Acute promyelocytic leukemia derived extracellular vesicles conserve PML-RARα transcript from storage-inflicted degradation: a stable diagnosis tool in APL patients.

The early death, which is more common in acute promyelocytic leukemia (APL) patients rather than other types of acute myelocytic leukemia (AML) highlights the importance of appropriate diagnostic method for early detection of this disease. The low sensitivity of the conventional methods, low tumor b...

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Publicado en:Annals of Hematology Vol. 100; no. 9; pp. 2241 - 2253
Autores principales: Barzegar, Mohieddin, Farsani, Mehdi Allahbakhshian, Rafiee, Mohammad, Amiri, Vahid, Parkhihdeh, Sayeh, Rad, Fariba, Mohammadi, Mohammad Hossein
Formato: Journal Article
Publicado: Springer Nature Sep2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2021
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00277-021-04579-9
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        atl: Acute promyelocytic leukemia derived extracellular vesicles conserve PML-RARα transcript from storage-inflicted degradation: a stable diagnosis tool in APL patients.
      aug:
        au:
          Barzegar, Mohieddin
          Farsani, Mehdi Allahbakhshian
          Rafiee, Mohammad
          Amiri, Vahid
          Parkhihdeh, Sayeh
          Rad, Fariba
          Mohammadi, Mohammad Hossein
        affil: Laboratory Hematology and Blood Banking, School of Allied Medical Science, Shahid Beheshti University of Medical Sciences, Darband St, Qods Sq, Tehran, Iran
      sug:
        subj:
          Leukemia, Promyelocytic, Acute Diagnosis
          Proteins
          Neoplastic Processes
          Neoplastic Processes Diagnosis
          Aged
          Genotype
          Cell Line, Tumor
          Middle Age
          Female
          Leukemia, Promyelocytic, Acute
          Male
          Adult
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: The early death, which is more common in acute promyelocytic leukemia (APL) patients rather than other types of acute myelocytic leukemia (AML) highlights the importance of appropriate diagnostic method for early detection of this disease. The low sensitivity of the conventional methods, low tumor burden in some patients, and the need for bone marrow sampling are some of the diagnostic challenges on the way of proper detection of APL. Given these, we aimed to compare the efficacy of extracellular vesicles (EVs), as a diagnostic tool, with the existing methods. RT-PCR, qPCR, and flow cytometry were applied on EVs and their corresponding associated cellular component collected from 18 APL new cases, 23 patients with minimal residual disease (MRD), and NB4 cell line. RT-PCR results were positive in both cellular and vesicular components of all new cases, NB4 cells, and EVs in contrary to MRD cases. Normalized copy numbers (NCN) of PML-RARα were 5100 and 3950 for cell and EVs, respectively (p < 0.05). There was a significant difference in the NCN of PML-RARα between cells and EVs in BM samples. Investigating the effect of storage at room temperature revealed that PML-RARα level was retained near to the baseline level in EVs, but there was a significant reduction in its copy number in the cellular component during 7 days. Taken together, given to the acceptable stability, EVs could be introduced as a non-invasive liquid biopsy that alongside existing methods could remarkably change the paradigm of APL diagnostic approaches.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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