Promoter hypermethylation of cancer-related genes: a strong independent prognostic factor in acute lymphoblastic leukemia.

作者: Jose Roman-Gomez , Antonio Jimenez-Velasco , Juan A Castillejo , Xabier Agirre , Manuel Barrios

DOI: 10.1182/BLOOD-2004-03-0954

关键词:

摘要: Promoter hypermethylation plays an important role in the inactivation of cancer-related genes. This abnormality occurs early leukemogenesis and seems to be associated with poor prognosis acute lymphoblastic leukemia (ALL). To determine extent ALL, we analyzed methylation status CDH1, p73, p16, p15, p57, NES-1, DKK-3, CDH13, p14, TMS-1, APAF-1, DAPK, PARKIN, LATS-1, PTEN genes 251 consecutive ALL patients. A total 77.3% samples had at least 1 gene methylated, whereas 35.9% cases 4 or more methylated. Clinical features complete remission rate did not differ among patients without methylated genes, 3 (methylated group A), than B). Estimated disease-free survival (DFS) overall (OS) 11 years were 75.5% 66.1%, respectively, for nonmethylated group; 37.2% 45.5% A; 9.4% 7.8% B (P < .0001 P = .0004, respectively). Multivariate analysis demonstrated that profile was independent prognostic factor predicting DFS .0001) OS .003). Our results suggest may a potential new biomarker risk prediction ALL.

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