Highly Sensitive and Accurate Assessment of Minimal Residual Disease in Chronic Lymphocytic Leukemia Using the Novel CD160-ROR1 Assay.

Highly Sensitive and Accurate Assessment of Minimal Residual Disease in Chronic Lymphocytic Leukemia Using the Novel CD160-ROR1 Assay.
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使用新型CD160-ROR1分析,高度敏感,准确地评估了慢性淋巴细胞性白血病中最小残留疾病。

DOI:
10.3389/fonc.2020.597730
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发表时间:
2020
影响因子:
4.7
通讯作者:
Agrawal SG
Agrawal SG
中科院分区:
医学3区
文献类型:
--
作者:
Farren TW;Sadanand KS;Agrawal SG

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慢性淋巴细胞白血病(CLL)中不可检测的微小残留病(MRD)与可检测的MRD相比具有良好的预后结果。本研究研究了一种靶向肿瘤特异性抗原CD 160和受体酪氨酸激酶样孤儿受体1(ROR 1)沿着CD 2、CD 5、CD 19、CD 45的流式细胞术测定(CD 160-ROR 1FCA)。将CD 160-ROR 1FCA与最初发表的8色欧洲CLL研究倡议(ERIC)金标准检测CLL MRD进行比较。CD 160-ROR 1FCA的检测限为0.001%,并显示与ERIC的强相关性(R = 0.98,p < 0.01),MRD检测的差异可忽略不计(偏倚-0.3152 95%CI 5.586至-6.216)。使用CD 160-ROR 1 FCA,与低水平多克隆B细胞扩增相比,在单克隆B细胞淋巴细胞增多症(MBL)中发现CD 160和ROR 1的表达增加(p < 0.01)。CR和未检测到MRD的患者的EFS(未达到)长于CR但可检测到MRD的患者(756天,p < 0.01),而部分缓解患者为113天(p < 0.01)。MRD水平>0.01至0.1%的患者的EFS较长(2,333天),而水平在0.1至1%之间(1,049天)。CD 160-ROR 1FCA是一种用于常规CLL MRD测量和MBL检测的新型检测方法。CLL治疗后通过CD 160-ROR 1FCA评估的MRD状态与EFS相关。
Undetectable minimal residual disease (MRD) in Chronic Lymphocytic Leukemia (CLL) has a favorable prognostic outcome compared with MRD that can be detected. This study investigated a flow cytometric assay (CD160-ROR1FCA) targeting the tumor-specific antigens CD160 and receptor tyrosine kinase-like orphan receptor 1 (ROR1), along with CD2, CD5, CD19, CD45. CD160-ROR1FCA was compared with the originally published 8-colour European Research Initiative for CLL (ERIC) gold-standard assay for CLL MRD detection. CD160-ROR1FCA had a limit of detection of 0.001% and showed strong correlation with ERIC (R = 0.98, p < 0.01) with negligible differences in MRD detection (bias -0.3152 95%CI 5.586 to -6.216). Using CD160-ROR1FCA, increased expression of both CD160 and ROR1 was found in Monoclonal B cell Lymphocytosis (MBL) compared to low-level polyclonal B-cell expansions (p < 0.01). Patients in CR and with undetectable MRD had a longer EFS (not reached) than those in CR but with detectable MRD (756 days, p < 0.01) versus 113 days in patients with partial remission (p < 0.01). Patients with MRD levels of >0.01 to 0.1% had a longer EFS (2,333 days), versus levels between 0.1 to 1% (1,049 days). CD160-ROR1FCA is a novel assay for routine CLL MRD measurement and for MBL detection. MRD status assessed by CD160-ROR1FCA after CLL treatment correlated with EFS.
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