Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study

Chronic myeloid leukemia (CML) is a well-characterized oncological disease in which virtually all patients possess a translocation (9;22) that generates the tyrosine kinase <i>BCR::ABL1</i> protein. This translocation represents one of the milestones in molecular oncology in terms of bot...

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Main Authors: Anelis Maria Marin, Denise Kusma Wosniaki, Heloisa Bruna Soligo Sanchuki, Eduardo Cilião Munhoz, Jeanine Marie Nardin, Gabriela Silva Soares, Dhienifer Caroline Espinace, João Samuel de Holanda Farias, Bruna Veroneze, Luiz Felipe Becker, Guilherme Lima Costa, Olair Carlos Beltrame, Jaqueline Carvalho de Oliveira, Geison Cambri, Dalila Luciola Zanette, Mateus Nóbrega Aoki
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/12/10118
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author Anelis Maria Marin
Denise Kusma Wosniaki
Heloisa Bruna Soligo Sanchuki
Eduardo Cilião Munhoz
Jeanine Marie Nardin
Gabriela Silva Soares
Dhienifer Caroline Espinace
João Samuel de Holanda Farias
Bruna Veroneze
Luiz Felipe Becker
Guilherme Lima Costa
Olair Carlos Beltrame
Jaqueline Carvalho de Oliveira
Geison Cambri
Dalila Luciola Zanette
Mateus Nóbrega Aoki
author_facet Anelis Maria Marin
Denise Kusma Wosniaki
Heloisa Bruna Soligo Sanchuki
Eduardo Cilião Munhoz
Jeanine Marie Nardin
Gabriela Silva Soares
Dhienifer Caroline Espinace
João Samuel de Holanda Farias
Bruna Veroneze
Luiz Felipe Becker
Guilherme Lima Costa
Olair Carlos Beltrame
Jaqueline Carvalho de Oliveira
Geison Cambri
Dalila Luciola Zanette
Mateus Nóbrega Aoki
author_sort Anelis Maria Marin
collection DOAJ
description Chronic myeloid leukemia (CML) is a well-characterized oncological disease in which virtually all patients possess a translocation (9;22) that generates the tyrosine kinase <i>BCR::ABL1</i> protein. This translocation represents one of the milestones in molecular oncology in terms of both diagnostic and prognostic evaluations. The molecular detection of the <i>BCR::ABL1</i> transcription is a required factor for CML diagnosis, and its molecular quantification is essential for assessing treatment options and clinical approaches. In the CML molecular context, point mutations on the <i>ABL1</i> gene are also a challenge for clinical guidelines because several mutations are responsible for tyrosine kinase inhibitor resistance, indicating that a change may be necessary in the treatment protocol. So far, the European LeukemiaNet and the National Comprehensive Cancer Network (NCCN) have presented international guidelines on CML molecular approaches, especially those related to <i>BCR::ABL1</i> expression. In this study, we show almost three years’ worth of data regarding the clinical treatment of CML patients at the Erasto Gaertner Hospital, Curitiba, Brazil. These data primarily comprise 155 patients and 532 clinical samples. <i>BCR::ABL1</i> quantification by a duplex-one-step RT-qPCR and <i>ABL1</i> mutations detection were conducted. Furthermore, digital PCR for both <i>BCR::ABL1</i> expression and <i>ABL1</i> mutations were conducted in a sub-cohort. This manuscript describes and discusses the clinical importance and relevance of molecular biology testing in Brazilian CML patients, demonstrating its cost-effectiveness.
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spelling doaj.art-57182764aaf44b7b9615037b4bd0d5362023-11-18T10:48:54ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-06-0124121011810.3390/ijms241210118Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center StudyAnelis Maria Marin0Denise Kusma Wosniaki1Heloisa Bruna Soligo Sanchuki2Eduardo Cilião Munhoz3Jeanine Marie Nardin4Gabriela Silva Soares5Dhienifer Caroline Espinace6João Samuel de Holanda Farias7Bruna Veroneze8Luiz Felipe Becker9Guilherme Lima Costa10Olair Carlos Beltrame11Jaqueline Carvalho de Oliveira12Geison Cambri13Dalila Luciola Zanette14Mateus Nóbrega Aoki15Laboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilErasto Gaertner Hospital, Curitiba 81520-060, BrazilDepartment of Genetics, Federal University of Parana, Curitiba 81531-980, BrazilInstituto de Biologia Molecular do Paraná (IBMP), Curitiba 81350-010, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilLaboratory for Applied Science and Technology in Health, Carlos Chagas Institute, Oswaldo Cruz Foundation (Fiocruz), Curitiba 81350-010, BrazilChronic myeloid leukemia (CML) is a well-characterized oncological disease in which virtually all patients possess a translocation (9;22) that generates the tyrosine kinase <i>BCR::ABL1</i> protein. This translocation represents one of the milestones in molecular oncology in terms of both diagnostic and prognostic evaluations. The molecular detection of the <i>BCR::ABL1</i> transcription is a required factor for CML diagnosis, and its molecular quantification is essential for assessing treatment options and clinical approaches. In the CML molecular context, point mutations on the <i>ABL1</i> gene are also a challenge for clinical guidelines because several mutations are responsible for tyrosine kinase inhibitor resistance, indicating that a change may be necessary in the treatment protocol. So far, the European LeukemiaNet and the National Comprehensive Cancer Network (NCCN) have presented international guidelines on CML molecular approaches, especially those related to <i>BCR::ABL1</i> expression. In this study, we show almost three years’ worth of data regarding the clinical treatment of CML patients at the Erasto Gaertner Hospital, Curitiba, Brazil. These data primarily comprise 155 patients and 532 clinical samples. <i>BCR::ABL1</i> quantification by a duplex-one-step RT-qPCR and <i>ABL1</i> mutations detection were conducted. Furthermore, digital PCR for both <i>BCR::ABL1</i> expression and <i>ABL1</i> mutations were conducted in a sub-cohort. This manuscript describes and discusses the clinical importance and relevance of molecular biology testing in Brazilian CML patients, demonstrating its cost-effectiveness.https://www.mdpi.com/1422-0067/24/12/10118chronic myeloid leukemia<i>BCR::ABL1</i><i>ABL1</i> mutationTKIprognostic
spellingShingle Anelis Maria Marin
Denise Kusma Wosniaki
Heloisa Bruna Soligo Sanchuki
Eduardo Cilião Munhoz
Jeanine Marie Nardin
Gabriela Silva Soares
Dhienifer Caroline Espinace
João Samuel de Holanda Farias
Bruna Veroneze
Luiz Felipe Becker
Guilherme Lima Costa
Olair Carlos Beltrame
Jaqueline Carvalho de Oliveira
Geison Cambri
Dalila Luciola Zanette
Mateus Nóbrega Aoki
Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
International Journal of Molecular Sciences
chronic myeloid leukemia
<i>BCR::ABL1</i>
<i>ABL1</i> mutation
TKI
prognostic
title Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
title_full Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
title_fullStr Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
title_full_unstemmed Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
title_short Molecular <i>BCR::ABL1</i> Quantification and <i>ABL1</i> Mutation Detection as Essential Tools for the Clinical Management of Chronic Myeloid Leukemia Patients: Results from a Brazilian Single-Center Study
title_sort molecular i bcr abl1 i quantification and i abl1 i mutation detection as essential tools for the clinical management of chronic myeloid leukemia patients results from a brazilian single center study
topic chronic myeloid leukemia
<i>BCR::ABL1</i>
<i>ABL1</i> mutation
TKI
prognostic
url https://www.mdpi.com/1422-0067/24/12/10118
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