Diagnosis prognosis and identification of potential...

C - Chemistry – Metallurgy – 12 – Q

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C12Q 1/68 (2006.01) A61K 45/00 (2006.01) A61P 35/00 (2006.01) C12Q 1/04 (2006.01) G01N 33/574 (2006.01) G06F 19/00 (2006.01)

Patent

CA 2466483

Gene expression profiling between normal B cells/plasma cells and multiple myeloma cells revealed four distinct subgroups of multiple myeloma plasma cells that have significant correlation with clinical characteristics known to be associated with poor prognosis. Diagnosis for multiple myeloma (and possibly monoclonal gammopathy of undetermined significance) based on differential expression of 14 genes, as well as prognostics for the four subgroups of multiple myeloma based on the expression of 24 genes were also established. Gene expression profiling also allows placing multiple myeloma into a developmental schema parallel to that of normal plasma cell differentiation. The development of a gene expression- or developmental stage- based classification system for multiple myeloma would lead to rational design of more accurate and sensitive diagnostics, prognostics and tumor-specific therapies for multiple myeloma.

L'établissement de profil d'expression de gènes entre des plasmocytes/cellules bêta normales et des plasmocytes de myélomes multiples a révélé quatre sous groupes distincts de plasmocytes de myélomes multiples qui présentent une corrélation significative avec des caractéristiques cliniques connues pour être associées à un pronostic sombre. On a également établi des diagnostics de myélomes multiples ( et éventuellement de gammopathie monoclonale dont la signification est indéterminée) fondés sur l'expression différentielle de 14 gènes, ainsi que des pronostics pour les quatre sous groupes de myélomes multiples fondés sur l'expression de 24 gènes. L'établissement de profil d'expression de gènes permet aussi de placer des myélomes multiples dans un schéma de développement parallèle à celui de la différentiation de plasmocytes normaux. Le système de classification de myélomes multiples fondé sur le développement d'une expression de gène ou sur le stade de développement conduirait à des conceptions rationnelles de diagnostics, de pronostics et de thérapies spécifiques de la tumeur de myélomes multiples plus sensibles et plus précis.

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