Jennings Lawrence J, George David, Czech Juliann, Yu Min, Joseph Loren
Department of Pathology and Laboratory Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Pathology and Laboratory Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Department of Pathology and Laboratory Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
J Mol Diagn. 2014 Mar;16(2):174-9. doi: 10.1016/j.jmoldx.2013.10.007. Epub 2013 Dec 31.
Monitoring BCR-ABL1 fusion transcripts by real-time quantitative RT-PCR has become an important clinical test for the management of patients with chronic myeloid leukemia. However, it has some inherent limitations with regard to its lower limit of detection and limit of quantification. Improvement in the lower limit of detection could aid clinicians in selecting candidates for discontinuation of tyrosine kinase inhibitors without relapse. Improvement in the limit of quantification may also avoid unnecessary testing or changes in therapy. Here, we demonstrate the advantages of droplet digital RT-PCR with regard to simplicity, lower limit of detection, and limit of quantification. We expect the advantages of droplet digital RT-PCR will make it the preferred method for quantification of BCR-ABL1 fusion transcripts.
通过实时定量逆转录聚合酶链反应监测BCR-ABL1融合转录本已成为慢性髓性白血病患者管理中的一项重要临床检测。然而,它在检测下限和定量限方面存在一些固有局限性。检测下限的提高有助于临床医生选择能够停用酪氨酸激酶抑制剂且不复发的候选患者。定量限的提高还可避免不必要的检测或治疗方案的改变。在此,我们展示了液滴数字逆转录聚合酶链反应在简便性、检测下限和定量限方面的优势。我们预计液滴数字逆转录聚合酶链反应的优势将使其成为定量BCR-ABL1融合转录本的首选方法。