PMID- 15197782 OWN - NLM STAT- MEDLINE DCOM- 20040805 LR - 20160303 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 111 IP - 2 DP - 2004 Aug 20 TI - Differential expression of 9-O-acetylated sialoglycoconjugates on leukemic blasts: a potential tool for long-term monitoring of children with acute lymphoblastic leukemia. PG - 270-7 AB - Earlier studies have demonstrated overexpression of 9-O-acetylated sialoglycoconjugates (9-O-AcSGs) on lymphoblasts, concomitant with high titers of anti-9-O-AcSG antibodies in childhood acute lymphoblastic leukemia (ALL). Our aim was to evaluate the correlation between expression of different 9-O-AcSGs during chemotherapeutic treatment. Accordingly, expression of 9-O-AcSGs on lymphoblasts of ALL patients (n = 70) were longitudinally monitored for 6 years (1997-2002), using Achatinin-H, a 9-O-acetylated sialic acid (9-O-AcSA) binding lectin with preferential affinity for 9-O-AcSGs with terminal 9-O-AcSA alpha 2-->6GalNAc. Western blot analysis of patients (n = 30) showed that 3 ALL-specific 9-O-AcSGs (90, 120 and 135 kDa) were induced at presentation; all these bands disappeared after treatment in patients (n = 22) who had disease-free survival. The 90 kDa band persisted in 8 patients who subsequently relapsed with reexpression of the 120 kDa band. FACS analysis revealed that at presentation (n = 70) 90.1 +/- 5.0% cells expressed 9-O-AcSGs, which decreased progressively with chemotherapy, remained <5% during clinical remission and reappeared in relapse (80 +/- 10%, n = 18). Early clearance of 9-O-AcSG(+) cells, during 4-8 weeks of treatment showed a good correlation with low risk of relapse. Sensitivity of detection of 9-O-AcSG(+) cells was 0.1%. Numbers of both high- and low-affinity binding sites were maximum at presentation, decreased with treatment and increased again in clinical relapse. We propose that close monitoring of 90 and 120 kDa 9-O-AcSGs may serve as a reliable index for long-term management of childhood ALL and merits therapeutic consideration. CI - Copyright 2004 Wiley-Liss, Inc. FAU - Pal, Santanu AU - Pal S AD - Immunobiology Division, Indian Institute of Chemical Biology, Kolkata, India. FAU - Ghosh, Shyamasree AU - Ghosh S FAU - Bandyopadhyay, Suman AU - Bandyopadhyay S FAU - Mandal, Chhabinath AU - Mandal C FAU - Bandhyopadhyay, Santu AU - Bandhyopadhyay S FAU - Kumar Bhattacharya, Dilip AU - Kumar Bhattacharya D FAU - Mandal, Chitra AU - Mandal C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Glycoconjugates) RN - 0 (Sialic Acids) SB - IM MH - Adolescent MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Blotting, Western MH - Child MH - Child, Preschool MH - Disease-Free Survival MH - Female MH - *Gene Expression Profiling MH - Glycoconjugates/*biosynthesis MH - Humans MH - Infant MH - Male MH - Neoplasm, Residual MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/*drug therapy/*genetics/pathology MH - Prognosis MH - Recurrence MH - Sialic Acids/*biosynthesis MH - Treatment Outcome EDAT- 2004/06/16 05:00 MHDA- 2004/08/06 05:00 CRDT- 2004/06/16 05:00 PHST- 2004/06/16 05:00 [pubmed] PHST- 2004/08/06 05:00 [medline] PHST- 2004/06/16 05:00 [entrez] AID - 10.1002/ijc.20246 [doi] PST - ppublish SO - Int J Cancer. 2004 Aug 20;111(2):270-7. doi: 10.1002/ijc.20246.