ABL gene kinase domain mutation scanning by denaturing high performance liquid chromatography sequencing method

Yücel Erbilgin, Suzin Çatal, Ahmet Emre Eşkazan

  • 1Department of Genetics, Institute of Experimental Medicine, İstanbul University, İstanbul, Turkey Phone: +90 212 414 20 00-33312

Abstract

Insights

Denaturing high-performance liquid chromatography (dHPLC) effectively screens for ABL gene mutations in imatinib-resistant chronic myeloid leukemia (CML) patients. This method aids in identifying resistance mechanisms, potentially improving patient prognosis and survival rates.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Imatinib is a crucial BCR-ABL tyrosine kinase inhibitor for chronic myeloid leukemia (CML).
  • Resistance to imatinib often arises from point mutations in the ABL kinase or ATP-binding domain.
  • Accurate and efficient mutation detection is vital for managing imatinib resistance.

Purpose of the Study:

  • To evaluate denaturing high-performance liquid chromatography (dHPLC) as a screening method for ABL gene mutations.
  • To assess the prevalence of ABL mutations in CML patients resistant to imatinib.

Main Methods:

  • A dHPLC-based assay was employed to screen for ABL point mutations.
  • Forty imatinib-resistant CML patients were analyzed using both dHPLC and direct sequencing for parallel comparison.

Main Results:

  • Mutations were identified in nine out of the 40 (23%) CML patients screened.
  • dHPLC demonstrated its capability to detect these resistance-associated mutations.

Conclusions:

  • dHPLC serves as a valuable pre-screening tool for ABL mutations in CML.
  • Identifying and monitoring these mutations can enhance patient prognosis and survival.
  • dHPLC holds potential for routine clinical application in patient testing.

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