About: Specific p53 mutations do not impact results of alemtuzumab therapy among patients with chronic lymphocytic leukemia     Goto   Sponge   NotDistinct   Permalink

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  • A poor prognosis in chronic lymphocytic leukemia (CLL) is associated particularly with the presence of del(17p) affecting tumor suppressor gene TP53. This deletion is in almost all cases of progressive leukemia accompanied by a mutation in the other TP53 allele, and in a smaller proportion of patients the TP53 mutation occurs also independently of del(17p). Recently, we demonstrated that patients with CLL harboring a missense mutation located in the p53 DNA-binding motifs (DBMs) (structurally well-defined parts of the DNA-binding domain) manifested a clearly shorter median survival in comparison with those having a missense mutation outside DBMs or a non-missense alteration. However, a limitation of this study resulted from the unpredictable survival impact of diverse therapy given to patients with p53 mutations. Th e therapeutic approach currently taken for patients with CLL with loss and/or mutation of TP53 relies mostly on the use of agents which do not act through DNA damage followed by apoptosis induction. Th e success of this approach has been documented for the monoclonal antibody alemtuzumab. Monotherapy with alemtuzumab is now being recommended as first-line therapy for patients with CLL with del(17p); however, many unresolved questions need to be addressed. For example, it is unclear whether the type of p53 mutation infl uences the outcome of alemtuzumab therapy
  • A poor prognosis in chronic lymphocytic leukemia (CLL) is associated particularly with the presence of del(17p) affecting tumor suppressor gene TP53. This deletion is in almost all cases of progressive leukemia accompanied by a mutation in the other TP53 allele, and in a smaller proportion of patients the TP53 mutation occurs also independently of del(17p). Recently, we demonstrated that patients with CLL harboring a missense mutation located in the p53 DNA-binding motifs (DBMs) (structurally well-defined parts of the DNA-binding domain) manifested a clearly shorter median survival in comparison with those having a missense mutation outside DBMs or a non-missense alteration. However, a limitation of this study resulted from the unpredictable survival impact of diverse therapy given to patients with p53 mutations. Th e therapeutic approach currently taken for patients with CLL with loss and/or mutation of TP53 relies mostly on the use of agents which do not act through DNA damage followed by apoptosis induction. Th e success of this approach has been documented for the monoclonal antibody alemtuzumab. Monotherapy with alemtuzumab is now being recommended as first-line therapy for patients with CLL with del(17p); however, many unresolved questions need to be addressed. For example, it is unclear whether the type of p53 mutation infl uences the outcome of alemtuzumab therapy (en)
Title
  • Specific p53 mutations do not impact results of alemtuzumab therapy among patients with chronic lymphocytic leukemia
  • Specific p53 mutations do not impact results of alemtuzumab therapy among patients with chronic lymphocytic leukemia (en)
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  • Specific p53 mutations do not impact results of alemtuzumab therapy among patients with chronic lymphocytic leukemia
  • Specific p53 mutations do not impact results of alemtuzumab therapy among patients with chronic lymphocytic leukemia (en)
skos:notation
  • RIV/65269705:_____/12:#0001909!RIV13-MZ0-65269705
http://linked.open...avai/riv/aktivita
http://linked.open...avai/riv/aktivity
  • I, V
http://linked.open...iv/cisloPeriodika
  • 9
http://linked.open...vai/riv/dodaniDat
http://linked.open...aciTvurceVysledku
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http://linked.open...iv/duvernostUdaju
http://linked.open...titaPredkladatele
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  • 170262
http://linked.open...ai/riv/idVysledku
  • RIV/65269705:_____/12:#0001909
http://linked.open...riv/jazykVysledku
http://linked.open.../riv/klicovaSlova
  • lymphocytic leukemia (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV
  • [7030C1A8335B]
http://linked.open...i/riv/nazevZdroje
  • Leukemia & Lymphoma
http://linked.open...in/vavai/riv/obor
http://linked.open...ichTvurcuVysledku
http://linked.open...cetTvurcuVysledku
http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 53
http://linked.open...iv/tvurceVysledku
  • Brychtová, Yvona
  • Doubek, Michael
  • Kuglík, Petr
  • Mayer, Jiří
  • Mráz, Marek
  • Panovská, Anna
  • Pospíšilová, Šárka
  • Tichý, Boris
  • Malčíková, Jitka
  • Skuhrová Francová, Hana
  • Trbušek, Martin
  • Šebejová, Ludmila
  • Šmardová, Jana
  • Plevová, Karla
  • Lochmanová, Jana
  • Navrkalová, Veronika
http://linked.open...ain/vavai/riv/wos
  • 000307301500031
issn
  • 1042-8194
number of pages
http://bibframe.org/vocab/doi
  • 10.3109/10428194.2012.658794
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