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Prognostic significance of wilms tumor 1 gene in childhood acute Lymphoblastic Leukemia
Wilms tumor 1 (WT1) gene is a tumor supressor gene, expressed in malignant and normal hematopoietic progenitor cells. Prognostic significance of this gene in childhood acute lymphoid leukemia (ALL) is not clear. We evaluated the presence of WT1 expression in bone marrow samples of 28 children with de novo ALL at diagnosis by two step RT-PCR. Expression of WT1 gene was detected in 78.5% of patients. There was no correlation between WT1 gene expression and age, sex, FAB type, leukocyte count, and presence of t(4;11) and t(9;22). All patients were treated with modified BFM 86 protocol. There was no difference in the complete remission (CR) rate between WT1 positive and negative patients. Event free survival (EFS) and overall survival (OS) of WT1 positive and negative patients were also not significant. We conclude that expression of WT1 gene is not associated with specific characteristics of ALL blast cells and is not a prognostic factor for CR, remission duration and overall survival.

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Authors: Ünsal Özgen, Sema Anak, Uğur Özbek, Nazan Sarper, Ertuğrul Eryılmaz, Leyla Ağaoğlu, Ömer Devecioğlu, Nevin Yalman, Gündüz Gedikoğlu

Keywords:

  • Year: 2000
  • Number: 4
  • Referance No: 72773

  • Figure 1. WT1 and ß-actin gene expression in the same gel electrophoresis (WT1 expression is negative in 4th, 6th and 7th patients).
  • Figure 2. Event free survival according to WT1 gene expression

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