Pathology Flashcards
gene rearrangement for Burkitt lymphoma
myc/IgH gene rearrangement [t(8;14)]
importance of pluripotent stem cells
able to self-replicate or differentiate
source of all hematopoeitic cells
causes of leukemia (environmental)
industrial chemical exposure cancer chemotherapy radiation injury inherited genetic instability transforming virus
what changes in the cell causes leukemia
genetic mutation, translocation, different expression of critical genes
what does a therapy need to target in order to be curative
cancer stem cells
why does cancer heterogeneity develop over time
chromosomal instability
how to classify leukemia
morphologic criteria
cytochemical stain
monoclonal surface markers
chromosomal abnormalities
CD34 marks
myeloid stem cell
CD33 marks
myeloid blast and promyelocytes
CD14 and CD11b mark
monocytic cells
good prognostic factors in AML
8:21, 15;17, inv 16
t(15;17) translocation is characteristic for
acute promyelocytic leukemia
what is AML sensitive to
all-transretinoic acid
CML chromosomal abnormality
9;22 reciprocal translocation
produced Bcr/abl gene in pluripotent stem cell
what does the Bcr/abl gene do?
drives proliferation of myeloid cell line, increased survival, abnormal adhesion