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- W2053709592 abstract "Abstract: Using a modified quantitative reverse transcriptase (RT) PCR assay in 57 patients with acute myeloid leukaemia (AML) from a Swiss Phase III multicentre study (SAKK 30/85), we measured the m-RNA expression of the genes from the multidrug resistance gene 1 (MDR1), the multidrug resistance associated protein (MRP), glutathione-S-transferase (GST) π, bcl-2 and topoisomerase (topo) IIα. P-glycoprotein (p-gp) was measured by Western blot, and GST activity by functional assays. To analyse progression-free (PFS) and overall survival (OS), parameters were prospectively divided into “low” and “high” groups, according to their median values (exceptions: MDR1 and p-gp). Median follow-up was 60 months. Results: MDR1- and MRP mRNA levels correlated with each other (r = 0.54, Spearman), FABM4/M5 and extramedullary disease. “Low” bcl-2-mRNA predicted longer PFS: 22 months vs. 7 months (median, p = 0.02, log rank), and longer OS: 64 months vs. 14 months (p = 0.06). “Low” topo Hoc predicted poorer outcome: median PFS 9 vs. 19 months (p = 0.03); median survival 12 months vs. “not reached” (p = 0.03). An improved outcome tendency, albeit nonsignificant, was seen in p-gp-negative patients. In a Cox model adjusted for age, performance status, presence of Auer rods, FAB type and clinical response, bcl-2 and topo IIα mRNA levels retained their predictive values." @default.
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- W2053709592 date "2009-04-24" @default.
- W2053709592 modified "2023-10-15" @default.
- W2053709592 title "Five putative drug resistance parameters (MDR1/P-glycoprotein, MDR-associated protein, glutathione-S-transferase, bcl-2 and topoisomerase IIα) in 57 newly diagnosed acute myeloid leukaemias" @default.
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- W2053709592 doi "https://doi.org/10.1111/j.1600-0609.1997.tb00979.x" @default.
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