FORNEROD, M., J. MA, S. NOORT, Y. LIU, M. P. WALSH, L. SHI, S. NANCE, Y. L. LIU, Y. Y. WANG, G. C. SONG, T. LAMPRECHT, J. EASTON, H. L. MULDER, D. YERGEAU, J. MYERS, J. L. KAMENS, E. A. OBENG, M. PIGAZZI, Marie JAROŠOVÁ, C. KELAIDI, S. POLYCHRONOPOULOU, J. K. LAMBA, S. D. BAKER, J. E. RUBNITZ, D. REINHARDT, M. M. VAN DEN HEUVEL-EIBRINK, F. LOCATELLI, H. HASLE, J. M. KLCO, J. R. DOWNING, J. H. ZHANG, S. POUNDS, C. M. ZWAAN and T. A. GRUBER. Integrative Genomic Analysis of Pediatric Myeloid-Related Acute Leukemias Identifies Novel Subtypes and Prognostic Indicators. BLOOD CANCER DISCOVERY. PHILADELPHIA: AMER ASSOC CANCER RESEARCH, 2021, vol. 2, No 6, p. 586-599. ISSN 2643-3230. Available from: https://dx.doi.org/10.1158/2643-3230.BCD-21-0049.
Other formats:   BibTeX LaTeX RIS
Basic information
Original name Integrative Genomic Analysis of Pediatric Myeloid-Related Acute Leukemias Identifies Novel Subtypes and Prognostic Indicators
Authors FORNEROD, M., J. MA, S. NOORT, Y. LIU, M. P. WALSH, L. SHI, S. NANCE, Y. L. LIU, Y. Y. WANG, G. C. SONG, T. LAMPRECHT, J. EASTON, H. L. MULDER, D. YERGEAU, J. MYERS, J. L. KAMENS, E. A. OBENG, M. PIGAZZI, Marie JAROŠOVÁ (203 Czech Republic, belonging to the institution), C. KELAIDI, S. POLYCHRONOPOULOU, J. K. LAMBA, S. D. BAKER, J. E. RUBNITZ, D. REINHARDT, M. M. VAN DEN HEUVEL-EIBRINK, F. LOCATELLI, H. HASLE, J. M. KLCO, J. R. DOWNING, J. H. ZHANG, S. POUNDS, C. M. ZWAAN and T. A. GRUBER.
Edition BLOOD CANCER DISCOVERY, PHILADELPHIA, AMER ASSOC CANCER RESEARCH, 2021, 2643-3230.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
RIV identification code RIV/00216224:14110/21:00123864
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1158/2643-3230.BCD-21-0049
UT WoS 000715262200007
Keywords in English Pediatric Myeloid-Related Acute Leukemias; Prognostic Indicators; Integrative Genomic Analysis
Tags 14110212, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 20/5/2022 08:08.
Abstract
Genomic characterization of pediatric patients with acute myeloid leukemia (AML) has led to the discovery of somatic mutations with prognostic implications. Although gene-expression profiling can differentiate subsets of pediatric AML, its clinical utility in risk stratification remains limited. Here, we evaluate gene expression, pathogenic somatic mutations, and outcome in a cohort of 435 pediatric patients with a spectrum of pediatric myeloid-related acute leukemias for biological subtype discovery. This analysis revealed 63 patients with varying immunophenotypes that span a T-lineage and myeloid continuum designated as acute myeloid/T-lymphoblastic leukemia (AMTL). Within AMTL, two patient subgroups distinguished by FLT3-ITD and PRC2 mutations have different outcomes, demonstrating the impact of mutational composition on survival. Across the cohort, variability in outcomes of patients within isomutational subsets is influenced by transcriptional identity and the presence of a stem cell-like gene-expression signature. Integration of gene expression and somatic mutations leads to improved risk stratification. SIGNIFICANCE: Immunophenotype and somatic mutations play a significant role in treatment approach and risk stratification of acute leukemia. We conducted an integrated genomic analysis of pediatric myeloid malignancies and found that a combination of genetic and transcriptional readouts was superior to immunophenotype and genomic mutations in identifying biological subtypes and predicting outcomes.
PrintDisplayed: 20/7/2024 12:10