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| Content Provider | PubMed Central |
|---|---|
| Author | Langer, Christian Radmacher, Michael D. Ruppert, Amy S. Whitman, Susan P. Paschka, Peter Mrózek, Krzysztof Baldus, Claudia D. Vukosavljevic, Tamara Liu, Chang-gong Ross, Mary E. Powell, Bayard L. Chapelle, Albert De La Kolitz, Jonathan E. Larson, Richard A. Marcucci, Guido Bloomfield, Clara D. |
| Copyright Year | 2008 |
| Abstract | BAALC expression is considered an independent prognostic factor in cytogenetically normal acute myeloid leukemia (CN-AML), but has yet to be investigated together with multiple other established prognostic molecular markers in CN-AML. We analyzed BAALC expression in 172 primary CN-AML patients younger than 60 years of age, treated similarly on CALGB protocols. High BAALC expression was associated with FLT3-ITD (P = .04), wild-type NPM1 (P < .001), mutated CEBPA (P = .003), MLL-PTD (P = .009), absent FLT3-TKD (P = .005), and high ERG expression (P = .05). In multivariable analysis, high BAALC expression independently predicted lower complete remission rates (P = .04) when adjusting for ERG expression and age, and shorter survival (P = .04) when adjusting for FLT3-ITD, NPM1, CEBPA, and white blood cell count. A gene-expression signature of 312 probe sets differentiating high from low BAALC expressers was identified. High BAALC expression was associated with overexpression of genes involved in drug resistance (MDR1) and stem cell markers (CD133, CD34, KIT). Global microRNA-expression analysis did not reveal significant differences between BAALC expression groups. However, an analysis of microRNAs that putatively target BAALC revealed a potentially interesting inverse association between expression of miR-148a and BAALC. We conclude that high BAALC expression is an independent adverse prognostic factor and is associated with a specific gene-expression profile. |
| Related Links | http://dx.doi.org/10.1182/blood-2007-11-124958 |
| Ending Page | 5379 |
| Page Count | 9 |
| Starting Page | 5371 |
| File Format | |
| ISSN | 00064971 |
| e-ISSN | 15280020 |
| Journal | Blood |
| Issue Number | 11 |
| Volume Number | 111 |
| Language | English |
| Publisher | American Society of Hematology |
| Publisher Date | 2008-06-01 |
| Access Restriction | Open |
| Rights Holder | American Society of Hematology |
| Subject Keyword | Immunology Cell Biology Biochemistry Hematology Research in Higher Education |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cell Biology Hematology Biochemistry Immunology |
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