表观遗传修饰基因的突变预测成年急性淋巴细胞白血病的不良结果
Jiawang Ou1, Shiyu Deng1, Chenhao Ding1
1Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Annals of hematology
|March 7, 2024
概括
表观遗传修饰 (EM) 基因的突变在成人急性淋巴细胞白血病 (ALL) 中很常见. 这些EM突变预测ALL患者对治疗的反应较差,生存结果较差.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
背景情况:
- 表观遗传修饰 (EM) 基因对于急性淋巴细胞白血病 (ALL) 的发展和进展至关重要.
- 成年ALL的EM基因突变的预后影响仍然不完全理解.
研究的目的:
- 为了研究EM基因突变的预后意义在成人ALL患者治疗儿童类型的治疗方案.
- 评估EM突变与临床结果之间的关联,包括最小残留疾病 (MRD) 和存活率.
主要方法:
- 对205名成年ALL患者的回顾性分析.
- 针对下一代测序来识别EM突变.
- 在EM突变 (EM-mut) 和野生型 (EM-wt) 组之间对临床结果的比较.
主要成果:
- 在EM-mut组在巩固治疗期间和之前,MRD阳性率较高.
- 确定EM突变是整体存活 (OS) 和无事件存活 (EFS) 的独立不良预后因素.
- 与EM-wt组相比,患有EM突变的患者的3年OS (45.8%vs65.0%) 和EFS (36.7%vs53.2%) 率明显较低.
结论:
- 表观遗传修饰基因在成年ALL中经常发生突变.
- 电子突变与诱导疗法的反应减弱和成人ALL的临床结果较差有关.
- EM突变状态作为成人ALL的显著预后标志物.
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