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Gene expression profiling (<jats:styled-content style=\"fixed-case\">GEP<\/jats:styled-content>) can identify these cases but it is expensive and not widely available. Using <jats:styled-content style=\"fixed-case\">GEP<\/jats:styled-content>, we identified 10 genes specifically overexpressed by <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like <jats:styled-content style=\"fixed-case\">ALL<\/jats:styled-content> cases and used their expression values \u2013 assessed by quantitative real time\u2010polymerase chain reaction (Q\u2010<jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content>) in 26 <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like and 26 non\u2010<jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like cases to build a statistical \u201c<jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like predictor\u201d, for the identification of <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like cases. By screening 142 B\u2010lineage <jats:styled-content style=\"fixed-case\">ALL<\/jats:styled-content> patients with the \u201c<jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like predictor\u201d, we identified 28\/142 <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like patients (19\u00b77%). Overall, <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like cases were enriched in <jats:italic><jats:styled-content style=\"fixed-case\">JAK<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">STAT<\/jats:styled-content><\/jats:italic> mutations (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0\u00b7001), <jats:italic><jats:styled-content style=\"fixed-case\">IKZF<\/jats:styled-content>1<\/jats:italic> deletions (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0\u00b7001) and rearrangements involving cytokine receptors and tyrosine kinases (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b7001), thus corroborating the validity of the prediction. Clinically, the <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like cases identified by the <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like predictor achieved a lower rate of complete remission (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b7014) and a worse event\u2010free survival (<jats:italic>P\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>0\u00b70009) compared to non\u2010<jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1\u2010<\/jats:italic>like <jats:styled-content style=\"fixed-case\">ALL<\/jats:styled-content>. Consistently, primary cells from <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like cases responded <jats:italic>in\u00a0vitro<\/jats:italic> to ponatinib. We propose a simple tool based on Q\u2010<jats:styled-content style=\"fixed-case\">RT<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> and a statistical model that is capable of easily, quickly and reliably identifying <jats:italic><jats:styled-content style=\"fixed-case\">BCR<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">ABL<\/jats:styled-content>1<\/jats:italic>\u2010like <jats:styled-content style=\"fixed-case\">ALL<\/jats:styled-content> cases at diagnosis.<\/jats:p>","DOI":"10.1111\/bjh.15251","type":"journal-article","created":{"date-parts":[[2018,4,20]],"date-time":"2018-04-20T04:46:20Z","timestamp":1524199580000},"page":"642-652","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Rapid identification of <i><scp>BCR<\/scp>\/<scp>ABL<\/scp>1<\/i>\u2010like acute lymphoblastic leukaemia patients using a predictive statistical model based on quantitative real time\u2010polymerase chain reaction: clinical, prognostic and therapeutic implications"],"prefix":"10.1111","volume":"181","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8499-4492","authenticated-orcid":false,"given":"Sabina","family":"Chiaretti","sequence":"first","affiliation":[{"name":"Haematology, Department of Cellular Biotechnologies and Haematology \u201cSapienza\u201d University Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3531-4766","authenticated-orcid":false,"given":"Monica","family":"Messina","sequence":"additional","affiliation":[{"name":"Haematology, Department of Cellular Biotechnologies and Haematology \u201cSapienza\u201d University Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Grammatico","sequence":"additional","affiliation":[{"name":"Haematology, Department of Cellular Biotechnologies and Haematology \u201cSapienza\u201d University Rome 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