Importance of genetic diagnosis for treatment and prognosis in acute lymphoblastic leukaemia (ALL) — a case report

Mateusz Raniewicz, Maciej Dubaj, Karol Bigosiński, Aleksandra Dembowska, Małgorzata Mitura-Lesiuk
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Abstract

Acute lymphoblastic leukaemia (ALL) is the most common malignancy among children. It originates from over-proliferating immature lymphoid cells called lymphoblasts. Modern genetic studies have shown that the aetiology of ALL is correlated with numerous chromosomal aberrations, including activating mutation of the JAK/STAT pathway. This pathway is responsible for regulating the transmission of signals from extracellular cytokines to the nucleus of cells, regulating their growth, differentiation and immune response. With proper patient diagnosis, it is possible to correctly classify the genetic subtypes of ALL, allowing more effective therapies to be introduced. The following study presents the importance of genetic diagnosis for the treatment of a paediatric patient with ALL with the above mutation in the genome.
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基因诊断对急性淋巴细胞白血病(ALL)治疗和预后的重要性- 1例报告
急性淋巴细胞白血病(ALL)是儿童最常见的恶性肿瘤。它起源于过度增殖的未成熟淋巴样细胞,称为淋巴母细胞。现代遗传学研究表明,ALL的病因与多种染色体畸变相关,包括JAK/STAT通路的激活突变。该通路负责调节细胞外细胞因子向细胞核的信号传递,调节细胞的生长、分化和免疫应答。通过适当的患者诊断,可以对ALL的遗传亚型进行正确分类,从而引入更有效的治疗方法。下面的研究提出了基因诊断的重要性,以治疗儿科患者与上述突变的基因组。
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