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Updated: Jul 2, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
[Establishment of the methods to detect nucleophosmin gene and its mutation in acute myelogenous leukemia]
Peng He1, Ling Zhang, Zhan-Peng Luo
1Department of Clinical Hematology, Chongqing Medical University, Chongqing 400016, China.
Abstract:
This study was aimed to establish the PCR methods to detect nucleophosmin (NPM) gene and its mutation. 2 leukemia cell lines and 23 specimens from patients with acute myelogenous leukemia (AML) were investigated. The level of NPM mRNA was detected by RT-PCR. The exon-12 of NPM gene in leukemia cell lines was amplified by PCR and sequenced. Using the plasmid containing cDNA of NPM mutation A as a positive template, the PCR procedure to detect mutation A was established and evaluated. Then, the mutation of NPM was analyzed in 23 AML specimens. The results indicated that the expression level of NPM in leukemia cell lines was higher than that in normal cells. Different overexpression levels of NPM mRNA were found in all 23 AML specimens. PCR indicated that mutation had been not occurred at NPM exon-12 in THP1 and K562 cells, but a T base was deleted at 3' untranslated region of NPM gene in K562 cells. The PCR used for directly detecting NPM mutation A can specially amplify the NPM mutation gene. The method was reproducible, whose coefficient of variability was 1.6% and 3.1% in intra-and inter-assays respectively. The lowest detectable limit was 100 pg cDNA. Using the PCR methods, NPM mutation A could be detected in 2 out of 23 AML specimens, but NPM mutation A was not found in THP1 and K562 cells. It is concluded that the RT-PCT method detecting NPM mRNA level and the PCR method detecting directly NPM mutation are established. NPM mRNA is overexpressed in leukemia cells; NPM mutation A occurs in some AML patients.
Insights
New PCR methods accurately detect nucleophosmin (NPM) gene overexpression and mutations in acute myelogenous leukemia (AML). These techniques identified NPM mRNA overexpression in all AML samples and NPM mutation A in some patients.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Nucleophosmin (NPM) gene alterations are implicated in various cancers, including acute myelogenous leukemia (AML).
- Accurate detection methods for NPM gene expression and mutations are crucial for understanding AML pathogenesis and developing targeted therapies.
Purpose of the Study:
- To establish and evaluate Polymerase Chain Reaction (PCR)-based methods for detecting nucleophosmin (NPM) gene mRNA levels and specific mutations.
- To investigate the expression of NPM mRNA and the prevalence of NPM mutation A in acute myelogenous leukemia (AML) cell lines and patient specimens.
Main Methods:
- Reverse Transcription PCR (RT-PCR) was employed to quantify NPM mRNA levels in leukemia cell lines and 23 AML patient samples.
- PCR and sequencing were used to analyze the NPM gene's exon-12 in leukemia cell lines.
- A specific PCR assay was developed and validated to detect NPM mutation A, using a plasmid with known mutation A as a positive control.
Main Results:
- NPM mRNA expression was significantly higher in leukemia cell lines compared to normal cells.
- All 23 AML specimens exhibited varying levels of NPM mRNA overexpression.
- NPM mutation A was detected in 2 out of 23 AML specimens, while no NPM exon-12 mutations were found in THP1 and K562 cell lines, though a deletion was noted in K562's 3' UTR.
Conclusions:
- Established RT-PCR and PCR methods reliably detect NPM mRNA levels and NPM mutation A.
- NPM mRNA is consistently overexpressed in leukemia cells, and NPM mutation A is present in a subset of AML patients.
- These validated molecular tools are valuable for diagnosing and characterizing NPM alterations in AML.
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