The DNA Microarray:Approaching Personalized Medicine |
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Leukemia Research Studying AML Studying B-CLL
Clinical outcome of b-cell type chronic lymphocytic leukemia varies from patient to patient. Some experience a rapid progression of the cancer with a fatal outcome, while others develop a more stable disease with normal life expectancies. The ability to recognize the different forms of this disease quickly is important for those who need the most aggressive treatment. While a valid prognosis can be made, this is labor intensive process require a team of professionals of varied clinical specialties. In 2005, Schoers et al. studied a group of 252 patients with B-CLL. Patients were grouped into three categories based on their expression (or non-expression) of ZAP-70 and CD38 proteins, which they showed were related to a positive or negative prognosis. Their gene expression profile was then characterized using an Affymetrix produced oligonucleotide microarray which probed for approximately 5600 genes and compared it against a subset of 35 patients whose gene expression profile was already known from another published study. Through supervised analysis, they were able to identify 37 genes that exhibited a distinct profile between the three categories. This study supports the assertion made by Schwaenen et. el in a 2004 paper that automated array-based genetic profiling could be performed in a clinical setting.
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