PMID- 10374857 OWN - NLM STAT- MEDLINE DCOM- 19990707 LR - 20190826 IS - 0145-2126 (Print) IS - 0145-2126 (Linking) VI - 23 IP - 5 DP - 1999 May TI - Development of a simple, blood based lymphoproliferation assay to assess the clinical status of patients with acute lymphoblastic leukemia. PG - 433-9 AB - Although childhood acute lymphoblastic leukemia (ALL) is highly responsive to chemotherapy, reliable techniques are needed to determine treatment outcome and predict relapse. Employing a 9-O-acetyl sialic acid binding lectin, ATN(H), we have identified two 9-O-acetylated sialogycoconjugates (9-OAcSGs) as novel biomarkers expressed selectively on leukemic blasts of ALL patients. Presently, we report a non-invasive, blood based lymphoproliferation assay, which employs the maximal lymphoproliferative dose of ATN(H) (MLD) to assess the status of 9-OAcSGs with progressive therapy. A low MLD (0.18 +/- 0.01 microg) in untreated patients reflects increased expression of 9-OAcSGs which decline following therapy (MLD = 2.10 +/- 0.60 microg), persist during maintenance therapy (MLD = 4.50 +/- 1.60 microg)/follow-up (MLD = 5.50 +/- 0.85 microg) and are re-induced with relapse (MLD = 0.25 +/- 0.01 microg). Since the assay detects lymphoblasts with a sensitivity of 10(-4), shows no cross-reactivity with other hematological disorders (n = 48) and has been tested in 212 patients, it meets clinical consideration. FAU - Sinha, D AU - Sinha D AD - Indian Institute of Chemical Biology, Calcutta. FAU - Mandal, C AU - Mandal C FAU - Bhattacharya, D K AU - Bhattacharya DK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Leuk Res JT - Leukemia research JID - 7706787 RN - 0 (Glycoproteins) RN - 0 (Membrane Proteins) RN - 0 (Mitogens) SB - IM MH - Child MH - Child, Preschool MH - Cross Reactions MH - Evaluation Studies as Topic MH - Female MH - Glycoproteins/drug effects MH - Humans MH - Lymphocytes/pathology MH - Lymphoproliferative Disorders/*blood MH - Male MH - Membrane Proteins/drug effects MH - Mitogens/pharmacology MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/blood/*drug therapy MH - Prognosis MH - Reproducibility of Results MH - Sensitivity and Specificity MH - Stem Cells/pathology MH - Treatment Outcome EDAT- 1999/06/22 00:00 MHDA- 1999/06/22 00:01 CRDT- 1999/06/22 00:00 PHST- 1999/06/22 00:00 [pubmed] PHST- 1999/06/22 00:01 [medline] PHST- 1999/06/22 00:00 [entrez] AID - S0145-2126(98)00184-2 [pii] AID - 10.1016/s0145-2126(98)00184-2 [doi] PST - ppublish SO - Leuk Res. 1999 May;23(5):433-9. doi: 10.1016/s0145-2126(98)00184-2.