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Please use this identifier to cite or link to this item: http://hdl.handle.net/2241/107849

Title: Quantitative monitoring of single nucleotide mutations by allele-specific quantitative PCR can be used for the assessment of minimal residual disease in patients with hematological malignancies throughout their clinical course
Authors: Taira, Chiaki
Matsuda, Kazuyuki
Kamijyo, Yuka
Sakashita, Kazuo
Ishida, Fumihiro
Kumagai, Toshiko
Yamauchi, Kazuyoshi
Okumura, Nobuo
Honda, Takayuki
山内, 一由
Issue Date: Jan-2011
Publisher: Elsevier B.V.
Journal Title: Clinica chimica acta
Volume: 412
Issue: 1-2
Start Page: 53
End Page: 58
DOI: 10.1016/j.cca.2010.09.011
PMID: 20849840
Abstract: Background Monitoring of minimal residual disease (MRD) in patients with hematological malignancies is important for evaluating the patients' therapeutic response and risk of relapse. Single nucleotide mutations associated with leukemogenesis can be considered as applicable MRD markers. Methods We developed an allele-specific quantitative polymerase chain reaction (AS-qPCR) for FLT3 2503G > T, KIT 2446G > T, and KIT 2447A > T and compared the change in the expression levels of the FLT3 or KIT mutations assessed by AS-qPCR to those of the RUNX1–RUNX1T1 fusion gene and WT1 by conventional quantitative PCR. Results The AS-qPCR using primers including template-mismatched nucleotide or template-mismatched nucleotide plus locked nucleic acid substituted nucleotide provided higher selectivity for mutant nucleotides. The change in the expression levels of the FLT3 or KIT mutations at the time of relapse and just after hematopoietic stem cell transplantation correlated well with that of the RUNX1–RUNX1T1 fusion gene and WT1. Moreover, during complete remission, only AS-qPCR could detect low-level expression of residual mutations. Conclusions The AS-qPCR for analyzing single nucleotide mutations contributes to the monitoring of MRD in patients without recurrent fusion gene throughout the clinical course and thus broadens the spectrum of patients in whom MRD can be monitored.
URI: http://hdl.handle.net/2241/107849
Rights: © 2010 Elsevier B.V.
Text Version: author
Appears in Collections:山内 一由 (Yamauchi Kazuyoshi)
Clinica chimica acta

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