To see the other types of publications on this topic, follow the link: Genesis 1-11.

Dissertations / Theses on the topic 'Genesis 1-11'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 27 dissertations / theses for your research on the topic 'Genesis 1-11.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.

1

Collins, Jeffrey Dale. "The authenticity of Genesis 1-11 an apologetic /." Theological Research Exchange Network (TREN), 1991. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
2

Schmutzer, Andrew J. "An exegetical and theological analysis of Genesis 11:1-9." Theological Research Exchange Network (TREN), 1994. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Doerksen, Mark G. "Paul's use of Genesis in 1 Corinthians 11:16, Ephesians 5:21-33, and 1 Timothy 2:11-15." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ26819.pdf.

Full text
APA, Harvard, Vancouver, ISO, and other styles
4

Kok, Johnson Lim Teng. "Grace in the midst of judgment : grappling with Genesis 1-11 /." Berlin ; New York : W. De Gruyter, 2002. http://catalogue.bnf.fr/ark:/12148/cb39051654g.

Full text
APA, Harvard, Vancouver, ISO, and other styles
5

Roberts, Faimon. "Confusion reigns an exegetical, literary, and archaeological study of Genesis 11:1-9 /." Online full text .pdf document, available to Fuller patrons only, 2001. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

De, Man Jan Abraham. "Gewone mense, stories en Jahweh 'n teologie van die verhalende literatuur in Genesis 1-11 /." Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-03202006-165033/.

Full text
APA, Harvard, Vancouver, ISO, and other styles
7

Baez, Enrique. "Allusions to Genesis 11|1--9 in the book of Daniel an exegetical and intertextual study." Thesis, Andrews University, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3590707.

Full text
Abstract:

The purpose of this dissertation is to examine the allusions to Gen 11:1-9 in the book of Daniel, and to demonstrate on exegetical and intertextual grounds the references and allusions to Gen 11:1-9 in the book of Daniel and the theological implications of those connections. After reviewing the different kinds of intertextuality and the methodology used by Old Testament scholars in the area of literary allusions (chap. 1), this dissertation investigates the allusions to Gen 11 in both the historical (chap. 2) and the visionary sections (chap. 3) of the book of Daniel. All the allusions to Gen 11 in the book of Daniel are discussed and given an assessment of either "certain allusions," "possible allusions," "uncertain allusions," and "nonallusions."

Furthermore, this study outlines the contribution of the allusions to Gen 11 to the theology of the book of Daniel (chap. 4) and specifically relates the Babel motif to the themes of the kingdom of God, judgment and the Israelite worship institution, the Temple.

Finally, a summary and conclusions (chap. 5) gather and present the various findings and insights gained from this research. Based on the evidence submitted in this dissertation it is concluded that the allusions to Gen 11 play a dominant role in the whole book of Daniel. It is further shown that the allusions to Gen 11 make a prominent contribution to the main theological themes in Daniel and cannot be ignored by the careful exegete.

APA, Harvard, Vancouver, ISO, and other styles
8

Morrison, Andrew. "The contribution of the 'cursed ground' motif to the structure and theme of Genesis 1-11." Theological Research Exchange Network (TREN), 2003. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
9

Smith, Bryton A. "Nature of the Crescent: Humans and the Natural World in Genesis 1-11 and Mesopotamian Mythology." Oberlin College Honors Theses / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=oberlin1562567769324593.

Full text
APA, Harvard, Vancouver, ISO, and other styles
10

Rathbone, Mark. "Interaction between scholarly and non-scholarly readings of Genesis 11:1-9 in the South African context /." Link to the online version, 2006. http://hdl.handle.net/10019.1/1455.

Full text
APA, Harvard, Vancouver, ISO, and other styles
11

Rathbone, Mark. "Interaction between scholarly and non-scholarly reading of Genesis 11:1-9 in the South African context." Thesis, Stellenbosch : University of Stellenbosch, 2006. http://hdl.handle.net/10019.1/1455.

Full text
Abstract:
Thesis (DTh (Old and New Testament))--University of Stellenbosch, 2006.
The interaction between scholarly and non-scholarly readings of Genesis 11:1-9 in the South African context refers to the transformation in biblical hermeneutics from the world of the text to the world of the reader and the post-colonial critique of Western essentialist scholarly modes of reading the Bible. This study explored three essentialist modes of scholarly reading from the South African context that perpetuated imperialism and colonialism: Anglocentric -, Afrikaner - and Anti-colonial modes of reading. Non-scholarly readings of Bible Study Groups, African mythology and artworks of Azaria Mbatha view the text as subject. Non-scholarly readings, from the margin of the South African context, informed by a holistic and interconnected cultural discourse, deconstruct essentialism and constructs responsible readings of the Bible. These readings deconstruct centralistic essentialist discourses and construct a liminal space for new creative and responsible readings of the Bible in the South African context that stimulates healing. The ubuntu reading of Genesis 11:1-9 by Desmond Tutu reflects this. His reading incorporates the African connected reading praxis of non-scholarly readings, from the margin of the 'South' African context, and makes use of scholarly discourse. Tutu's mode of reading leans on Western humanism and ecclesiology that does not follow a critical-holistic cultural discourse. The African Independent Church developed as a reaction to Western ecclesial structures. In the African Independent Church the concept, Moya or Spirit functions as a reading matrix that deconstructs the discriminatory and exclusive forces of essentialist disconnection. The study proposes that a Moya reading is an open-critical and inclusive theological-ethical concept. The interpretative thrust is decolonial, deconstructing essentialism and creating a liminal space, for new responsible readings of Genesis 11:1-9. A Moya reading is holistic and connects people to the land, a perspective that is foreign to essentialist scholarly readings of Genesis 11:1-9. This study contributes to the hermeneutical debate in South Africa, Africa and the global context by emphasising the importance of a continued interaction between scholarly and non-scholarly readings of the Bible from the margin.
APA, Harvard, Vancouver, ISO, and other styles
12

Michael, Graham J. L. "The end of creation : an exegetical and theological reflection on the concept of rest in Genesis 1-11." Thesis, University of Aberdeen, 2018. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=237813.

Full text
Abstract:
While studies have explored and analyzed the concept of rest in a variety of literary works in the Hebrew Bible (HB) and the Ancient Near East (ANE), attention given to its theological significance and rhetorical function in the literary context of Genesis 1–11 has been wanting. This thesis thus examines how the concept contributes to the thematic development and rhetorical design of Genesis 1–11. It is an exegetical and theological reflection that approaches Genesis 1–11 as a unified textual unit with a coherent literary message. In this light, the primary method to explicate the significance of rest from this literary context is by means of exegesis or a “close reading” of the text. The concept of rest in the ANE signifies not mere inactivity, but rather, the ideal conditions in which another activity or state of being is engaged or experienced. Rest thus includes both elements: cessation from one activity or state of being (rest from) and the engagement of another activity or state of being (rest for). The concept of rest (expressed in a wide variety of lexical terms and associated ideas) within the HB can be broadly described as the ideal conditions (characterized by stability, security, and order) intended for blessing, holiness, and justice within the covenantal relationship with YHWH, that in turn results in the worship of YHWH and the flourishing of his created order. In this light, the provision of rest functions as a powerful soteriological symbol, in which the act of providing rest is regularly expressed as movement (or transition) from particular circumstances or situations (i.e. rest from) to an ideal state for an intended purpose (i.e. rest for). This conceptual pattern can be portrayed as: rest from (particular conditions) → rest to (ideal state) → rest for (purpose). At the same time, a state of unrest indicates the result of God's judgment for rebellion and the fracturing of his relationship with his people, which also has adverse effects on the created order. The concept of rest can be expressed with a broad semantic field of lexical terms, but is most prominently expressed with the terms, שׁבת and נוח . Although scholars have tended to isolate these terms into separate “traditions,” they share a close semantic, conceptual, and theological relationship that is expressed in several passages throughout the HB, which demonstrates the ability to utilize these terms as a coherent literary motif. This understanding is crucial to appreciate the utilization of the rest motif in Genesis 1–11, for the goal of creation is initially expressed with שׁבת but is thematically developed with נוח (along with associated terms and ideas). The rhetorical function of the concept of rest as a literary motif is understood in the light of the overarching theme of Genesis 1–11, which may be expressed as Rest–Unrest– vi Comfort. This theme effectively articulates the development of Genesis 1–11, in which the essential goodness and the intended purposes of God's created order (Rest) are affected by human rebellion that results in the destructive flood (Unrest) but leads to a new reality that humanity must face the enduring consequences of sin with the enduring hope of God's grace (Comfort). Thus, along the contours of this thematic development, the rest motif is traced: the goal of creation is expressed as the rest of God on the seventh day, in which humanity is intended to participate and to provide to the created order. The undoing of creation is expressed with concepts of unrest such as humanity's exile, wandering, wearisome toil, and oppression that culminates with the destructive flood. Finally, the renewal of creation— characterized as a mixture of rest and unrest, blessing and curse—is aptly portrayed as mere comfort (Genesis 5:29) forcing humanity to long for (and even anticipate) the fulfillment of God's intended purposes for his created order. In this light, the concept of rest not only informs the thematic development of Genesis 1–11, but also provides further clarity and greater complexity to its overall rhetorical design and theological message.
APA, Harvard, Vancouver, ISO, and other styles
13

Olson, Todd W. "Preaching in Genesis 1-11 at the Evangelical Free Church of Willmar a meta-narrative foundation for worldview formation /." Theological Research Exchange Network (TREN) Access this title online, 2004. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
14

Steenberg, M. C. "Cosmic anthropology : Genesis 1-11 in Irenaeus of Lyons with special reference to Justin, Theophilus and select Gnostic contemporaries." Thesis, University of Oxford, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.402821.

Full text
APA, Harvard, Vancouver, ISO, and other styles
15

Teddy, Inawaty. "An exegetical study of Genesis 11:1-9 and its implications for the biblical theology of the Old Testament." Theological Research Exchange Network (TREN), 1999. http://www.tren.com.

Full text
APA, Harvard, Vancouver, ISO, and other styles
16

Glaser, Ida Jane. "An experiment in contextualised comparative hermeneutics : a reading of Genesis 1-11 in the context of parallel Qur'anic material and Christian mission amongst Muslims in Elswick, Newcastle upon Tyne." Thesis, Durham University, 1994. http://etheses.dur.ac.uk/968/.

Full text
APA, Harvard, Vancouver, ISO, and other styles
17

Zaahl, Monique G. (Monique Glenda). "Mutational analysis of the solute carrier family 11 member 1 gene (SLC11A1) implicated in iron transport." Thesis, Stellenbosch : Stellenbosch University, 2003. http://hdl.handle.net/10019.1/53510.

Full text
Abstract:
Thesis (PhD)--University of Stellenbosch, 2003.
ENGLISH ABSTRACT: The solute carrier family 11 member 1 gene (SLC11A 1) is a divalent metal ion transporter with various pleiotropic effects on macrophage function. This gene that regulates iron, and is also regulated by cellular iron levels, has previously been linked to many infectious and autoimmune diseases. In this analysis, in vitro studies using the luciferase reporter system as well as case-control association studies were applied to investigate the significance of SLC11 A1 allelic variation in patients with diverse disease phenotypes. For in vitro studies, five different SLC11A 1 promoter constructs were generated, followed by transfection into U937 and THP-1 cells. The inserted fragments included two previously described alleles (alleles 2 and 3), two novel alleles identified in this study (alleles 8 and 9) and a C to T point mutation at nucleotide position -237 in the presence of allele 3. The most striking finding was the opposite effect observed for allele 3 in the presence of the -237C~ T polymorphism, similar to that of allele 2. Although the SLC11A 1 gene has previously been implicated in iron transport, we have demonstrated, for the first time, that the various alleles investigated cause differential expression of the gene upon iron loading. Association studies were performed by investigating diseases including oesophageal cancer (DC), inflammatory bowel disease (lBO) and hereditary haemochromatosis (HH) (or primary iron overload). Significant associations (PAFRIKAANSE OPSOMMING: Die opgeloste stof draer familie 11 deel 1 geen (SLC11 A 1) is 'n divalente metaal ioon vervoerder met verskeie pleiotropiese effekte op makrofaagfunksie. Die geen, wat yster reguleer en ook deur sellulêre ystervlakke gereguleer word, is voorheen verbind met verskeie infektiewe en outo-immune siektes. In hierdie studie is in vitro analises, deur middel van die lusiferase verklikker sisteem, asook gevalle-kontrole assosiasie studies gebruik om die rol van SLC11A 1 alleel variasie in pasiënte met diverse siektefenotipes te ondersoek. Vyf verskillende SLC11A 1 promotor variante is geskep vir in vitro studies en gevolg deur transfeksie in U937 en THP-1 sellyne. Die ingevoegde fragmente het twee voorheen beskryfde allele (allele 2 en 3), twee nuwe allele wat in hierdie studie geïdentifiseer is (allele 8 en 9) en In C na T puntmutasie by nukleotied posisie -237 in die teenwoordigheid van alleel 3 ingesluit. Die opvallendste bevinding was die teenoorgestelde effek wat waargeneem is wanneer alleel 3 in die teenwoordigheid van die -237C~ T polimorfisme voorkom, soortgelyk aan alleel 2 uitdrukking. Alhoewel die SLC11A1 geen voorheen geïmpliseer is in yster vervoer, is daar vir die eerste keer aangetoon dat na yster lading, die verskillende allele differensiële uitdrukking van die geen veroorsaak. Verskeie siektes, insluitend slukderm kanker (OC), inflammatoriese dermsiekte (lBO) en oorerflike hemochromatose (HH) (of primêre ysteroorlading), is ondersoek deur middel van assosiasie studies. Betekenisvolle verskille (P
APA, Harvard, Vancouver, ISO, and other styles
18

Draper, Nicole. "Genetic variation in the gene encoding 11 beta hydroxysteroid dehydrogenase type 1 and its role in human disease." Thesis, University of Birmingham, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.398441.

Full text
APA, Harvard, Vancouver, ISO, and other styles
19

Hildebrandt, Bert, I. Heide, Christian Thiede, S. Nagel, Annette Dieing, S. Jonas, Peter Neuhaus, Christoph Rochlitz, Hanno Riess, and Andreas Neubauer. "Lack of Point Mutations in Exons 11–23 of the Retinoblastoma Susceptibility Gene RB-1 in Liver Metastases of Colorectal Carcinoma." Saechsische Landesbibliothek- Staats- und Universitaetsbibliothek Dresden, 2014. http://nbn-resolving.de/urn:nbn:de:bsz:14-qucosa-133565.

Full text
APA, Harvard, Vancouver, ISO, and other styles
20

Hildebrandt, Bert, I. Heide, Christian Thiede, S. Nagel, Annette Dieing, S. Jonas, Peter Neuhaus, Christoph Rochlitz, Hanno Riess, and Andreas Neubauer. "Lack of Point Mutations in Exons 11–23 of the Retinoblastoma Susceptibility Gene RB-1 in Liver Metastases of Colorectal Carcinoma." Karger, 2000. https://tud.qucosa.de/id/qucosa%3A27516.

Full text
APA, Harvard, Vancouver, ISO, and other styles
21

Freeman, Julia Carol. "Single Nucleotide Polymorphisms Linked to Essential Hypertension in Kasigau, Kenya." TopSCHOLAR®, 2013. http://digitalcommons.wku.edu/theses/1316.

Full text
Abstract:
Hypertension, or high blood pressure (BP), is an ever-growing epidemic in the developing world. Understanding the genetics behind essential hypertension (EH), or hypertension with no known cause, is especially important. In this study, three single nucleotide polymorphisms (SNPs) known to be linked to an increase in susceptibility to EH were quantified from a cohort of Kenyans living in the Kasigau region. The SNPs are located in three genes that are part of the renin angiotensin system, the primary regulatory pathway in humans controlling BP. They include: AGT (rs699), AGTR1 (rs5186), and HSD11β2 (rs5479). Overall, by using a fluorescent-based RT-PCR technique, the genotype distribution of AGT (rs699) was 0.63 C/C, 0.34 C/T, and 0.03 T/T. When evaluated as normotensive, prehypertensive, Stage I, or Stage II categories the allele frequencies for f(C)= 0.77,0.85,0.81, 0.77, respectively, and demonstrated Hardy Weinberg Equilibrium (HWE) as assessed by Χ2, p < 0.05. The genotype distribution of AGTR1 (rs5186) was 0.96 A/A, 0.03 A/C, and 0.00 C/C and the genotype distribution of HSD11β2 (rs5479) was 0.46 A/A, 0.46 A/C, and 0.08 C/C. The majority of genotype frequencies for each SNP were in HWE, with the exception of the AGT (rs699) SNP found in the sublocation of Bughuta suggesting other evolutionary selective pressures may be at work in this subpopulation. The high prevalence of the susceptible C allele for AGT (rs699) likely implies it is a critical factor in the high prevalence of EH observed in this population.
APA, Harvard, Vancouver, ISO, and other styles
22

Chalk, Jack Pryor. "Genesis 1-11 and the African worldview : conflict or conformity?" Thesis, 2006. http://hdl.handle.net/10500/2167.

Full text
Abstract:
The purpose of this study was to present an analysis of the belief systems of the worldviews behind the religions of Christianity and African Traditional Religion with a view toward aiding the Christian church in African help its converts from African Traditional Religion to hold a biblical worldview in the areas where the biblical and traditional African worldviews conflict. The two worldviews were analyzed, and compared using the philosophical elements of a worldview and the religious dimensions of how a worldview is lived out in culture. Genesis 1-11 of the Christian Bible was used as the basis for the biblical or Christian worldview. The Christian believes that the Bible is God's inspired word to mankind and that what is recorded in Genesis 1-11 gives God's answers to the basic philosophical questions that make up a worldview. Therefore, Christian philosophy and the Christian worldview are postulated on God's special revelation as recorded in the Bible. The African worldview is based upon the sayings and traditions of the elders as received from the ancestors. The traditional African believes in the trustworthiness of the ancestors as strongly as the Christian believes in the trustworthiness of the Bible. When an African converts from African Traditional Religion to Christianity he encounters a conflict of beliefs in certain philosophical elements of his worldview. Upon the conviction that beliefs determine practice, unless the African convert to Christianity changes his beliefs he will not change his practice, and syncretism will be the result. After analyzing the two worldviews, the areas of conflict in beliefs were presented with recommendations for bringing the African Christian's worldview beliefs into conformity with the Christian worldview.
Religious Studies and Arabic
D.Litt. et Phil. (Religious Studies)
APA, Harvard, Vancouver, ISO, and other styles
23

Oosthuizen, Neil T. "Babel, babble, and Babylon : reading Genesis 11:1-9 as myth." Thesis, 2002. http://hdl.handle.net/10500/1126.

Full text
Abstract:
The story of the Tower of Babel (Gen 11: 1-9) has been interpreted in various ways down through the centuries. However, most commentators have ignored the genre of the text, and have not sought to interpret it within its mythological framework - therefore most interpretations are nothing short of babble. A working text is ascertained, and the complexity of the text investigated. The text is then identified as 'myth': within its mythological framework the tower is seen as a temple linking heaven and earth, ensuring the continuation of the royal dynasty (i e 'making a name'). When used by the Yahwist Levites during the Babylonian Exile, our story was inserted in the great Pre-History as polemic against the Babylonian concept of creation, temple, and dynasty; and served as both a warning and an encouragement to the Exiles. The post-exilic Priestly Writer re-interpreted our story as a warning to the returning exiles that their society, and their temple, should be reconstructed as YHWH determines. Interpreting the story as myth enables it, finally, to speak clearly into our context today, especially that of South Africa.
Biblical and Ancient Studies
D. Th. (Old Testament)
APA, Harvard, Vancouver, ISO, and other styles
24

De, Man Jan Abraham. "Gewone mense, stories en Jahweh : 'n teologie van die verhalende literatuur in Genesis 1-11 (Afrikaans)." Thesis, 2001. http://hdl.handle.net/2263/23340.

Full text
APA, Harvard, Vancouver, ISO, and other styles
25

Lamarche, Janet. "The meaning of genesis 14:11-24 : a syntactical and redactional analysis." Thesis, 2009. http://spectrum.library.concordia.ca/976434/1/MR63250.pdf.

Full text
Abstract:
As stated in the title, the purpose of this thesis is to determine the meaning of Genesis 14 in its canonical context. This perspective has been lacking in scholarship. While scholars past and present have focused on the understanding of shalem as Jerusalem and thus on the Melchizedek episode; this study, however, intends to demonstrate that the meaning is, in fact, connected to chapter 13. In light if this, an analyses of both the unity within the chapter as well as within the Genesis corpus will be examined. Additionally, the word shalem will be examined in order to determine whether an association with Jerusalem is certain. Finally, an alternative interpretation will be presented with the aim of opening up new avenues of thought.
APA, Harvard, Vancouver, ISO, and other styles
26

Haynes, Matthew Brian. "The Sabbath commandment in Exodus 20:8-11 in the light of the first creation account / Matthew Brian Haynes." Thesis, 2015. http://hdl.handle.net/10394/16578.

Full text
Abstract:
This study is an attempt to define more clearly the Sabbath institution as it is presented in Exodus 20:8-11. It begins by describing the big-picture contours of the Sabbath institution as it has been depicted by various scholars during the last century. Many of these studies focus on delineating what proper Sabbath observance entails or describing how Sabbath rest mirrors God’s rest on the seventh day of creation. However, little investigation has been conducted into the relationship between the fourth commandment in Exodus 20 and the shape of humanity’s task and relationship with God on the seventh day. The study then examines the nature of God’s rest in the first creation account, describing what “rest” entailed for God, and the work from which he rested. It suggests that this “rest” is from the creational activity of the first six days and that it continues on into the present. It also discusses the relationship between the concept of rest offered by the first creation account and the concept of rest in the understanding of the Ancient Near East and Israel. Humanity’s role in the created order is also examined. While humans share some qualities with other creatures, such as an embodied existence, they are also distinct from the rest of creation. Only humans are created in the image of God. As such, they are given tasks unique to their status: subduing the earth, exercising dominion over the creatures of the earth, and expanding the borders of the garden as they multiply and fill the earth. These form the heart of their God-given task that they will carry out as God enjoys his seventh-day rest. Next, the study investigates the particulars of Exodus 20:8-11 and suggests a reading of these particulars against the backdrop of the seventh day as it is described in chapters 3-4. While the rationale for the Sabbath commandment is grounded in the events of the first creation account, the commandment itself also needs to be understood in the context of the Decalogue and, in turn, in the context of the law’s reception at Sinai. The law, and hence the fourth commandment, are central to the calling and purpose of Israel. As Israel fulfils its mandate to be a light to the nations, it will reflect the ideals of the seventh day as they are encapsulated in the law. Far from simply mirroring God’s rest, the fourth commandment reflects the relationship between God and humanity and humanity’s role on the seventh day of creation. The study concludes by drawing together various pieces of the argument and makes suggestions for further research.
MTh (Old Testament), North-West University, Potchefstroom Campus, 2015
APA, Harvard, Vancouver, ISO, and other styles
27

Plesa, Maria. "Genetic predisposition to corticosteroid : related complications of childhood Acute Lymphoblastic Leukemia (cALL) treatment." Thèse, 2017. http://hdl.handle.net/1866/19447.

Full text
Abstract:
L’ostéonécrose (ON) et les fractures (FR) sont des complications qui prennent de plus en plus place dans le traitement pédiatrique de la leucémie aiguë lymphoblastique (LAL). L’ON peut être causée par différents facteurs, dont principalement l’utilisation de glucocorticoïdes. Les glucocorticoïdes sont administrés lors du traitement de la leucémie dans le but d’initier l’apoptose des cellules malignes tout en ayant un effet anti-inflammatoire. Cependant, l’utilisation de ces corticostéroïdes comprend des effets secondaires sérieux, notamment le développement d’ostéonécrose. Des variantes génétiques peuvent mettre certains patients plus à risque que d’autres. Plusieurs gènes ont déjà été signalés comme régulés par les actions glucocorticoïdes (GC). Les variations génétiques présentes dans les régions régulatrices de ces gènes peuvent affecter leur fonctionnement normal et, en fin de compte, de déterminer un risque accru de développer l’ON associé au traitement contre la leucémie. Pour cette raison, plusieurs polymorphismes ont été identifiés et étudiés dans la cohorte QcALL de Ste-Justine, concernant les gènes suivants : ABCB1, ACP1, BCL2L11, NFKB1, PARP1, et SHMT1. Ces gènes jouent majoritairement un rôle dans les mécanismes d’action des glucocorticoïdes, mais quelques-uns ont plutôt un effet direct sur le développement d’ostéonécrose. Nos recherches ont démontré une corrélation entre ces polymorphismes et l’apparition d’ostéonécrose chez les patients de la cohorte QcALL, traités aux glucocorticoïdes. L'incidence cumulative de l'ostéonécrose a été évaluée rétrospectivement chez 305 enfants atteints de la leucémie qui ont subi un traitement à l’hôpital Ste-Justine selon les protocoles DFCI de Boston (87-01, 91-01, 95-01 et 2000-01). Parmi les huit polymorphismes de BCL2L11 étudiés, les 891T> G (rs2241843) et 29201C> T (rs724710) ont été significativement associés à ON (p = 0.01 et p = 0.03, respectivement). L'association du polymorphisme 891T> G a été modulée par le type de corticostéroïde (CS), l’âge, le sexe et le groupe à risque (p ≤ 0,05). Le polymorphisme 29201C> T était particulièrement apparent chez les patients à haut risque (p = 0,003). La même étude était conduite en parallèle sur des patients de la cohorte DFCI de Boston (N = 192), et montrait des résultats significatifs pour les polymorphismes étudiés. En conclusion, les résultats de cette étude permettront de confirmer l’association de ces polymorphismes au développement d’ON chez les patients de LLA traités aux GC.
Osteonecrosis (ON) and fractures (FR) are complications that take place in the treatment of children acute lymphoblastic leukemia (cALL). They can be caused by various factors, mainly using glucocorticoids. The corticosteroids, dexamethasone (DXM) and prednisone (PDN) are administered during the treatment of leukemia to initiate apoptosis of malignant cells; while having an anti-inflammatory effect. However, the use of these corticosteroids has severe side effects, including the development of osteonecrosis. Moreover, some patients develop resistance to treatment, and are at risk of developing side effects. The genetic variants predispose some patients at higher risk than others. Several genes have been previously reported as up- or down regulated by the GCs actions. The genetic variations present in gene coding or regulatory regions can affect their function and ultimately determine an increased risk of developing ON associated to ALL therapy. Therefore, we investigated the association between several single nucleotide polymorphisms (SNPs) in six candidate genes: BCL2L11, NFKB1, PARP1, ABCB1, ACP1, and SHMT1. These genes play a role in the mechanisms of action of glucocorticoids, but some have more of a direct effect on the development of osteonecrosis. Our research has shown a correlation between these polymorphisms and the occurrence of osteonecrosis in patients in the QCALL cohort, treated with glucocorticoids. Cumulative incidence of osteonecrosis was assessed retrospectively in 305 children with ALL who underwent treatment with DFCI protocols (87-01, 91-01, 95-01 and 2000-01) in childhood ALL cohort from Quebec (QcALL). Among the eight tag BCL2L11 polymorphisms studied the 891T>G (rs2241843) and 29201C>T (rs724710) were significantly associated with ON (p = 0.01 and p = 0.03, respectively). Association of 891T>G polymorphism was modulated by type of corticosteroid (CS), age, sex and risk group (p ≤ 0.05 and that of 29201C>T was particularly apparent among high risk (p = 0.003) patients. These polymorphisms have shown significant ON association in several QcALL risk groups, mainly in corticosteroid groups, age < 10 years, and high risk (HR) group. Furthermore, the same study was conducted in parallel with patients in the replication (DFCI) cohort (N = 192), and we showed significant genetic association results for all studied polymorphisms. In conclusion, this study identifies that some ALL children have a high incidence of ON during the treatment that is highly associated with polymorphisms in different genes regulated by corticosteroids and ALL prognostic factors.
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!