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Prognostic significance of the TEL-AML1 fusion gene in pediatric acute lymphoblastic leukemia in Turkey

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Meral, Adalet

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Özbek, Uǧur
Sırma, Sema
Ağaoğlu, Leyla
Yüksel, Lebriz
Anak, Sema
Yıldız, İnci
Devecioğlu, Omer
Timur, Çetin
Gedikoğlu, Gündüz

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Lippincott Williams and Wilkins

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Abstract

Purpose: The t(12;21) translocation is the most common reciprocal chromosomal rearrangement in pediatric acute lymphoblastic leukemia (ALL). This translocation fuses two genes, TEL and AML1, and results in the production of the TEL-AML1 fusion protein. The authors investigated the incidence and prognostic significance of the TEL-AML1 fusion gene in patients with ALL in Turkey. Methods: The authors analyzed 219 children with ALL using the reverse transcription-polymerase chain reaction. Results: The TEL-AML1 fusion transcript was detected in 20.1% (44/219) of newly diagnosed children with ALL. TEL-AML1-positive patients had precursor B-cell ALL and were 3 to 10 years old at diagnosis. TEL-AML1-positive patients had a significantly lower rate of relapse compared with TEL-AML1-negative patients. TEL-AML1-positive patients have a higher overall survival rate than TEL-AML1-negative patients. Conclusions: These data support that the presence of TEL-AML1 at diagnosis is an independent favorable prognostic indicator in patients with ALL in Turkey.

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Oncology, Hematology, Pediatrics, Acute lymphoblastic leukemia, Pediatric leukemia, TEL-AML1, TEL/AML1 fusion, Cryptic t(12-21), Childhood, Children, Transcript, Frequency, Subgroup, Relapse

Citation

Özbek, U. vd. (2003). “Prognostic significance of the TEL-AML1 fusion gene in pediatric acute lymphoblastic leukemia in Turkey”. Journal of Pediatric Hematology Oncology, 25(3), 204-208.

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