Molecular Monitoring of BCR-ABL Fusion Transcripts in Patients with Chronic Myeloid Leukemia During Treatment Using the Endpoint Fluorescence Method

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OBJECTIVE: The purpose of the study was to compare results and evaluate the agreement between the endpoint fluorescence (EPF) method and quantitative real-time polymerase chain reaction (QPCR) during molecular monitoring of patients with chronic myeloid leukemia (CML) receiving treatment.

MATERIALS AND METHODS: The study was conducted at Molecular Lab of Riphah International University, Islamabad, Pakistan, from January 2017 to December 2018. A total of 150 blood specimens from 30 patients with CML were analyzed at regular intervals during therapy. The detection/quantification of transcript mRNA was done simultaneously using QPCR and the EPF method.

RESULTS: Out of a total of 150 RNA specimens analyzed, 117 (78%) specimens were positive, whereas 33 (22%) were negative for the transcript using both methods at various stages of treatment. Strong linear negative correlations between the cycle threshold and relative fluorescence unit values were observed with P <.0001 at 0, 3, 6, 9, and 12 months of treatment. No significant difference (P >.05) between the means of the BCR-ABL percentage was observed in either method at all stages of treatment. The bias between the 2 methods was calculated as 0.069 ± 3.50, and 95% limits of agreement were 6.92% to -6.79%.

CONCLUSION: We found that EPF is s simple method to detect/quantify BCR-ABL mRNA expression during treatment with comparable results to QPCR.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Laboratory medicine - 53(2022), 2 vom: 07. März, Seite 183-189

Sprache:

Englisch

Beteiligte Personen:

Amin, Huma [VerfasserIn]
Ahmed, Suhaib [VerfasserIn]

Links:

Volltext

Themen:

BCR-ABL
Chronic myeloid leukemia
EC 2.7.10.2
Endpoint fluorescence
Fusion Proteins, bcr-abl
Journal Article
Molecular monitoring
Quantitative real-time polymerase chain reaction
RNA, Messenger
Tyrosine kinase inhibitors

Anmerkungen:

Date Completed 09.03.2022

Date Revised 09.03.2022

published: Print

Citation Status MEDLINE

doi:

10.1093/labmed/lmab075

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM330650602