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Indian Journal of Hematology and Blood Transfusion

, Volume 27, Issue 3, pp 157–163 | Cite as

Expression of P-glycoprotein, Cyclin D1 and Ki-67 in Acute Lymphoblastic Leukemia: Relation with Induction Chemotherapy and Overall Survival

  • Ghada M. ElsayedEmail author
  • Manar M. Ismail
  • Manar M. Moneer
Original Article

Abstract

Previous studies showed that non-cycling cells have a higher multidrug resistance (MDR) expression, which may be down-regulated by proliferation induction. Triggering these cells into proliferation down-regulates high MDR expression. The aim of this study was to determine the expression of P-glycoprotein (PGP) and cell cycle parameters (cyclin D1 and Ki-67) in acute lymphoblastic leukemia (ALL) at diagnosis, and to evaluate the correlation between the expressions of each marker, and the clinical significance of such expression with response to induction chemotherapy and overall survival. A total of 78 newly diagnosed ALL patients were enrolled in our study. PGP, cyclin D1 and Ki-67 were determined by flow cytometry. PGP expression was encountered in 10/78 (12.8%) of ALL cases. Cyclin D1 and Ki-67 were expressed in 16/77 (20.6%) and 27/76 (34.6%) of ALL cases, respectively. None of the parameters were associated with response to induction chemotherapy and overall survival. Based on the current analysis, we conclude that a joint immunophenotypic evaluation of PGP and cell cycle parameters like that adopted in this study is unlikely to reveal mechanisms of multidrug resistance associated with the clinical outcome.

Keywords

P-gp Cyclin D1 Ki-67 Acute lymphoblastic leukemia (ALL) Multidrug resistance (MDR) 

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Copyright information

© Indian Society of Haematology & Transfusion Medicine 2011

Authors and Affiliations

  • Ghada M. Elsayed
    • 1
    Email author
  • Manar M. Ismail
    • 1
  • Manar M. Moneer
    • 2
  1. 1.Clinical Pathology DepartmentNational Cancer Institute, Cairo UniversityHiliopolis, CairoEgypt
  2. 2.Epidemiology and Medical Statistics DepartmentNational Cancer Institute, Cairo UniversityHiliopolis, CairoEgypt

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