Differential scanning calorimetry (DSC) and complementary techniques were utilized to evaluate the sensitivity of B-cell chronic lymphocytic leukemia (B-CLL) cell samples in vitro exposed to cladribine or fludarabine in combination with mafosfamide. Mafosfamide, the active in vitro form of cyclophos
Expression of TCL-1 as a potential prognostic factor for treatment outcome in B-cell chronic lymphocytic leukemia
β 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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β¦ 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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## Abstract ## Background: Increased CD38 expression by leukemic cells has been suggested as an adverse prognostic factor in BβCLL. Several approaches have been proposed to quantify its level of expression by flow cytometry. ## Methods: We compared the use of (i) the percentage of CD38 positive