ЁЯзм Study Finds TP53 Mutation in 1 in 10 Adult ALL Patients

A multi-institutional study of 830 adult patients across eight academic centres has revealed that nearly 1 in 10 adults diagnosed with Acute Lymphoblastic Leukaemia (ALL) carry a mutation in the TP53 gene. This finding is significant for improving diagnosis, prognosis, and targeted treatment strategies.

https://my.clevelandclinic.org/-/scassets/images/org/health/articles/4365-leukemia

https://my.clevelandclinic.org/-/scassets/Images/org/health/articles/17735-bone-marrow-biopsy

https://www.mdpi.com/cancers/cancers-16-03069/article_deploy/html/images/cancers-16-03069-g001.png


ЁЯй╕ What is Acute Lymphoblastic Leukaemia (ALL)?

Acute Lymphoblastic Leukaemia (ALL), also called acute lymphocytic leukaemia, is a type of blood cancer that affects white blood cells and bone marrow.

It is a rapidly progressing (fast-growing) cancer and is the most common cancer in children, although it can also affect adults.

тЪая╕П Symptoms

Common symptoms of ALL include:

  • Bleeding from gums
  • Bone pain
  • Fever
  • Frequent infections
  • Frequent or severe nosebleeds

ЁЯзм Causes

ALL occurs when a bone marrow cell undergoes genetic mutations in its DNA, leading to uncontrolled growth of abnormal white blood cells.

One such mutation involves the TP53 gene, which normally helps regulate cell growth and prevent cancer.

ЁЯФм Types of ALL

According to the World Health Organization (WHO), ALL is classified into two main types:

1. B-cell Lymphoblastic Leukaemia

  • Originates in immature B-cell lymphocytes
  • Most common type

2. T-cell Lymphoblastic Leukaemia

  • Originates in immature T-cell lymphocytes
  • Less common

ЁЯТК Treatment

Treatment of ALL may include:

  • Chemotherapy (main treatment)
  • Targeted therapy (drugs that attack cancer-specific cells)

Early detection and genetic profiling (like TP53 mutation) help in better treatment planning.

ЁЯМ▒ Significance of Study

The discovery of TP53 mutations in a significant proportion of adult ALL patients:

  • Helps identify high-risk patients
  • Enables personalized treatment approaches
  • Improves survival outcomes through targeted therapies

ЁЯзм рдЕрдзреНрдпрдпрди рдореЗрдВ рдЦреБрд▓рд╛рд╕рд╛: рд╣рд░ 10 рдореЗрдВ рд╕реЗ 1 рд╡рдпрд╕реНрдХ ALL рдорд░реАрдЬ рдореЗрдВ TP53 рдореНрдпреВрдЯреЗрд╢рди

830 рд╡рдпрд╕реНрдХ рдорд░реАрдЬреЛрдВ рдкрд░ рдХрд┐рдП рдЧрдП рдПрдХ рдЕрдзреНрдпрдпрди рдореЗрдВ рдкрд╛рдпрд╛ рдЧрдпрд╛ рдХрд┐ рд▓рдЧрднрдЧ рд╣рд░ 10 рдореЗрдВ рд╕реЗ 1 Acute Lymphoblastic Leukaemia (ALL) рдорд░реАрдЬ рдореЗрдВ TP53 рдЬреАрди рдХрд╛ рдореНрдпреВрдЯреЗрд╢рди рдкрд╛рдпрд╛ рдЬрд╛рддрд╛ рд╣реИред

ЁЯй╕ ALL рдХреНрдпрд╛ рд╣реИ?

Acute Lymphoblastic Leukaemia (ALL) рдПрдХ рдкреНрд░рдХрд╛рд░ рдХрд╛ рд░рдХреНрдд рдХреИрдВрд╕рд░ рд╣реИ, рдЬреЛ рд╢реНрд╡реЗрдд рд░рдХреНрдд рдХреЛрд╢рд┐рдХрд╛рдУрдВ (WBC) рдФрд░ рдЕрд╕реНрдерд┐ рдордЬреНрдЬрд╛ (bone marrow) рдХреЛ рдкреНрд░рднрд╛рд╡рд┐рдд рдХрд░рддрд╛ рд╣реИред

рдпрд╣ рддреЗрдЬреА рд╕реЗ рдмрдврд╝рдиреЗ рд╡рд╛рд▓рд╛ рдХреИрдВрд╕рд░ рд╣реИ рдФрд░ рдмрдЪреНрдЪреЛрдВ рдореЗрдВ рд╕рдмрд╕реЗ рдЖрдо рдХреИрдВрд╕рд░ рд╣реИред

тЪая╕П рд▓рдХреНрд╖рдг

  • рдорд╕реВрдбрд╝реЛрдВ рд╕реЗ рдЦреВрди рдЖрдирд╛
  • рд╣рдбреНрдбрд┐рдпреЛрдВ рдореЗрдВ рджрд░реНрдж
  • рдмреБрдЦрд╛рд░
  • рдмрд╛рд░-рдмрд╛рд░ рд╕рдВрдХреНрд░рдордг
  • рдмрд╛рд░-рдмрд╛рд░ рдирдХрд╕реАрд░

ЁЯзм рдХрд╛рд░рдг

рдпрд╣ рдмреАрдорд╛рд░реА рддрдм рд╣реЛрддреА рд╣реИ рдЬрдм рдЕрд╕реНрдерд┐ рдордЬреНрдЬрд╛ рдХреА рдХреЛрд╢рд┐рдХрд╛рдУрдВ рдХреЗ DNA рдореЗрдВ рдореНрдпреВрдЯреЗрд╢рди рд╣реЛ рдЬрд╛рддрд╛ рд╣реИред

TP53 рдЬреАрди рдХрд╛ рдореНрдпреВрдЯреЗрд╢рди рдХреИрдВрд╕рд░ рдХреЗ рд╡рд┐рдХрд╛рд╕ рдореЗрдВ рдорд╣рддреНрд╡рдкреВрд░реНрдг рднреВрдорд┐рдХрд╛ рдирд┐рднрд╛рддрд╛ рд╣реИред

ЁЯФм рдкреНрд░рдХрд╛рд░

1. B-cell ALL

  • рд╕рдмрд╕реЗ рд╕рд╛рдорд╛рдиреНрдп
  • B-рд▓рд┐рдореНрдлреЛрд╕рд╛рдЗрдЯреНрд╕ рд╕реЗ рд╡рд┐рдХрд╕рд┐рдд

2. T-cell ALL

  • рдХрдо рд╕рд╛рдорд╛рдиреНрдп
  • T-рд▓рд┐рдореНрдлреЛрд╕рд╛рдЗрдЯреНрд╕ рд╕реЗ рд╡рд┐рдХрд╕рд┐рдд

ЁЯТК рдЙрдкрдЪрд╛рд░

  • рдХреАрдореЛрдереЗрд░реЗрдкреА
  • рдЯрд╛рд░реНрдЧреЗрдЯреЗрдб рдереЗрд░реЗрдкреА

ЁЯМ▒ рдорд╣рддреНрд╡

рдпрд╣ рдЦреЛрдЬ:

  • рд╣рд╛рдИ-рд░рд┐рд╕реНрдХ рдорд░реАрдЬреЛрдВ рдХреА рдкрд╣рдЪрд╛рди рдореЗрдВ рдорджрдж рдХрд░реЗрдЧреА
  • рдмреЗрд╣рддрд░ рдЗрд▓рд╛рдЬ рд╕рдВрднрд╡ рдмрдирд╛рдПрдЧреА
  • рд╡реНрдпрдХреНрддрд┐рдЧрдд (personalized) рдЪрд┐рдХрд┐рддреНрд╕рд╛ рдХреЛ рдмрдврд╝рд╛рд╡рд╛ рджреЗрдЧреА


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