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Blood, 15 June 2002, Vol. 99, No. 12, pp. 4629-4631
BRIEF REPORT
Deletion analysis of p16INKa and
p15INKb in relapsed childhood acute
lymphoblastic leukemia
Hagen Graf Einsiedel,
Tillmann Taube,
Reinhard Hartmann,
Sven Wellmann,
Georg Seifert,
Günter Henze, and
Karl Seeger
From the Department of Pediatric Oncology/Hematology,
Charité Medical Center, Campus Virchow-Klinikum, Humboldt
University of Berlin, Germany.
This study aimed at determining the prevalence of INK4
deletions and their impact on outcome in 125 children with acute
lymphoblastic leukemia (ALL) at first relapse using real-time
quantitative polymerase chain reaction. Patients were enrolled into
relapse trials ALL-REZ BFM (ALL-Relapse
Berlin-Frankfurt-Münster) 90 and 96. The prevalence of
p16INK4a and p15INK4b
homozygous deletions was 35% (44 of 125) and 30% (38 of 125), respectively. A highly significant association of both gene deletions was found with the 2 major adverse prognostic factors known for relapsed childhood ALL: T-cell immunophenotype and first remission duration. There was no correlation between INK4 deletions
and probability of event-free survival. These findings argue against an
independent prognostic role of INK4 deletions in relapsed
childhood ALL.

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