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Blood, 15 November 2006, Vol. 108, No. 10, pp. 3556-3559.
Prepublished online as a Blood First Edition Paper on July 27, 2006; DOI 10.1182/blood-2006-04-014514.


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NEOPLASIA

NUP214-ABL1 in adult T-ALL: the GMALL study group experience

Thomas Burmeister, Nicola Gökbuget, Richard Reinhardt, Harald Rieder, Dieter Hoelzer, and Stefan Schwartz

From the Charité Universitätsmedizin Berlin, Medizinische Klinik III, Berlin; Johann Wolfgang Goethe-Universität, Medizinische Klinik III, Frankfurt/Main; Max Planck-Institut für Molekulare Genetik, Berlin; and Institut für Humangenetik und Anthropologie, Heinrich-Heine-Universität, Düsseldorf, Germany.

The NUP214-ABL1 fusion gene in T-cell acute lymphoblastic leukemia (T-ALL) has recently been identified as a possible target for imatinib and related tyrosine kinase inhibitors, but exact data regarding the prognostic impact and frequency of the several putative NUP214-ABL1 mRNA transcripts are still missing. We investigated 279 adult patients with T-ALL treated within the framework of the GMALL 5/93 and 6/99 therapy trials for NUP214-ABL1 by using a novel multiplex real-time, quantitative polymerase chain reaction (PCR). Eleven (3.9%) patients were NUP214-ABL1 positive, and 5 different transcripts were observed; 8 patients had a thymic immunophenotype, 1 had an early T-cell immunophenotype, and 2 had a mature T-cell immunophenotype. NUP214-ABL1-positive and -negative patients did not differ significantly in their major clinical features. In contrast to previous reports suggesting an adverse clinical course for NUP214-ABL1-positive patients, no significant difference in overall survival was observed. Based on the results, we have established and tested a novel PCR method for simplified detection of the NUP214-ABL1 fusion gene.


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