Heterogeneity within AML with CEBPA mutations; only CEBPA double mutations, but not single CEBPA mutations are associated with favourable prognosis.

Heterogeneity within AML with CEBPA mutations; only CEBPA double mutations, but not single CEBPA mutations are associated with favourable prognosis.
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DOI:
10.1038/sj.bjc.6604977
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发表时间:
2009-04-21
影响因子:
8.8
通讯作者:
Mueller, B. U.
Mueller, B. U.
中科院分区:
医学1区
文献类型:
--
作者:
Pabst, T.;Eyholzer, M.;Fos, J.;Mueller, B. U.

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AML中的CCAAT/增强子结合蛋白α(CEBPA)突变与良好的预后相关,并分为N端和C端突变。大多数AML患者都有这两种类型的突变。我们评估了224例AML患者中CEBPA单突变(n=7)和双突变(n=12)的预后意义。双CEBPA突变赋予了决定性的有利的总体(P=0.006)和无病生存(P=0.013)。然而,单CEBPA突变患者的临床结果与CEBPA野生型患者没有差异。在多变量分析中,只有双CEBPA突变而不是单CEBPA突变被确定为独立的预后因素。这些发现表明CEBPA突变AML患者的异质性。
CCAAT/enhancer binding protein alpha (CEBPA) mutations in AML are associated with favourable prognosis and are divided into N- and C-terminal mutations. The majority of AML patients have both types of mutations. We assessed the prognostic significance of single (n=7) and double (n=12) CEBPA mutations among 224 AML patients. Double CEBPA mutations conferred a decisively favourable overall (P=0.006) and disease-free survival (P=0.013). However, clinical outcome of patients with single CEBPA mutations was not different from CEBPA wild-type patients. In a multivariable analysis, only double – but not single – CEBPA mutations were identified as independent prognostic factors. These findings indicate heterogeneity within AML patients with CEBPA mutations.
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