title: Shortened survival after relapse in T-cell acute lymphoblastic leukemia patients with p16/p15 deletions.
abstract: p16 Alterations were detected in > 60% of 103 primary T-ALL samples. In paired diagnosis-relapse patient samples, 80% of the relapse samples with p16 deletion were deleted at diagnosis. When p16 was homozygously deleted, p15 gene alterations were found in 72% of the diagnosis T-ALL patient samples, increasing significantly to 100% at relapse. Alterations of p18 were not detected. No clinical significance of p15/p16 gene deletion in diagnosis T-ALL was found with respect to white blood cell (WBC) count, incidence of mediastinal mass, rate of relapse, duration of first remission or event-free survival. In relapse T-ALL, however, patients with p16 deletion experienced a significantly shorter duration of post-relapse survival, demonstrating that p16 deletion is clinically significant in T-ALL.
authors.affiliation: Department of Pediatrics/Hematology Oncology, University of California San Diego Medical Center 92103-8447, USA.
authors.forename: M B
authors.initials: MB
authors.lastname: Diccianni
authors.forename: A
authors.initials: A
authors.lastname: Batova
authors.forename: J
authors.initials: J
authors.lastname: Yu
authors.forename: T
authors.initials: T
authors.lastname: Vu
authors.forename: J
authors.initials: J
authors.lastname: Pullen
authors.forename: M
authors.initials: M
authors.lastname: Amylon
authors.forename: B H
authors.initials: BH
authors.lastname: Pollock
authors.forename: A L
authors.initials: AL
authors.lastname: Yu
mesh_terms: D002352:Carrier Proteins / Q000235:genetics*; D018797:Cell Cycle Proteins; D050762:Cyclin-Dependent Kinase Inhibitor p15; D019941:Cyclin-Dependent Kinase Inhibitor p16; D018572:Disease-Free Survival; D017353:Gene Deletion; D016158:Genes, p53; D018095:Germ-Line Mutation; D006579:Heterozygote; D006720:Homozygote; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000235:genetics* / Q000473:pathology / Q000628:therapy; D017354:Point Mutation; D012008:Recurrence; D025521:Tumor Suppressor Proteins
chemical_list: C493966:CDKN2B protein, human; D002352:Carrier Proteins; D018797:Cell Cycle Proteins; D050762:Cyclin-Dependent Kinase Inhibitor p15; D019941:Cyclin-Dependent Kinase Inhibitor p16; D025521:Tumor Suppressor Proteins