Your email was sent successfully. Check your inbox.

An error occurred while sending the email. Please try again.

Proceed reservation?

Export
Filter
  • American Society of Hematology  (7)
Type of Medium
Publisher
  • American Society of Hematology  (7)
Language
Years
Subjects(RVK)
  • 1
    In: Blood, American Society of Hematology, Vol. 116, No. 21 ( 2010-11-19), p. 4612-4612
    Abstract: Abstract 4612 Background: The poor prognosis of chronic lymphocytic leukemia (CLL) patients with del(17p13) is well established. Association of p53 mutations and its codon 72 polymorphism with CLL prognosis has been studied. However, there is no study on p53 mutations in Chinese patients with CLL to date, and the joint effect of p53 mutations and p53 codon 72 polymorphism on the prognosis of CLL remains uncertain. Methods: The frequency of p53 codon 72 genotype and the p53 mutations status were assessed by direct sequencing and correlated with clinical outcome in 180 CLL patients. p53 deletions of 168 patients were detected by interphase fluorescence in situ hybridization (FISH). Results: 1. p53 mutations were detected in 17.8% (32/180) of samples. Most patients with del(17p13) had p53 mutations (73.7%; 14/19) and mutations in the absence of del(17p13) were found in 10.7% (18/168) in our cohort, which were much higher than other countries. The frequencies of p53 Arg72Pro genotypes were similar across the control (Arg/Arg: 29.6%; Arg/Pro: 50.5%; Pro/Pro: 19.9%) and patient groups (Arg/Arg: 28.3%; Arg/Pro: 45.6%; Pro/Pro: 26.1%). 2. Compared with cases without p53 mutations, p53 mutations were associated with advanced stages (P 〈 0.001), unmutated immunoglobulin heavy-chain variable region (IGHV) status (P=0.016) and chemorefractoriness (P 〈 0.001). The Pro/Pro genotype was associated with an increased incidence of p53 mutations (P=0.003) and deletions (P=0.02) but did not appear to influence other biological behavior or clinical response. Compared to the cases with p53 wild-type, patients with p53 mutations and Pro72 allele (Arg/Pro + Pro/Pro genotypes) were associated with advanced stages (P=0.002) and chemorefractoriness (P 〈 0.001) but not with p53 mutations and Arg/Arg. 3. Survival analysis showed that the occurrence of p53 mutations and del(17p13) were associated with shorter overall survival (OS). Mean OS for patients with p53 mutations was 83.2 months (95% CI, 61.6–104.8 months), whereas mean OS for patients without p53 mutations was 148.8 months (95% CI, 134.5–163.1 months) (P 〈 0.001). Mean OS for patients with del(17p13) was 58.7 months (95% CI, 39.1–78.4 months) versus 142.5 months (95% CI, 128.2–156.9 months) for patients devoid of del(17p13) (P 〈 0.001). Binet stages B+C (P=0.026), p53 deletions (P=0.01), and p53 mutations (P=0.014) were the variables strongly associated with OS by multivariate Cox regression analysis. The p53 codon 72 polymorphisms did not influence OS in the entire patient group. But there was significant difference in OS among p53 mutations with Arg/Arg homozygotes and Pro72 allele (P=0.046). When patients with p53 wild-type and p53 codon 72 Arg/Arg genotype were selected as a reference (HR = 1.00), patients with p53 mutation and p53 codon 72 Arg/Arg genotype did not show a significant increase in HR for OS (HR = 1.82; 95% CI 0.16–20.13; P = 0.628). Notably, patients with both p53 mutation and p53 codon 72 Pro72 allele experienced a 10.5-fold HR for OS (95% CI 2.13–51.8; P = 0.004). Similarly, there was statistically significant influence on OS among p53 mutation and p53 codon 72 Pro/Pro genotype (HR = 7.73; 95% CI 1.39–43.03; P = 0.02). 4. We also found that cases with p53 mutations in the absence of del(17p13) had a similar clinical and biological course and similar poor short OS as cases carrying del(17p13) in Chinese population. Compared with CLL without p53 disruptions, cases harboring del(17p13) or isolated p53 mutations, uniformly displayed an unmutated IGHV status (P=0.014), Binet stages B+C (P=0.003) and chemorefractoriness (P=0.009). Survival analysis also showed that the patients with isolated p53 mutations had significantly shorter OS (mean, 95.3 months) (95% CI, 72.3–118.3 months) than the patients without p53 disruptions (P=0.014). Conclusion: Our study showed that cases with p53 mutations and p53 mutations without del(17p13) may be adverse prognostic factors in Chinese CLL cohort. Moreover, p53 Pro72 allele potentially increases the prognostic value of p53 mutations in CLL. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2010
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 2
    In: Blood, American Society of Hematology, Vol. 116, No. 21 ( 2010-11-19), p. 2424-2424
    Abstract: Abstract 2424 Objective: A single nucleotide polymorphism (SNP) at position 309 in the promoter region of MDM2 leading to increased expression of MDM2 and attenuated function of p53 has recently been suggested as an unfavorable prognostic marker in chronic lymphocytic leukemia (CLL) although this has been questioned. Because inactivation of p53 by deletion and/or mutations also impacts on the clinical course of CLL, we assessed the role of the SNP309 genotype in CLL among Chinese populations. Methods: The MDM2 SNP309 genotypes in 166 CLL patients and 260 healthy controls were detected by the PCR-RFLP method, which all CLL samples was confirmed by direct DNA sequencing. We correlated the results with established CLL prognostic factors, overall survival (OS) and treatment-free survival (TFS). In addition, the correlation of the MDM2 SNP309 genotype with the MDM2 mRNA expression level was evaluated by QPCR. Results: 1. The MDM2 T309G genotype frequencies were 22.9% (T/T), 48.2% (T/G), and 28.9% (G/G) among the cases, and 31.5% (T/T), 54.2% (T/G), and 14.2% (G/G) in the control subjects, and the difference was statistically significant (P=0.001). Logistic regression analyses revealed that the SNP309 G/G genotype instead of T/G heterozygote was associated with a significantly increased risk of CLL (adjusted OR = 2.8; 95% CI 1.57–4.98; P 〈 0.001 for 309 G/G and adjusted OR = 1.22; 95% CI 0.76–1.96; P= 0.401 for 309 T/G, respectively), compared with the SNP309 T/T genotype. Age at onset of CLL was similar irrespective of MDM2 status. The median age at diagnosis for the different genotypes was 65 years for T/T and 62 years for T/G, 63 years for G/G (P 〉 0.05). 2. In the entire cohort, no correlation was shown between the MDM2 SNP309 genotypes and Binet stage, IGHV mutational status, p53 mutation/deletion and no association existed between any particular MDM2 SNP309 genotype, OS and TFS. 3. The frequency of MDM2 mRNA expression in GG genotype was significantly higher than that in T/G (P=0.026) and T/T genotypes (P=0.003). Furthermore, patients with p53 aberrations (mutated and deleted) MDM2 expression were higher than SNP 309 T/G (P=0.046) and T/T genotypes (P=0.001), but were similar with G/G genotype with p53 wild-type (P=0.532), which prompted us to study the role of the polymorphism in p53 wild-type individuals. 4. In the p53 wild-type groups, we also confirmed MDM2 expression levels with SNP 309 G/G (P 〈 0.001) and T/G (P=0.009) genotypes were higher than T/T genotypes. Moreover, survival analysis showed that the patients with SNP309 G/G (mean, 27.5 months; 95% CI, 21.2–33.9 months, P= 0.021) and T/G genotypes (mean, 48.7 months; 95% CI, 36.5–61.3 months, P= 0.045) both had significantly shorter TFS than SNP309 T/T genotype (mean, 97.2 months; 95% CI, 62.5–131.8 months). Conclusions: The results suggest that MDM2 309G polymorphisms contribute to the risk of developing CLL. The unfavorable SNP309 G/G genotype was associated with a gene-dosage-dependent increase of MDM2 expression. MDM2 SNP309 was found to be associated with TFS in p53 wild-type Chinese populations. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2010
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 3
    In: Blood, American Society of Hematology, Vol. 140, No. Supplement 1 ( 2022-11-15), p. 7214-7214
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2022
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 4
    In: Blood, American Society of Hematology, Vol. 140, No. Supplement 1 ( 2022-11-15), p. 12064-12064
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2022
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 5
    In: Blood, American Society of Hematology, Vol. 138, No. Supplement 1 ( 2021-11-05), p. 4783-4783
    Abstract: Background : During the past decade, bortezomib, lenalidomide and dexamethasone (VRd) followed by lenalidomide maintenance has become one of the most effective first-line regimens in multiple myeloma (MM) and been recommended by many guidelines. However, when disease relapses after VRd induction and lenalidomide maintenance, further generation of proteasome inhibitors or immunomodulator drugs, or agents with different mechanism should be considered. Pomalidomide, a new-generation oral immunomodulator drug, can overcome lenalidomide resistance and has better efficacy and safety in MM patients. Pomalidomide has a synergistic effect with proteasome inhibitor and dexamethasone, which has been proved more effective than pomalidomide and dexamethasone dual-drug regimen in relapsed or refractory MM (RRMM) patients (Richardson, et al. Lancet Oncol 2019). The overall response rate (ORR) of lenalidomide retreatment is only 54% (Sumit, et al. Blood 2011). A convenient and safe pan-oral regimen, ixazomib, pomalidomide and dexamethasone (IxaPd) is expected to improve the efficacy and survival in RRMM patients. The purpose of this study is to evaluate the efficacy and safety of IxaPd regimen in RRMM patients who have received lenalidomide in China. Study Design and Methods: This multi-center open-label, single-arm study (NCT04989140) will enroll patients with measurable M protein who have received 1 to 3 prior lines of therapy (including lenalidomide) with documented disease progression during or after their most recent treatment. Patients aged ≥18 years with Eastern Cooperative Oncology Group Performance Status 0-2, expected overall survival (OS) ≥3 months, and who provide informed consent will be eligible. Patients with prior exposure to pomalidomide, ixazomib and those intolerant/refractory to bortezomib will be excluded. Eligible 60 patients will be enrolled in this IxaPD regimen. Clinical and laboratory parameters will be recorded at baseline. Cytogenetic abnormalities are tested via fluorescence in situ hybridization (FISH) in CD138 sorted myeloma cells. Ixazomib 4 mg on days 1, 8 and 15 every 28 days, pomalidomide 4mg qd day 1-21 every 28-day, dexamethasone 40 mg (20 mg for patients & gt;75 years of age) every week will be administrated. Treatment will continue until disease progression or unacceptable toxicity. Drug doses will be adjusted or withdrawn according to the degree of toxicities. The primary endpoint is progression free survival (PFS), the secondary endpoints include OS, time to next treatment (TTNT), ORR, safety. Patients are stratified into subpopulation on the basis of cytogenetic abnormalities, prior treatment lines and exposure drugs, ect. PFS, OS and TTNT were analyzed by Kaplan-Meier survival plot. Response will be evaluated according to International Myeloma Working Group (IMWG) 2016 criteria, and done at baseline and each cycle from 1-5, then every other cycle till cycle 13, and every three cycles till cycle 28 if the subjects do not relapse. Patients who reach complete response (CR) need to perform a minimal residual disease (MRD) test via next-generation flow (NGF) . Conclusion: This is the first prospective clinical study to examine the efficacy and safety of pan-oral IxaPd regimen for RRMM in Chinese patients. Disclosures Research sponsor: CHIATAI TIANQING PHARMACEUTICAL GROUP. Figure 1 Figure 1. Disclosures No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2021
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 6
    Online Resource
    Online Resource
    American Society of Hematology ; 2022
    In:  Blood Vol. 140, No. Supplement 1 ( 2022-11-15), p. 12575-12575
    In: Blood, American Society of Hematology, Vol. 140, No. Supplement 1 ( 2022-11-15), p. 12575-12575
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2022
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 7
    In: Blood, American Society of Hematology, Vol. 116, No. 21 ( 2010-11-19), p. 4605-4605
    Abstract: Abstract 4605 MicroRNAs (miRNAs) are a class of small endogenous RNAs that play important regulatory roles by targeting mRNAs for cleavage or translational repression. Many reports have indicated that microRNAs (miRNAs) play a critical role in malignancies, and regulations in the progression of leukemia. However, the miRNAs expression level in Chinese patients with chronic lymphocytic leukemia (CLL), and its prognostic value remain elusive. We identified various degrees of down-regulation of miR-15a, miR-16-1, miR-29b, miR-181a and miR-181b in CLL mononuclear cells of 138 patients. Moreover, we have identified that miR-29b, miR-181a and miR-181b expression was significantly correlated with IGHV mutatioal status (the P value was 0.057, 0.034 and 0.004, respectively). Down-expression of miR-181b was significantly associated (P=0.001) with overall survival in patients while expression for miR-181a was of borderline significant (P=0.09). To further determine the consequence of miR-181-down regulation, we sought to discover targets of miR-181 family. Transcript levels of predicted target genes BCL-2 and TCL-1 were determined, and the expression levels were significantly upregulated in CLL patients compared with normal controls (P 〈 0.001). Higher expression of TCL-1 was significantly correlated with aggressive disease features. In addition, an inverse correlation was observed in the CLL samples between miRNAs (miR-16-1, miR-181a, miR-181b) and BCL-2 level (r=-0.216, P=0.012; r=-0.274, P=0.002; r=-0.184, P=0.036, respectively); furthermore, an inverse correlation was also observed between miRNAs (miR-16-1, miR-181a, miR-181b) and TCL-1 (r=-0.272, P=0.002; r =-0.224, P=0.009; r=-0.152, P=0.054, respectively), which suggest that these miRNAs may implicated in negatively regulating target mRNA at a transcriptional level. For further study, our study showed that miR-181a and miR-181b functioned as tumor suppressors that induced apoptosis in CLL cells by regulates BCL-2/MCL-1 protein expression. The luciferase activity of a BCL-2-3’-untranslated region-based reporter construct in CLL cells suggests that a new target site in the 3’UTR of BCL-2 of the mature miR-181a/b. MCL-1 is a BCL-2 family member and pro-survival protein associated with drug resistance in leukemia. Using a luciferase construct containing the MCL-1 3’ UTR we observed a decrease in luciferase expression upon miR-181b over-expression. It was suggested that miR-181b directly targets MCL-1 mRNA. In addition, enforced miR-181a/b expression in primary CLL cells (n= 52) reduced BCL-2/MCL-1 protein level and sensitized primary CLL B cells to fludarabine-induced apoptosis and also had effect in B-CLL cells from 7 p53 attenuated patients. Taken together, our results suggest that these deregulated miRNAs may play an important role in pathogenesis of CLL and might be applied for the assessment of prognosis in patients with CLL. Among which, miR-181a/b could function as tumor suppressors in human CLL cells, at least in part, by modulation of apoptosis via targeting BCL-2 and MCL-1. Disclosures: No relevant conflicts of interest to declare.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2010
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
Close ⊗
This website uses cookies and the analysis tool Matomo. Further information can be found on the KOBV privacy pages