Integrating post induction WT1 quantification and flow-cytometry results improves minimal residual disease stratification in acute myeloid leukemia

被引:30
|
作者
Marani, Carlo [1 ]
Clavio, Marino [1 ]
Grasso, Raffaella [1 ]
Colombo, Nicoletta [1 ]
Guolo, Fabio [1 ]
Kunkl, Annalisa [2 ]
Ballerini, Filippo [1 ]
Giannoni, Livia [1 ]
Ghiggi, Chiara [1 ]
Fugazza, Giuseppina [1 ]
Ravetti, Jean-Louis [2 ]
Gobbi, Marco [1 ]
Miglino, Maurizio [1 ]
机构
[1] IRCCS AOU S Martino IST, Dept Hematol & Oncol, Genoa, Italy
[2] IRCCS AOU S Martino IST, Dept Pathol, Genoa, Italy
关键词
Acute myeloid leukemia; Minimal residual disease; Flow-cytometry; Wilms' tumor gene; Prognosis; Early response assessment; PROGNOSTIC-SIGNIFICANCE; RISK STRATIFICATION; GENE-EXPRESSION; RT-PCR; DIAGNOSIS; PREDICTS; SURVIVAL; RELAPSE; TIME; AML;
D O I
10.1016/j.leukres.2013.07.005
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Fifty uniformly treated adult AML patients were analyzed with respect to pre-treatment and post-induction risk factors. Forty-two patients achieving complete hematological remission were assessed for minimal residual disease (MRD) by WT1 gene expression; 34 by flow-cytometry (flow-MRD). Patients who were flow-MRD negative had a better 3-year disease-free (DFS; 79.5% vs. 27.3%; p =.032) compared with patients who were still positive after induction. Interestingly, DFS of flow-MRD positive patients was not related to the amount of flow-detected clone population (>= or < 1%, p =.41) but to WT1 reduction (Delta WT1, 3-year DFS; 46.2% vs. 0% if Delta WT1 was >= or < of 1.5 log, p =.001). In AML, combining MRD results provided by WT1 quantification and flow-cytometry improves the reliability of MRD-based prognostic stratification. Similar analyses by further larger studies should be advocated. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1606 / 1611
页数:6
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