Cited by 1,074Acute Lymphoblastic Leukemia researchLymphoma Diagnosis and TreatmentChronic Lymphocytic Leukemia Research

Acute lymphoblastic leukaemia

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Inaba, Hiroto, Greaves, Mel, Mullighan, Charles G·2013·The Lancet

Abstract

Acute lymphoblastic leukaemia occurs in both children and adults but its incidence peaks between 2 and 5 years of age. Causation is multifactorial and exogenous or endogenous exposures, genetic susceptibility, and chance have roles. Survival in paediatric acute lymphoblastic leukaemia has improved to roughly 90% in trials with risk stratification by biological features of leukaemic cells and response to treatment, treatment modification based on patients' pharmacodynamics and pharmacogenomics, and improved supportive care. However, innovative approaches are needed to further improve survival while reducing adverse effects. Prognosis remains poor in infants and adults. Genome-wide profiling of germline and leukaemic cell DNA has identified novel submicroscopic structural genetic changes and sequence mutations that contribute to leukaemogenesis, define new disease subtypes, affect responsiveness to treatment, and might provide novel prognostic markers and therapeutic targets for personalised medicine.

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Crossref · 10.1016/s0140-6736(12)62187-4

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  • ALL patients are treated with a combination of ~10 different chemotherapy agents through several phases lasting 2-3 years.

    “ALL patients are treated with a combination of ~10 different chemotherapy agents through several phases lasting 2–3 years (Inaba et al., 2013; Pui, Robison, & Look, 2008; Pui et al., 2009).”

    From Brain structure, working memory and response inhibition in childhood leukemia survivors (2017) · cites this paper as Inaba et al., 2013

    The Treatment section says ALL treatment typically spans 2–2.5 years in three phases and uses combination chemotherapy. It does not specify approximately 10 different agents, and its descriptions of the phases do not establish that number. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • The bulk (83%) of our survivors were diagnosed between 2 and 6 years of age.

    “However, the bulk (83%) of our survivors were diagnosed between 2 and 6 years of age, which corresponds to the age of peak ALL incidence (Inaba et al., 2013; National Cancer Institute 2015).”
  • Incidence of ALL is higher in boys than in girls, and boys require longer treatment than girls due to sex-specific risk factors for ALL relapse.

    “Secondly, sex modulates disease‐ and treatment‐specific factors: incidence of ALL is higher in boys than in girls (Inaba et al., 2013; National Cancer Institute 2015; Pui & Evans, 2013; Pui et al., 1999; Sather, Miller, Nesbit, Heyn, & Hammond, 1981), and boys require longer treatment (~2.5 years) than girls (~2 years) due to sex‐specific risk factors for ALL relapse (Brecher et al., 1986; Tiedem”

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Cited by

Sorted by citations

Authors
Inaba, H., Greaves, M., & Mullighan, C. G.
Affiliations
St. Jude Children's Research Hospital (US)
Corresponding author
Inaba, Hiroto
Venue
The Lancet
Publisher
Elsevier BV
Published
2013-06
Volume
381
Issue
9881
Pages
1943-1955
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2114340167
Cited by
1,074
References
7
Citations by year
2026: 47 · 2025: 66 · 2024: 53 · 2023: 63 · 2022: 86 · 2021: 76 · 2020: 112 · 2019: 105 · 2018: 82 · 2017: 105 · 2016: 98 · 2015: 91 · 2014: 75 · 2013: 14 · 2012: 1
FWCI
13.25
Type
journal article
Language
en
Open access
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Funders
National Cancer Institute (CA21765, P30CA021765)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Acute Lymphoblastic Leukemia research
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
  • Health Sciences › Medicine › Genetics › Chronic Lymphocytic Leukemia Research
Keywords
acute lymphoblastic leukemia, pediatric leukemia, leukemogenesis, risk stratification, pharmacogenomics, supportive care, genome-wide characterization, germline mutations, disease subtypes, prognostic factors, personalized medicine, treatment response
MeSH terms
Adolescent, Antineoplastic Agents, Central Nervous System Diseases, Child, Child, Preschool, Chromosome Aberrations, Female, Forecasting, Gene Frequency, Humans, Infant, Male, Prognosis, Recurrence, Remission Induction, Transcription Factors, Translocation, Genetic, Gene Rearrangement, B-Lymphocyte, Genome, Human, Treatment Outcome, Sequence Analysis, DNA, Hematopoietic Stem Cell Transplantation, Risk Assessment, Genetic Predisposition to Disease, Gene Expression Profiling, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Young Adult, Cell- and Tissue-Based Therapy

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