ZAP-70 Expression and its Prognostic Significance in Childhood B-lineage Acute Lymphoblastic Leukemia

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Karan Paisooksantivatana
Chanidapa Iamsa-art
ฺBenjawan Rungsimaporn
Somjai Kanjanapongkul
Surapon Worapongpaiboon
Samart Pakakasama

Abstract

Background: ZAP-70 expression was found in normal human B cell precursors and B lymphoproliferative disorders. Since the level of ZAP-70 expression is prognositic in chronic lymphocytic leukemia, a similar role may be demonstrable in other B-lineage malignancies. The present study investigates the expression of ZAP-70 in B-lineage acute lymphoblastic leukemia and its prognostic significance.


Methods: Thirty-three bone marrow and blood samples were obtained from children newly diagnosed with B-lineage ALL. ZAP-70 was determined using flow cytometry. Correlation between expression of ZAP-70 and clinicobiological presenting features (age, sex, white blood cells) and cytogenetics was performed.


Results: ZAP-70 was expressed in all cases with a wide variation (0.11 - 87.68%). There is no correlation between ZAP-70 expression level and clinicobiological presenting features also the cytogenetics abnormalities was found. Aberrantly high expression of ZAP-70 was found in three cases, two of which had aberrant CD13 and CD33 co-expression.


Conclusions: Aberrantly high expression of ZAP-70 might be associated with certain subgroup (CD13 and CD33 coexpression) of B-lineage ALL.

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1.
Paisooksantivatana K, Iamsa-art C, Rungsimaporn ฺ, Kanjanapongkul S, Worapongpaiboon S, Pakakasama S. ZAP-70 Expression and its Prognostic Significance in Childhood B-lineage Acute Lymphoblastic Leukemia. Rama Med J [Internet]. 2010 Sep. 24 [cited 2024 Apr. 25];33(3):200-8. Available from: https://he02.tci-thaijo.org/index.php/ramajournal/article/view/138599
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