| Literature DB >> 29611195 |
Gian Matteo Rigolin1, Elena Saccenti1, Emanuele Guardalben1, Maurizio Cavallari1, Luca Formigaro1, Barbara Zagatti2, Andrea Visentin3, Francesca R Mauro4, Enrico Lista1, Cristian Bassi2, Laura Lupini2, Francesca Maria Quaglia1, Antonio Urso1, Maria Antonella Bardi1, Laura Bonaldi5, Eleonora Volta1, Elisa Tammiso1, Caterina Ilari4, Luciana Cafforio4, Aurora Melandri1, Francesco Cavazzini1, Massimo Negrini2, Gianpietro Semenzato3, Livio Trentin3, Robin Foà4, Antonio Cuneo1.
Abstract
Complex karyotype (CK) is a negative prognostic factor in chronic lymphocytic leukaemia (CLL). However, CK is a heterogeneous cytogenetic category. Unbalanced rearrangements were present in 73·3% of 90 CLL patients with CK (i.e. ≥3 chromosome aberrations in the same clone), and were associated with a shorter overall survival (P = 0·025) and a shorter time to first treatment (P = 0·043) by multivariate analysis. Patients with unbalanced rearrangements presented a distinct mRNA expression profile. In conclusion, CLL patients with unbalanced rearrangements might represent a subset of very high-risk CLL patients with distinct clinical and biological characteristics.Entities:
Keywords: chronic lymphocytic leukaemia; complex karyotype; gene expression profile; overall survival; time to first treatment
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Year: 2018 PMID: 29611195 DOI: 10.1111/bjh.15174
Source DB: PubMed Journal: Br J Haematol ISSN: 0007-1048 Impact factor: 6.998