Meta-Analysis:
The BCL2L11 deletion polymorphism is not associated with imatinib resistance in chronic myeloid leukemia patients: meta-analysis
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Abstract
Jinyun Xu1,2, Jiaowei Gu2, Yan Zhao2, Huihua Meng1, Li’an Du1, Ruibo Zhang2, Hao Jiang2 and Jianming Luo1
1Department of Pediatrics, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China
2Department of Pediatrics, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China
Correspondence to:
Jianming Luo, email: [email protected]
Keywords: BIM, chronic myeloid leukemia, tyrosine kinase inhibitor, genetic polymorphism, drug resistance
Received: August 01, 2017 Accepted: September 04, 2017 Published: September 22, 2017
ABSTRACT
A common deletion polymorphism of the gene Bcl-2 like protein 11 (BCL2L11, BIM) has been reported to cause tyrosine kinase inhibitors (TKIs) resistance in several malignant tumors. However, the conclusions were not consistent in chronic myeloid leukemia (CML) individuals. In order to obtain a reliable conclusion, we systematically searched PubMed, Embase, Web of Science, Chinese Biomedical Database, and China National Knowledge Infrastructure and performed the meta-analysis. Six published articles contain 760 East Asian patients were identified from these electronic databases. The methodological quality of one included trial was high, and the others were moderate. Meta-analysis showed that the rate of TKI resistance between the BIM deletion and wild-type group were no statistical significance (OR = 1.24, 95% CI 0.79–1.95). In conclusion, BIM deletion may not a predictor of TKI resistance in CML individuals in East Asia.
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PII: 21154