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Analysis of the PML/RAR-α Fusion Gene in Acute Promyelocytic Leukemia by Reverse-Transcription Polymerase Chain Reaction

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Molecular Diagnosis of Cancer

Part of the book series: Methods in Molecular Medicine™ ((MIMM,volume 6))

Abstract

Perhaps more than any other tumor marker associated with hematological neoplasia, the PMLIRAR-α hybrid gene has been shown to be important in the chinical practice. This aberration is absolutely APL-specific, being found in virtually 100% of cases and in no other tumors. Secondly, it identifies a clinical entity that is unique in its response to a specific treatment, i.e., the differentiative agent all-trans retinoic acid (ATRA). As the disease frequently presents with a life-threatening hemorrhagic diathesis, its prompt recognition in order to start the specific treatment is mandatory (1, 2). In this respect, reverse-transcription polymerase chain reaction (RT-PCR) amphficatron of the specific fusion gene represents an extremely useful diagnostic tool. Finally, several groups have independently reported that RT-PCR monitoring studies of residual disease in APL provide important prognostic informations, by predicting hematologic relapse in patients who test positive during clinical remission (35).

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© 1996 Humana Press Inc., Totowa, NJ

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Diverio, D., Luciano, A., Riccioni, R., Coco, F.L., Biondi, A. (1996). Analysis of the PML/RAR-α Fusion Gene in Acute Promyelocytic Leukemia by Reverse-Transcription Polymerase Chain Reaction. In: Cotter, F.E. (eds) Molecular Diagnosis of Cancer. Methods in Molecular Medicine™, vol 6. Humana Press. https://doi.org/10.1385/0-89603-341-4:47

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  • DOI: https://doi.org/10.1385/0-89603-341-4:47

  • Publisher Name: Humana Press

  • Print ISBN: 978-0-89603-341-2

  • Online ISBN: 978-1-59259-590-7

  • eBook Packages: Springer Protocols

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