Comprehensive Mutation Profile in Acute Myeloid Leukemia Patients with or Fusions
Overview
Affiliations
Objective: This study was undertaken with the aim of better understanding the genomic landscape of core-binding factor (CBF) acute myeloid leukemia (AML).
Materials And Methods: We retrospectively analyzed 112 genes that were detected using next-generation sequencing in 134 patients with de novo CBF-AML., and mutations were detected by DNA-PCR and Sanger sequencing.
Results: In the whole cohort, the most commonly mutated genes were (33.6%) and (33.6%), followed by (18.7%), (13.4%), (8.2%), and (8.2%). The frequencies of mutated genes associated with epigenetic modification, such as , and , were low, being present in 1.5%, 0.7%, 2.2%, and 7.5% of the total number of patients, respectively. Inv(16)/t(16;16) AML patients exhibited more mutations of and (p=0.001 and 0.0001, respectively) than t(8;21) AML patients. Functionally mutated genes involved in signaling pathways were observed more frequently in the inv(16)/t(16;16) AML group (p=0.016), while the mutations involved in cohesin were found more frequently in the t(8;21) AML group (p=0.011). Significantly higher white blood cell counts were found in inv(16)/t(16;16) AML patients with () or () mutations compared to the corresponding t(8;21) AML/ and t(8;21) AML/ groups (p=0.001 and 0.009, respectively).
Conclusion: The mutation profiles of t(8;21) AML patients showed evident differences from those of patients with inv(16)/t(16;16) AML. We have provided a comprehensive overview of the mutational landscape of CBF-AML.
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