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Expression of TCL-1 as a potential prognostic factor for treatment outcome in B-cell chronic lymphocytic leukemia

✍ Scribed by Rebekah L. Browning; Susan M. Geyer; Amy J. Johnson; Diane F. Jelinek; Renee C. Tschumper; Timothy G. Call; Tait D. Shanafelt; Clive S. Zent; Nancy D. Bone; Gordon W. Dewald; Thomas S. Lin; Nyla A. Heerema; Michael R. Grever; Neil E. Kay; John C. Byrd; David M. Lucas


Publisher
Elsevier Science
Year
2007
Tongue
English
Weight
208 KB
Volume
31
Category
Article
ISSN
0145-2126

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✦ Synopsis


TCL-1 expression is variable in CLL, and no study has examined its association with treatment response. We measured TCL-1 protein in CLL cells from 51 patients who then received pentostatin, cyclophosphamide, and rituximab. TCL-1 expression did not correlate with any pre-treatment characteristics. Lower TCL-1 levels were associated with higher probability of attaining flow cytometry-negative status post-treatment (52% versus 17%, p=0.046). Trends toward improved complete remission rate (49% versus 19%, p=0.064) and progression-free survival (medians: 33 versus 20 months, p=0.199) were noted with lower TCL-1 expression. These data suggest TCL-1 expression may help predict treatment outcome in CLL patients following chemoimmunotherapy, and examination in larger studies is warranted.


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