Standardized flow cytometry for highly sensitive MRD measurements in B-cell acute lymphoblastic leukemia
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F17%3A10373656" target="_blank" >RIV/00216208:11130/17:10373656 - isvavai.cz</a>
Alternative codes found
RIV/00064203:_____/17:10373656
Result on the web
<a href="https://doi.org/10.1182/blood-2016-07-726307" target="_blank" >https://doi.org/10.1182/blood-2016-07-726307</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1182/blood-2016-07-726307" target="_blank" >10.1182/blood-2016-07-726307</a>
Alternative languages
Result language
angličtina
Original language name
Standardized flow cytometry for highly sensitive MRD measurements in B-cell acute lymphoblastic leukemia
Original language description
A fully-standardized EuroFlow 8-color antibody panel and laboratory procedure was stepwise designed to measure minimal residual disease (MRD) in B-cell precursor (BCP) acute lymphoblastic leukemia (ALL) patients with a sensitivity of <= 10(-25), comparable to real-time quantitative polymerase chain reaction (RQ-PCR)-based MRD detection via antigen-receptor rearrangements. Leukocyte markers and the corresponding antibodies and fluorochromes were selected based on their contribution in separating BCP-ALL cells from normal/regenerating BCP cells in multidimensional principal component analyses. After 5 multicenter design-test-evaluate-redesign phases with a total of 319 BCP-ALL patients at diagnosis, two 8-color antibody tubes were selected, which allowed separation between normal and malignant BCP cells in 99% of studied patients. These 2 tubes were tested with a new erythrocyte bulk-lysis protocol allowing acquisition of high cell numbers in 377 bone marrow follow-up samples of 178 BCP-ALL patients. Comparison with RQ-PCR-based MRD data showed a clear positive relation between the percentage concordant cases and the number of cells acquired. For those samples with > 4 million cells acquired, concordant results were obtained in 93% of samples. Most discordances were clarified upon high-throughput sequencing of antigen-receptor rearrangements and blind multicenter reanalysis of flow cytometric data, resulting in an unprecedented concordance of 98% (97% for samples withMRD < 0.01%). In conclusion, the fully standardized EuroFlow BCP-ALLMRD strategy is applicable in > 98% of patients with sensitivities at least similar toRQ-PCR (<= 10(-25)), if sufficient cells (> 4310 6, preferablymore) are evaluated.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30204 - Oncology
Result continuities
Project
Result was created during the realization of more than one project. More information in the Projects tab.
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2017
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Blood
ISSN
0006-4971
e-ISSN
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Volume of the periodical
129
Issue of the periodical within the volume
3
Country of publishing house
US - UNITED STATES
Number of pages
11
Pages from-to
347-357
UT code for WoS article
000396529800012
EID of the result in the Scopus database
2-s2.0-85018677964