Publication Date:
2017-07-16
Description:
High PRDM16 (also known as MEL1 ) expression is a representative marker of acute myeloid leukemia (AML) with NUP98-NSD1 and is a significant predictive marker for poor prognosis in pediatric AML. However, the clinical features of adult AML with PRDM16 expression remain unclear. PRDM16 is highly homologous to MDS1/EVI1 , which is an alternatively spliced transcript of MECOM (also known as EVI1 ). We investigated PRDM16 expression in 151 AML patients, with 47 (31%) exhibiting high PRDM16 expression ( PRDM16/ABL1 ratio ≥ 0.010). High PRDM16 expression significantly correlated with DNMT3A (43% vs. 15%, P 〈 0.001) and NPM1 (43% vs. 21%, P = 0.010) mutations and partial tandem duplication of KMT2A (22% vs. 1%, P 〈 0.001). Remarkably, high- PRDM16 -expression patients were frequent in the non-complete remission group (48% vs. 21%, P = 0.002). Overall survival (OS) was significantly worse in high- PRDM16 -expression patients than in low- PRDM16 -expression patients (5-year OS, 18% vs. 34%; P = 0.002). This trend was observed more clearly among patients aged 〈65 years (5-year OS, 21% vs. 50%; P = 0.001), particularly in FLT3 -ITD-negative patients in the intermediate cytogenetic risk group (5-year OS, 25% vs. 59%; P = 0.009). These results suggest that high PRDM16 expression is a significant predictive marker for poor prognosis in adult AML patients, similar to pediatric AML patients. This article is protected by copyright. All rights reserved.
Print ISSN:
1045-2257
Electronic ISSN:
1098-2264
Topics:
Biology
,
Medicine
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