PMID- 16955745 OWN - NLM STAT- MEDLINE DCOM- 20071102 LR - 20071115 IS - 0301-1208 (Print) IS - 0301-1208 (Linking) VI - 43 IP - 1 DP - 2006 Feb TI - Antibodies against 9-O-acetylated sialic acids in childhood acute lymphoblastic leukemia: a two-year study with 186 samples following protocol MCP 943. PG - 7-14 AB - Initial studies have revealed an enhanced surface expression of 9-O-acetylated sialoglycoconjugates (9-OAcSGs) on lymphoblasts concomitant with high titers of antibodies (anti-9-OAcSGs) in childhood acute lymphoblastic leukemia (ALL). This study was undertaken in 186 coded samples from 69 ALL patients to evaluate if antibodies against these sialoglycans could monitor response to the treatment. An ELISA was developed using bovine submaxillary mucin (BSM) containing high % of 9-O-acetylated sialic acids (9-OAcSA) as the capture antigen, to investigate serum levels of anti 9-OAcSGs in a single-center series of pediatric, clinically-diagnosed and immunophenotypically confirmed ALL patients, as compared to 130 healthy controls. At presentation, a 3.8-fold increase in anti-9-OAcSGs levels was detected in 63/69 ALL patients (mean +/- SEM was 102.8 +/- 6.3 microg/ml) as compared to normal controls (27.17 +/- 0.76 microg/ml), assay sensitivity being 91.3%. On an individual basis (n = 25) in patients who were longitudinally monitored for two years, a significant decline in their mean +/- SEM of OD405 was observed from 0.85 +/- 0.06 to 0.28 +/- 0.03. Additionally, a dot-blot was developed to evaluate the proportion of immune-complexed 9-OAcSGs in these patients employing achatinin-H, a 9-OAcSA-binding lectin. Our data indicate that these economically viable ELISA-based approaches allow for reliable, sensitive and rapid diagnosis of ALL. We contend that these disease-specific antibodies could be considered as potential markers both for the initial diagnosis of ALL and possibly for longitudinal monitoring of the disease. FAU - Bandyopadhyay, Suman AU - Bandyopadhyay S AD - Immunobiology Division, Indian Institute of Chemical Biology, Kolkata, India. FAU - Chatterjee, Mitali AU - Chatterjee M FAU - Banavali, Shripad D AU - Banavali SD FAU - Pal, Santanu AU - Pal S FAU - Nair, Chandrika N AU - Nair CN FAU - Advani, Suresh H AU - Advani SH FAU - Mandal, Chitra AU - Mandal C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - India TA - Indian J Biochem Biophys JT - Indian journal of biochemistry & biophysics JID - 0310774 RN - 0 (Antibodies) RN - 0 (Sialic Acids) RN - 55717-54-9 (9-O-acetyl-N-acetylneuraminic acid) SB - IM MH - Adolescent MH - Antibodies/*blood MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology MH - Child MH - Child, Preschool MH - Female MH - Humans MH - Male MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/diagnosis/*drug therapy/*immunology MH - Sialic Acids/*immunology EDAT- 2006/09/08 09:00 MHDA- 2007/11/06 09:00 CRDT- 2006/09/08 09:00 PHST- 2006/09/08 09:00 [pubmed] PHST- 2007/11/06 09:00 [medline] PHST- 2006/09/08 09:00 [entrez] PST - ppublish SO - Indian J Biochem Biophys. 2006 Feb;43(1):7-14.