Abstract
Acquired mutations in exon 2 of the GATA1 gene are detected in most Down syndrome (DS) patients with transient leukemia (TL) and acute megakaryoblastic leukemia (AMKL). We sought to determine if GATA1 mutations can be utilized as markers for minimal residual disease (MRD). GATA1 mutations were screened by SSCP analysis and sequenced. Using GATA1 mutation-specific primers, follow-up bone marrow samples from four patients were assayed by quantitative PCR. We show that molecular monitoring of GATA1 mutations is possible in Down syndrome patients with TL and AMKL, and GATA1 could be a stable marker for MRD monitoring.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Child, Preschool
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Chromosomes, Human, Pair 21 / genetics
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Cloning, Molecular
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Down Syndrome / complications
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Down Syndrome / genetics*
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Exons
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Female
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GATA1 Transcription Factor / genetics*
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Humans
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Infant
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Infant, Newborn
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Leukemia / complications
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Leukemia / diagnosis*
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Leukemia / genetics*
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Leukemia, Megakaryoblastic, Acute / complications
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Leukemia, Megakaryoblastic, Acute / diagnosis*
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Leukemia, Megakaryoblastic, Acute / genetics*
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Male
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Mutation
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Neoplasm, Residual
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Polymerase Chain Reaction / methods
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Remission Induction
Substances
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GATA1 Transcription Factor