Cytogenetic Profile in 7209 Indian Patients with de novo Acute Leukemia: A Single Centre Study from India
In Journal of Cancer Therapy
By: Kadam Amare PS [Corresponding author].
Contributor(s): H Jain | Kabre S | Deshpande Y | Pawar P | Banavali S | Menon H | Sengar M | Arora B | Khattry N | Narula G | Sarang D | Kaskar S | Bagal B | Jain H | Dang U | Subramanian PG | Gujral S.
Material type:
Item type | Current location | Call number | Status | Date due | Barcode |
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Tata Memorial Hospital | Available | AR18140 |
Address for Correspondence: pratibha.amare@gmail.com
Background: Cytogenetics is one of the most important diagnostic parameters in the classification
of acute leukemia. Recurrent chromosomal aberrations in acute leukemia have provided insights
into the molecular mechanism of leukemogenesis. The variable frequencies of recurrent cytogenetic
markers due to ethical/racial differences have been reported from Western and some Asian
countries. Objective: We report cytogenetic data of largest cohort of 7209 adult and pediatric patients
with de novo acute leukemia (AL) to determine the prevalence of various cytogenetic sub
groups and compare with the Western and Asian population. Material & Methods: The AL patients
included 2609 AML (adult: 2042, pediatric: 567), 3708 B-cell-precursor (BCP)-ALL (adult: 1300,
pediatric: 2408) and 892 cases of T-ALL (adult: 480, pediatric: 412). Cytogenetic studies included
conventional karyotyping and FISH using panel of probes. Results: The incidence of t(8;21) was
high, comparable to other Asian countries. In comparison to our series and Western population,
t(15;17) was more prevalent in Chinese population. Cytogenetic profiling of BCP-ALL revealed low
prevalence of ETV6/RUNX1 in ours as well as other Asian population. The MLL aberrations in
BCP-ALL and TLX1 & TLX3 aberrations in T-ALL occurred less frequently in our series as compared
with Western population. Conclusion: The present study with a large cohort showed the heterogeneity
of AL that involved various factors, such as age, gender and prevalence of distinct cytogenetic
subgroups. Our data in comparison with other population based studies revealed differential
distribution of some cytogenetic sub-groups indicating geographic heterogeneity due to differential
environmental exposure which probably influenced underlying genetic susceptibility.
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