Molecular Pathology Laboratory Network

ABL Kinase Gene Mutation Analysis and Gleevec® Resistance Featured

Test Code
ABL G
Test Synonyms
ABL kinase domain gene sequencing
Associations
Chronic myelogenous leukemia (CML), Acute lymphoblastic leukemia (ALL), Allogeneic bone marrow transplantation, Minimal residual disease (MRD), Molecular remission, Gleevec® resistance
Methodology
Quantitative reverse transcriptase PCR (RT-PCR), Semi-nested PCR, Bi-directional DNA sequencing

Testing is performed at MolecularMD of Portland, Oregon pursuant to patents.
CPT Codes
Please contact a client service specialist at 800.932.2943
Turnaround Time
10 days
Specimen Requirements
  • 10.0 mL (min. 9.0 mL) whole blood in EDTA
  • 5.0 mL (min. 2.5 mL) bone marrow in EDTA
Specimen Stability
  • Specimen must be received by MPLN within 36 hours of collection
  • Stable at 2-8°C
Storage & Handling
  • Ship peripheral blood and bone marrow at refrigerated temperature.
  • Please notify us if specimen is to arrive after 1 p.m. on Friday or Saturday.
  • Causes for Rejection
    Specimen >48 hours old; Specimen clotted; Stored or shipped at incorrect temperature; Incorrect anticoagulant; Insufficient specimen volume
    Reference Range
    ABL Kinase domain mutation(s) detected and characterized / not detected
    Related Content
    BCR/ABL major and minor by quantitative PCR for MRD
    Description
    Screening of CML patients who (1) fail to achieve a complete hematologic response at 3 months (2) have no cytogenetic response at 6 months (3) fail to achieve a major cytogenetic response at 12 months, or (4) any loss of response (hematologic, cytogenetic or molecular).
    References
    1. Jones D et al. (2009). Laboratory practice guidelines for detecting and reporting BCR/ABL drug resistance mutations in chronic myelogenous leukemia and acute lymphoblastic leukemia. J Molec Diagn. 11:4-11.
    2. Lahaye et al. (2005). Response and resistance in 300 patients with BCR/ABL-positive leukemias treated with imatinib in a single center: a 4.5-year follow-up. Cancer. 103:1659-1669.
    Trademarks
    Gleevec® is a registered trademark of the Novartis Pharmaceuticals Corporation.

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