molecular techniques in other leukemias and the growing field of multiparameter flow cytometry are reviewed in two separate parts reporting on the respective advances, advantages and pitfalls of these emerging methods.
منابع مشابه
How and why minimal residual disease studies are necessary in leukemia: a review from WP10 & WP12 of the European LeukaemiaNet
Acknowledgments: we are grateful to members of the WP12 and WP10 of the European LeukemiaNet initiative for their support and critical review of the manuscript, Drs. G. Basso (Padua), P. Bettelheim (Vienna), D. Grimwade (London), W. Kern (Munich), F. Lanza (Ferrara), A. Porwit (Stockholm), A. Rawstron (Leeds), S. Richards (Leeds), G. Saglio (Turin), G. Schuurhuis (Rotterdam), T. Te Kronnie (Pad...
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ورودعنوان ژورنال:
- Haematologica
دوره 94 8 شماره
صفحات -
تاریخ انتشار 2009