학술논문
Molecular alterations of the IDH1 gene in AML: a Childrenʼs Oncology Group and Southwest Oncology Group study
Document Type
Academic Journal
Author
Ho, P A; Alonzo, T A; Kopecky, K J; Miller, K L; Kuhn, J; Zeng, R; Gerbing, R B; Raimondi, S C; Hirsch, B A; Oehler, V; Hurwitz, C A; Franklin, J L; Gamis, A S; Petersdorf, S H; Anderson, J E; Reaman, G H; Baker, L H; Willman, C L; Bernstein, I D; Radich, J P; Appelbaum, F R; Stirewalt, D L; Meshinchi, S
Source
Leukemia. May 01, 2010 24(5):909-913
Subject
Language
English
ISSN
0887-6924
Abstract
Recent whole-genome sequencing efforts led to the identification of IDH1 mutations in acute myeloid leukemia (AML) patients. We studied the prevalence and clinical implications of IDH1 genomic alterations in pediatric and adult AML. Diagnostic DNA from 531 AML patients treated on Childrenʼs Oncology Group trial COG-AAML03P1 (N=257), and Southwest Oncology Group trials SWOG-9031, SWOG-9333 and SWOG-9500 (N=274), were tested for IDH1 mutations. Codon R132 mutations were absent in the pediatric cohort, but were found in 12 of 274 adult patients (4.4%, 95% CI 2.3–7.5). IDH1 mutations occurred most commonly in patients with normal karyotype, and those with FLT3/ITD and NPMc mutations. Patients with IDH1 mutations trended toward higher median diagnostic white blood cell counts (59.2×10 vs 29.1×10 per liter, P=0.19) than those without mutations, but the two groups did not differ significantly in age, bone marrow blast percentage, overall survival or relapse-free survival. Eleven patients (2.1%) harbored a novel V71I sequence alteration, which was found to be a germ-line polymorphism. IDH1 mutations were not detected in pediatric AML, and are uncommon in adult AML.