Clinical significance of long noncoding RNA maternally expressed gene 3 in acute promyelocytic leukemia
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Published on: September 1, 2019
Mei Jiang1, Qiufeng Wang2, Ganquan Yu2
1Department of Clinical Laboratory, First Affiliated Hospital of Nanchang University.
Introduction:
Long noncoding RNA maternally expressed gene 3 (MEG3) expression was significantly decreased in acute myeloid leukemia (AML). However, its expression and clinical significance in acute promyelocytic leukemia (APL) remain unclear. Thus, the present study aimed to investigate the expression of MEG3 in APL and explore its clinical value.
Methods:
A total of 287 AML patients derived from The Cancer Genome Atlas (TCGA) and Vizome database were enrolled. A development and validation cohort, including APL, AML with AML1/ETO, and other types of AML patients and disease controls, from the First Affiliated Hospital of Nanchang University, were also enrolled in this study. The correlation between MEG3 expression and the clinicopathological features in APL was investigated. The diagnostic values of MEG3 expression in APL were analyzed by receiver operating characteristic (ROC) curves.
Result:
In the development set, MEG3 expression was significantly increased in APL than AML with AML1/ETO, other types of AML, and disease controls, which was consistent with the results from the database analysis. MEG3 expression in APL was associated with age (P = .0053) but did not correlate with other clinicopathological features (P > .05). ROC curve analysis in the development set and diagnostic test analysis in the validation set suggested that MEG3 expression has a significant value in the diagnosis of APL. Furthermore, the expression of MEG3 decreased during the follow-up of patients with negative PML/RARα fusion gene.
Conclusion:
MEG3 serves as a novel marker for the diagnosis of APL, evaluates the curative effect, and provides a novel direction for further research.
Insights
Maternally expressed gene 3 (MEG3) is significantly increased in acute promyelocytic leukemia (APL). MEG3 serves as a novel diagnostic marker for APL and can evaluate treatment effectiveness.
Area of Science:
- Hematology
- Molecular Biology
- Oncology
Background:
- Long noncoding RNA maternally expressed gene 3 (MEG3) expression is decreased in acute myeloid leukemia (AML).
- The role of MEG3 in acute promyelocytic leukemia (APL) is not well understood.
- This study investigates MEG3 expression and clinical significance in APL.
Purpose of the Study:
- To investigate MEG3 expression levels in APL.
- To explore the diagnostic value of MEG3 in APL.
- To assess the correlation between MEG3 expression and clinicopathological features in APL.
Main Methods:
- Analysis of 287 AML patients from TCGA and Vizome databases.
- Development and validation cohorts including APL, other AML subtypes, and controls.
- Correlation analysis of MEG3 expression with clinicopathological features.
- Receiver operating characteristic (ROC) curve analysis for diagnostic value.
Main Results:
- MEG3 expression was significantly increased in APL compared to other AML subtypes and controls.
- MEG3 expression correlated with age in APL patients.
- ROC analysis confirmed MEG3's significant diagnostic value for APL.
- MEG3 expression decreased during follow-up in patients with negative PML/RARα fusion gene.
Conclusions:
- MEG3 is a novel diagnostic marker for APL.
- MEG3 can be used to evaluate the curative effect of APL treatment.
- MEG3 offers a new direction for APL research.
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