Expression Pattern of Long Non-coding RNA Growth Arrest-specific 5 in the Remission Induction Therapy in Childhood

Vladimir Gasic1, Biljana Stankovic1, Branka Zukic1

  • 1Laboratory for Molecular Biomedicine, Institute of Molecular Genetics and Genetic Engineering, University of Belgrade, Belgrade, Serbia.

Abstract

Insights

Long non-coding RNA GAS5 is a potential marker for therapy response in childhood acute lymphoblastic leukemia (ALL). Its expression levels change during remission induction therapy, correlating with treatment outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Long non-coding RNA growth arrest-specific 5 (GAS5) is implicated in cancer cell growth and apoptosis.
  • GAS5 interacts with the glucocorticoid receptor, suggesting its role as a pharmacotranscriptional marker for glucocorticoid (GC) therapy.

Purpose of the Study:

  • To analyze GAS5 expression during remission induction therapy in childhood acute lymphoblastic leukemia (ALL).
  • To correlate GAS5 expression levels with therapy response in pediatric ALL patients.

Main Methods:

  • GAS5 expression was quantified using RT-qPCR in peripheral blood mononuclear cells.
  • Samples were collected from 29 childhood ALL patients at diagnosis, day 15, and day 33 of remission induction therapy.

Main Results:

  • Significant interindividual differences in GAS5 expression were observed across all time points.
  • GAS5 expression increased from diagnosis to day 15 (p<0.0005) and decreased by day 33 (p<0.0005), remaining higher than at diagnosis (p=0.001).
  • Higher diagnostic GAS5 expression (p=0.016) and a lower day 15/diagnosis ratio (p=0.009) were associated with favorable early blast reduction.

Conclusions:

  • GAS5 expression levels show dynamic changes during remission induction therapy for childhood ALL.
  • GAS5 may serve as a predictive biomarker for therapy response in pediatric ALL.

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