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2016 ; 10
(ä): 5-15
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Molecular Analysis of Central Nervous System Disease Spectrum in Childhood Acute
Lymphoblastic Leukemia
#MMPMID26997880
Hicks C
; Sitthi-Amorn J
; Douglas J
; Ramani R
; Miele L
; Vijayakumar V
; Karlson C
; Chipeta J
; Megason G
Clin Med Insights Oncol
2016[]; 10
(ä): 5-15
PMID26997880
show ga
Treatment of the central nervous system (CNS) is an essential therapeutic
component in childhood acute lymphoblastic leukemia (ALL). The goal of this study
was to identify molecular signatures distinguishing patients with CNS disease
from those without the disease in pediatric patients with ALL. We analyzed gene
expression data from 207 pediatric patients with ALL. Patients without CNS were
classified as CNS1, while those with mild and advanced CNS disease were
classified as CNS2 and CNS3, respectively. We compared gene expression levels
among the three disease classes. We identified gene signatures distinguishing the
three disease classes. Pathway analysis revealed molecular networks and
biological pathways dysregulated in response to CNS disease involvement. The
identified pathways included the ILK, WNT, B-cell receptor, AMPK, ERK5, and JAK
signaling pathways. The results demonstrate that transcription profiling could be
used to stratify patients to guide therapeutic decision-making in pediatric ALL.