2009
DOI: 10.1001/jama.2009.7
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Genome-wide Interrogation of Germline Genetic Variation Associated With Treatment Response in Childhood Acute Lymphoblastic Leukemia

Abstract: EDIATRIC ACUTE LYMPHOBLAStic leukemia (ALL) cure rates have increased from less than 10% in the 1960s to more than 80% today. Such advancement was partly derived from the identification of presenting clinical features (eg, molecular subtype, leukocyte count, age) associated with treatment outcome and subsequent implementation of risk-adapted therapy. 1,2 The assessment of decreasing disease bur-den in response to therapy by sequential monitoring of minimal residual disease (MRD) status has n o w b e e n i n t… Show more

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Cited by 202 publications
(169 citation statements)
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“…[68][69][70][71][72][73][74][75][76][77][78] While in the era of genomics the number of papers in the field of leukemia has risen amazingly, it remains difficult to filter out the information, which can be used for improved treatment quality and better prevention of disease recurrence. Certainly one prerequisite is reproducibility of data, and thus, uniform approaches are needed if such techniques shall be used routinely in clinical diagnostics and for risk assessment.…”
Section: Discussionmentioning
confidence: 99%
“…[68][69][70][71][72][73][74][75][76][77][78] While in the era of genomics the number of papers in the field of leukemia has risen amazingly, it remains difficult to filter out the information, which can be used for improved treatment quality and better prevention of disease recurrence. Certainly one prerequisite is reproducibility of data, and thus, uniform approaches are needed if such techniques shall be used routinely in clinical diagnostics and for risk assessment.…”
Section: Discussionmentioning
confidence: 99%
“…[31][32][33] We will also study inherited genetic variations of the patients to elucidate (i) the pharmacogenetic basis for the observed differences in treatment responses and (ii) the biology of the leukemic cells. 34 Figure 1 Event-free survival (EFS), survival, and cumulative incidence of isolated or any CNS relapse in TPOG-97. …”
Section: -Year Efs (%)mentioning
confidence: 99%
“…Toward this end, GWAS has been particularly successful in identifying pharmacogenetic (PGx) loci by SNP genotyping and expression quantitative trait loci (eQTL) analysis. Notable examples include mutations in Interleukin-15 (IL15) associated with altered disposition of antileukemic chemotherapy (pediatric ALL), as well as those in CYP2C9 associated with bisphosphonate-induced jaw osteonecrosis (multiple myeloma), among others [34][35][36] (see Table 2 for a detailed list of known PGx loci). In part, the success of GWAS is related to the fact that many ADR-associated mutations are relatively common in the population, since these 'evoked' phenotypes are otherwise not deleterious, such mutations are typically not under negative selection pressure.…”
Section: Application Of Pharmacogenomics (Pgx) To Hctmentioning
confidence: 99%