The introduction of tyrosine kinase inhibitors in 2001 as a targeted anticancer therapy has significantly improved the quality of life and survival of patients with chronic myeloid leukemia. At the same time, with the introduction of tyrosine kinase inhibitors, the need for precise monitoring of the molecular response to therapy has emerged. Starting with a qualitative polymerase chain reaction, followed by the introduction of a quantitative polymerase chain reaction to determine the exact quantity of the transcript of interest-p210 BCR-ABL1, molecular monitoring in patients with chronic myeloid leukemia was internationally standardized. This enabled precise monitoring of the therapeutic response, unification of therapeutic protocols, and comparison of results between different laboratories. This review aims to summarize the steps in the diagnosis and molecular monitoring of p210 BCR-ABL1, as well as to consider the possible future application of a more sophisticated method such as digital polymerase chain reaction.

Standardization of BCR-ABL1 p210 Monitoring: From Nested to Digital PCR

Jovanovski, Aleksandar
Co-first
;
Petiti, Jessica
Co-first
;
Giugliano, Emilia;Gottardi, Enrico Marco;Saglio, Giuseppe;Cilloni, Daniela
Co-last
;
Fava, Carmen
Co-last
2020-01-01

Abstract

The introduction of tyrosine kinase inhibitors in 2001 as a targeted anticancer therapy has significantly improved the quality of life and survival of patients with chronic myeloid leukemia. At the same time, with the introduction of tyrosine kinase inhibitors, the need for precise monitoring of the molecular response to therapy has emerged. Starting with a qualitative polymerase chain reaction, followed by the introduction of a quantitative polymerase chain reaction to determine the exact quantity of the transcript of interest-p210 BCR-ABL1, molecular monitoring in patients with chronic myeloid leukemia was internationally standardized. This enabled precise monitoring of the therapeutic response, unification of therapeutic protocols, and comparison of results between different laboratories. This review aims to summarize the steps in the diagnosis and molecular monitoring of p210 BCR-ABL1, as well as to consider the possible future application of a more sophisticated method such as digital polymerase chain reaction.
2020
12
11
3287
3297
BCR-ABL1; Chronic myeloid leukemia; MMR; conversion factor; international scale; molecular monitoring
Jovanovski, Aleksandar; Petiti, Jessica; Giugliano, Emilia; Gottardi, Enrico Marco; Saglio, Giuseppe; Cilloni, Daniela; Fava, Carmen
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2318/1762416
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