4.3 Article

Polymorphisms in glucocorticoid receptor gene and the outcome of childhood acute lymphoblastic leukemia (ALL)

期刊

LEUKEMIA RESEARCH
卷 34, 期 4, 页码 492-497

出版社

PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.leukres.2009.08.007

关键词

Acute lymphoblastic leukemia; Childhood; Treatment; Glucocorticoids; Glucocorticoid receptor; Polymorphism; Pharmacogenetics

资金

  1. Canadian Institutes of Health Research
  2. Leukemia Lymphoma Society of Canada
  3. Cancer Research Society
  4. Genome Quebec/Genome Canada
  5. CHU Sainte-Justine Research Center
  6. Charles Bruneau Foundation
  7. Centre d'excellence en Oncologie pediatrique et en soins palliatifs
  8. Fonds de la Recherche en Sante du Quebec

向作者/读者索取更多资源

Childhood acute lymphoblastic leukemia patients (n = 310) were analyzed for four SNPs in the NR3C1 gene. Polymorphisms -627A/G, intron 2 +646C/G and 9bT/C were all associated with reduced event-free survival. Haplotypes composed of AGT alleles at these loci and tagged by the intron 2 +646G variant also associated with lower event-free survival (p = 0.03). The progressive impact of this haplotype on outcome was seen with two copies associated with reduced overall survival (p = 0.05). Quantitative mRNA analysis in lymphoblastoid cell lines showed that carriers of the AGT haplotype had a higher ratio of GR gamma/alpha isoforms (p = 0.04), which possibly explains its association with reduced event-free survival and overall survival. (C) 2009 Elsevier Ltd. All rights reserved.

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