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Mutation status of refractory to imatinib patients with chronic myeloid leukemia

https://doi.org/10.17650/1818-8346-2012-7-4-16-23

Abstract

Mutation status of 36 chronic myeloid leukemia (CML) patients in chronic phase with primary and secondary imatinib resistance was analyzed. BCR-ABL mutations identified by direct DNA sequencing. BCR-ABL kinase domain mutations were detected in 30.5 % (11 of 36) of those patients. Most of identified mutations were missense mutations: Q252H, M244V, G250E, Y253F/H, E255K/V, T315I, M351T, F359V, F359C, F486S. Patients with BCR-ABL mutations have significantly lower 4-year event-free survival compared with CML patients without mutations (18 % vs. 53 %; р = 0.003). The results can be used as reference information in deciding on therapy in imatinib resistant CML patients with clinically relevant BCR-ABL mutations.

About the Authors

E. G. Ovsyannikova
Astrakhan State Medical Academy
Russian Federation


K. D. Kaplanov
Volgograd Regional Clinical Oncological Dispensary № 1
Russian Federation


T. Yu. Klitochenko
Volgograd Regional Clinical Oncological Dispensary № 1
Russian Federation


A. V. Misyurin
LLC «GenoTehnologiya»
Russian Federation


I. L. Davydkin
Research Institute of Hematology, Transfusiology and Intensive Care, Samara State Medical University, Ministry of Health of Russia
Russian Federation


L. V. Zaklyakova
Astrakhan State Medical Academy
Russian Federation


E. A. Popov
Astrakhan State Medical Academy
Russian Federation


B. N. Levitan
Astrakhan State Medical Academy
Russian Federation


References

1. Deininger M., O’Brien S.G., Guilhot F. et al. International randomized study of interferon vs STI571 (IRIS) 8-year follow up: sustained survival and low risk for progression or events in patients with newly diagnosed chronic myeloid leukemia in chronic phase (CML-CP) treated with imatinib. Blood 2009;114:1126 (abstr.).

2. Soverini S., Colarossi S., Gnani A. et al. Contribution of ABL kinase domain mutations to imatinib resistance in different subsets of Philadelphia-positive patients: by the GIMEMA Working Party on Chronic Myeloid Leukemia. Clin Cancer Res 2006;12(24):7374–9.

3. Nicolini F.E., Corm S., Le Q.H. et al. Mutation status and clinical outcome of 89 imatinib mesylate-resistant chronic myelogenous eukemia patients: a retrospective analysis from the French intergroup of CML (Fi(phi)-LMC GROUP). Leukemia 2006;20(6):1061–6.

4. Branford S. Chronic myeloid leukemia: molecular monitoring in clinical practice. Hematology Am Soc Hematol Educ Program 2007:376–83.

5. Apperley J.F. Part I: Mechanisms of resistance to imatinib in chronic myeloid leukaemia. Lancet Oncol 2007;8:1018–29.

6. O’Hare T., Eide C.A., Deininger M.W. BCR-ABL kinase domain mutations, drug resistance, and the road to a cure for chronic myeloid leukemia. Blood 2007;110:2242–9.

7. Redaelli S., Piazza R., Rostagno R. et al. Activity of bosutinib, dasatinib, and nilotinib against 18 imatinib-resistant BCR/ABL mutants. J Clin Oncol 2009; 27:469–71.

8. Soverini S., Rosti G., Iacobucci I. et al. Choosing the best second-line tyrosine kinase inhibitor in imatinib-resistant chronic myeloid leukemia patients harboring Bcr-Abl kinase domain mutations: how reliable is the IC50? The Oncologist 2011; 16:868–76.

9. Soverini S., Vitale A., Poerio A. et al. Philadelphia-positive acute lymphoblastic leukemia patients already harbor BCR-ABL kinase domain mutations at low levels at the time of diagnosis. Haematologica 2011 Apr;96(4):552–7.

10. Baccarani M., Cortes J., Pane F. et al. Chronic myeloid leukemia: an update of concepts and management recommendations of European LeukemiaNet. J Clin Oncol 2009;27(35):6041–51.

11. Soverini S., Hochhaus A., Nicolini F.E. et al. BCR-ABL kinase domain mutation analysis in chronic myeloid leukemia patients reated with tyrosine kinase inhibitors: recommendations from an expert panel on behalf of European LeukemiaNet. Blood 2011;18(5):1208–15.

12. Baccarani M., Pileri S., Steegmann J.-L. et al. Chronic myeloid leukemia: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 23 (Supplement 7):vii72–vii77, 2012.

13. Реброва О.Ю. Статистический анализ медицинских данных. Применение пакета прикладных программ STATISTICA. М.: МедиаСфера, 2002. 312 с.

14. Branford S., Rudzki Z., Walsh S. et al. Detection of BCR-ABL mutations in patients with CML treated with imatinib is virtually always accompanied by clinical resistance, and mutations in the ATP phosphate-binding loop (P-loop) are associated with a poor prognosis. Blood 2003;102:276–83.

15. Челышева Е.Ю., Шухов О.А., Лазарева О.В. др. Мутации киназного домена BCR-ABL при хроническом миелолейкозе. www.genetechnology.ru

16. Минниахметов И.Р., Исламгулов Д.В., Рябчикова Н.Р. и др. Анализ мутации T315I в гене BCR-ABL1 у больных хроническим миелолейкозом из Республики Башкортостан. Известия Самарского научного центра Российской академии наук, 2011. Т. 13, № 5(3). С. 263–267.

17. Ломаиа Е.Г., Романова Е.Г., Горюнова Е.Н. и др. Длительное течение заболевания у больного хроническим миелолейкозом с мутацией T315I гена BCR- ABL. Клиническое наблюдение и обзор литературы. Клин онкогематол 2010;3(4):375–9.

18. Quintas-Cardama A., Ravandi F., Verstovsek S. et al. Outcome of patients with chronic myeloid leukemia with multiple ABL1 kinase domain mutations receiving tyrosine kinase inhibitor therapy. Haematologica 2011;96(6):918–24.

19. Куцев С.И., Вельченко М.В. Значение анализа мутаций гена BCR-ABL в оптимизации таргетной терапии хронического миелолейкоза. Клин онкогематол 2008;1(3):190–9.

20. Corbin A., La Rose P., Stoffregen E. et al. Several BCR-ABL kinase domain mutants associated with imatinib mesylate resistance remain sensitive to imatinib. Blood 2003;101(11):4611–4.

21. Redaelli S., Mologni L., Rostagno R. et al. Three novel patient-derived BCR-ABL mutants show different sensitivity to second and third generation tyrosine kinase inhibitors. Am J Hematol 2012;87(11):E125–8.


Review

For citations:


Ovsyannikova E.G., Kaplanov K.D., Klitochenko T.Yu., Misyurin A.V., Davydkin I.L., Zaklyakova L.V., Popov E.A., Levitan B.N. Mutation status of refractory to imatinib patients with chronic myeloid leukemia. Oncohematology. 2012;7(4):16-23. (In Russ.) https://doi.org/10.17650/1818-8346-2012-7-4-16-23

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ISSN 1818-8346 (Print)
ISSN 2413-4023 (Online)