Navigation Links
Gene Activity May Affect Acute Myeloid Leukemia Outcome
Date:12/21/2010

TUESDAY, Dec. 21 (HealthDay News) -- For acute myeloid leukemia patients, overactive genes in their leukemic stem cells (LSC) can translate into a more difficult struggle to overcome their disease and achieve prolonged remission, new research reveals.

"In many cancers, specific subpopulations of cells appear to be uniquely capable of initiating and maintaining tumors," the study authors explained in their report. The researchers identified 52 LSC genes that, when highly active, appear to prompt worse outcomes among acute myeloid leukemia (AML) patients.

The finding is reported in the Dec. 22/29 issue of the Journal of the American Medical Association.

Between 2005 and 2007, study author Andrew J. Gentles, of Stanford University in Palo Alto, Calif., and colleagues examined gene activity in a group of AML patients as well as healthy individuals. Separate data concerning AML tumors in four groups of patients (totaling more than 1,000) was also analyzed.

In one of the patient groups, the investigators found that higher activity levels among 52 LSC genes meant a 78 percent risk of death within a three-year period. This compared with a 57 percent risk of death in the same time frame for AML patients with lower gene activity among these specific "signature" genes.

In another AML patient group, the research team observed that higher gene activity prompted an 81 percent risk for experiencing a disease set-back over three years, compared with just a 48 percent risk among patients with low gene activity.

What's more, Gentles and his colleagues found that higher activity among these 52 LSC genes generally meant a poorer response to chemotherapy treatment and lower remission rates.

The authors suggested that by "scoring" the activity levels of these 52 genes from low to high, clinicians might be able to better predict how well AML patients will respond to therapy. The finding could also help advance the design of future studies that aim to improve treatment strategies overall.

"Ultimately, this model has major implications for cancer therapy, most notably that in order to achieve cure, the cancer stem cells must be eliminated," the study authors said in a journal news release.

In the opinion of Dr. Nelson Chao, a professor of medicine and immunology, as well as chief of the division of cellular therapy at Duke University in Durham, N.C., the current work represents an effort to craft a highly personalized approach to disease treatment.

"This is the holy grail of personalized medicine, which is to find an individual signature with a disease so that each patient is handled as an individual. Because not everyone who has AML has the same tumor," Chao explained.

"And there are two implications with this," Chao added. "One is the prediction part. If we can predict how a particular patient may fare with treatment we can, for example, decide that someone at very high risk may need more aggressive or more investigational type of approaches."

And, he noted, "The flip side of that is that if we can learn what specific pathways are activated in a patient's leukemic stem cells, then we could end up turning to drugs that might be quite different from what we normally think of using today for AML. It may mean we end up using different drugs that we aren't even thinking of at this point. But of course, we have to look at this as a long-term goal."

More information

For more on myeloid leukemia treatment, visit the U.S. National Cancer Institute.

-- Alan Mozes

SOURCES: JAMA/Archives, news release, Dec. 21, 2010; Nelson Chao, M.D., professor, medicine and immunology, and chief, cellular therapy division, Duke University, Durham, N.C.


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Being a good sport can be critical to maintaining lifelong physical activity
2. PARP inhibitor, MK-4827, shows anti-tumor activity in first trial in humans
3. Activity Level Seems to Decline Throughout College Years
4. For Many Teens, Oral Sex Leads to Riskier Activity
5. PTSD Linked to Hyperactivity in Right Brain
6. Gene activity in the brain depends on genetic background
7. Resting brain activity associated with spontaneous fibromyalgia pain
8. Children have a negative impact on physical activity among individuals with heart disease
9. Concordia researcher leads study that finds kids reduce physical activity for heart patients
10. Inactivity no contributor to childhood obesity epidemic
11. Teenage physical activity reduces risk of cognitive impairment in later life
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Gene Activity May Affect Acute Myeloid Leukemia Outcome
(Date:6/27/2016)... (PRWEB) , ... June 27, 2016 , ... "FCPX editors ... customizable inside of Final Cut Pro X," said Christina Austin - CEO of Pixel ... style. Final Cut Pro X users can now reveal the media of ...
(Date:6/26/2016)... ... 27, 2016 , ... Quality metrics are proliferating in cancer care, and are ... the eye of the beholder, according to experts who offered insights and commentary in ... Managed Care. For the full issue, click here . , For the American ...
(Date:6/26/2016)... Birmingham, Lake Orion, Clarkston, Michigan (PRWEB) , ... ... ... their direction with respect to fertility once they have been diagnosed with endometriosis. ... for tolerable intercourse but they also require a comprehensive approach that can help ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room , the ... Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. , “We ... new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of First Choice ...
(Date:6/24/2016)... ... June 24, 2016 , ... A recent article published June ... with. The article goes on to state that individuals are now more comfortable seeking ... common operations such as calf and cheek reduction. The Los Angeles area medical group, ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... ANDOVER, Mass. and SAN CLEMENTE, Calif. ... California -based mobile pulmonary function testing company, is now ... portable PFT devices developed by ndd Medical Technologies , Inc. ... PFT testing done in hospital-based labs.  Thanks to ndd,s EasyOne PRO ... CA , can get any needed testing done in the ...
(Date:6/24/2016)... , June 24, 2016  Arkis BioSciences, ... less invasive and more durable cerebrospinal fluid treatments, ... funding.  The Series-A funding is led by Innova ... Fund, and other private investors.  Arkis, new financing ... instrumentation and the market release of its in-licensed ...
(Date:6/23/2016)... Ill. , June 23, 2016  In a startling report ... are failing their residents by lacking a comprehensive, proven plan to ... a definitive ranking of how states are tackling the worst ... to only four states – Kentucky , ... Vermont . Of the 28 failing states, three ...
Breaking Medicine Technology: