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Blood, 15 June 2007, Vol. 109, No. 12, pp. 5473-5476.
Prepublished online as a Blood First Edition Paper on March 9, 2007; DOI 10.1182/blood-2006-05-021071.


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Submitted May 9, 2006
Accepted February 27, 2007

ERK1/2 phosphorylation is an independent predictor of complete remission in newly diagnosed adult acute lymphoblastic leukemia

Chiara Gregorj, Maria R Ricciardi, Maria T Petrucci, Maria C Scerpa, Fabiana De Cave, Paola Fazi, Marco Vignetti, Antonella Vitale, Marco Mancini, Giuseppe Cimino, Salvatore Palmieri, Francesco Di Raimondo, Giorgina Specchia, Francesco Fabbiano, Nicola Cantore, Federico Mosna, Andrea Camera, Mario Luppi, Luciana Annino, Eustachio Miraglia, Giuseppe Fioritoni, Francesca Ronco, Giovanna Meloni, Franco Mandelli, Michael Andreeff, Michele Milella, Robin Foa, and Agostino Tafuri*

Division of Hematology, Dept of Cellular Biotechnologies and Hematology, University "La Sapienza", Rome, Italy
GIMEMA Foundation, Data Center, Rome, Italy
Divisione di Ematologia, Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli", Napoli, Italy
Cattedra di Ematologia, Ospedale "Ferrarotto", Universita degli Studi di Catania, Italy
Unita Operative Ematologia 1, Universita degli Studi di Bari, Italy
Divisione di Ematologia, Azienda Ospedaliera "V. Cervello" di Palermo, Italy
Ematologia, Azienda Ospedaliera "S.G. Moscati" di Avellino, Italy
Divisione di Ematologia, Policlinico G.B. Rossi, Universita degli Studi di Verona, Italy
Ematologia, Universita degli Studi Federico II di Napoli, Italy
Dipartimento di Oncologia ed Ematologia, Universita degli Studi di Modena e Reggio Emilia, Italy
Unita Operativa di Ematologia, Complesso Ospedaliero S. Giovanni Addolorata di Roma, Italy
Divisione di Ematologia, A.S.L. Napoli 1 Ospedale San Giovanni Bosco di Napoli, Italy
Unita Operativa di Ematologia Clinica, Azienda USL di Pescara, Italy
Dipartimento Emato-Oncologia, Azienda Ospedaliera "Bianchi-Melacrino-Morelli" di Reggio Calabria, Italy
Section of Molecular Hematology & Therapy, University of Texas M.D.Anderson Cancer Center, Houston, TX, United States
Division of Medical Oncology A, Regina Elena Cancer Institute, Rome, Italy

* Corresponding author; email: agotaf{at}bce.uniroma1.it.

Extracellular signal-regulated kinase-1/2 (ERK1/2) is frequently found constitutively activated (p-ERK1/2) in hematopoietic diseases, suggesting a role in leukemogenesis. The aim of this study was to assess the expression and clinical role of p-ERK1/2 in adult acute lymphoblastic leukemia (ALL). In 131 primary samples from adult de novo ALL patients enrolled in the GIMEMA LAL2000 protocol and evaluated by flow cytometry, constitutive ERK1/2 activation was found in 34.5% of cases, resulting significantly associated with higher WBC values (P=0.013). In a multivariate analysis, p-ERK1/2 expression was an independent predictor of complete remission achievement (P=0.027). Effective approaches toward MEK inhibition need to be explored in order to evaluate whether this may represent a new therapeutic strategy for adult ALL patients.


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