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Blood, 15 January 2008, Vol. 111, No. 2, pp. 874-877.
Prepublished online as a Blood First Edition Paper on October 24, 2007; DOI 10.1182/blood-2007-07-098681.
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Submitted July 2, 2007
Accepted October 11, 2007
BCL2 expression in chronic lymphocytic leukemia (CLL): lack of association with the BCL2 -938A>C promoter single nucleotide polymorphism (SNP)
Aneela Majid, Olga Tsoulakis, Renata Walewska, Stefan Gesk, Reiner Siebert, D. Ben J. Kennedy, and Martin J.S. Dyer*
Department of Hematology, MRC Toxicology Unit, Leicester, United Kingdom
Institute of Human Genetics, University Hospital, Schleswig-Holstein, Campus Kiel, Kiel, Germany
Department of Hematology, University Hospitals Leicester, Leicester, United Kingdom
* Corresponding author; email: mjsd1{at}le.ac.uk.
High-level BCL2 expression is seen in most cases of CLL in the absence of BCL2 chromosomal translocation. A SNP (-938C>A) within an inhibitory region of the BCL2 promoter has been reported to regulate BCL2 protein expression and to be associated with adverse prognostic features in CLL. We screened 276 cases of CLL for this SNP and 100 cases by quantitative western blot for BCL2 expression. In contrast to the previous report, we found no association with BCL2 protein levels or with any clinical or laboratory parameters. BCL2 protein levels remained constant in ten individual cases at different time points. 19 cases showing the lowest levels of BCL2 protein expression were biologically and clinically heterogeneous. Five cases exhibited high-level BCL2 RNA expression and four were fludarabine-resistant. BCL2 protein levels in CLL reflect a complex interplay of transcriptional and post-transcriptional controls, but do not appear to be associated with the -938C>A promoter SNP.

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