Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients

Background:Chronic Myeloid Leukemia (CML) is a disorder in myeloproliferative pluripotent hematopoietic primogenitor cells distinguished by huge reproduction of myeloid cells. CML cytogenetic distinguished by reciprocal translocation between the long arms of chromosomes 9 and 22 – to produce hallma...

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Main Author: Azhar M Haleem
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2020-06-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:http://djm.uodiyala.edu.iq/index.php/djm/article/view/560
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author Azhar M Haleem
author_facet Azhar M Haleem
author_sort Azhar M Haleem
collection DOAJ
description Background:Chronic Myeloid Leukemia (CML) is a disorder in myeloproliferative pluripotent hematopoietic primogenitor cells distinguished by huge reproduction of myeloid cells. CML cytogenetic distinguished by reciprocal translocation between the long arms of chromosomes 9 and 22 – to produce hallmark Philadelphia chromosome. Objective: The main goal of the current study was to identify the secondary chromosomal aberrations associated with the CML in Iraqi patients have positive Ph- chromosome using Imatinib theraby, at different phases of the disease. Patients and Methods: Practical part of this study was conducted from April/2018 to October/ 2019 in the Al-Kadumyha Teaching Hospital and Tissue Culture and Immunochemistry Lab/ University of Technology, for ≤ 18 years age for 75 CML eligible patients. Karyotypes of Philadelphia chromosome-positive bone marrow samples were examined for CML patients which were used Imatinib every twelve weeks. Secondary chromosomal abnormalities associated with development of disease were detected and calculated.  Results: The average age of patients was 42± 8.7 years, while male to female ratio was (1.7:1), males number were 48 with percentage about 64%, while females number were 27 with percentage 36%, only 89.3% of CML patients showed a typical shape of Ph- chromosome, t(9: 22)(q34:q11.2), while 27 of 75 showed real cytogenetic response to Imatinib therapy. Conclusion: CML patients with high secondary chromosomal aberrations revealed low cytogenetic and molecular response to imatinib therapy, especially in blast phase. 
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spelling doaj.art-5c14f2fa0c944fafb5a520d44990902c2023-11-24T23:22:56ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822020-06-01182Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi PatientsAzhar M Haleem Background:Chronic Myeloid Leukemia (CML) is a disorder in myeloproliferative pluripotent hematopoietic primogenitor cells distinguished by huge reproduction of myeloid cells. CML cytogenetic distinguished by reciprocal translocation between the long arms of chromosomes 9 and 22 – to produce hallmark Philadelphia chromosome. Objective: The main goal of the current study was to identify the secondary chromosomal aberrations associated with the CML in Iraqi patients have positive Ph- chromosome using Imatinib theraby, at different phases of the disease. Patients and Methods: Practical part of this study was conducted from April/2018 to October/ 2019 in the Al-Kadumyha Teaching Hospital and Tissue Culture and Immunochemistry Lab/ University of Technology, for ≤ 18 years age for 75 CML eligible patients. Karyotypes of Philadelphia chromosome-positive bone marrow samples were examined for CML patients which were used Imatinib every twelve weeks. Secondary chromosomal abnormalities associated with development of disease were detected and calculated.  Results: The average age of patients was 42± 8.7 years, while male to female ratio was (1.7:1), males number were 48 with percentage about 64%, while females number were 27 with percentage 36%, only 89.3% of CML patients showed a typical shape of Ph- chromosome, t(9: 22)(q34:q11.2), while 27 of 75 showed real cytogenetic response to Imatinib therapy. Conclusion: CML patients with high secondary chromosomal aberrations revealed low cytogenetic and molecular response to imatinib therapy, especially in blast phase.  http://djm.uodiyala.edu.iq/index.php/djm/article/view/560Chronic Myeloid Leukemia, BCR/ALB gene, Imatinib, Chromosomal Aberrations, FISH
spellingShingle Azhar M Haleem
Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
Diyala Journal of Medicine
Chronic Myeloid Leukemia, BCR/ALB gene, Imatinib, Chromosomal Aberrations, FISH
title Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
title_full Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
title_fullStr Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
title_full_unstemmed Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
title_short Cytogenetic Response Assessment to Imatinib Mesylate Therapy for Chronic Myeloid Leukemia in Iraqi Patients
title_sort cytogenetic response assessment to imatinib mesylate therapy for chronic myeloid leukemia in iraqi patients
topic Chronic Myeloid Leukemia, BCR/ALB gene, Imatinib, Chromosomal Aberrations, FISH
url http://djm.uodiyala.edu.iq/index.php/djm/article/view/560
work_keys_str_mv AT azharmhaleem cytogeneticresponseassessmenttoimatinibmesylatetherapyforchronicmyeloidleukemiainiraqipatients