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Science 21 April 2000:
Vol. 288. no. 5465, pp. 514 - 517
DOI: 10.1126/science.288.5465.514

Reports

Emergence of Genetic Instability in Children Treated for Leukemia

B. A. Finette, 123* A. C. Homans, 13 R. J. Albertini 234

T cells from patients who had received chemotherapy for B-lineage acute lymphocytic leukemia were studied to determine whether genetic instability, a principal characteristic of cancer cells, can also occur in nonmalignant cells. Consistent with expectations for a genetic instability phenotype, multiple mutations were detected in the hypoxanthine-guanine phosphoribosyltransferase (HPRT) reporter gene in independently isolated mutant T cells expressing identical rearranged T cell receptor beta  (TCRbeta ) gene hypervariable regions. These results indicate that cancer treatment can lead to genetic instability in nonmalignant cells in some individuals. They also suggest a mechanistic paradigm for the induction of second malignancies and drug resistance.

1 Department of Pediatrics,
2 Department of Microbiology and Molecular Genetics,
3 Vermont Cancer Center, and
4 Department of Medicine, University of Vermont, Medical Alumni Building, Burlington, VT 05405, USA.
*   To whom correspondence should be addressed. E-mail: finette{at}salus.med.uvm.edu


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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
Analysis of Genetic Alterations and Clonal Proliferation in Children Treated for Acute Lymphocytic Leukemia..
H. E. Kendall, P. M. Vacek, J. L. Rivers, S. C. Rice, T. L. Messier, and B. A. Finette (2006)
Cancer Res. 66, 8455-8461
   Abstract »    Full Text »    PDF »
Clusters of mutations from transient hypermutability.
J. W. Drake, A. Bebenek, G. E. Kissling, and S. Peddada (2005)
PNAS 102, 12849-12854
   Abstract »    Full Text »    PDF »
Analysis of microsatellite instability in children treated for acute lymphocytic leukemia with elevated HPRT mutant frequencies.
H. E. Kendall, P. M. Vacek, and B. A. Finette (2004)
Mutagenesis 19, 409-412
   Abstract »    Full Text »    PDF »
Genotoxicity of Therapeutic Intervention in Children with Acute Lymphocytic Leukemia.
S. C. Rice, P. Vacek, A. H. Homans, T. Messier, J. Rivers, H. Kendall, and B. A. Finette (2004)
Cancer Res. 64, 4464-4471
   Abstract »    Full Text »    PDF »
The unexpected landscape of in vivo somatic mutation in a human epithelial cell lineage.
L. M. Colgin, A. F. M. Hackmann, M. J. Emond, and R. J. Monnat Jr. (2002)
PNAS
   Abstract »    Full Text »    PDF »
Frequent detection of T cells with mutations of the hypoxanthine-guanine phosphoribosyl transferase gene in patients with paroxysmal nocturnal hemoglobinuria.
K. Horikawa, T. Kawaguchi, S. Ishihara, S. Nagakura, M. Hidaka, T. Kagimoto, H. Mitsuya, and H. Nakakuma (2002)
Blood 99, 24-29
   Abstract »    Full Text »    PDF »
The unexpected landscape of in vivo somatic mutation in a human epithelial cell lineage.
L. M. Colgin, A. F. M. Hackmann, M. J. Emond, and R. J. Monnat Jr. (2002)
PNAS 99, 1437-1442
   Abstract »    Full Text »    PDF »



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Science. ISSN 0036-8075 (print), 1095-9203 (online)