title: The acute lymphoblastic leukemia prognostic scoring whether it is possible by BCL-2, BAX gene promoter genotyping.
abstract: BACKGROUND
  BCL-2 is the most important anti-apoptotic regulator and Bax is a pro-apoptotic protein. The status of these parameters or the ration of BCL-2 to BAX is important in malignant cell fate as well as normal cells.
  
  
  METHODS
  Sixty-two ALL patients and 62 healthy sex-and age-matched controls were studied. After genotyping, the promoter region of the BAX and BCL-2 genes by RFLP-PCR method the patients were classified in nine prognostic groups, after that, the overall survival ratio of each score was compared with others pair-wise or between groups.
  
  
  RESULTS
  The frequencies of the AA, AC, CC alleles of the BCL-2 C-938A polymorphism in patient group were 33 (53.23%), 18 (29.03%), 11 (17.74%), and in the control group were 13 (21.0%), 27 (43.5%), 22 (35.5%), respectively (P=0.003). Also, the frequencies of AA, AG, GG alleles of the BAX G-248A SNP were 15 (24.2%), 24 (38.7%), 23 (37.1%) in ALL group and 13 (21.0%), 25 (40.3%), 24 (38.7%) (p>0.05) in the control group. The survival time estimation and ratio were significantly different between different SNPs in BCL-2 (P=0.002).
  
  
  CONCLUSIONS
  These findings showed that the BCL-2 promoter region polymorphism is more reliable than BAX gene promoter polymorphism in any ALL scoring system. But the establishment of complete scoring system requires further more clinical and laboratory findings along with genetic polymorphisms is necessary.
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Mozhagan
authors.initials: M
authors.lastname: Moazami-Goudarzi
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Majid
authors.initials: M
authors.lastname: Farshdousti-Hagh
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Abbasali
authors.initials: A
authors.lastname: Hoseinpour-Feizi
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Mehdi
authors.initials: M
authors.lastname: Talebi
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Ali Akbar
authors.initials: AA
authors.lastname: Movassaghpour-Akbari
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Karim
authors.initials: K
authors.lastname: Shams-Asanjan
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Jamal
authors.initials: J
authors.lastname: Eyvazi-Ziyaee
authors.affiliation: Stem Cell Research Center, Tabriz University of Medical Science, Tabriz, Iran.
authors.forename: Morteza
authors.initials: M
authors.lastname: Seifi
keywords: Acute lymphoblastic Leukemia; BAX; BCL2; Prognostic scoring; Single Nucleotide Polymorphism.; Survival