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Published on: September 20, 2016
[Flt-3/ITD mutation in pediatric leukemia and its clinical significance]
1Department of Biochemistry and Molecular Biology, Shenyang Medical College, Shenyang, Liaoning, 110034, P. R. China. wangjie19932002@163.com
Background & Objective:
Flt-3 internal tandem duplication (Flt-3/ITD) in transmembrane region is the most frequently identified mutation in Flt-3 gene, which is the most frequently happened in acute myeloid leukemia (AML) and correlated to prognosis. This study was to explore the correlation of Flt-3/ITD mutation to the occurrence of pediatric leukemia, and analyze its clinical significance.
Methods:
Flt-3/ITD mutation status in bone marrow samples from 302 children with leukemia, including 122 cases of AML, 124 cases of acute lymphoblastic leukemia (ALL), 17 cases of juvenile chronic myelogenous leukemia (JCML), and 39 cases of myelodysplastic syndromes (MDS), were examined by polymerase chain reaction (PCR) and sequencing.
Results:
Of the 122 AML patients, 98 (80.32%) had Flt-3 gene products in bone marrow. Flt-3/ITD mutation was detected in 21 (17.21%) of the 122 patients; the mutation rates were 42.86% (3/7) in M0, 22.22% (2/9) in M1, 12.90% (4/31) in M2, 44.44% (8/18) in M4, and 15.38% (4/26) in M5. Of the 124 ALL patients, 72 (58.06%) had Flt-3 gene products in bone marrow. Flt-3/ITD mutation was found in 2 (1.61%) of the 72 patients. DNA sequencing and Blast alignment revealed that ITD within exon 11 existed in all samples, with various duplication regions and lengths (24-95 bp). No Flt-3/ITD mutation was found in MDS patients and JCML patients. Of the 19 AML patients with Flt3/ITD mutation, the median survival time was 13.5 months (0-47 months), which was significantly shorter than that of the patients without Flt-3/ITD mutation (P<0.05). The percentage of neutrophils in peripheral blood was similar in Flt-3/ITD-positive and Flt-3/ITD-negative patients (P>0.05). Chromosome karyotype analysis showed chromosome abnormity, including t(11; 12)(p15; q13), inv16(q21; q23), and t(6; 9)(p23; q23), in 3 AML patients with Flt-3/ITD.
Conclusions:
Flt-3/ITD mutations are usually detected in AML, seldom in ALL, not in MDS and JCML. Flt-3/ITD mutation is correlated to AML onset and progress. Flt-3/ITD is a significant marker to analyze AML prognosis.
Insights
Flt-3 internal tandem duplication (Flt-3/ITD) mutations are common in pediatric acute myeloid leukemia (AML) but rare in acute lymphoblastic leukemia (ALL). Flt-3/ITD is a significant marker for AML prognosis.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Context:
- Flt-3 internal tandem duplication (Flt-3/ITD) is a frequent mutation in acute myeloid leukemia (AML) and impacts prognosis.
- Pediatric leukemia encompasses various subtypes, including AML and acute lymphoblastic leukemia (ALL).
Purpose:
- To investigate the prevalence of Flt-3/ITD mutations in pediatric leukemia.
- To analyze the clinical significance and prognostic value of Flt-3/ITD mutations in pediatric leukemia.
Summary:
- Flt-3/ITD mutations were detected in 17.21% of pediatric AML cases and 1.61% of pediatric ALL cases.
- No Flt-3/ITD mutations were found in juvenile chronic myelogenous leukemia (JCML) or myelodysplastic syndromes (MDS).
- Flt-3/ITD mutations were associated with a significantly shorter median survival time in AML patients.
Impact:
- Flt-3/ITD mutations are strongly correlated with the onset and progression of pediatric AML.
- Flt-3/ITD serves as a crucial prognostic marker for pediatric AML, aiding in risk stratification and treatment decisions.
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Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
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Translation
Translation is the process of synthesizing proteins from the genetic information carried by messenger RNA (mRNA). Following transcription, it constitutes the final step in the expression of genes. This process is carried out by ribosomes, complexes of protein and specialized RNA molecules. Ribosomes, transfer RNA (tRNA), and other proteins produce a chain of amino acids—the polypeptide—as the end product of translation.
Translation Produces the Building Blocks of Life
