Laboratory recommendations for scoring deep molecular responses following treatment for chronic myeloid leukemia.

Laboratory recommendations for scoring deep molecular responses following treatment for chronic myeloid leukemia.
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在治疗慢性髓样白血病后,实验室建议对深层分子反应进行评分。

DOI:
10.1038/leu.2015.29
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发表时间:
2015-05
期刊:
影响因子:
11.4
通讯作者:
--
中科院分区:
医学1区
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--
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使用酪氨酸激酶抑制剂治疗慢性粒细胞白血病(CML)已经发展到一个阶段,许多患者的疾病水平非常低或无法检测到。值得注意的是,其中一些患者在停止治疗后仍处于持续缓解状态,这表明他们可能至少在手术中治愈了自己的疾病。因此,对深层分子反应(MRS)的准确定义对于优化患者管理和独立数据集的比较越来越重要。我们之前发表了关于MR在不同敏感性水平下的广泛标准化定义的建议。在这里,我们提出了详细的实验室建议,作为欧洲慢性粒细胞白血病治疗和结果研究(EUTOS)的一部分,使检测实验室能够以可重复的方式对表达最常见BCR-ABL1变异的CML患者进行MR评分。
Treatment of chronic myeloid leukemia (CML) with tyrosine kinase inhibitors has advanced to a stage where many patients achieve very low or undetectable levels of disease. Remarkably, some of these patients remain in sustained remission when treatment is withdrawn, suggesting that they may be at least operationally cured of their disease. Accurate definition of deep molecular responses (MRs) is therefore increasingly important for optimal patient management and comparison of independent data sets. We previously published proposals for broad standardized definitions of MR at different levels of sensitivity. Here we present detailed laboratory recommendations, developed as part of the European Treatment and Outcome Study for CML (EUTOS), to enable testing laboratories to score MR in a reproducible manner for CML patients expressing the most common BCR-ABL1 variants.
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