Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children

Acute lymphoblastic leukemia (ALL) is a heterogeneous group of hematologic malignancies characterized by abnormal proliferation of immature lymphoid cells. It is the most commonly diagnosed childhood cancer with an almost 80% cure rate. Despite favorable survival rates in the pediatric population, a...

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Main Authors: Monika Lejman, Aleksandra Chałupnik, Zuzanna Chilimoniuk, Maciej Dobosz
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/5/2755
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author Monika Lejman
Aleksandra Chałupnik
Zuzanna Chilimoniuk
Maciej Dobosz
author_facet Monika Lejman
Aleksandra Chałupnik
Zuzanna Chilimoniuk
Maciej Dobosz
author_sort Monika Lejman
collection DOAJ
description Acute lymphoblastic leukemia (ALL) is a heterogeneous group of hematologic malignancies characterized by abnormal proliferation of immature lymphoid cells. It is the most commonly diagnosed childhood cancer with an almost 80% cure rate. Despite favorable survival rates in the pediatric population, a significant number of patients develop resistance to therapy, resulting in poor prognosis. ALL is a heterogeneous disease at the genetic level, but the intensive development of sequencing in the last decade has made it possible to broaden the study of genomic changes. New technologies allow us to detect molecular changes such as point mutations or to characterize epigenetic or proteomic profiles. This process made it possible to identify new subtypes of this disease characterized by constellations of genetic alterations, including chromosome changes, sequence mutations, and DNA copy number alterations. These genetic abnormalities are used as diagnostic, prognostic and predictive biomarkers that play an important role in earlier disease detection, more accurate risk stratification, and treatment. Identification of new ALL biomarkers, and thus a greater understanding of their molecular basis, will lead to better monitoring of the course of the disease. In this article, we provide an overview of the latest information on genomic alterations found in childhood ALL and discuss their impact on patients’ clinical outcomes.
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spelling doaj.art-a4f7bdb365c54ed1b64685cbac617c762023-11-23T23:09:08ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-03-01235275510.3390/ijms23052755Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in ChildrenMonika Lejman0Aleksandra Chałupnik1Zuzanna Chilimoniuk2Maciej Dobosz3Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, PolandStudent Scientific Society, Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, PolandStudent Scientific Society, Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, PolandStudent Scientific Society, Laboratory of Genetic Diagnostics, Medical University of Lublin, 20-093 Lublin, PolandAcute lymphoblastic leukemia (ALL) is a heterogeneous group of hematologic malignancies characterized by abnormal proliferation of immature lymphoid cells. It is the most commonly diagnosed childhood cancer with an almost 80% cure rate. Despite favorable survival rates in the pediatric population, a significant number of patients develop resistance to therapy, resulting in poor prognosis. ALL is a heterogeneous disease at the genetic level, but the intensive development of sequencing in the last decade has made it possible to broaden the study of genomic changes. New technologies allow us to detect molecular changes such as point mutations or to characterize epigenetic or proteomic profiles. This process made it possible to identify new subtypes of this disease characterized by constellations of genetic alterations, including chromosome changes, sequence mutations, and DNA copy number alterations. These genetic abnormalities are used as diagnostic, prognostic and predictive biomarkers that play an important role in earlier disease detection, more accurate risk stratification, and treatment. Identification of new ALL biomarkers, and thus a greater understanding of their molecular basis, will lead to better monitoring of the course of the disease. In this article, we provide an overview of the latest information on genomic alterations found in childhood ALL and discuss their impact on patients’ clinical outcomes.https://www.mdpi.com/1422-0067/23/5/2755childhood acute lymphoblastic leukemiaALLB-ALLT-ALLbiomarkers
spellingShingle Monika Lejman
Aleksandra Chałupnik
Zuzanna Chilimoniuk
Maciej Dobosz
Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
International Journal of Molecular Sciences
childhood acute lymphoblastic leukemia
ALL
B-ALL
T-ALL
biomarkers
title Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
title_full Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
title_fullStr Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
title_full_unstemmed Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
title_short Genetic Biomarkers and Their Clinical Implications in B-Cell Acute Lymphoblastic Leukemia in Children
title_sort genetic biomarkers and their clinical implications in b cell acute lymphoblastic leukemia in children
topic childhood acute lymphoblastic leukemia
ALL
B-ALL
T-ALL
biomarkers
url https://www.mdpi.com/1422-0067/23/5/2755
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AT zuzannachilimoniuk geneticbiomarkersandtheirclinicalimplicationsinbcellacutelymphoblasticleukemiainchildren
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