Proteomic Profiling of Bone Marrow Aspirates from Patients with Methotrexate- and Vincristine-Resistant B-Cell Acute Lymphoblastic Leukemia: A Retrospective Analysis
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Key Points
This study aims to identify protein profiles associated with resistance to methotrexate and vincristine in B-ALL patients.
Conducted a retrospective analysis of bone marrow aspirates from responders and nonresponders to induction chemotherapy.
Utilized LC–MS/MS proteomics and bioinformatic analysis to evaluate protein expression.
Focused on proteins related to resistance mechanisms in treatment-naive patients.
Nonresponders exhibited a distinct proteomic profile with deregulation in cytoskeletal structure and nucleotide metabolism.
Thymidine phosphorylase and gelsolin were consistently overexpressed in nonresponders, indicating their potential as biomarkers.
Cytoskeletal remodeling and nucleotide metabolism were key features of intrinsic chemoresistance.