03338cam a2200337 a 4500 EG-GiCUC 20250223032658.0 210124s2020 ua dh f m 000 0 eng d EG-GiCUC eng EG-GiCUC eng Deposite Ph.D Cai01.12.02.Ph.D.2020.Na.M Nashwa Medhat Ahmed Essa Multidrug resistance (MDR1) gene expression, FMS-Like tyrosine kinase-3 (FLT3-ITD) and nucleophosmin (NPM1) as prognostic biomarkers in acute myeloid leukemic Egyptian patients / Nashwa Medhat Ahmed Essa ; Supervised Mohamed Ali Eldesouky , Neemat Mohamed Kassem والنيوكليوفوزمين كنذير للمؤشرات الحيوية فى المرضى المصريين المصابيين بسرطان الدم الميلودي الحاد (NPM 1)كيناز3 (FLT3-ITD )التيروزين (MDR1)دراسة التعبير الجينى لجينات المقاومة المتعددة للأدويه Cairo : Nashwa Medhat Ahmed Essa , 2020 130 P. : charts , facimiles ; 25cm Thesis (Ph.D.) - Cairo University - Faculty of Science - Department of Biochemistry Background: Acute Myeloid Leukemia (AML) is a heterogeneous disorder with variable genetic abnormalities and cytogenetic alterations which provide a significant disease prognosis and determine response to therapy. Purpose: We aim to investigate the expression of the MDR1 gene in 100 Egyptian AML patients, to identify their role on both the progression and chemotherapeutic refractoriness together with assessment of known prognostic molecular markers; FLT3-ITD and NPM1 mutations. Methodology: Quantitative assessment of MDR1 gene expression was performed by quantitative RTPCR. Additional prognostic molecular markers were determined as internal tandem duplications of the FLT 3 gene and nucleophosmin gene mutation A.Results: MDR1 gene expression levels & FLT3/ITD mutations were significantly higher in AML patients with resistant disease with P value <0.001 & 0.002 respectively. However, NPM1 was insignificantly higher in patients with CR P-value 0.14. In MDR positive group, wild FLT3/ITD with or without NPM1 mutation was favorable in achieving CR with p value 0.02. MDR negative group, wild FLT3/ITD with or without NPM1 mutation showed insignificantly higher CR rates with P value (0.35). Kaplan-Meier curves revealed statistically significant difference between MDR1- negative and MDR1-positive patients regarding their DFS and OS between the two groups where DFS & OS were higher in MDR1-negative patients with p value 0.004 & 0.01, respectively. Conclusion: the results obtained by the current work together with the previous researches concerning the study of multidrug resistance genes in AML patients provide additional evidence of the role played by these genes as predictors of chemoresistance and poor treatment outcome Issued also as CD Acute Myeloid Leukemia Chemoresistance Treatment outcome Mohamed Ali Eldesouky , Supervisor Neemat Mohamed Kassem , Supervisor http://172.23.153.220/th.pdf Nazla Revisor Shimaa Cataloger ddc TH 79670 79670 ddc 0 CUCL cl210 2024-02-11 Cai01.12.02.Ph.D.2020.Na.M 01010110082622000 2023-09-22 00:00:00 TH ddc 0 CUCL cl2u8 2024-02-11 Cai01.12.02.Ph.D.2020.Na.M 01020110082622000 2023-09-22 00:00:00 82622.CD CD