Common Polymorphism G(-248)A in the Promoter Region of the bax Gene Results in Significantly Shorter Survival in Patients With Chronic Lymphocytic Leukemia Once Treatment Is Initiated

作者: Jane Starczynski , Chris Pepper , Guy Pratt , Laura Hooper , Alun Thomas

DOI: 10.1200/JCO.2005.02.192

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摘要: Purpose Chronic lymphocytic leukemia (CLL) is characterized by the development of drug resistance. The underlying biologic and genetic reasons for this resistance are complex, but bcl-2 gene family seems to play a critical role. This retrospective study assessed clinical impact common single nucleotide polymorphism pro-apoptotic bax in patients with chronic leukemia. Patients Methods frequency novel polymorphism, G(−248)A, promoter region protein expression was 203 CLL patients. results were correlated outcome. Results found 23% cohort 15% normal controls no significant difference allele between two groups (P = .15). It associated lower Bax shorter overall survival, especially treated patient group .03). Furthermore, adverse accentuated when comparing ...

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