X-linked clonal analysis (XLCA) either using Glucose-6-phosphate dehyd
rogenase (G-6-P-D) polymorphisms or restriction fragment length polymo
rphisms (RFLP) and methylation analysis has provided considerable unde
rstanding of haematologic malignancy. Acute Promyelocytic Leukemia (AP
L) is characterized by a unique cytogenetic translocation t(15;17), fr
equent achievement of remission without a preceding phase of marrow hy
pocellularity after induction chemotherapy and a high rate of clinical
response to all-trans retinoic acid (ATRA). In limited studies XLCA h
as provided insight into the pathogenesis and mechanism of drug action
in this disease.