Article(id=1321501050578776995, tenantId=1146029695717560320, journalId=1246415837536497731, issueId=1321500868936052946, articleNumber=PA20260310_JzSx6fEe, orderNo=null, doi=10.12307/2026.025, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=null, receivedDateStr=null, revisedDate=null, revisedDateStr=null, acceptedDate=1743350400000, acceptedDateStr=2025-03-31, onlineDate=1748534400000, onlineDateStr=2025-05-30, pubDate=1767801600000, pubDateStr=2026-01-08, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1793000002759, onlineIssueDateStr=2026-10-26, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1793000002759, creator=admin, updateTime=1793000002759, updator=admin, issue=Issue{id=1321500868936052946, tenantId=1146029695717560320, journalId=1246415837536497731, year='2026', volume='30', issue='1', pageStart='null', pageEnd='null', issueExtLink='null', onlineDate='null', pubDate='1767801600000', pubDateStr='2026-01-08', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=0, articleOrder=1, issueType=-1, specialIssue=null, createTime=1792999959453, creator='ztmeta', updateTime=1792999959453, updator='ztmeta', preIssue=null, nextIssue=null, articleTotal=null, ext=null, issueFiles=null, downloadFileDto=null}, startPage=139, endPage=144, ext={EN=ArticleExt(id=1321501052629791653, articleId=1321501050578776995, tenantId=1146029695717560320, journalId=1246415837536497731, language=EN, title=Relationship between BCR/ABL gene expression and recurrence before and after allogeneic transplantation in Ph chromosome positive acute lymphoblastic leukemia, columnId=null, journalTitle=Chinese Journal of Tissue Engineering Research, columnName=工程化细胞或干细胞移植, runingTitle=null, highlight=null, articleAbstract=BACKGROUND: BCR/ABL gene is a specific gene of Ph chromosome-positive acute lymphoblastic leukemia, and its expression level has become a sensitive indicator for monitoring minimal residual disease before and after allogeneic hematopoietic stem cell transplantation. However, whether the expression level of BCR/ABL gene before transplantation affects the efficacy of transplantation and how to guide the early intervention of relapse with tyrosine kinase inhibitors after transplantation is still inconclusive. OBJECTIVE: To explore the relationship between BCR/ABL gene expression and recurrence in patients with Ph chromosome positive acute lymphoblastic leukemia before and after related and allogeneic hematopoietic stem cell transplantation. METHODS: Twenty-four patients with Ph chromosome positive acute lymphoblastic leukemia who achieved complete hematological remission and underwent allogeneic hematopoietic stem cell transplantation were selected at the Affiliated Hospital of North China University of Science and Technology between January 2015 and December 2022. Real time fluorescence quantitative polymerase chain reaction was used to dynamically detect the expression levels of BCR/ABL genes during treatment, representing minimal residual disease. Based on BCR/ABL gene expression, tyrosine kinase inhibitors combined with chemotherapy was administered before transplantation to select the timing of allogeneic hematopoietic stem cell transplantation. After transplantation, the disease status was evaluated to guide the use of tyrosine kinase inhibitors, and an early intervention plan for recurrence was developed. RESULTS AND CONCLUSION: Follow-up was until December 2023, with a median follow-up time of 49 (12-82) months. There were 8 cases of hematological recurrence, with a median recurrence time of 14 (8-39) months and a cumulative recurrence rate of 33% (8/24). Univariate analysis showed that recurrence after allogeneic hematopoietic stem cell transplantation was not significantly correlated with gender, age, extramedullary complications, time from diagnosis to transplantation, HLA typing, acute graft-versus-host disease, and chronic graft-versus-host disease (P > 0.05). There was a significant correlation between the relief treatment course and minimal residual disease levels before transplantation. The second hematology completely resolution and positive minimal residual disease before transplantation had a higher hematological recurrence rate (P < 0.05). The 3-year cumulative recurrence rate, disease-free survival rate, and overall survival rate were 27%, 63%, and 74%; the 5-year cumulative recurrence rate, disease-free survival rate, and overall survival rate were 38%, 57%, and 74%, respectively. It is concluded that Ph chromosome positive acute lymphoblastic leukemia patients with BCR/ABL gene positive before transplantation have a higher recurrence rate. BCR/ABL gene expression after transplantation can guide the application of tyrosine kinase inhibitors and serve as a basis for early intervention in recurrence., authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1321501052550099876, articleId=1321501050578776995, tenantId=1146029695717560320, journalId=1246415837536497731, language=CN, title=Ph染色体阳性急性淋巴细胞白血病移植前后BCR/ABL基因表达与复发的关系, columnId=null, journalTitle=中国组织工程研究, columnName=工程化细胞或干细胞移植, runingTitle=null, highlight=null, articleAbstract=BCR/ABL基因是Ph染色体阳性急性淋巴细胞白血病的特异性基因，其表达水平已经成为异基因造血干细胞移植前后微小残留病监测的敏感指标。然而，移植前BCR/ABL基因表达水平是否影响移植疗效，移植后如何指导酪氨酸激酶抑制剂进行复发的早期干预尚无定论。 目的：探讨Ph染色体阳性急性淋巴细胞白血病患者行亲缘间、异基因造血干细胞移植前后BCR/ABL基因表达与复发的关系。 方法：选择2015年1月至2022年12月期间华北理工大学附属医院收治的24例达到血液学完全缓解后行亲缘间异基因造血干细胞移植的Ph染色体阳性急性淋巴细胞白血病患者，应用实时荧光定量聚合酶链反应动态监测治疗期间BCR/ABL基因表达水平，以此代表微小残留病。依据BCR/ABL基因表达，移植前给予酪氨酸激酶抑制剂联合化疗，选择异基因造血干细胞移植时机；移植后评估疾病状态，指导酪氨酸激酶抑制剂的应用，制定早期干预复发的方案。 结果与结论：随访至2023年12月，中位随访时间为49(12-82)个月，8例血液学复发，复发的中位时间为14(8-39)个月，累积复发率为33%(8/24)。单因素分析显示，异基因造血干细胞移植后血液学复发与性别、年龄、髓外并发症、诊断至移植时间、HLA配型、急性移植物抗宿主病、慢性移植物抗宿主病无明显相关性(P > 0.05)；与移植前缓解疗程及微小残留病水平有明显相关性，移植前第2次血液学完全缓解、微小残留病阳性患者有更高的血液学复发率(P < 0.05)。预期移植后3年累积复发率、无病生存率、总生存率分别为27%，63%，74%；5年累积复发率、无病生存率、总生存率分别为38%，57%，74%。结果表明，异基因造血干细胞移植前BCR/ABL基因阳性Ph染色体阳性急性淋巴细胞白血病患者有更高的复发率；移植后BCR/ABL基因表达可指导酪氨酸激酶抑制剂应用，做为早期干预复发的依据。, authors=null, authorsList=null, authorCompany=null, correspAuthors=null, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, 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journalId=1246415837536497731, articleId=1321501050578776995, language=EN, orderNo=6, keyword=minimal residual disease), Keyword(id=1321501054731137989, tenantId=1146029695717560320, journalId=1246415837536497731, articleId=1321501050578776995, language=EN, orderNo=7, keyword=early intervention), Keyword(id=1321501054827606982, tenantId=1146029695717560320, journalId=1246415837536497731, articleId=1321501050578776995, language=EN, orderNo=8, keyword=recurrence)], refs=[Reference(id=1321501055142179785, tenantId=1146029695717560320, journalId=1246415837536497731, articleId=1321501050578776995, doi=null, pmid=null, pmcid=null, year=null, volume=null, issue=null, pageStart=null, pageEnd=null, url=null, language=null, rfNumber=[1], rfOrder=0, authorNames=null, journalName=null, refType=null, unstructuredReference=WILLYANTO SE, ALIMSJAH YA, TANJAYA K, et al. 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