Associação entre os transcritos do gene BCR-ABL e o perfil hematológico laboratorial

Conteúdo do artigo principal

Marcelo Braga de Oliveira
https://orcid.org/0000-0002-5114-6099
Carolina de Alcântara Maneschy
https://orcid.org/0000-0002-1384-9180
Jairo Augusto Américo de Castro
https://orcid.org/0000-0002-2522-5041
Katarine Antonia dos Santos Barile
https://orcid.org/0000-0002-2229-6186
Maurício Koury Palmeira
Carlos Eduardo de Melo Amaral

Resumo

Objetivo: Neste estudo, descrevemos os parâmetros hematológicos associados com os transcritos do gene BCR-ABL em pacientes com leucemia mieloide crônica (LMC). Métodos: Revisamos os resultados de 100 pacientes detectáveis para um dos transcritos do geneBCR-ABL. Os critérios de elegibilidade foram baseados na presença de um dos transcritos leucêmicos (b2a2, b3a2 e b2a2/b3a2), dados epidemiológicos e hematológicos completos. Os dados foram obtidos do sistema informatizado LABMASTER. O teste Kruskal-Wallis foi utilizado para comparar as medianas, das variáveis quantitativas, entre os transcritos do gene BCR-ABL e o teste qui-quadrado para comparar as variáveis qualitativas, adotando-se o p-valor com nível de significância menor ou igual a 0,05.Resultados: Quarenta e cinco pacientes (45%) apresentaram o transcrito b2a2, 24 (24%) o transcrito b3a2 e 31 (31%) uma coexpressão de b2a2/b3a2. Os indivíduos que expressaram o transcrito b3a2 apresentaram maior contagem de leucócitos e níveis de plaquetas, porém não encontramos diferenças, quando comparados com indivíduos que expressaram o outro transcrito. Conclusão: Concluímos que os transcritos do gene BCR-ABL não têm influência sobre os parâmetros hematológicos de pacientes com LMC nesse estudo.



Detalhes do artigo

Como Citar
1.
Oliveira MB de, Maneschy C de A, Castro JAA de, Barile KA dos S, Palmeira MK, Amaral CE de M. Associação entre os transcritos do gene BCR-ABL e o perfil hematológico laboratorial. HSJ [Internet]. 6º de setembro de 2022 [citado 22º de novembro de 2024];12(3):61-6. Disponível em: https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1281
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ARTIGO ORIGINAL
Biografia do Autor

Marcelo Braga de Oliveira, Metropolitan University Center of the Amazon (UNIFAMAZ), Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

Master's student in Oncology and Medical Sciences at the Federal University of Pará.

Carolina de Alcântara Maneschy, Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

Biomedical graduate from the Metropolitan University Center of the Amazon

Jairo Augusto Américo de Castro, Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

Master in Virology from Instituto Evandro Chagas.

Katarine Antonia dos Santos Barile, Metropolitan University Center of the Amazon (UNIFAMAZ), Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

PhD in Biology of Infectious and Parasitic Agents from the Federal University of Pará.

Maurício Koury Palmeira, Metropolitan University Center of the Amazon (UNIFAMAZ), Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

Master in Biology of Infectious and Parasitic Agents from the Federal University of Pará.

Carlos Eduardo de Melo Amaral, Metropolitan University Center of the Amazon (UNIFAMAZ), Foundation Center for Hematology and Hemotherapy of the State of Pará (HEMOPA)

PhD in Genetics and Molecular Biology from the Federal University of Pará.

Referências

Dorfman LE, Floriani MA, Oliveira TMRDR, Cunegatto B, Rosa RFM, Zen PRG. The role of cytogenetics and molecular biology in the diagnosis, treatment and monitoring of patients with chronic myeloid leukemia. J Bras Patol Med Lab. 2018;54(2):83-91. https://doi.org/10.5935/1676-2444.20180015 DOI: https://doi.org/10.5935/1676-2444.20180015

Neves WB, Brito AM, Vasconcelos AP, Melo FCBC, Melo RAM. Incidence and spatial distribution of Chronic Myeloid Leukemia by regions of economic development in the state of Pernambuco, Brazil. Hematol Transfus Cell Ther. 2019;41(3):212-5. https://doi.org/10.1016/j.htct.2018.08.009 DOI: https://doi.org/10.1016/j.htct.2018.08.009

Halon K, Copland M. Chronic myeloid leukemia. Medicine. 2017;45(5):287-91. https://doi.org/10.1016/j.mpmed.2017.02.004 DOI: https://doi.org/10.1016/j.mpmed.2017.02.004

Bávaro L, Martelli M, Cavo M, Soverini S. Mechanisms of disease progression and resistance to tyrosine kinase inhibitor therapy in Chronic Myeloid Leukemia: an update. Int J Mol Sci. 2019;20(24):6141. https://doi.org/10.3390/ijms20246141 DOI: https://doi.org/10.3390/ijms20246141

Bennour A, Ouahchi I, Achour B, Zaier M, Youssef YB, Khelif A, et al. Analysis of the clinico-hematological relevance of the breakpoint location within M-BCR in chronic myeloid leukemia. Med Oncol. 2012;30(1):348. https://doi.org/10.1007/s12032-012-0348-z DOI: https://doi.org/10.1007/s12032-012-0348-z

Baccarani M, Castagnetti F, Gugliotta G, Rosti G, Soverini S, Albeer A, et al. The proportion of different BCR-ABL1 transcript types in chronic myeloid leukemia. An international overview. Leukemia. 2019;33(5):1173-83. https://doi.org/10.1038/s41375-018-0341-4 DOI: https://doi.org/10.1038/s41375-018-0341-4

Gaspar JC, Santana LS, Souza CMF, Caseiro MM, Giuliani RRS, Souza CB. Clonagem molecular do oncogene EZH2 de leucemia mieloide crônica e perspectivas terapêuticas. Mundo Saúde. 2015;39(3):307-15. https://doi.org/10.15343/0104-7809.20153903307315 DOI: https://doi.org/10.15343/0104-7809.20153903307315

Piedimonte M, Otone T, Afonso V, Ferrari A, Conte E, Divona M, et al. A rare BCR-ABL1 transcript in Philadelphia-positive acute myeloid leukemia: case report and literature review. BMC Cancer. 2019;19(1):50. https://doi.org/10.1186/s12885-019-5265-5 DOI: https://doi.org/10.1186/s12885-019-5265-5

Deb P, Chakrabarti P, Chakrabarty S, Aich R, Nath U, Ray SS, et al. Incidence of BCR-ABL transcript variants in patients with chronic myeloid leukemia: Their correlation with presenting features, risk scores and response to treatment with imatinib mesylate. Indian J Med Pediatr Oncol. 2014;35(1):26-30. https://doi.org/10.4103/0971-5851.133707 DOI: https://doi.org/10.4103/0971-5851.133707

Al-Achkar W, Moassas F, Youssef N, Wafa A. Correlation of p210 BCR-ABL transcript variants with clinical, parameters and disease outcome in 45 chronic myeloid leukemia patients. J BUON. 2016;21(2):444-9. PMid:27273956

Almeida-Filho TP, Maia-Filho PA, Barbosa MC, Dutra LLA, Castro MF, Duarte FB, et al. Does BCR-ABL transcript type influence the prognosis of patients in chronic myelogenous leukemia chronic phase? Hematol Transfus Cell Ther. 2019;41(2):114-8. https://doi.org/10.1016/j.htct.2018.10.003 DOI: https://doi.org/10.1016/j.htct.2018.10.003

Ayatollahi H, Keramati MR, Shirdel A, Kooshyar MM, Raiszadeh M, Shakeri S, et al. BCR-ABL fusion genes and laboratory findings in patients with chronic myeloid leukemia in northeast Iran. Caspian J Intern Med. 2018;9(1):66-70. https://doi.org/10.22088/cjim.9.1.65

Khorard JS, Lavallade H, Apperley JF, Milojkovic D, Reid AG, Bua M, et al. Finding of kinase domain mutations in patients with chronic phase chronic myeloid leukemia responding to imatinib may identify those at high risk of disease progression. J Clin Oncol. 2008;26(29):4806-13. https://doi.org/10.1200/JCO.2008.16.9953 DOI: https://doi.org/10.1200/JCO.2008.16.9953

Castagnetti F, Gugliotta G, Breccia M, Iurlo A, Levato L, Albano F, et al. The BCR-ABL1 transcript type influences response and outcome in Philadelphia chromosome-positive chronic myeloid leukemia patients treated frontline with imatinib. Am J Hematol. 2017;92(8):797-805. https://doi.org/10.1002/ajh.24774 DOI: https://doi.org/10.1002/ajh.24774

Balatzenko G, Vundinti BR, Margarita G. Correlation between the type of bcr-abl transcripts and blood cell counts in chronic myeloid leukemia - a possible influence of mdr1 gene expression. Hematol Rep. 2011;3(1):e3. https://doi.org/10.4081/hr.2011.e3 DOI: https://doi.org/10.4081/hr.2011.e3

Verschraegen CF, Kantarjian HM, Hirsch-Ginsberg C, Lee MD, O'Brien S, Rios MS, et al. The breakpoint cluster region site in patients with Philadelphia chromosome-positive Chronic Myelogenous Leukemia. Cancer. 1995;76(6):992-7. https://doi.org/10.1002/1097-0142(19950915)76:6<992::AID-CNCR2820760612>3.0.CO;2-L DOI: https://doi.org/10.1002/1097-0142(19950915)76:6<992::AID-CNCR2820760612>3.0.CO;2-L

Lin HX, Sjaarda J, Dyck J, Stringer R, Hillis C, Harvey M, et al. Gender and BCR-ABL transcript type are correlated with molecular response to imatinib treatment in patients with chronic myeloid leukemia. Eur J Haematol. 2015;96(4):360-6. https://doi.org/10.1111/ejh.12597 DOI: https://doi.org/10.1111/ejh.12597

Sastre DA, Argarana CE, Heller VB, Gallo M, Fernandez EN, Rodrígues CM. An analysis of multiplex-PCR in the detection of BCR-ABL transcripts in hematological disorders. Genet Mol Biol. 2007;30(3):520-3. https://doi.org/10.1590/S1415-47572007000400003 DOI: https://doi.org/10.1590/S1415-47572007000400003

Paz-y-Miño C, Burgos R, Morillo AS, Santos JC, Fiallo BF, Leone PE. BCR-ABL rearrangement frequencies in chronic myeloid leukemia and acute lymphoblastic leukemia in Ecuador, South America. Cancer Genet Cytogenet. 2002;1(1):65-67. https://doi.org/10.1016/S0165-4608(01)00515-5 DOI: https://doi.org/10.1016/S0165-4608(01)00515-5

Bonilla CAA, Torres JD, Muskus CE, Gaviria GR, Sierra JC, Sanchez MS, et al. Frecuencia de los transcriptos p190 BCR-ABL y p210 BCR-ABL en una población colombiana con leucemia mieloide crónica (LMC) usando RT-PCR cualitativa. Iatreia [Internet]. 2014 [cited 2022 Aug 22];27(4):398-409. Available from: https://bit.ly/3CqbU06

Khazaal MS, Hamdan FB, Al‐Mayah QS. Association of BCR/ABL transcript variants with different blood parameters and demographic features in Iraqi chronic myeloid leukemia patients. Mol Genet Genomic Med. 2019;7(8):e809. https://doi.org/10.1002/mgg3.809 DOI: https://doi.org/10.1002/mgg3.809

Bortolheiro TC, Chiattone CS. Leucemia Mielóide Crônica: história natural e classificação. Rev Bras Hematol Hemoter. 2008;30(suppl 1):3-7. https://doi.org/10.1590/S1516-84842008000700003 DOI: https://doi.org/10.1590/S1516-84842008000700003

Sharma P, Kumar L, Mohanty S, Kochupillai V. Response to Imatinib mesylate in chronic myeloid leukemia patients with variant BCR-ABL fusion transcripts. Ann Hematol. 2009;89(3):241-7. https://doi.org/10.1007/s00277-009-0822-7 DOI: https://doi.org/10.1007/s00277-009-0822-7

Yaghmaie M, Ghaffari SH, Ghavamzadeh A, Alimoghaddam K, Jahani M, Mousavi SA, et al. Frequency of BCR-ABL Fusion Transcripts in Iranian Patients with Chronic Myeloid Leukemia. Arch Iran Med. 2008;11(3):247-251. PMId:18426313

Thakur MK, Mani ST. Estradiol regulates APP mRNA alternative splicing in the mice brain cortex. Neurosci Lett. 2005;381(1-2):154-7. https://doi.org/10.1016/j.neulet.2005.02.014 DOI: https://doi.org/10.1016/j.neulet.2005.02.014

Jain P, Kantarjian H, Patel KP, Gonzalez GN, Luthra R, Kanagal Shamanna R, et al. Impact of BCR-ABL transcript type on outcome in patients with chronic-phase CML treated with tyrosine kinase inhibitors. Blood. 2016;127(10):1269-75. https://doi.org/10.1182/blood-2015-10-674242 DOI: https://doi.org/10.1182/blood-2015-10-674242

Mondal BC, Bandyopadhyay A, Majumdar S, Mukhopadhyay A, Chandra S, Chaudhuri U, et al. Molecular profiling of chronic myeloid leukemia in eastern India. Am J Hematol. 2006;81(11):845-9. https://doi.org/10.1002/ajh.20682 DOI: https://doi.org/10.1002/ajh.20682

Arana-Trejo RM, Ruíz Sánchez E, Ignacio-Ibarra G, Báez de la Fuente E, Garces O, Gómez Morales E, et al. BCR/ABL p210, p190 and p230 fusion genes in 250 Mexican patients with chronic myeloid leukaemia (CML). Clin Lab Haematol. 2002;24(3):145-50. https://doi.org/10.1046/j.1365-2257.2002.00413.x DOI: https://doi.org/10.1046/j.1365-2257.2002.00413.x

Pagnano KBB, Miranda EC, Delamain MT, Duarte GO, de Paula EV, Lorand-Metze I, et al. Influence of BCR-ABL transcript type on outcome in patients with chronic-phase chronic myeloid leukemia treated with imatinib. Clin Lymphoma Myeloma Leuk. 2017;17(11):728-33. https://doi.org/10.1016/j.clml.2017.06.009 DOI: https://doi.org/10.1016/j.clml.2017.06.009

Hanfstein B, Lauseker M, Hehlmann R, Saussele S, Erben P, Dietz C, et al. Distinct characteristics of e13a2 versus e14a2 BCR-ABL1 driven chronic myeloid leukemia under first-line therapy with imatinib. Haematologica. 2014;99(9):1441-7. https://doi.org/10.3324/haematol.2013.096537 DOI: https://doi.org/10.3324/haematol.2013.096537