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Blood, 1 April 2007, Vol. 109, No. 7, pp. 3080-3083.
Prepublished online as a Blood First Edition Paper on December 14, 2006; DOI 10.1182/blood-2006-06-031096.
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Submitted June 26, 2006
Accepted November 17, 2006
Connective tissue growth factor (CTGF) expression and outcome in adult patients with acute lymphoblastic leukemia
Olga Sala-Torra*, Holly M. Gundacker, Derek L. Stirewalt, Paula A. Ladne, Era L. Pogosova-Agadjanyan, Marilyn L. Slovak, Cheryl L. Willman, Shelly Heimfeld, David H. Boldt, and Jerald P. Radich
Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA
Statistical Center, Southwest Oncology Group, Seattle, WA
Division of Pathology, City of Hope National Medical Center, Duarte, CA
Department of Pathology, University of New Mexico School of Medicine, Albuquerque, NM
Medicine/Hematology, University of Texas Health Science Center, San Antonio, TX
* Corresponding author; email: osala{at}fhcrc.org.
We compared the gene expression profile of adult acute lymphoblastic leukemia (ALL) to normal hematopoietic and non-ALL samples using oligonucleotide arrays. Connective tissue growth factor (CTGF) was the highest over-expressed gene in B-cell ALL compared to the other groups, and displayed heterogeneous expression, suggesting it might have prognostic relevance. CTGF expression was examined by quantitative RT-PCR on 79 adult ALL specimens. CTGF expression levels were significantly increased in ALL cases with B-lineage (p=0.0001), unfavorable cytogenetics (p=0.0002), and blasts expressing CD34 (p<0.0001). In a multivariate proportional hazards model, higher CTGF expression levels corresponded to worsening of OS (hazard ratio=1.36, for each 10-fold increase in expression; p=0.019). Further studies are ongoing to confirm the prognostic value of CTGF expression in ALL and to investigate its role in normal and abnormal lymphocyte biology.

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