Agarwal Manisha, Seth Rachna, Chatterjee Tathagata
Department of Laboratory Sciences and Molecular Medicine, Army Hospital (R&R), New Delhi, India.
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Hematol Blood Transfus. 2021 Jan;37(1):10-20. doi: 10.1007/s12288-020-01295-8. Epub 2020 Jun 3.
B cell lineage acute lymphoblastic leukemia is the most common leukemia occurring in children and young adults and is the leading cause of cancer related deaths. The 5 year overall survival outcome in children with B-ALL has improved significantly in the last few decades. In the past, the discovery of various genetic alterations and targeted therapy have played a major role in decreasing disease-related deaths. In addition, numerous advances in the pathogenesis of B-ALL have been found which have provided better understanding of the genes involved in disease biology with respect to diagnostic and prognostic implications. Present review will summarize current understanding of risk stratification, genetic factors including cytogenetics in diagnosis and prognosis of B-ALL.
B细胞系急性淋巴细胞白血病是儿童和年轻成人中最常见的白血病,也是癌症相关死亡的主要原因。在过去几十年中,B-ALL患儿的5年总生存结局有了显著改善。过去,各种基因改变的发现和靶向治疗在降低疾病相关死亡方面发挥了重要作用。此外,在B-ALL的发病机制方面有了许多进展,这为更好地理解疾病生物学中涉及的基因在诊断和预后方面的意义提供了帮助。本综述将总结目前对B-ALL诊断和预后中风险分层、包括细胞遗传学在内的遗传因素的理解。