Developing and Testing of an Original Molecular Panel for Evaluating the Efficacy of Acute Myeloid Leukemia Treatment and Early Diagnosis of Relapses by Quantitative Real-Time PCR
DOI:
https://doi.org/10.21320/2500-2139-2026-19-3-275-291Fundamental studies of hematopoiesis have confirmed the existence of WT1-expressing lineage-differentiated hematopoietic precursor cells, which are functionally related with BAALC-expressing hematopoietic stem cells (HSCs), on the one hand, and with WT1-expressing blast elements, on the other. The data obtained provided the basis for analyzing the mixed cohort of patients with CBF-positive and FLT3-mutated variants of acute myeloid leukemia (AML) for developing a panel of molecular markers. The purposes of this panel are therapy efficacy assessment and early diagnosis of relapses alternative to the initial BAALC-expressing HSC clones. The developed combined approach was tested on a big clinical case series including the data from 114 patients with CBF+ (n = 63) and FLT3+ (n = 51) AML variants. The suggested original molecular diagnostic panel based on the serial measurements of BAALC and WT1 expression levels combined with simultaneous determination of the blast content in bone marrow aspirates seems to be a promising and useful tool for both research and clinical practice.
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