High Expression of AHSP, EPB42, GYPC and HEMGN Predicts Favorable Prognosis in FLT3-ITD-Negative Acute Myeloid Leukemia

High Expression of AHSP, EPB42, GYPC and HEMGN Predicts Favorable Prognosis in FLT3-ITD-Negative Acute Myeloid Leukemia
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AHSP、EPB42、GYPC 和 HEMGN 的高表达预示着 FLT3-ITD 阴性急性髓系白血病的良好预后

DOI:
10.1159/000479837
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发表时间:
2017-08
影响因子:
--
通讯作者:
Chen Xiao Ping
Chen Xiao Ping
中科院分区:
医学1区
文献类型:
--
作者:
Zhu Gang Zhi;Yang Yong Long;Zhang Yan Jiao;Liu Wei;Li Mu Peng;Zeng Wen Jing;Zhao Xie Lan;Chen Xiao Ping

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背景/目标:急性髓性白血病(AML)是一种异质性克隆性疾病,携带FMS样酪氨酸激酶3(FLT 3)突变的AML患者给临床医生带来了几个难题。本研究的目的是确定新的目标来解释的困境。方法:我们分析了四个微阵列基因表达谱,以研究与FLT 3-ITD突变相关的全基因组表达变化。结果:我们鉴定出22个差异表达基因,这些基因在所有四种基因型中普遍表达。Kaplan-Meier法分析GSE 12417数据集显示,AHSP、EPB 42、GYPC和HEGN的低表达预示预后不良(在GSE 12417测试队列中,AHSP:P= 0.0317,HR= 1.894; EPB 42:P=0.0382,HR=1.859; GYPC:P=0.0015,HR=2.051; HEMGN:P=0.0418,HR=1.838; AHSP:P=0.0279,HR=1.548; EPB 42:P=0.0398,HR=1.505; GYPC:P=0.0408,HR=1.501; HEMGN:P=0.0143,HR=1.630(GSE 12417验证队列)。当FLT 3-ITD阳性时,FLT 3的表达显著增加(4个谱均P<0.05),相关分析显示4个候选基因的表达与FLT 3的表达呈负相关。结论:我们的研究结果表明,α-血红蛋白稳定蛋白,EPB 42,GYPC和HEMGN可能是合适的生物标志物的FLT 3-ITD阳性AML患者的诊断或治疗策略。
Background/Aims: Acute myeloid leukemia (AML) is a heterogeneous clonal disease and patients with AML who harbor an FMS-like tyrosine kinase 3 (FLT3) mutation present several dilemmas for the clinician. This study aims to identify novel targets for explaining the dilemmas. Methods: We analyzed four microarray gene expression profiles to investigate changes in whole genome expression associated with FLT3-ITD mutation. Results: We identified 22 differentially expressed genes which are commonly expressed among all four profiles. Kaplan-Meier analysis of the dataset GSE12417 revealed that low expression of AHSP, EPB42, GYPC and HEMGN predicted poor prognosis (AHSP: P=0.0317, HR=1.894; EPB42: P=0.0382, HR=1.859; GYPC: P=0.0015, HR=2.051; HEMGN: P=0.0418, HR=1.838 in GSE12417 test cohort; AHSP: P=0.0279, HR=1.548; EPB42: P=0.0398, HR=1.505; GYPC: P=0.0408, HR=1.501; HEMGN: P=0.0143, HR=1.630 in GSE12417 validation cohort). When patients were FLT3-ITD positive, the expression of FLT3 was significantly increased (all P<0.05 in four profiles), and correleation analysis of four profiles revealed that the expression of the four candidate genes negatively correlated with FLT3 expression. Conclusions: Our findings suggest that AHSP, EPB42, GYPC and HEMGN may be suitable biomarkers for diagnostic or therapeutic strategies for FLT3-ITD-positive AML patients.
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