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Correspondence
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Volume 360:1787-1788 April 23, 2009 Number 17
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Deletion of IKZF1 and Prognosis in Acute Lymphoblastic Leukemia

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 by Mullighan, C. G.
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To the Editor: Mullighan et al. (Jan. 29 issue)1 report on the prognostic significance of IKZF1 alterations in pediatric patients with acute lymphoblastic leukemia (ALL). The authors also find that the gene-expression signature in patients with BCR-ABL–negative ALL, which is associated with a poor outcome (as predicted by IKZF1 alterations), is similar to the gene-expression profile in patients with BCR-ABL–positive ALL. Given that approximately 85% of children with BCR-ABL–positive ALL also have a deletion of IKZF1,2 two questions with potential clinical and prognostic implications come to mind.

First, could a supervised analysis detect significant differences in the . . . [Full Text of this Article]




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