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Science 21 April 2000: Vol. 288. no. 5465, pp. 514 - 517 DOI: 10.1126/science.288.5465.514
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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 (TCR ) 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
Read the Full Text
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- The unexpected landscape of in vivo somatic mutation in a human epithelial cell lineage.
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