PMID- 18551408 OWN - NLM STAT- MEDLINE DCOM- 20081006 LR - 20191110 IS - 1676-5680 (Electronic) IS - 1676-5680 (Linking) VI - 7 IP - 2 DP - 2008 May 7 TI - Clinical outcome in chronic myeloid leukemia after allogeneic hematopoietic stem cell transplantation: the experience of the Bone Marrow Transplantation Unit of FUNFARME/BRAZIL using FISH. PG - 417-23 AB - Investigation of the efficacy of allogeneic hematopoietic stem cell transplantation (allo-HSCT) in chronic myeloid leukemia patients is essential to predict prognosis and survival. In 20 patients treated at the Bone Marrow Transplantation Unit of Sao Jose do Rio Preto (Sao Paulo, Brazil), we used fluorescence in situ hybridization (FISH) to investigate the frequency of cells with BCR/ABL rearrangement at diagnosis and at distinct intervals after allo-HSCT until complete cytogenetic remission (CCR). We investigated the disease-free survival, overall survival in 3 years and transplant-related mortality rates, too. Bone marrow samples were collected at 1, 2, 3, 4, 6, 12, and 24 months after transplantation and additional intervals as necessary. Success rate of the FISH analyses was 100%. CCR was achieved in 75% of the patients, within on average of 3.9 months; 45% patients showed CCR within 60 days after HSCT. After 3 years of the allo-HSCT, overall survival rate was 60%, disease-free survival was 50% and the transplant-related mortality rate was 40%. The study demonstrated that the BCR-ABL FISH assay is useful for follow-up of chronic myeloid leukemia patients after HSCT and that the clinical outcome parameters in our patient cohort were similar to those described for other bone marrow transplantation units. FAU - Vendrame-Goloni, C B AU - Vendrame-Goloni CB AD - Departamento de Biologia, Instituto de Biociencias Letras e Ciencias Exatas, Universidade Estadual Paulista, Sao Jose do Rio Preto, SP, Brasil. cristina.benitez@ig.com.br FAU - Carvalho-Salles, A B AU - Carvalho-Salles AB FAU - Ruiz, M A AU - Ruiz MA FAU - Ricci Junior, O AU - Ricci Junior O FAU - Varella-Garcia, M AU - Varella-Garcia M FAU - Fett-Conte, A C AU - Fett-Conte AC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20080507 PL - Brazil TA - Genet Mol Res JT - Genetics and molecular research : GMR JID - 101169387 SB - IM MH - Adolescent MH - Adult MH - Bone Marrow Transplantation MH - Brazil MH - Disease-Free Survival MH - Hematopoietic Stem Cell Transplantation/*methods MH - Hospital Departments MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/*genetics/mortality/*surgery MH - Middle Aged MH - Prognosis MH - Survival Rate MH - Transplantation, Homologous MH - Treatment Outcome EDAT- 2008/06/14 09:00 MHDA- 2008/10/07 09:00 CRDT- 2008/06/14 09:00 PHST- 2008/06/14 09:00 [pubmed] PHST- 2008/10/07 09:00 [medline] PHST- 2008/06/14 09:00 [entrez] AID - gmr396 [pii] AID - 10.4238/vol7-2gmr396 [doi] PST - epublish SO - Genet Mol Res. 2008 May 7;7(2):417-23. doi: 10.4238/vol7-2gmr396.