Thankyou Dorothy,

Your message was very helpful...I was wondering if I managed to have 
two seperate problems to deal with and was a bit worried.  Its funny 
I took genetics 30 years ago...but so much has changed and I have 
forgotten what little I knew, ha.  Better start brushing up.

I do not know what my level was when I was diagnosed...they just did 
a karyotype to see if I had the Philadelphia Chromosome.  So I am 
not sure what a pcr result of 0.131% for b2a2 and 0.324 % for b3a2 
means in terms of level of response.  I had been on 400mg and was 
moved up to 600mg after the test.  After two days I do not see any 
different symptoms or side effects...hope it stays this way.  Its 
too early to get excited...but at 400mg I had a sort of low grade 
headache nearly all the time...sort of a pain in the back of my 
neck...but it has actually gone away with the 600mgs...probably it 
is unrelated...but if this is the only change I am happy, ha.

Thanks again for your post.  I hope you continue to get better and 
better results.

Dan

--- In [EMAIL PROTECTED], Dorothy Emery <[EMAIL PROTECTED]> wrote:
> Hi Dan
> 
> I can add some information here as I've read up on this in the 
past as I 
> too have pcr tests showing both b3a2 and b2a2.  I read recently 
that 
> about 30% of cmler's show both so it's not that rare.  It also has 
no 
> prognostic significance.  I get my pcr test done at MDACC and they 
don't 
> show a separate % for the two breakpoints--I get only one pcr 
number.  
> I've been on Gleevec for over 4 years and have had a slowly 
lowering pcr 
> for almost the whole time.  Early on my tests would always show 
both 
> breakpoints but as I got closer and closer to the limit of 
detection it 
> always just showed one or the other.  When I saw this on my first 
pcr 
> test I wondered (and worried) why I would have both breakpoints--
did 
> this mean I had gotten leukemia twice??  I finally found the 
answer to 
> that and it is no.  What happens is that sometimes the same dna 
> transcribes one way and sometimes another--both come from the same 
> original stem cell.  If I get a chance I will look for the papers 
I've 
> read that referred to this and send them on to you if you are 
> interested.  I'm just telling you what I remember right now 
without 
> actually looking up the original information--but I've got a 
pretty good 
> memory for this kind of stuff so I think the general idea is 
accurate.
> 
> Best wishes,
> Dorothy
> 
> skink1100 wrote:
> 
> >
> > Tracy and Richard, thanks for the help in interpreting my pcr 
test. 
> > It is interesting why there would be multiple breaks.  Is this
> > common?  Do most have multiple breaks or most have a single 
break. 
> > It seems that a multiple break requires multiple independent
> > translocations...but perhaps I don't understand the mechanism 
well
> > yet...that is certainly the case, ha.
> >
> > If anyone out there has info on this or something I could 
read...I
> > would be interested.
> >
> > Dan
> >
> >
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